冠動脈バイパス術後1 年以内の通院患者におけるセルフケアとセルフモニタリングの実態および関連要因  [in Japanese] Survey of Self-care, Self-monitoring, and Related Factors Among Outpatients who Underwent Coronary Artery Bypass Graft Surgery Within the Previous Twelve Months  [in Japanese]

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Author(s)

Abstract

冠動脈バイパス術後1 年以内の通院患者におけるセルフケアとセルフモニタリングの実態および関連要因を明らかにし,看護師が行なう入院中の教育的支援に必要な要素を検討した。対象者に対し郵送法による無記名の自記式質問紙調査を実施し,各調査項目の単純集計および項目間のクロス集計を行なった。 対象者52名に郵送し,36名から回答を得た(回収率69.2%)。セルフモニタリングの実施率は,体重測定75.0%,血圧測定55.6%,自己検脈47.2%,歩数測定19.4%,食事内容の記録2.8%であった。実施しない理由として,測定用具を持っていない,必要性を感じない,記録することが大変・面倒である,の3 点が主要なものであった。セルフケア実施率上位3 項目は,“階段の昇降は自分のペースで行なう”,“食事で野菜をとる”,“時間に余裕を持って行動する”であった。 以上より,冠動脈バイパス手術後の患者に対し,入院中に看護師が行なう教育的支援に必要な要素として,体重や血圧,自己検脈の測定の頻度やタイミングなどの条件を明確に設定することや,自ら測定や記録を行なうことにより運動や食事のセルフケアの効果を実感し,継続できるよう支援することが重要と考える。

This study sought to elucidate self-care, self-monitoring, and related factors among outpatients who underwent coronary artery bypass graft (CABG) surgery within the previous 12 months, and to discuss important fundamental issues regarding educational support provided by nurses to inpatients. A questionnaire survey was mailed to participants who responded anonymously. Each item was analyzed by simple tabulation and relations between the items were analyzed by cross tabulation. Of 52 surveys sent, 36 responses were obtained. Execution rates of self-monitoring were 75.0% for body weight measurement, 55.6% for blood pressure measurement, 47.2% for taking own pulse, 19.4% for recording number of daily steps, and 2.8% for recording contents of each meal. The three main reasons that participants did not self-monitor these five elements were “do not have a measurement instrument”, “feel it is unnecessary to self-monitor”, and “difficult or bothersome to record the results”. The top three responses for the self-care execution rates were “I go up and down stairs at my own pace”, “I try to eat vegetables with every meal” and “I take my time when doing something”. These findings suggest that it is important for nurses who care for inpatients who have undergone CABG to help patients clearly establish the frequency and timing of measuring their body weight and taking their blood pressure and pulse after discharge. Also, nurses should help such inpatients realize the importance of self-care after discharge in terms of exercise and diet, including regular measuring or recording of these parameters.

Journal

  • JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE

    JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE 66(2), 141-152, 2017

    THE JAPANESE ASSOCIATION OF RURAL MEDICINE

Codes

  • NII Article ID (NAID)
    130005975375
  • NII NACSIS-CAT ID (NCID)
    AN00196216
  • Text Lang
    JPN
  • ISSN
    0468-2513
  • NDL Article ID
    028382822
  • NDL Call No.
    Z19-224
  • Data Source
    NDL  J-STAGE 
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