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Title: 在宅療養者と介護者の神気性(スピリチュアリティ)に関する要因分析
Other Titles: Analysis of Factors Related to Spirituality in Patients Treated at Home and Caretakers
Authors: 比嘉, 勇人
比嘉, 肖江
Keywords: スピリチュアリティ
Spirituality Rating Scale
Quantification method of the first type
Issue Date: 31-Mar-2005
Publisher: 滋賀県立大学人間看護学部
Abstract: 背景 日本の看護界では、健康要素の一つである「スピリチュアリティ」という言葉の認識度が高いとはいえず、その言葉を適切に表す日本語や構成要因も明確にされていない。スピリチュアリティを客観的に測定する用具としては、看護領域に限定されているが、国内で唯一Spirituality評定尺度(SRS)が開発されている。目的 スピリチュアリティの構成要因について、SRSを使い統計学的に検討する。なお、ここではスピリチュアリティの概念を狭義に捉えて「何かを求めそれに関係しようとする心の持ち様と自分自身やある事柄に対する感じまたは思い」(意気・観念)と規定し、スピリチュアリティの狭義表記については「神気性」(スピリチュアリティ)とする。方法 SRS(神気性(スピリチュアリティ)の高低を15~75点で評定)と神気性(スピリチュアリティ)に関する内容の半構造化面接を、在宅療養者20名(71.6±7.8歳)とその主介護者20名(62.9±10.3歳)を対象者(女性22名,男性18名)として実施した。分析には数量化I類を行ない、結果変数には『SRS得点』を、原因変数には半構造化面接時に聴取した『対象者』『性別』『年齢』『一番の支え』『周囲への感じ』『自分の今後』を用いた。結果 療養者(42.30±13.46点)と介護者(43.60±8.81点)とのSRS得点の平均値には、有意な差は認められなかった(ウェルチのt=0.36, df=32.76, p=0.36:両側検定)。女性(43.27±9.91点)と男性(42.56±12.98点)とのSRS得点の平均値には、有意な差は認められなかった(スチューデントのt=1.72, df=38, p=0.12:両側検定)。結果変数である『SRS得点』に対する原因変数の偏相関係数は、『自分の今後:0.39』『周囲への感じ:0.28』『一番の支え:0.27』『年齢:0.14』『対象者:0.06』『性別:0.05』であった。また、重決定係数は0.40であった。結論 神気性(スピリチュアリティ)を高くする要因には、『一番の支え(支えとなる人がいること)』『周囲への感じ(周囲に対して肯定的であること)』『自分の今後(自分のこれからに希望を持っていること)』がある。また、原因変数である『年齢』『対象者』『性別』は、神気性(スピリチュアリティ)への影響がほとんどないと判断された。
Background In Japanese nursing world, appropriate Japanese notation and constitution factor for a Spirituality which is one of the healthy elements are not clarified. As a tool measuring Spirituality objectively, Spirituality rating scale (SRS) is developed alone domestically. Object The SRS is used, and a constitution factors of Spirituality is examined statistically. Here, Spirituality is defined strictly as the mental outlook of actively seeking something and endeavoring to relate oneself and particular events: spirits and ideas. In addition, it is transcribed into Shinkisei about Spirituality. Method The SRS (Shinkisei-related pitch is evaluated with 15-75 points) and Semi-structural interview of contents about Shinkisei characteristics were carried out for 20 patients treated at home (71.6±7.8 years old) and 20 caretakers (62.9±10.3 years old) as subject (22 female, 18 male). The quantification method of the first type (QMFT) was performed for statistical analysis. With the QMFT, "SRS score" was used for dependent variable, and "Object" "Sex" "Age" "What providers your greatest support" "What do you feel strongly about your surroundings" "What do you think of your future" were used for independent variable. Results To mean of "SRS score" with patients treated at home (42.30±13.46) and caretakers (43.60±8.81), the significant difference was not recognized (Welch's t=0.36, df=32.76, p=0.36: two-tailed test). To mean of female (43.27±9.91) and male (42.56±12.98) SRS scores, the significant difference was not recognized (Student's t=1.72, df=38, p=0.12: two-tailed test). The partial correlation coefficient of an explanatory variables for "SRS score" which was a target variable were "What do you think of your future: 0.39" "What do you feel strongly about yoursurroundings: 0.28" "What providers your greatest support: 0.27" "Age: 0.14" "Object: 0.06" "Sex: 0.05". The coefficient of multiple determination was 0.40. Conclusion Factors lifting "SRS score" were "What do you feel strongly about your surroundings", "What providers your greatest support" and "What do you think of your future". In addition, it was judged that "Age", "Object" and "Sex" which were explanatory variables had few influence to "SRS score".
NII JaLC DOI: info:doi/10.24795/nk002_013-019
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