脳卒中患者と介護者のQOL—日常生活満足度による比較

A comparison of quality of life values of stroke patients and their caregivers, using a satisfaction with daily life questionnaire

要旨：家庭復帰できた脳卒中後片麻痺患者32名と患者の主たる介護者のQOLを調べるために患者自身，介護者自身，介護者からみた患者の日常生活満足度(SDL)，ADL，介護状況について調査した．SDLの「身体機能」，「家庭生活」項目で介護者は患者の満足度の把握が十分でなく問題点となっている可能性があった．ADLとSDL間に相関はなかった．介護者の満足度は全般的に低くなかったが介護上の問題点と関連があり介護負担の影響は大きかった．家庭復帰の成功には，障害の受容や家庭内での役割や存在感について満足感が得られる退院時指導が重要である．

　The satisfaction with daily life(SDL)questionnaire is one set of constructs used to define subjective quality of life. The purpose of this study was to examine the relationship between SDL in patients with that in caregivers for the success of the return home.

　Thirty-two patients with first occurrence stroke along with their primary support persons were evaluated at least 6 months after stroke and at least 3 months after discharge. The SDL questionnaire consisted of 7 items: (l)physical function ; (2)home life ; (3)social life including the community andcivic activities ; (4)work that is interesting, rewarding, and worthwhile ; cpersonal development and fulfillment ; (6)recreation; and(7)material well-being, including income and property with 5 graded-ordinal scales.

　In the SDL questionnaire, the satisfaction of patients with physical function and home life was not associated between patients and caregivers.

　Most caregivers were moderately satisfied, but some expressed a sense of burden; most accurately rated the SDL of their patients. Most patients were dissatisfied only with the work item ascompared with the caregivers.

　These results suggest that caregivers should reduce the burden of home care by using social support resources and that patients should play some role in home life or work the return home is to succeed.