JaLCDOI 10.18926/15295
Title Alternative A study on actual conditions of care for the elderly in urban and rural areas of Okayama prefecture
FullText URL 007_2_149_157.pdf
Author Ohta, Niwa|
Abstract 高齢者の在宅ケアの必要性が増大している一方,女性の就労者の増加や核家族化は在宅でのケアを困難にしている。そこで,実際にどのような現状や問題があるのかを検討する必要があると考えた。今回,全国の高齢化率(14.1%)より高い高齢化率(16.9%)の岡山県で,在宅ケアの実態を1995年8月から9月にかけて調査した。都市部(岡山市)・農村部(高梁市・邑久町・久米南町)で比較すると,在宅ケアは都市部に比べ農村部が少なく,農村部では施設での介護の方が多いことを認めた。分析対象は140名で都市部が39名,農村部が101名である。在宅でケアを受ける75歳以上の高齢者は77.1%と多かった。農村部の方が高年齢で障害度も重く,特に過疎地域では介護期間も長く5年以上が過半数を占めていた。主たる介護者は都市部では配偶者が63%と多かった。過疎の農村部では息子の妻および孫の妻が多く,また70歳以上の高齢の介護者が3分の1を占めていた。入浴・更衣回数などのケア回数は県北の農村部では特に少なかった。また家族の介護時間は都市部は1日につき約7時間であったが,農村部では約3時間のみであった。保健婦・看護婦などの専門職者によるサービスは都市部に多く,ホームヘルパーによるサービスは農村部に多かった。民間のサービス利用率は都市部・農村部いづれも低かった。以上のごとく農村部における高齢者の介護がより問題が多く,深刻な状況であることが明らかになった。
Abstract Alternative The purpose of this study is to demonstrate the actual condition of care for the elderly, especially to make clear the difference between urban and rural areas of Okayama prefecture in which the rate of aging (16.9%) is higher than that of the whole country (14.1%). A survey distributed by municipal employees such as public health nurses and homehelpers, was done in the prefectural capital (Okayama) which was used for the urban aera study and one small city (Takahashi) and two towns (Oku and Kumenan) which were used for the rural areas study groups from August through September, 1995. The rate of persons cared for at home was low in the rural areas compared to that in the urban area, namely many persons were cared for at faclities for elderly or at hospitals. Date obtained from 140 families, 39 in the rural area and 101 in the urban areas respectively, were analysed. Persons cared for at home were generally old. 77.1% of them was older than 75 years of age and they suffered from many disorder. The period of care was quite long in the depopulated area, as 63% of them were cared for more than 5 years and one third of persons caring for them were more than 70 years of age. In the rural area, more than half of the elderly were cared for by their spouses. The time spent in helping them bathe and change their clothes was lower in the rural area than in the urban area. The time perdiem spent caring by each family was 3 hours in the rural area, while 7 hours in the urban area. The rate of persons who utilized visiting nurses was high in urban area, while homehelpers were high in the rural areas. The utilization of non-governmental services was low in both areas. The author concludes that care for the elderly in the rural areas is actually difficult and poor in quality compared to that in the rural aera.
