@article{oai:opcnr.repo.nii.ac.jp:00000158,
 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 and 平良, 孝美 and Taira, Takami},
 issue = {13},
 journal = {沖縄県立看護大学紀要, Journal of Okinawa Prefectural College of Nursing},
 month = {Mar},
 note = {【目的】離島に居住し在宅酸素療法(以下HOTと略す) を行っている患者の在宅での療養状況ならびに伝統的行事とQOLとの関連を明らかにし、在宅療養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、質問紙を用いて聞き取り調査を行った。【結果】調査に協力の得られた対象者は男性9人女性7人の16人で、平均年齢68.1歳であった。配偶者を有していたのは5割であったが、子供が近くに住む者は約7割で8割が家族からの支援を得ていた。重度の呼吸困難の者が多く、酸素吸入の流量の多さは外出の妨げの要因となっていた。一方、伝統的な行事には楽しみや誇りをもたらすものと先祖供養に関するものがあった。また、先祖供養と体調との関係を半数があると捉えていた。【結論】1. HOT患者の在宅療養には家族の支援が大きく関与し、家族の存在や患者との関わりはQOLの向上に重要であることが示唆された。家族の結びつきの強さは島嶼の特徴として捉えられた。2. 息切れなどの症状はQOLを低下させる要因であり、呼吸困難予防のための対処法を習得し自己管理できるよう専門職による療養支援を行うことはQOLを高める上でも必須と考える。3. 務めや感謝の気持ちで行う先祖供養は患者の療養においてQOLを高める要因であることが示唆された。また、先祖供養の参加の有無は心理面への影響が考えられ、必要に応じて精神面への支援が求められた。|【Purpose】The purpose of this study is to identify the relationship between chronic respiratory patients who were undergoing Home Oxygen Therapy (HOT) at home and their traditional festivals living on the isolated islands, and their QOL, so that they receive better support for their medical treatment. 【Methods】The subjects of this study are the HOT patients who live on the isolated islands with whom we can get verbal communication. 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 16, of which 9 males and 7 females whose average age was 68.1 years old. Fifty percent of the subjects had spouses. Since seventy percent of the patients had their children living nearby, they were under circumstances to get supports easier from them. 2) There were so many patients with serious difficulty in breathing that hindered them from outdoor activities because of the outflow of oxygen inhalation. 3) Their traditional festivals bring joys and pride and also ancestral memorial service. And the half of the patients replied that there were a certain relationship between ancestral memorial service and their health. 【Conclusion】1. For the HOT patients who were under home medical care, the support of their family members was a primary concern and it also suggested that relationship between the family members and patients were very significant for the improvement of their QOL. It seemed very important that the strength of the family bonds for the supports of the patient were one of the characteristics on the isolated islands. 2. Since the symptom of breathlessness is the factor for deteriorating the QOL, it deemed necessary to get recuperative support from the medical staff for preventive methods for breathing difficulty so that they can control themselves for enhancing QOL. 3. It was learned that the ancestral memorial service with thanksgiving from their hearts was the factor to enhancing the QOL. And it is thought that whether or not participating in the ancestral memorial service influences their mentality. Therefore, it is thought accordingly that they need more spiritual support.},
 pages = {17--29},
 title = {[原著]島しょに居住するHOT患者の在宅での療養状況および伝統的な行事とQOLとの関連},
 year = {2012},
 yomi = {イシカワ, リミコ and ミヤギ, ユウコ and イムタ, ユカリ and タイラ, タカミ}
}