在宅生活を送る慢性閉塞性肺疾患（COPD）患者の社会生活状況と生活認識に関する横断的調査研究

A cross-sectional study on the social and daily life perception of COPD patients at home

要旨：本研究の目的は在宅生活を送るCOPD患者の社会生活状況と主観的な生活認識を明らかにし，その関連を検討することである．社会生活状況と生活認識の評価には，Frenchay Activities Index（以下，FAI）と作業質問紙（以下，OQ）を用いた．FAI得点とOQ得点の相関から二側面の関連を検討し，FAI得点は同年代健常者と変わらない結果だった．一方，仕事・遊び・休息と認識された活動は，否定的で不満足な認識であった．FAIとOQの得点には，正の相関rs＝0.39（p＜0.05）が確認され，特に生活で高い興味を有する人ほど社会生活状況が充実していることが予測された．COPD患者の生活の困難さは生活の遂行状況よりも否定的な認識にあることが示唆された．

　The purpose of this study is to clarify the relationship between the social life and the subjective daily life perceptions of patients with COPD at home. Social and daily life perceptions were evaluated with the Frenchay Activities Index (FAI) and the Occupational Questionnaire (OQ), and the relationships between the 2 aspects were determined through correlating the FAI and OQ scores. The FAI scores were expected to be no different from those of healthy people of the same age. On the other hand, the activities recognized as work, play, and rest were perceived to be negative and unsatisfactory. A positive correlation was observed between FAI and OQ scores. In particular, those who had stronger interests in their lives were expected to be living a more fulfilling social life. The results indicate that the COPD patients' perceptions of their living difficulties were greater than the reality.