Keywords 高齢者 (the elderly) 在宅ケア (home care) 都市部 (urban area) 農村部 (rural area) 岡山県 (Okayama prefecture)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-01-31
Volume volume7
Issue issue2
Start Page 149
End Page 157
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307982
JaLCDOI 10.18926/15294
Title Alternative Psychometric assessment of the instruments for the factors relating to QOL after adult kidney transplantation
FullText URL 007_2_135_148.pdf
Author Hayashi, Yuko|
Abstract 腎移植者のQOL向上をめざした系統的なアプローチを検討するにあたり,QOLに関係があると考えられる諸要因を導き出した。本研究の目的は,それらの諸要因の関係を明らかにするために測定用具を作成し,その信頼性と妥当性を検討することである。作成した測定用具は身体の状態,自己概念,不確かさ,ソーシャルサポート,対処およびQOLである。測定用具の信頼性と妥当性は,4施設に通院をしている20オ以上の腎移植者210名を対象に行った。信頼性はクロンバックαによる内部一貫性ないしは評定者間信頼性を検討し,妥当性は,構成概念妥当性ないしは併存妥当性を検討した。自己概念,不確かさ,ソーシャルサポートおよび対処の尺度は,それらの項目の因子分析の結果,因子項目のクロンバックα信頼性係数が0.7以上で内部一貫性が支持され,さらに確認的因子分析により構成概念妥当性が支持された。身体の状態およびQOLの尺度は,主成分分析の結果,各々の項目が総合化された主成分であることが示され,またそれらの尺度の評走者間信頼性ないしは併存妥当性が支持された。したがって,上記の結果から,作成した尺度は腎移植者に適用可能な測定用具であることが示された。
Abstract Alternative The purpose of this study was to assess the reliability and validity of the instruments developed to measure physical state, self-concept, uncertainty, social support, coping, and QOL. The sample consisted of 210 kidney posttransplant recipients aged 20 or more and they were the cases from four hospitals. In respect to each item of self-concept, uncertainty, social support, and coping, factor analysis was made to examine the factor structure. Cronbach's alphas were calculated for each of their subscales. Construct validity was assessed using the confirmatory factor analysis. The results supported the internal consistency reliability of their subscales (alphas=0.7 or more) and construct validity. Principal component analysis was used to examine the principal components of physical state and QOL. Concurrent validity and interrater reliability also were assessed and the results supported them. Therefore, all of them were applicable instruments for Japanese kidney transplant recipients.
Keywords 測定用具 (instrument) 信頼性 (reliability) 妥当性 (validity)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-01-31
Volume volume7
Issue issue2
Start Page 135
End Page 148
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307138
JaLCDOI 10.18926/15293
Title Alternative Differences in interpersonal values for three cohorts of new nursing students
FullText URL 007_2_129_134.pdf
Author Kato, Kumiko| Kondo, Masuko| Tada, Masako| Nagata, Hiroshi|
Abstract 医療短大入学年(1990年,1993年,1996年)において異なるコホートをなす看護学生の対人関係価値を入学直後に自己像と理想のナース像についてKG-SIV(Kikuchi-Gordon Survey of Interpersonal Values)によって測定した。その結果,自己像評定では入学年が進むにつれて「支持」や「独立」の価値を重視する傾向が増大するのに対し,「博愛」の価値は逆に重視されない傾向が見いだされた。また,特に1996年では理想のナース像に対する要求水準が低くなることも明らかになった。この結果を看護学生の社会化過程と関連づけて考察した。
Abstract Alternative KG-SIV (Kikuchi-Gordon Survey of Interpersonal Values) was administered twice to three cohorts of new nursing students admitted to School of Health Sciences, Okayama University, respectively, in 1990, 1993, and 1996. For the first testing, they indicated the values that were important to them, while for the second they indicated those that were important to an ideal nurse they had in their mind. Analyses showed that perceived values of Support and Independence increased while those of Benevolence decreased with the admission years. They also showed a reduced level of aspiration for an ideal nurse, particularly in 1996. Findings were discussed as they were related with a socialization process that nursing students would undertake in prospective nurse training.
Keywords 対人関係価値 (interpersonal values) 看護学生 (nursing students) コホート (cohorts) 社会化 (socialization)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-01-31
Volume volume7
Issue issue2
Start Page 129
End Page 134
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307249
JaLCDOI 10.18926/15292
Title Alternative The deveropment of introduction to nursing - The first report. From the viewpoint of Humanologies by Murtin Buber.
