@article{oai:dwcla.repo.nii.ac.jp:00001632,
 author = {當目, 雅代 and 小笠, 美春 and 野口, 英子 and TOUME, Masayo and OGASA, Miharu and NOGUCHI, Eiko},
 journal = {同志社看護, Doshisha kango},
 month = {Mar},
 note = {application/pdf, AA12746582-20180331-1, Objective：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 insight into the types of perioperative nursing support needed for patients undergoing surgery for lumbar spinal stenosis（ LSS）．
　Methods：A self-administered questionnaire survey of 31 LSS patients was conducted using the 36-Item Short-Form Health Survey （SF-36） and Hospital Anxiety and Depression Scale． Data were collected between 1 and 2 weeks before admission（ T1），1 to 3 days after admission（ T2），1 to 3 days before discharge（ T3），and at 1 month after discharge（ T4）． The data were analyzed by
repeated 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 points at T4，with a main effect for time （F= 3.29，p = 0.024）． The depression score was 6.7 points at T1，6.8 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 T1，44.6 points at T2，and 45.3 points at T4 for general health; 42.4 points at T1，42.7 points at T2，and 46.1 points at T4 for vitality; 34.3 points at T1，31.6 points at T2，and 34.8 points at T4 for social functioning; and 31.4 points at T1，34.3 points at T2，and 29.4 points at T4 for role-emotion. There was no main effect for time for any of these subscales. The scores for bodily pain were 32.1 points at 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 and increase health-related QOLperioperatively in LSS patients，preparatory education beginning before admission and discharge support for a smooth transition from the hospital to home are needed．, 目　的 ： 腰部脊柱管狭窄症で手術を受ける患者（LSS 患者）の周手術期看護援助の示唆を得るために，入院前から退院後1 ヶ月のQOL および不安・抑うつ状態の推移を明らかにすることである。
　方　法 ： LSS患者31 名を対象に，SF-36，HADSを用いた自記式質問紙調査を実施した。データ収集は，入院前1 ～ 2 週間：T1，入院後1 ～ 3 日以内：T2，退院前1 ～ 3 日以内：T3，退院後1 ヶ月：T4 に実施した。分析は，繰り返しのある一要因の分散分析を行った。
　結　果：対象者は，男性17 名（54.8％），女性14 名（45.2％），平均年齢70.9 ± 9.7 歳であった。不安得点はT1：6.1 点，T2：6.2 点，T3：4.8 点，T4：5.0 点であり，時間の主効果があった（F=3.29，p =0.024）。抑うつ得点はT1：6.7 点，T2：6.8 点，T3：6.0 点，T4：7.0 点であり，時間の主効果はなかった。SF-36 では，PF はT1：13.6 点，T2：14.2 点，T4：15.9 点，RP はT1：22.7 点，T2：23.5 点，T4：20.4 点，GHはT1：43.7 点，T2：44.6 点，T4：45.3 点，VT はT1：42.4 点，T2：42.7 点，T4：46.1 点，SF は，T1：34.3 点，T2：31.6 点，T4：34.8 点，RE はT1：31.4 点，T2：34.3 点，T4：29.4 点であり，いずれも時間の主効果はなかった。また，BP はT1：32.1 点，T2：33.7 点，T4：44.1 点で，時間の主効果があり（F=19.93，p ＜ 0.001），MHはT1：43.6 点，T2：40.9 点，T4：46.0 点で，時間の主効果があった（F=4.24，p =0.019）。
　考　察：LSS 患者の周手術期の不安・抑うつを低減し，健康関連QOL を高めるには，入院前からの
準備教育，病院から在宅への円滑な移行のための退院支援の必要性が示唆された。, 原著},
 pages = {1--10},
 title = {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},
 volume = {3},
 year = {2018},
 yomi = {トウメ, マサヨ and オガサ, ミハル and ノグチ, ヒデコ}
}