@article{oai:air.repo.nii.ac.jp:00002390,
 author = {加賀美, 開 and 雄鹿, 賢哉 and 湯浅, 孝男 and KAGAMI, Kai and OGA, Kenya and YUASA, Takao},
 issue = {2},
 journal = {秋田大学大学院医学系研究科保健学専攻紀要},
 month = {Oct},
 note = {近年, 精神科の施策は ｢入院医療中心｣ から ｢地域生活中心｣ に移行している. しかしながら入院を余儀なくされている統合失調症患者は多く, 退院支援が求められている. 本研究の目的は, 統合失調症患者が抱く退院に対する考え方とそれを決定づける要因を主観的評価と客観的評価を用いて検証することにある. 入院中の統合失調症患者(n＝47) を対象に質問紙を用いて ｢退院に対する認識｣ を調査し, 併せて日常生活活動能力 (以下 ADL), 健康統制感, Quality of life (以下 QOL), 社会生活技能について評価しデータを解析した. 結果は退院に対して考える機会が多いほど退院に対する希望が強く, 退院に対する可能性を感じていた. また年齢が若く入院期間が短いほどに退院を強く希望し, 社会的活動性と言葉の分かりやすさが低下していることが退院への不安を高めていた. 本研究は統合失調症患者の退院に対する認識と主観的評価, 客観的評価の関連を検討し, 多面的に解析することで, 早期から退院について考える機会を設け, コミュニケーション能力に焦点を当てたアプローチを行うことが, 統合失調症患者の退院支援を行う上での一助となる可能性を示唆した., In recent years, the policy of psychiatry treatment has changed to emphasize the differences between normal community life and hospital life. However, a large number of schizophrenia patients have been hospitalized for many years. Therefore, discharge planning is required. The purpose of this study was to examine the factors that affect the recognition of being discharged from the hospital in schizophrenia patients using objective and subjective evaluations. We studied hospitalized schizophrenia patients (n＝47). We investigated their understanding of being discharged from the hospital using a questionnaire. We investigated the activities of daily living (ADL), feelings of health control, quality of life (QOL) and social life. The results were as follows : the more patients had an opportunity to think about being discharged, the more they hoped to be discharged and the more they felt possibility of being discharged. In addition, younger patients were found to have a greater desire and likelihood of being discharged, as did the patients with a higher cognitive level. A patient's language ability also showed a close relationship to anxiety about being discharged. The findings of this study suggested that it is important for patients with schizophrenia to have an opportunity to think about being discharged as soon as they are hospitalized, and they also need to be supported to encourage them to communicate their hopes and fears about being discharged.},
 pages = {113--121},
 title = {統合失調症患者の退院に対する認識とその関連要因の検討},
 volume = {22},
 year = {2014}
}