{"created":"2023-06-23T12:19:50.943648+00:00","id":2162,"links":{},"metadata":{"_buckets":{"deposit":"8332e6c3-d944-4ecf-9d17-38ece24372bc"},"_deposit":{"created_by":24,"id":"2162","owners":[24],"pid":{"revision_id":0,"type":"depid","value":"2162"},"status":"published"},"_oai":{"id":"oai:otemae.repo.nii.ac.jp:00002162","sets":["14:15:212"]},"author_link":["2696","2695","2698","2700","2699","2697"],"item_7_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-08-31","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"239","bibliographicPageStart":"225","bibliographicVolumeNumber":"19","bibliographic_titles":[{"bibliographic_title":"大手前大学論集"},{"bibliographic_title":"Otemae Journal","bibliographic_titleLang":"en"}]}]},"item_7_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"【背景】頚部脊髄症は上肢・下肢の神経麻痺や痺れがあり、日常生活に深刻な支障をきたすため、頚椎術後にはそれらの症状が改善するという期待が大きい。一方、期待が大きい分、術後の日常生活に大きな変化がみられない場合、患者の落胆が大きいとの報告がある。\n【目的】頚椎手術を受ける患者がもつ術前の期待と、術後、及び退院後の回復状態の認識とのズレを明らかにし、より効果的な術前の看護のあり方を考察する。\n【方法】頚椎手術を受ける患者で意思疎通が可能な⚕人を対象に、頚椎術後7日目と退院後初回診察時の計2回面接調査を行い、質的帰納的分析を行った。兵庫医療大学倫理審査委員会の承認を得た。\n【結果】対象者は全員男性で、平均年齢は72.8（SD ±13.7）歳であった。頚椎手術に対する期待は「症状の改善」「症状悪化の回避」「症状説明に対する理解と受容」の3つ、術後は「症状が持続することへの不満」「症状改善に向けた努力」「手術への満足感」「現疾患以外の苦悩」「要介護状態に対する諦め」の⚕つのカテゴリーが抽出された。\n【考察】頚椎手術を受ける患者が術後の回復に期待が大きいほど、術後等の回復状態に影響を与え、手術に対して不満足になると考えられた。看護師は、術前の症状把握だけでなく、対象者の背景や手術への期待を把握して、術後の症状を含めて精神的な看護を提供していく必要がある。","subitem_description_type":"Abstract"}]},"item_7_full_name_24":{"attribute_name":"著者（ヨミ）","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"2698","nameIdentifierScheme":"WEKO"}],"names":[{"name":"ツチヤ, リョウタロウ"}]},{"nameIdentifiers":[{"nameIdentifier":"2699","nameIdentifierScheme":"WEKO"}],"names":[{"name":"カサマツ, ユリ"}]},{"nameIdentifiers":[{"nameIdentifier":"2700","nameIdentifierScheme":"WEKO"}],"names":[{"name":"アミジマ, ヒヅル"}]}]},"item_7_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"大手前大学"}]},"item_7_relation_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"2100000227","subitem_relation_type_select":"NCID"}}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1882-644X","subitem_source_identifier_type":"ISSN"}]},"item_7_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"土谷, 僚太郎"}],"nameIdentifiers":[{"nameIdentifier":"2695","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"笠松, 由利"}],"nameIdentifiers":[{"nameIdentifier":"2696","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"網島, ひづる"}],"nameIdentifiers":[{"nameIdentifier":"2697","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-11-05"}],"displaytype":"detail","filename":"2018_u_v225-239_tsuchiya.pdf","filesize":[{"value":"613.1 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"頚椎手術を受ける患者がもつ術前の期待と 術後の回復状態との認識のズレ","url":"https://otemae.repo.nii.ac.jp/record/2162/files/2018_u_v225-239_tsuchiya.pdf"},"version_id":"45c53cac-401d-4d69-9506-77b0dbbebc52"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"頚椎手術｜期待｜生活への影響","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"頚椎手術を受ける患者がもつ術前の期待と 術後の回復状態との認識のズレ","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"頚椎手術を受ける患者がもつ術前の期待と 術後の回復状態との認識のズレ"}]},"item_type_id":"7","owner":"24","path":["212"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-11-05"},"publish_date":"2019-11-05","publish_status":"0","recid":"2162","relation_version_is_last":true,"title":["頚椎手術を受ける患者がもつ術前の期待と 術後の回復状態との認識のズレ"],"weko_creator_id":"24","weko_shared_id":-1},"updated":"2023-06-23T12:32:22.405741+00:00"}