炎症性腸疾患患者の主観的セクシュアルウェルビーイングと属性別にみた特徴—テキストマイニングによる自由回答の分析

The Subjective Sexual Well-being of Patients with Inflammatory Bowel Disease and Based on Characteristics by Attributes: Analyses of Self-description Utilizing Text-mining

要旨

目的：炎症性腸疾患（IBD）患者の主観的セクシュアルウェルビーイング（SSWB）の構成と特徴を明らかにすることを目的とした．

方法：自記式質問紙調査を行い，性的に幸福で満足できる状態に対する88名の自由回答をテキストマイニングで分析し，係り受けのカテゴリ化，頻度分析と特徴分析を行った．

結果：SSWBは7カテゴリで構成されていた．【精神的安定】と【身体的健康】はIBDに特有なSSWBであった．男性は【性的欲求の満足】，女性は【相互の思いやり】，20〜39歳は【精神的安定】，40〜59歳の男性は【性的満足の欲求】が特徴的にみられた．主観的体調や主観的関係がよい男性は【性的欲求の満足】，クローン病やストーマがある女性は【スキンシップの充実】が特徴的であった．

結論：SSWBの構成と特徴は，IBDの症状の影響を受けていた．これらの結果は，話題の導入，当事者のSSWBを反映した支援目標の設定，到達度の評価に活用できる．

Purpose: To clarify the components and characteristics of subjective sexual well-being (SSWB) of patients with inflammatory bowel disease (IBD).

Method: Referring to the text-mining approach, analysis was performed on the self-descriptions for sexually pleasing and satisfying state by 88 patients to a self-administered questionnaire survey, involving categorization of dependency structure, frequency analysis, and feature analysis.

Results: SSWB consisted of seven categories. Two of seven categories, “psychological stability” and “physical health,” were particular to IBD patients. These particulars were observed: among male patients, “satisfaction of sexual needs”; among female patients, “mutual empathy”; among patients aged 20 to 39, “ psychological stability ” ; and among male patients aged 40 to 59, “satisfaction of sexual needs.” “Satisfaction of sexual needs” was characteristic among male patients in good subjective physical condition or good subjective relationships, and “realization of skinship” (physical intimacy) among female patients with Crohn's disease or stoma.

Conclusion: The components and characteristics of SSWB are influenced by the degree of IBD symptoms. These findings can be harnessed so as to be introduced as topics, to set intervention goals that reflect the SSWB of a subject or to evaluate achievement.