FullText URL 007_2_121_128.pdf
Author Kato, Kumiko|
Abstract 看護学概論は看護の本質を追究する教科である。近年,看護の質が論じられ,その中でも患者―看護婦関係の質や患者理解の質が重視されている。本研究は,マルチン・ブーバーの人間学の立場を理解し,人間を尊重した看護を実践したフローレンス・ナイチンゲールの生涯と看護婦観を彼の人間学の立場から分析した。更に,関係の仕方と看護の関係について言及した。
Abstract Alternative Introduction to nursing is a subject which inquire into the intrinsic nature of nursing. Recently, the quality of nursing has been discussed and the quality of patient-nurse relationship and patient understanding are brought to our notice. This paper aims to talk with the understanding of the Humanologies by Murtin Buber and to analyze the life and view of nurse of Florence Nightingale who had realised a human-respected nursing from viewpoint of the course of relationship that M. Buber discussed. Furthermore I discussed in relation to the quality of nursing and the couse of relationship by M. Buber'viewpoint.
Keywords 看護学概論 (Introduction to Nursing) 人間学 (Humanology) われ―なんじの関係 (I-thou relationship) フローレンス・ナイチンゲール (Florence Nightingale)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-01-31
Volume volume7
Issue issue2
Start Page 121
End Page 128
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307553
JaLCDOI 10.18926/15291
Title Alternative Senior high school students' recognition and interest in allied medical education of college
FullText URL 007_2_113_120.pdf
Author Ohta, Takeo| Shimoishi, Yasuaki| Kageyama, Jingo| Shibuya, Koichi| Tohge, Hiroko| Endo, Hiroshi|
Abstract 1996年7~9月にかけて,岡山県周辺の10県下高校普通科3年在学中の学生に志望進路,志望分野とともに大学,短期大学における医療技術教育への認識と関心についてアンケート調査を行った。サンプリングによって依頼した127校のうち回答が得られたのは52校(回収率40.9%)で,得られた回答数は合計1,998人(男子891人,女子1,077人,不明30人)であった。これらの分析から,これらの地域では進学志望者の率は高く,特に男子に著名で,男女ともに理系への志望が多いことを認めた。医療技術系大学の認識は看護学科を除いて低く,関心も特に男子で低かった。4年制大学の進学を志望する学生にとっては, 3年制の多い医療技術系短期大学には関心が寄せがたく, 4年制へ移行した場合には関心も志望も高まる事が認められた。将来この分野を担う人材の確保には現在の医療短大の4年制化や医療技術職の待遇改善が重要である と結論づけた。
Abstract Alternative A survey was carried out by senior high school students in Okayama and nine surrounding prefectures from July through September, 1996. Data obtained from 1998 twelfth-grade students studying general courses at 52 schools were computed. Eighty four percent of the 891 male students and 54.2% of the 1,077 female students wished to go on to senior college. Sixtyseven percent of the male students wished to enter science college courses, while only 25.8% of female students did. The rate of students who knew about the course of allied medical science in senior or junior colleges was 63.8% for male students and 82.5% for female students. The nursing course was popular among both sexes, but other courses such as radiological technology, medical technology, physical therapy and occupational therapy were not well known, especially among male students. It was thought that students wishing to go on to the senior college were not interested in those areas which were usually taught in three year courses at junior colleges or special (vocational) schools. Accordingly, the data showed that their interests in the allied medical course would be increased by the shifting it to a four year course. To attract senior high school students who are both intelligent and talented in the medical and health field, the authors concluded that the further improvement of educational course for allied medicine, especially such as shifting to a four year course, and the bettering of position of comedical workers through it are needed.
