関節リウマチ患者の主観的症状に影響する心理・社会面の検討

Examination of Psychological and Social Factors That Impact Subjective Symptoms of Rheumatoid Arthritis Patients

要旨

　目的：関節リウマチ患者の主観的症状（疼痛，倦怠感，朝のこわばり）に影響する心理・社会面を検討し，看護支援の示唆を得ることである．

　方法：通院する関節リウマチ患者93名を対象に自記式質問紙調査を実施した．関節リウマチ患者の主観的症状を従属変数，心理・社会面を独立変数として重回帰分析を行った．

　結果：関節リウマチ患者の主観的症状に影響していたのは，疼痛では主観的QOL尺度「志気」，倦怠感では主観的QOL尺度「志気」「受容」，コミュニティ意識尺度「連帯・積極性」「他者依頼」，朝のこわばりでは主観的QOL尺度「志気」「受容」，コミュニティ意識尺度「連帯・積極性」「他者依頼」，ユーモア態度尺度「攻撃的ユーモア」，日本語版LSNS-6であった．

　結論：関節リウマチ患者の主観的症状には，特定の心理・社会面が影響することが明らかとなった．心理・社会面の支援は主観的症状を軽減する可能性がある．

　Purpose: To examine the psychological and social factors that impact the subjective symptoms (pain, fatigue, morning stiffness) of rheumatoid arthritis patients and obtain suggestions for nursing support.

　Methods: We conducted a self-administered questionnaire to 93 outpatients with rheumatoid arthritis. We conducted a multiple regression analysis with the dependent variable set as the subjective symptoms of rheumatoid arthritis patients, and the independent variable set as the psychological and social factors.

　Results: The subjective symptoms of rheumatoid arthritis patients were affected by the following factors: for pain, subjective QOL scale of "morale"; for fatigue, subjective QOL scales of "morale" and "acceptance," and community awareness scales of "solidarity/aggressiveness" and "depending on others"; and for morning stiffness, subjective QOL scales of "morale" and "acceptance," community awareness scales of "solidarity/aggressiveness" and "depending on others," humor attitude scale of "aggressive humor," and Japanese-version LSNS-6 score.

　Conclusion: Specific psychological and social factors affected the subjective symptoms of rheumatoid arthritis. Psychological and social support may reduce subjective symptoms.