虚血性心疾患をもちながら生活する男性のクオリティ・オブ・ライフを測定する質問紙の開発に関する研究―病をもちながらの生活管理の質問紙に焦点を当てて

Instrument Development of Quality of Life Among Men Living With Chronic Ischemic Heart Deseaes：Focus on Measuring their Daily Life Activities

要旨

　この研究は虚血性心疾患をもちながら生活する男性のクオリティ・オブ・ライフの実態に関する記述的研究(聖路加看護大学大学院学術博士論文)の一部である．ここでの研究報告は，虚血性心疾患をもちながら生活する男性のクオリティ・オブ・ライフを測定する1指標として設定した「病をもちながらの生活管理」の質問紙の開発に焦点を当てている．この「病をもちながらの生活管理」とは，患者が自らの基本的な要求を満足させるような習慣化された行動を維持または調整するとともに病気を持っているが故に日常生活で出会う諸問題に患者なりに対応していくことを指している．質問紙の開発過程では，概念的な枠組みを基に原案を作成したあと，内容分析，プレテストを実施，最終的に543名の被験者で信頼性と構成概念妥当性の検定を行った．結果，クオリティ・オブ・ライフを測定する質問紙としての有効性に関しては今後とも検討すべき課題が残された．

Abstruct 　This instrument development was conducted as the part of the study. The study aimed to explore the quality of life (hereafter abbreviated as QOL) among men who had been living with chronic ischemic heart disease in society.

　QOL in the study was defined as the conscious and psychological evaluation of individual life. The structure of QOL was composed of the two indicators. One was the integrative indicators and the other was the factor indicators. The former refers to the overall aspect of life. The integrative indicators were composed of a) life satisfaction, b) self esteem, c) psychological well-being, while the factor indicators were composed of a) daily life control in living with chronic ischemic heart disease, b) sexuality.

　The questionnaire of a) daily life control in living with chronic ischemic heart disease was designed by this author.

　The developmental process of the questionnaire was as follows: 1) the conceptual framework was constructed; 2) the primitive questionnaire which was based on this conceptual framework and the qualitative data of preliminary study, was designed ; 3) content analysis and pretest was conducted to validate the construct validity and reliability; 4) the questionnaire was tested.