{"created":"2023-07-27T06:30:56.046225+00:00","id":16157,"links":{},"metadata":{"_buckets":{"deposit":"569c3f8f-d963-460d-a86a-5720729db30d"},"_deposit":{"created_by":3,"id":"16157","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"16157"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00016157","sets":["1132:1137:1223:1233"]},"author_link":["29784"],"item_7_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-07-20","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"20","bibliographicPageStart":"11","bibliographicVolumeNumber":"36","bibliographic_titles":[{"bibliographic_title":"金沢大学つるま保健学会誌 = Journal of the Tsuruma Health Science Society Kanazawa University"}]}]},"item_7_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"目的：関節リウマチ患者の民間療法利用における利用動機をふくむ心理的背景を心理的潜 在因子の因果関係によって明らかにすることを目的とした。 対象：３０～５９歳の日本リウマチ友の会会員から無作為抽出した５００名（回収数３２７）である。 方法：質的因子探索研究「シャーマン的職能を備える僧のいる寺院を訪問する患者の行動」 の結果データを用い、Kolcabaのコンフォート看護理論の４ニード「身体的」「サイコスピ リット的」「環境的」「社会文化的」に再編し、民間療法利用を含む項目と、その患者達の 属性項目を加えた質問票を作成した。次に対象者へ５件評定尺度を用いた質問調査を実施 し、集計したデータを因子分析と構造方程式モデリングを用いて分析した。 結果：因子分析により特定された因子は７つであり、第１因子から『主治医への信頼』『治 療効果への心の関与感』『高親和者の存在』『病因の特定感』『不可視存在の守護感』『民間 療法の利用』『信じる力』と命名した。構造方程式モデリングの結果は『高親和者の存在』 を起点とし『信じる力』『不可視存在の守護感』を経て『民間療法の利用』に至っていた。 さらに『民間療法の利用』は『治療効果への心の関与感』『病因の特定感』とわずかに結び ついていた。 結論：『民間療法の利用』行動の背後に、関節リウマチ患者が療養生活を送る際のセルフケ ア能力を高める重要な心理的潜在因子が関与していることが明らかになった。これはコン フォート看護理論でいう「サイコスピリット的」因子であり、今後はこれらを活用できる ようなケアを検討する必要があると考えられた。 Objective: The objective of this study was to clarify the psychological background of folk remedy-use behavior in patients with rheumatoid arthritis, including motivation for folk remedy-use, through the application of structuration of potential psychological factors. Subjects: Subjects of this study were 500 individuals between 30 and 59 years of age randomly sampled from the membership of the Japan Rheumatism Friendship Association (327 responses were collected). Methods: We reorganized the data obtained from a qualitative factor analysis study, “Patients’ behavior that visit temple priests who have shaman functions,” into the four needs in Kolcaba’s comfort theory, physical, psycho-spiritual, environmental, and sociocultural needs, and created a questionnaire with items covering folk remedy-use and patient attributes. Next, we surveyed subjects using a questionnaire employing a 5-point ordinal scale, and analyzed the gathered data utilizing factor analysis and structural equation modeling. Results: Factor analysis revealed seven factors : “a trusting relationship with the primary physician,” “correlation between the effects of treatment and psychological state,”“ closely related person,”“ the involvement of psychogenesis with pathogeneses,” “a sense of being protected by an invisible presence,” “use of folk remedies,” and “ability to trust.” Structural equation modeling began from the “existence of closely related person” and reached “use of folk remedies” through “ability to trust” and “a sense of being protected by an invisible presence.” Furthermore, results showed that “use of folk remedies” was slightly associated with “the psychological involvement with the effects of treatment” and “the identification of pathogeneses.” Conclusion: We clarified that important potential psychological factors that increase the self-care ability of patients with rheumatoid arthritis are related to the folk remedy-use behavior of patients. These potential psychological factors were psycho-spiritual factors in Kolcaba’s comfort theory, and the results suggested the necessity of examining care utilizing psycho-spiritual factors.","subitem_description_type":"Abstract"}]},"item_7_description_22":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"[原著/ Originals]","subitem_description_type":"Other"}]},"item_7_publisher_17":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"金沢大学つるま保健学会 = the Tsuruma Health Science Society, Kanazawa University"}]},"item_7_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AA11599711","subitem_source_identifier_type":"NCID"}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-8502","subitem_source_identifier_type":"ISSN"}]},"item_7_version_type_25":{"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":"貴堂, 浩"}],"nameIdentifiers":[{"nameIdentifier":"29784","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":"2017-10-04"}],"displaytype":"detail","filename":"AA11599711-36-1-11-20.pdf","filesize":[{"value":"3.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"AA11599711-36-1-11-20.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/16157/files/AA11599711-36-1-11-20.pdf"},"version_id":"89a39594-1d6a-435f-b61e-53143ec10d29"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"rheumatoid arthritis","subitem_subject_scheme":"Other"},{"subitem_subject":"folk remedy","subitem_subject_scheme":"Other"},{"subitem_subject":"structural equation modeling","subitem_subject_scheme":"Other"},{"subitem_subject":"potential psychological factor","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":"関節リウマチ患者の民間療法利用における心理的潜在因子の因果関係","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"関節リウマチ患者の民間療法利用における心理的潜在因子の因果関係"},{"subitem_title":"Causal relationship among potential psychological factors in the folk remedy-use behavior in patients with rheumatoid arthritis","subitem_title_language":"en"}]},"item_type_id":"7","owner":"3","path":["1233"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-10-04"},"publish_date":"2017-10-04","publish_status":"0","recid":"16157","relation_version_is_last":true,"title":["関節リウマチ患者の民間療法利用における心理的潜在因子の因果関係"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-07-28T00:20:58.998587+00:00"}