血液透析患者におけるSense of Coherence(SOC)

Sense of Coherence(SOC) in Patients on Hemodialysis

要旨

　目的：血液透析患者のSOCの実態を明らかにする．

　方法：血液透析を受けている患者800名に郵送法による質問紙調査を実施し，回答の得られた424（有効回答率53.0％）を分析対象とした．

　結果：SOCが高かった者の特性は，年齢が高い，経済状況がよい，趣味がある，家族が協力的，看護師・主治医との関係がよい，主観的健康感がよい，自己管理の評価が高いことであった．

　結論：血液透析患者が成功体験や良質な人生経験を味わい，SOCが高まるような支援の必要性が示唆された．

Abstract

　Objectives: To clarify the actual status of SOC in patients on hemodialysis.

　Methods: We conducted a postal questionnaire survey of 800 patients undergoing hemodialysis, and the 424 valid responses retrieved (valid response rate: 53.0%) were used for this analysis.

　Results: The characteristics of the patients with high SOC were: higher age; affluent living standard; presence of hobbies; cooperative family members; presence of good relations with nurses and attending doctors; subjective perception of good health; high self-control.

　Conclusion: The results suggested that support is necessary for hemodialysis patients to improve their SOC through taste of success and high-quality life experiences.