Keywords 医療技術教育 (the allied medical education) 高校生 (senior high school students) 短期大学 (junior college) 大学 (college) 進学 (high school students wishing to go on to college)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-01-31
Volume volume7
Issue issue2
Start Page 113
End Page 120
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307378
JaLCDOI 10.18926/15290
Title Alternative Clinical evaluation was examined between mixed type barium sulfate suspensions "BarytgenHD" and "Barytgen"
FullText URL 007_2_105_112.pdf
Author Nobuhara, Eitarou| Takeda, Yoshihiro| Shibuya, Kohichi| Oguri, Nobuhiro| Arioka, Tadashi| Goto, Sachiko| Morioka, Yasuki| Niiya, Harutaka| Nakagiri, Yoshitada| Joja, Ikuo| Sugita, Katsuhiko| Hiraki, Yoshio|
Abstract 混合粒子型硫酸バリウムバリトゲンHD200w/v%懸濁液について,バリトゲン160w/v%懸濁液と比較検討を行った。懸濁液安定性は両者共良かった。臨床評価においては,付着性,胃小区描出能は同程度であり,辺縁の描出能は良かったが凝集・ムラ付き,気泡は多くみられ懸濁液濃度について検討を加える必要があると考える。飲み易さは,バリトゲンHD200w/v%懸濁液のほうが濃度が高いのにもかかわらず飲み易く好評であった。
Abstract Alternative Both barium sulfate suspensions, Barytgen HD and Barytgen, had good stability. Although significant difference was not abserved in coating and visualization of gastric area, BarytgenHD showed better marginal visualization of gastric margin. Further study is needed to improve the visualization of sticky coating of gastric mucosa and many bubbles. BarytgenHD was easily to drink instead of high density barium sulfate suspensions.
Keywords 造影剤 (contorast media) 硫酸バリウム (barium sulfate suspension) 消化管検査 (barium examination)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-01-31
Volume volume7
Issue issue2
Start Page 105
End Page 112
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307979
JaLCDOI 10.18926/15289
Title Alternative 変形性膝関節炎患者膝関節液中の細胞外マトリックス成分と可溶性VCAM-1
FullText URL 007_2_099_103.pdf
Author Tohge, Hiroko| Ichimura, Mitsuko| Sakiyama, Junko| Okamoto, Motoi| Nakata, Yasunari| Endo, Hiroshi|
Abstract It is generally accepted that the number of patients with osteoarthritis (OA) of the knee must increase in the future because of the increase of the aged. The pathogenic mechanisms of OA haven't been elucidated yet, but it is supposed that mediate pannus may cause the factors for irreversible cartilage damage in the inflammatory process. Therefore it is very important to find and predict OA at the early stage. Now there were many indices to determine joint damage with OA, for example, cytokines including IL, TNF, TGF, matrix metalloproteinase (MMPs), tissue inhibitor of metalloproteinase (TIMPs), proteoglycan (PG), hyaluronate (HA), super oxide, adhesion molecules including, ICAM-1, VCAM-1 and PECAM. In this study, we measured that the soluble VCAM-1 (sVCAM-1), soluble collagen (sCOLL), heparansulfate proteoglycan (HSPG), uronic acis and CRP in synovial fluids (SF) with OA. A positive correlation between the level of sVCAM-1 and sCOLL (ρ = 0.652) was noted. However there was no factor showing a correlation with CRP. It was suggested that the levels of sVCAM-1 and sCOLL in the synovia fluid were active inflammation indices of knee damage, as the different aspects from CRP. The level of HSPG also showed a unique trend because HSPG on the cell surface was quickly digested endocytosis, so that it was not suitable for the inflammatory index in synovial fluid with OA.
