ブックタイトル同志社看護　第3巻

概要

同志社看護　第3巻

同志社看護Doshisha Kango Vol.3, pp.1-10, 2018－原著－腰部脊柱管狭窄症患者の周手術期における健康関連QOLおよび不安・抑うつの推移Perioperative changes in health-related QOL，anxiety，and depression inpatients with lumbar spinal stenosis1當目雅代）1，小笠美春），野口英子2）Masayo Toume，Miharu Ogasa，Eiko NoguchiAbstractObjective：The objective of this study was to elucidate the changes in quality of life（QOL），anxiety，and depression from before admission to 1 month post-discharge in order to gain insightinto the types of perioperative nursing support needed for patients undergoing surgery for lumbarspinal stenosis（LSS）．Methods：A self-administered questionnaire survey of 31 LSS patients was conducted using the36-Item Short-Form Health Survey（SF-36）and Hospital Anxiety and Depression Scale．Datawere collected between 1 and 2 weeks before admission（T1），1 to 3 days after admission（T2），1to 3 days before discharge（T3），and at 1 month after discharge（T4）．The data were analyzed byrepeated one-way analysis of variance．Results：The subjects were 17 men（54.8%）and 14 women（45.2%）with a mean age of 70.9±9.7years. The anxiety score was 6.1 points at T1，6.2 points at T2，4.8 points at T3，and 5.0 pointsat T4，with a main effect for time（F= 3.29，p= 0.024）．The depression score was 6.7 points atT1，6.8 points at T2，6.0 points at T3，and 7.0 points at T4，with no main effect for time. The SF-36 scores were 13.6 points at T1，14.2 points at T2，and 15.9 points at T4 for physical functioning;22.7 points at T1，23.5 points at T2，and 20.4 points at T4 for role-physical; 43.7 points at T1，44.6points at T2，and 45.3 points at T4 for general health; 42.4 points at T1，42.7 points at T2，and46.1 points at T4 for vitality; 34.3 points at T1，31.6 points at T2，and 34.8 points at T4 for socialfunctioning; and 31.4 points at T1，34.3 points at T2，and 29.4 points at T4 for role-emotion. Therewas no main effect for time for any of these subscales. The scores for bodily pain were 32.1 pointsat T1，33.7 points at T2，and 44.1 points at T4，with a main effect for time（F= 19.93，p＜0.001）．The scores for mental health were 43.6 points at T1，40.9 points at T2，and 46.0 points at T4，with a main effect for time（F= 4.24，p= 0.019）．Discussion：The present results suggest that in order to reduce anxiety and depression andincrease health-related QOL perioperatively in LSS patients，preparatory education beginningbefore admission and discharge support for a smooth transition from the hospital to home areneeded．Key Words：health-related QOL，anxiety and depression，perioperative nursing，lumbar spinal stenosis1）同志社女子大学看護学部Faculty of Nursing，Doshisha Women?s College of Liberal Arts2）大阪大学大学院医学系研究科保健学専攻Osaka University Graduate School of Medicine，Division of Health Science1