The Subjective Sexual Well-being of Patients with Inflammatory Bowel Disease and Based on Characteristics by Attributes: Analyses of Self-description Utilizing Text-mining

In: Journal of Japan Academy of Nursing Science · 2018 · vol. 38(0) , pp. 46–55 · doi:10.5630/jans.38.46 · W2887009612
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This study analyzed patient self-descriptions using text mining to clarify the components and characteristics of subjective sexual well-being in inflammatory bowel disease patients.

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The study examined the構成 and特徴 of inflammatory bowel disease (IBD) patients’ subjective sexual well-being (SSWB) by analyzing 88 free-text responses from a self-administered questionnaire. Using text-mining, the authors performed dependency parsing category classification plus frequency and characteristic analyses. They found SSWB comprised seven categories, with “mental stability” and “physical health” identified as specific to IBD; men and women showed different category patterns (e.g., men related to sexual desire fulfillment, women to mutual consideration), and subjective health/relationship quality and clinical features (Crohn’s disease, presence of a stoma) mapped to distinct categories such as “touching/skin contact fulfillment.” A stated limitation is that the results derive from free responses and thus reflect self-description rather than objective measures. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

目的:炎症性腸疾患(IBD)患者の主観的セクシュアルウェルビーイング(SSWB)の構成と特徴を明らかにすることを目的とした.
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原著 炎症性腸疾患患者の主観的セクシュアルウェルビーイングと属性別にみた特徴 ―テキストマイニングによる自由回答の分析― 2018 年 38 巻 p. 46-55 詳細 抄録 目的:炎症性腸疾患(IBD)患者の主観的セクシュアルウェルビーイング(SSWB)の構成と特徴を明らかにすることを目的とした. 方法:自記式質問紙調査を行い,性的に幸福で満足できる状態に対する88名の自由回答をテキストマイニングで分析し,係り受けのカテゴリ化,頻度分析と特徴分析を行った. 結果:SSWBは7カテゴリで構成されていた.【精神的安定】と【身体的健康】はIBDに特有なSSWBであった.男性は【性的欲求の満足】,女性は【相互の思いやり】,20~39歳は【精神的安定】,40~59歳の男性は【性的満足の欲求】が特徴的にみられた.主観的体調や主観的関係がよい男性は【性的欲求の満足】,クローン病やストーマがある女性は【スキンシップの充実】が特徴的であった. 結論:SSWBの構成と特徴は,IBDの症状の影響を受けていた.これらの結果は,話題の導入,当事者のSSWBを反映した支援目標の設定,到達度の評価に活用できる. © 2018 公益社団法人日本看護科学学会

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