The Relationships among Subjective Symptoms, Stress Cognition and Psychological Status in Inpatients

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  • 入院患者における自覚症状ならびにストレス認知と心理的状態の関係
  • ニュウイン カンジャ ニ オケル ジカク ショウジョウ ナラビニ ストレス ニンチ ト シンリテキ ジョウタイ ノ カンケイ

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Abstract

The purpose of this study was to clarify these relationships among subjective symptoms, stress cognition and psychological status in inpatients. The subjects were eighty one inpatients (age, >20 years). The data were collected using questionnaire based on the following scales: the Illness Perception Questionnaire (IPQ) and the Cornell Medical Index (CMI), the Cognition Scale of Illness-related Anxiety, and the Hospital Anxiety and Depression Scale (HADS). Collected questionnaire data were first used to confirm the reliability and factorial validity of subjective symptoms and identify correlations among subjective symptoms, stress cognition and psychological status. Subsequently, we applied a causality model that defined psychological status as the dependent variable and assumed subjective symptoms directly affect the dependent variable or have an indirect influence through stress cognition. As a result of our analysis, it was found that subjective symptoms affected both stress cognition and psychological status. Furthermore, it was discovered that stress cognition have greater effect on psychological status. Therefore, these findings indicated that nurse must not only manage　patients' subjective symptoms but also recognize their stress cognition in order to intervene with appropriate care that　maintains the psychological status of inpatients.

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