がん患者の能動的実践的態度への38のケアリング行為の効果の大きさ

Magnitude of Effecting of 38 Caring Acts to Active Practical Attitudes of Cancer Patients

要　　旨

　目的：がん患者の能動的実践的態度への38のケアリング行為の効果の大きさを明らかにする。方法：Ａがんセンターのがん患者82のデータを分析対象とした（有効回答率46.9％）。分析は従属変数を能動的実践的態度の前後差、独立変数を38のケアリング行為得点、制御（調整）変数を入院時の能動的実践的態度、PS1以上の制限の有無とした偏相関分析を行った。結果：能動的実践的態度へのケアリング行為の効果が中程度「あなたが自分自身で対処するために必要な知識や技術を提供するr = .406」から小程度「あなたのおかれている位置が理解でき現実的な目標を設定できるようにかかわるr = .344」等28のケアリング行為が明らかになった。結論：28のケアリング行為の実践は、能動的実践的態度に影響を与え、がんという厳しい現実と向き合いながら、自分らしく生きることに寄与することが示唆された。

　Purpose: The objective of this research is to clarify how magnitude of effecting of 38 Caring Acts to Active Practical Attitudes of Cancer Patients.

　Methods: Analysis was performed using partial correlation analysis with the dependent variable being the difference between the before and after states of active practical attitudes, the primary independent variable being each 38 caring acts scored, and the other independent variables being the active practical attitudes when a patient was hospitalized, the existence of PS1 or higher.

　Results: Analysis in each item of caring acts revealed that 28 caring acts had an effectiveness ranging from medium to small. For example, from the moderate “provide the knowledge and skills you need to deal with yourself (r = .406)” to small “I will help you understand where you are and set realistic goals (r = .344).”

　Conclusions: It was suggested that 28 caring acts had effects on active and practical attitudes of patients, playing a beneficial role for them to live their own meaningful life, even when facing the severe reality of cancer.