@article{oai:opcnr.repo.nii.ac.jp:00000141,
 author = {石川, りみ子 and Ishikawa, Rimiko and 宮城, 裕子 and Miyagi, Yuko and 伊牟田, ゆかり and Imuta, Yukari},
 issue = {12},
 journal = {沖縄県立看護大学紀要, Journal of Okinawa Prefectural College of Nursing},
 month = {Mar},
 note = {【研究目的】沖縄県の離島（以下離島とする）に居住するHOT患者のQOLと在宅療養の支援状況を、沖縄本島都市部（以下本島都市部とする）のHOT患者と比較し、離島に居住するHOT患者のQOLを高め、つつがない療養生活を送るための支援の示唆を得ることを目的とする。【方法】対象者は、離島に居住するHOT患者で意思疎通が可能な者とし、対照群に本島都市部に居住する同様の条件を有する者とした。調査は、調査票に基づいて聞き取り調査を行った。【結果】調査に協力の得られたHOT患者は離島36人で、本島都市部45人であった。離島に居住するHOT患者は男性22人(61.1%）、女性14人(38.9%）、平均年齢は73.8±12.1歳、55.6％が趣味を有しており、本島都市部とほぼ同様であった。本島都市部と比較すると、離島は喘息、気管支拡張症が有意に多く（p<0.05）、呼吸困難の程度、息切れともに有意に不良で（p<0.001）、入院回数の平均は有意に多かった（p<0.05）。支援者について、医師など専門職者からの支援は有意に少なかった（p<0.001）。QOLをみてみると、離島に居住するHOT患者は、QOLが全体的に低く、本島都市部と比較すると、日常役割機能（身体）、活力、社会生活機能、日常役割機能（精神）が有意に低かった。相関係数では趣味は活力、社会生活機能、心の健康と正の相関（p<0.05）を、息切れや呼吸困難の程度は身体機能や活力、全体的健康感と負の相関（p<0.05）を示していた。【結論】離島に居住するHOT患者は、本島都市部と比較するとQOLが低かった。相関係数から趣味を持つ者は活力が高く、親戚や友人を訪問するという社会生活機能、心の健康も高いことが示唆された。息切れや呼吸困難の程度は身体機能や活力、全体的健康感と有意に負の相関を示したことから、外来における症状管理支援の重要性が示唆された。また、人的環境的資源の乏しい離島において、HOT患者および家族の在宅療養を支えるための、多職種の地域連携組織を活かしたチーム医療ならびに地域からの支援体制が求められた。|【Purpose 】The purpose of this study is to examine QOL and the actual way of supporting the home care of the HOT (Home Oxygen Therapy) patients who live on Okinawa prefectural isolated island, and to compare with those same HOT patients who live in the urban areas on Okinawa main island in order to get some clues to improve QOL of the patients so that they can receive better support for their medical treatment. 【Methods】The objects of this study are the HOT patients who live on the isolated islands with whom we can get verbal communication. The control group is the same HOT patients who live in the urban areas on the main island. The survey was carried out by hearing from the patients based on the questionnaires. 【Results 】1) The number of HOT patients who cooperated with our survey was 36 on the isolated islands and 45 in the urban areas on the main island. The HOT patients who live on the isolated islands were 22 males (61.1%) and 14 females (38.9%) of which the average age was 73.8±12.1, and the patients enjoying the hobbies were 55.6%. These numbers and percentage were almost the same in the urban areas on the main island group. When compared with the urban areas on the main island, the patients of asthma and bronchiectasis were high significantly in numbers (p<0.05), the degree of breathlessness and dyspnea showed significantly worse( p<0.001), and the average of the hospitalization on the isolated islands was significantly higher (p<0.05). The supporting of the specialists such as doctors were much less than that of the main islands (p<0.001). 2) Looking at the QOL, we found that HOT patients living on the isolated islands were generally lower than that of the main island especially in the fields of Role Physical, Vitality, Social Functioning, and Role Emotional. It was showed the positive correlation in those who enjoy their lhobbies in the fields of Vitality ,Social Functioning and Mental Health (p<0.05), and the minus correlation in the degree of breathlessness and dyspnea in the fields of Physical Functioning, Vitality, and General Health.【Conclusion】We found that the QOL of HOT patients living on the isolated islands were lower than that of the main island. It was suggested, from the standpoint of correlation coefficient, that those who enjoy their life actively were in better condition in the fields of Social Functioning and Mental Health. Since it suggested the minus correlation in the degree of breathlessness and dyspnea in the fields of Physical Functioning, Vitality, and General Health, it was also learned that the supporting system for the symptoms of the outpatient was important. As the HOT patients on the isolated islands had less support in the human resources, it should be appealed that the supporting systems for cooperation between other occupations on the local basis in order to help the HOT patients and their family members on the home medical care.},
 pages = {13--23},
 title = {離島に居住する在宅酸素療法患者のQOLと在宅療養に関する研究－沖縄県の離島と沖縄本島都市部との比較－},
 year = {2011},
 yomi = {イシカワ, リミコ and ミヤギ, ユウコ and イムタ, ユカリ}
}