Abstract Alternative 変形性膝関節炎(OA)患者は,高齢化社会の到来とともに今後ますます増加するものと考えられる。OAの発症メカニズムについては,関節軟骨の破壊・修復やパンヌス形成に関わる多くの関連因子(サイトカイン,マトリックス分解酵素,分解酵素抑制因子,プロテオグリカン,活性酸素,細胞接着因子など)について,多面的に研究が進んでいる。しかし,膝関節の炎症初期の病態のメカニズムについては,なお詳細に解明されておらず,関節炎初期の炎症指標の検索が今後さらに必要と考えられる。本研究で私たちは, OA患者膝関節液中の細胞外マトリックス構成成分であるコラーゲン,へパラン硫酸プロテオグリカン,ウロン酸および炎症の最も初期に血管内皮細胞に出現するVCAM-1等の可溶化成分濃度を測定した。患者膝関節液(SF)中の可溶性コラーゲン量と可溶性VCAM-1(sVCAM-1)量とは有意な正の相関関係が(ρ=0.652)観察された。しかし,ヘパラン硫酸プロテオグリカン(HSPG)と可溶性コラーゲン(sCOLL)値間には有意な相関関係は確認されなかった。また,一般に炎症の指標として用いられるCRP値とも比戟検討したが,CRP値と他の測定項目値とは一定の相関関係は存在しなかった。以上の結果より,OA患者のSF中の炎症マーカ-として,急性炎症時には従来の炎症指標蛋白質であるCRP値が有力であるというSipe JDの報告から推測するとsCOLLとsVCAM-1はCRP値と一定の相関を示さないことより,CRPの動態とは異なった炎症指標としての有用性が考えられる。しかし,HSPGはエンドサイトシスにより速やかに代謝されるためSF中への解離が少なく,炎症指標としての可能性は低いと考えられる。
Keywords 変形性膝関節炎 (Osteoarthritis) 細胞外マトリックス (Extracellular matrix) 可溶性VCAM-1 (Soluble VCAM-1) 可溶性コラーゲン (Soluble Collagen) 可溶性ヘパラン硫酸プロテオグリカン (Soluble HSPG)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-01-31
Volume volume7
Issue issue2
Start Page 99
End Page 103
ISSN 0917-4494
language 英語
File Version publisher
NAID 120002307341
JaLCDOI 10.18926/15288
Title Alternative Nursing students' images of the elderly before and after a two-week nursing practice
FullText URL 008_1_085_090.pdf
Author Watanabe, Kumi| Kondo, Masuko| Ohta, Niwa| Ikeda, Toshiko| Maeda, Makiko| Ohta, Takeo|
Abstract 2週間の特別養護老人ホームの実習前及び実習後の学生の老人イメージを20項目の尺度を用いて調査した。その結果,以下のことが明らかになった。 1. 実習後のイメージの平均得点は,「ユーモアのない」から「ユーモアのある」へ,「生気のない」から「生気のある」へと好ましい方向へ上昇し,一方「経験に富む」,「穏やかな」,「現実的な」は好ましくない方向へ変化した。 2. 3分の1以上の学生が実習後に特にイメージが変化した項目として「ユーモアのない/ユーモアのある」の項目をあげた。 3. 老人像は全体として「暇な」,「弱い」,「孤独な」という否定的な老人イメージと「経験に富む」,「暖かい」という肯定的イメージで捉えられており,このイメージは実習前後で共通していた。実習前後では全体として老人像に大きな変化はなかったものの,実習によって,より活動的な老人イメージを抱き,より現実的に老人をとらえていることが明らかになり,A園での老人看護学実習は教育上意義のある実習であると評価した。
Abstract Alternative This study investigated how nursing students perceived the elderly living in a nursing home for the elderly. Testing was done both before and after they experienced a two-week nursing practice at the nursing home. Three findings were obtained. (1) The students regarded the elderly not only as more humorous and vital but also less experienced, peaceful, and realistic before than after experiencing the practice. (2) Over a third of the students named humorous/not humorous as an item for which they experienced a marked change in image of the elderly. (3) The students generally regarded the elderly as being experienced, warm, bored, weak, and lonely. The findings indicate that the nursing practice provided the students with an opportunity to form better and realistic images of the elderly.
Keywords 老人 (elderly) イメージ (images) 看護学生 (nursing students) 看護実習 (nursing practice) 看護教育 (nursing education)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-09-10
Volume volume8
Issue issue1
Start Page 85
End Page 90
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307362
JaLCDOI 10.18926/15287
Title Alternative Food intake and nutrients intake of nursing student.
