KANGO-KENKYU Volume 39, Issue 6 (October 2006)

Sense-of-Control as an Index of Total Recovery During the Acute Recovery Phase of Critically Injured Patients and Nursing Support for Such Patients: A Secondary Analysis Yoshiko Sasaki 1 , Tomoko Inoue 1 , Yumiko Yatomi 1 , Kumiko Suzuki 2 , Noriyuki Suzuki 3 Keyword: 重症外傷患者 , 全人的回復 , コントロール感 , 内容分析 , critically injured patients , total recovery , sense-of-control , content analysis pp.509-520
Published Date 2006/10/1
DOI https://doi.org/10.11477/mf.1681100161
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 Experiencing a critical injury or an invasive treatment can cause severe depression or strong anxiety and may trigger serious health problems. A lack or loss of self-control is considered a significant factor in the development of such health problems. In our previous study, we investigated sense-of-control in patients who were recovering from critical injuries and demonstrated transition patterns in this ability. However, the patterns of sense-of-control varied among the patients; we suggested that these pattern differences may depend on the circumstances underlying the accidents experienced by the patients or the characteristics of the patients’ personalities. In addition, differences in severity and invasiveness make it difficult to predict an individual patient's recovery from severe injury, and physical and mental recovery processes have not yet been clarified, nor has the relationship between physical and mental factors. In this study, therefore, we performed a content analysis as a secondary analysis of data on the study's subjects; the data was classified according to the scale developed by Moore for the physical process of recovery from invasiveness. Furthermore, we focused on the patients’ sense-of-control at several time points and used this factor as an index of total recovery during the acute recovery phase of critically injured patients. As a result, the relationship between the actual physical recovery and the patients’ sense-of-control as well as differences in the types of sense-of-control were identified and examined.

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39巻6号 (2006年10月)
電子版ISSN 1882-1405 印刷版ISSN 0022-8370 医学書院