Consideration on the health attitudes and the factors of decision making of the orthopedic outpatients

本研究では, 整形外科外来に初診で受診した患者42名を対象に, 保健態度(HLC)と受療行動に至る意思決定規定要因が相互にどの様に関連しているかを探ることを目的に調査し, その中で年齢, 婚姻, 疾患部位がどの様に影響しているかを検討した.結果以下のことが示された.1)受療行動の受診動機に関しては, 症例に関するものおよび受診環境に関するものが多かった.2)婚姻別で保健態度をみると既婚群のCHLCは未婚群に比べて有意に高かった.3)年齢が高いほどCHLCは高い値を示した.4)意思決定規定要因の事実前提, 価値前提, 症状の撹乱度と持続性, 競合する個人の欲求はそれぞれにおいて有意な正の相関を示した.5)疾患部位別での意思決定規定要因では, 腰部、下肢で高かった.6)保健態度(HLC)と意思決定規定要因との関係では, 事実前提が高いほどPHLCは高かった.また価値前提が高いほどFHLCは低かった.以上のことから, 受診動機は症状, 受診環境で変化し, HLCは婚姻, 年齢によって影響されていた.また, 意思決定規定要因は疾患部位に影響され, さらにHLCと関係があることが示唆された.The purpose of this study was to examine the Health Attitude and the Factors of decision making to consult a doctor in relation to age, marriage and the diseased parts. The subject of this study were 42 outpatients who came to the orthopedic department. The results of this study were as follows; 1) As for the motives of consulting a doctor, symptoms and hospital environment were important. 2) The CHLC point in the married group was higher than the unmarried group significantly. 3) The CHLC point rose with age. 4) The decision making factors of virtual-premise, value-premise, disturbance degree, desires in ADL showed a significant positive correlation. 5) As for decision making factors based on diseased parts, waist and legs showed high points. 6) The PHLC point rose as the point of virtual-premise rose. And the FHLC point decreased as the point of value-premise rose. In short, this study suggested that the HLC was influenced by the age and marriage, the factor of decision making was mainly influenced by the diseased parts, and it correlated with the HLC