FullText URL 008_1_077_084.pdf
Author Hoshina, Eiko| Ohta, Niwa| Ohta, Takeo|
Abstract 1993年及び1994年度の本短期大学部看護学科の2年次生145名を対象に, 1日の摂取食品調査を行い,摂取食品数,栄養摂取量,栄養素等充足率を求めた。これらの分析の結果,以下の結論を得た。1.全体の平均充足率のバランスは,食物繊維が低く,ビタミンA,ビタミンCが高い値を示した。2.摂取食品数と栄養素等との相関は低かったが,食品数を2群に分けて比較すると,食品数多群でエネルギー,鉄,ビタミンC,食塩の摂取量が有意に多かった。3.充足率の低かった食物繊維とビタミンAは相関があり,また食物繊維の充足率の低い学生は,カルシウム,鉄の充足率が低い傾向にあった。4.自宅生と下宿生の比較では,差は見られなかった。これらの改善には,栄養素等の不足を効果的に補える食品の選択や,若い世代の嗜好や生活にあった食習慣形成のための情報提供が必要である。
Abstract Alternative A questionnaire survey on daily food intake was conducted to assess the food intake,the nutritional intake and fulfilling rate of nutrients in 145 second-years students of School of Health Sciences, Okayama University, in 1993 and 1994. The following results were obtained. 1. The mean fulfilling rate was low for dietary fiber, while it was high for vitamin A and vitamin C. 2. There were low correlation between the number of foods and any specific nutrient. Intakes of energy,iron, Vitamin C and salt were significantly higher in students taking a large number of foods than those taking a small number of foods. 3. There was a correlation between the intake of dietary fiber and that of vitamin A. Students with a low fulfilling rate of dietary fiber tended to have low fulfilling rate of calcium and iron. 4. There were no differences between students living with their parents and those living alone. Food intake should be decided effectively to correct nutritional imbalance in students. It is necessary to inform young people how to form dietary habits corresponding to their taste and life-style.
Keywords 看護学生 (nursing students) 食品摂取量 (food intake) 栄養摂取量 (nutrients intake)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-09-10
Volume volume8
Issue issue1
Start Page 77
End Page 84
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307669
JaLCDOI 10.18926/15286
Title Alternative An analysis of quitting behavior and desire to quit of nurses.
FullText URL 008_1_069_076.pdf
Author Hayashi, Yuko|
Abstract 本研究の目的は,臨床看護婦の離職の実態と離職願望およびその背景因子との関連性について実証分析を行うことである。2箇所の地方都市の公立病院で働く看護婦582名を対象として,離職と転職の意志と理由ならびに個人要因と職場要因についての調査を実施した。その結果,次のような知見を得た。 1) 地方都市の大規模公立病院で働く看護婦の8割が卒業後ずっと同じ病院で勤務していた。 2) 実際の離・転職者は調査対象者の約15%であり,その7割を20代が占めた。 3) 20歳代の離職には2つの理由が見られた。一つは結婚・出産および家族の世話による離職であった。職業と家庭の両立は困難と考えていた。もう一つは未婚の看護婦による他の看護職への転職であった。 4) 約6割が離職願望をもっていた。離職願望の背景として,仕事要因と個人要因および年齢的な特徴が見られた。すなわち,20代では自分の適性や能力への不安。30歳代では子育てと労働条件の負担。40歳代以降では健康上の理由であった。しかし給料との関連は低かった。 5) しかし地方都市の公立病院においては離職者は減少傾向にあり,就労形態は「若年短期未婚型」より「中高年継続就労型」へと以降しているものと考えられた。
Abstract Alternative The purporse of this study is finding existing situation and those reasons of nurses who would resign or desired to resign from their jobs. A survey was conducted to 582 nurses in two public hospitals located in the province. The following results were obtained. 1. 15% of all the target nurses would segign soon. 70% of which was in age of twenties. 2. There were two main reasons of resignation among nurses in age of twenties. One was getting married, having child or family care ; they felt it is difficult to continue both their working life and family one. The other was they were planning to be qualified for another nursing professional. 3. 60% of all the target nurses desired to resign from their jobs. 4. The reason was different by age group. Each had own reason ; Anxieties for their aptitude and ability as nurses in the twentie, responsibility for their children and family menbers in the thirties, and anxieties for health in the forties and fifties. But amont of salaries did not affect their disire.
