2．通院する高齢透析患者の趣味活動と療養の実態

Actual conditions of hobbies and activities as well as recuperation of elderly patients receiving outpatient dialysis

　本研究の目的は，高齢透析患者の趣味活動や療養の実態を把握し，ADL維持拡大やQOL向上のための基礎資料とすることである．A施設に通院する高齢維持透析患者を対象に，PGCモラール・スケール，老研式活動能力指標，趣味活動や身体機能などについての自記式質問紙調査を行った．分析方法は，量的データは記述統計を行い，質的データは意味内容ごとに類型化した．その結果，以下のことが明らかとなった．70名の回答者の性別は男性38名，女性32名．平均年齢は73.3歳（SD±6.0）．趣味活動の「あり」が4割で，内容は20数種類に及んだ．PGCモラール・スケール，老研式活動能力指標ともに趣味活動「あり」は「なし」に比べて点数が高く，マン・ホイットニーのU検定を行った結果，有意水準5％のもとで両群の中央値には有意な差が認められた（PGCモラール・スケールはU=297.500，p＜0.05，老研式活動能力指標はU=294.000，p＜0.05）．また，治療後に疲れ具合が少ない傾向が示された．

　The objective of the present study was to obtain basic information for expanding the activities of daily living (ADL) and enhancing the quality of life (QOL) of elderly dialysis patients by elucidating their actual conditions of their hobbies and activities as well as recuperation. In the present study, we conducted a survey on elderly outpatients receiving maintenance dialysis at facility A by administering the PGC Morale Scale, the Tokyo Metropolitan Institute of Gerontology (TMIG) Index of Competence, and a self-report questionnaire on items such as hobbies, activities, and physical function. Quantitative data were analyzed using descriptive statistics, while qualitative data were categorized by semantic content. The results were as follows. Response were obtained from 70 subjects including 38 men and 32 women with a mean age of 73.3 years (SD,±6.0 years). A total of 40％ of patients reported having hobbies and activities, of which over 20 types were identified. Compared to patients who did not have hobbies and activities, patients who had hobbies and activities had higher scores on both the PGC Morale Scale and the TMIG Index of Competence. Mann-WhitneyUtest using a significance level of 5％ showed significant intergroup differences in median scores for both the PGC Morale Scale (U=297.500,p＜0.05) and the TMIG Index of Competence (U=294.000,p＜0.05). Patients who had hobbies and activities also tended to experience less fatigue following treatment.