北関東医学
Online ISSN : 1881-1191
Print ISSN : 1343-2826
ISSN-L : 1343-2826
66 巻 , 4 号
選択された号の論文の11件中1~11を表示しています
原著
  • Kumiko Yoshida, Kiyoko Kanda
    2016 年 66 巻 4 号 p. 271-277
    発行日: 2016/11/01
    公開日: 2017/01/18
    ジャーナル フリー
    Purpose/Objectives: The purpose of this study was to demonstrate the relationship between self-care agency and quality of life (QOL) in cancer patients undergoing outpatient chemotherapy. Design: The study used a correlational research design with cancer patients undergoing outpatient chemotherapy at a medical facility. Methods: The subjects of the study were cancer patients from Facility A undergoing outpatient chemotherapy. A self-report survey form was distributed to subjects and responses were returned by mail. The main variables of interest consisted of (1) Honjo's (2001) SCAQ to test chronic patients' self-care agency and (2) Cella's (1993) FACT-G for QOL. Findings: The average age of subjects was 58.4, and the leading cancer types were breast cancer (38%) and lymphoma malignum (20%). The mean score (±SD) for each scale was 124.02 ± 13.56 on the SCAQ and 72.91 ± 17.04 on the FACT-G. A significant correlation was found between the scores on these two scales (r= .245, p≤ .05). Conclusions: People with greater self-care agency have a higher level of QOL. The results suggest the importance of nurses' support in helping to cultivate patients' self-care agency.
  • 中村 美香, 近藤 浩子, 岩永 喜久子, 今井 裕子, 杉田 歩美, 須川 美枝子, 永井 弥生
    2016 年 66 巻 4 号 p. 279-288
    発行日: 2016/11/01
    公開日: 2017/01/18
    ジャーナル フリー
    【目 的】 看護職がインシデント・アクシデントを繰り返し起こす要因を明らかにする. 【方 法】 インシデント・アクシデントに関する先行研究の質問項目を参考にして, 質問紙を作成した. 急性期病院1施設の看護職689名に対して, 無記名自記式質問紙調査を実施した. 対象者を6か月間のインシデント・アクシデントの頻度によって3群 (0回, 1~2回, 3回以上) に分け, インシデント・アクシデントに関連する質問の項目平均得点を比較した. 【結 果】 有効回答は461名 (有効回答率92.9%) であった. 「不安・緊張」, 「混乱」, 「抑うつ」, 「従順な性格特性」, 「判断力の不足」, 「連携不足」, 「過酷な勤務状況」, 「業務多忙」の8項目の項目平均得点は, インシデント・アクシデントが3回以上の群が有意に高かった (p<0.05~0.001). 【結 語】 看護職のインシデント・アクシデントの頻度は, これらの8項目と関連していた. よって, これらの項目はインシデント・アクシデントのリスクを把握するスクリーニング項目として活用可能であることが示唆された.
症例報告
  • Yoichi Okuda, =Yukio Oshiro, Tsuyosh Enomoto, Nobuhiro Ohkohchi
    2016 年 66 巻 4 号 p. 289-292
    発行日: 2016/11/01
    公開日: 2017/01/18
    ジャーナル フリー
    The ileosigmoid knot (ISK) is a rare cause of intestinal obstruction in which the ileum wraps around the base of the sigmoid colon and forms a pseudo-knot of the intestine. Herein, we report a case of 76-year-old female with schizophrenia who presented with pan-peritonitis and shock. A 76-year-old female with shock was brought to our hospital. She had a history of schizophrenia and a yearlong stay in a mental hospital before this admission. She was diagnosed with strangulation ileus by computed tomography (CT). The CT scan specifically showed that a loop of ileum was wrapped around the base of the sigmoid colon in anticlockwise direction, leading to the formation of a knot. The patient underwent emergent laparotomy soon after admission. Gangrenous portions of the ileum and sigmoid colon were resected, and an end-to-end anastomosis with a covering stoma was performed. We report a case of ileosigmoid knot in which the patient had schizophrenia, and discuss the relationship between psychiatric disorder and dietary habits which may be associated with the patient's led to the development of the ISK.
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