片麻痺患者の洋式便座使用時のディストレスの特徴  [in Japanese] Characteristics of the distress experienced by hemiplegic patients when using western-style toilets  [in Japanese]

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Abstract

目的:片麻痺患者の洋式便座使用時のディストレスについて明らかにする.方法:A総合病院外来に通院する片麻痺患者20名に,洋式便座使用時に,体験する苦痛・不快・不便等のディストレスを把握するために,半構成的質問紙を作成し,面接調査した.調査内容のうちディストレスと判断できる内容を箇条書としコード化した.同質と判断できるものをグループ化し,各々の内容の質を表現できる名前を与え,ディストレスの特徴とした.結果:左および右の片麻痺患者に共通した特徴は「トイレットペーパー使用分量の準備困難」等,右片麻痺患者特有の特徴は「便座使用中動作時の周囲物体との衝突」等,さらに左片麻痺患者特有の特徴は「便座使用時の左側への衝突」等のディストレスが明らかになった.考察・結論:これらのディストレスは,片麻痺による動作障害,利き手麻痺による巧緻性の低下,左側空間失認からくるディストレスと判断する.Purpose:The purpose of this study was to elucidate the distress experienced by hemiplegic patients when using Western-style toilets.Methods:A semi-structured questionnaire was created and interviews were conducted with 20 hemiplegic patients visiting F general hospital as outpatients in order to understand the distress they experienced, such as pain, discomfort, and inconvenience, when using Westernstyle toilets. Content judged as distress from among the survey content was itemized and coded. Content judged the same type of distress was grouped, and each type of distress was labeled and considered a distress concept.Results:We found five types of distress, including "difficulty preparing the right amount of toilet paper," that were common in both left and right hemiplegic patients; six types, including "collisions with surrounding objects when moving on the toilet," that were specific to right hemiplegic patients; and four types, including "collisions with items on the left side when using the toilet," that were specific to left hemiplegic patients. Discussion and conclusion:These types of distress were caused by impaired movement due to hemiplegia, decreased dexterity due to paralysis of the dominant hand, and left hemispatial agnosia.

Journal

  • 富山大学看護学会誌

    富山大学看護学会誌 14(1), 71-79, 2014-06

    富山大学看護学会編集委員会

Codes

  • NII Article ID (NAID)
    120005526021
  • NII NACSIS-CAT ID (NCID)
    AA12209357
  • Text Lang
    JPN
  • Article Type
    departmental bulletin paper
  • Journal Type
    大学紀要
  • ISSN
    1882-191X
  • NDL Article ID
    025855361
  • NDL Call No.
    Z74-B352
  • Data Source
    NDL  IR 
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