@article{oai:opcnr.repo.nii.ac.jp:00000033,
 author = {石川, りみ子 and Ishikawa, Rimiko and ミヤジマ, 厚子 and Miyajima, Atsuko and 比嘉, 憲枝 and Higa, Norie and 西平, 朋子 and Nishihira, Tomoko and 川満, 光子 and Kawamitsu, Mitsuko and 糸満, るみ and Itoman, Rumi},
 issue = {2},
 journal = {沖縄県立看護大学紀要, Journal of Okinawa Prefectural College of Nursing},
 month = {Feb},
 note = {慢性呼吸器疾患患者で呼吸状態の増悪により入院加療を受け退院した101名を調査対象として基本的事項,生活環境,身体的状況,療養に関することを調査項目として,退院時にカルテ及び患者・家族から面接法を用いて情報を収集した.分析は101名中96名で行った.その結果,3割が80歳以上の後期高齢者で,65歳以上の高齢者が全体の約9割を占めていた.7割近くが趣味を持ち,過半数に意欲が認められ,2/3以上の人が恵まれた家庭・住居環境の中で生活していることが推察された.身体的状況ではCOPDが72%と最も多く,平均して3〜4の複数の呼吸器疾患を有して8割近くの人が歩行時に呼吸障害を有し,約半数が入浴等酸素消費量の増大するADLに対して援助を受けていた.再入院の主な原因は肺炎・気管支炎等の感染,喘息発作であり,対象者の約2割は喫煙習慣を有し,BMIと血清総蛋白,血清アルブミン値の血液検査の結果から栄養状態の低下が推察され,喫煙及び栄養状態改善の重要性が示唆された, Patients with chronic respiratory disease repeat hospitalization-discharge and their struggles with disease are of long duration. The purpose of this study is to explore the factors facilitating patients to live in optimal health conditions in a home setting. Methods: Subjects are those who have been treated and discharged from the hospitals with emergency center from October 1, 1999 to March 1, 2000. 101 individuals were hospitalized and statistical analysis has been done on the 96 subjects excluding those who refused participation and had difficulty of communication. Study variables are demographic data, living environment, physical condition, use of social resources, and treatment. To obtain information, the researchers used medical charts and interviewed patients and their families when they were discharged from the hospital. Findings: 1) 31％ of the subjects are over 80 years old and close to 90％ of the subjects are 65 years or older. Furthermore, those who have hobbies and are motivated are 70％ and 50％ respectibly. About two-thirds of subjects live with family in two generations. From this living condition, it is assumed that family support is obtained. 2) 72％ of the subjects were diagnosed as COPD and many were suffered from multiple respiratory complications. 80％ of participants had difficulty of breath at walking; cough, sputum, and difficulty of breathing at walking are common symptoms and 70％ were discharged from hospital with two symptoms. Patients need assistance for activity that requires increased oxygen consumption, such as showering. 3) The most common causes of re-hospitalization are pneumonia, bronchial pneumonia, and asthma attack. Still 20％ of the subjects smoke. According to the values of BMI, serum total protein and serum albumin, poor nutrition is suspected. From these consequences, it is important for care providers to educate patients regarding smoking-secession and improvement of nutritional condition. To facilitate patients with chronic respiratory disease living in a home setting, it is important to maintain their respiratory function and prevention of infection. Pivotal factors which encourage patients self care at home setting are to know their respiratory function and health condition, to use social resources, and to obtain family support.},
 pages = {98--107},
 title = {呼吸障害を有する慢性呼吸器疾患患者の在宅療養に関する研究　患者の特性に焦点をあてて},
 year = {2001},
 yomi = {イシカワ, リミコ and ミヤジマ, アツコ and ヒガ, ノリエ and ニシヒラ, トモコ and カワミツ, ミツコ and イトマン, ルミ}
}