麻酔科術前診察受診時における入院前待機手術患者の健康関連QOL および不安・抑うつ状態の特徴  [in Japanese] Characteristics of Health-related QOL, Anxiety, and Depression in Elective Surgery Patients before Hospitalization During Examinations Prior to Surgery under Anesthesia  [in Japanese]

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Abstract

Objective:本研究は,入院前待機手術患者の健康関連QOL および不安・抑うつ状態の特徴を明らかにし,効果的な看護援助について示唆を得ることを目的とする.<br>Methods:全身麻酔手術を受ける入院前待機手術患者201 名を対象に,麻酔科術前診察受診時にSF-8 およびHADS を用いた自記式質問紙調査を実施した.回答に欠損値のない188 名を分析対象とし,SF-8 スコアおよびHADS 得点について記述統計量を算出し,属性による比較はt 検定または一元配置分散分析を行った.<br>Results:入院前待機手術患者のSF-8 サマリースコアのPCS の平均値は45.8 ± 9.2 点,MCS の平均値は47.4 ± 8.2 点であり,日本国民標準値と比較し低値を示していた.特に女性は男性に比べ有意にMCS が低下していた.また,HADS の不安得点の平均値は5.7 ± 4.1 点,抑うつ得点の平均値は5.9 ± 3.8 点であり,40 歳以上の患者で不安得点が高かった.<br>Conclusion:入院前待機手術患者は健康関連QOL が低下していた.特に壮年期以上の女性の精神状態は不安定であり,精神面・社会的役割をふまえた支援の必要性が示唆された.

Objective: The objective of this study was to elucidate the characteristics of health-related quality of life (QOL), anxiety, and depression in elective surgery patients before hospitalization, during examinations prior to surgery under anesthesia.<br>Methods: A self-completed questionnaire using an 8-item short-form (SF-8) survey and the Hospital Anxiety and Depression Scale (HADS) was conducted on 201 elective surgery patients before hospitalization for surgery under general anesthesia. The questionnaires were completed during examinations prior to surgery under anesthesia. Descriptive statistics were calculated for SF-8 and HADS scores, and the t-test or one-way analysis of variance was conducted for a comparison by attributes.<br>Results: For the SF-8 summary score, the mean physical component summary (PCS) of elective surgery patients before hospitalization was 45.8 ± 9.2 and the mean mental component summary (MCS) score was 47.4 ± 8.2. These scores were lower than the standard score for the Japanese population. The MCS score was significantly lower in women in particular than in men. For HADS, the mean anxiety score was 5.7 ± 4.1 and the mean depression score was 5.9 ± 3.8. The anxiety score was higher in people aged 40 years or older.<br>Conclusion: Health-related QOL decreased in elective surgery patients before hospitalization. The mental state of late middleaged and older women in particular was unstable, suggesting the need for support based on mental state and social roles.

Journal

  • Journal of Japan Academy of Critical Care Nursing

    Journal of Japan Academy of Critical Care Nursing 11(1), 53-62, 2015

    Japan Academy of Critical Care Nursing

Codes

  • NII Article ID (NAID)
    130004950120
  • Text Lang
    JPN
  • ISSN
    1880-8913
  • Data Source
    J-STAGE 
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