在宅療養に移行した脳卒中後遺症をもつ患者の主観的満足感と活動の関連

Relationship of Psychological Well-being to Activity of Patients Who were the Victims of Cerebravascular Accidents (CVA)

要旨

　在宅療養に移行した脳卒中後遺症をもつ障害者を対象に，機能訓練やデイケアの場における「活動」(社会的相互作用)と，参加者の生活全体における主観的満足感との関連を検証し，主観的満足感に関連する要因について明らかにした．対象は，44歳から94歳までの脳血管障害者87名(男55名，女性32名)で，平均年齢は，男67.6歳(SD＝8.3)，女67.5歳(SD＝12.7)であった．主観的満足感の測定用具は，PGCモラールスケールを使用した．結果として，1)活動と主観的満足感との間には，0.26(p＜.01)の正の弱い相関が認められた．44～65歳の若い年齢群に対し，66～94歳の高齢群では，0.34(p＜.05)の高い値を示した．2)年齢と主観的満足感との間には，66～94歳の群にのみ，0.40(p＜.01)の比較的強い相関が認められた．3)公的社会資源の利用の有無と主観的満足感との間には，44～65歳の群に，0.20(p＜.05)のごく弱い相関が確認された．4)ADLと主観的満足感との間には，相関は認められなかった．

Abstract

　The purpose of this study was to investigate relationship of psychological well-being to activity of patients who were the victims of cerebravaschular accidents.

　Eighty seven CVA patients from 44 to 94 years of age participated in this study. All resided in urban Tokyo, they attended the rehabilitation program to improve and maintain physical, mental, and social activity. They consisted of 55 men and 32 women. (average male age, 67.6 SD＝8.3 and female age, 67.5 SD＝12.7)

　Psychological well-being was assessed using the PGC Morale Scale (revised by Lawton) and activity, by answers to 21 questions and the five-point Likert-type scale designed by the author. Four determing factors of Activity toward Attitudes were found to be pleasant and enjoyable living (firstorder factor), friendship and meeting of minds(second-order factor), feeling of dissatisfaction (thirdorder factor) and feeling of unfamiliarity and dullness (forth-order factor).

　The following results were obtained; (1) significant correlation was observed between morale and activity at 0.26(p＜.01), especially in the case of adults. (2) significant correlation between morale and age was 0.40(p＜.01) in the 66-94 age group. (3) significant correlation between morale and public social services was observed 44-65 age group. (4) No significant correlation with ADL could be found.

　Based on the present findings, psychological well-being would appear closely related to age.