Keywords 看護職 (nurses) 離職の理由 (resign) 離・転職願望の背景 (desired resign)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-09-10
Volume volume8
Issue issue1
Start Page 69
End Page 76
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307437
JaLCDOI 10.18926/15285
Title Alternative The relationships between the components in QOL causal model of kidney posttransplant recipients and recipient characteristics.
FullText URL 008_1_061_068.pdf
Author Hayashi, Yuko|
Abstract 本研究の目的は,概念枠組みを基盤にして作成した腎移植後レシピエントQOL因果モデルの構成要素とレシピエント特性との関係を明らかにすることである。対象者は,関東と名古屋の4施設において外来通院をしている腎移植者で,研究参加に同意を得た210名である。データ収集は,自己記入式質問紙 法,面接法ならびに診療記録より収集した。その内容は,身体の状態,自己概念,不確かさ,ソーシャルサポート,対処,QOLについてである。またレシピエント特性として,年齢,婚姻状況,学歴,移植後年数などを取り上げた。データ分析は,ピアソンの積率相関係数, t検定,一元配置分散分析(対比較)を用いた。分析の結果,年齢,婚姻状況,学歴,就労状況,移植後年数,入院を要するほどの合併症および入院回数がモデルの構成要素のいずれかに関係していた。 したがって,それらは腎移植後のケアを行う時に考慮されるべき重要なレシピエント特性であることが明らかになった。
Abstract Alternative The purpose of this study is to analyze the relationships between the components in QOL causal model of kidney posttransplant recipients and recipients characteristics. Based on the conceptual framework for study, the QOL causal model was constructed. The subjects are 210 recipients after kidney transplant aged 20 or more from four hospitals in Kanto area and Nagoya city, who agreed to participating in this study. The data were collected by means of an interview and a questionnaire, and from medical records. The questionnaire consists of physical state, self-concept, uncertainty, social support, coping, QOL, and medical and demographic characteristics such as age, marital status, education, time since transplant. Pearson's correlation coefficient, t-test, and one-way ANOVA were used for analysis. Age, job, marital status, education, time since transplant, frequency of hospitalization, and complications were related to any of the components of the causal model. From this evidence, it follows that they are important characteristics for the care of the recipients after kidney transplant.
Keywords QOL (quality of life) 対処 (coping) 対処に影響を及ぼす要因 (affecting factors on the coping) レシピエント特性 (recipient characteristics)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-09-10
Volume volume8
Issue issue1
Start Page 61
End Page 68
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307208
JaLCDOI 10.18926/15284
Title Alternative The development of introduction to nursing - The second report. Nursing educational counseling to understand I-thau relationship.
FullText URL 008_1_049_059.pdf
Author Kato, Kumiko|
Abstract 本研究は,看護学概論の展開―第2報として,マルチン・ブ-バーが述べた関係の仕方と看護の関わりについて,筆者の面接指導を使って説明する。面接対象は看護を学ぶ学生で,自己理解,他者理解に関して「われ―それ」の関係から「われ―なんじ」の関係を体験的に理解した。その関係の変化によって学生の患者理解は深まり,看護の質も変化した。この面接から筆者が考える人間尊重の看護とは,患者と看護婦の「われ―なんじ」の関係の中で行なわれることが解った。
Abstract Alternative In this study, the relationship between the quality of nursing care and Murtin Buber's concept of "the relation" is examined through the nursing educational counseling conducted by the writer. The subject of these nursing eucational counseling is a nursing student. The student's understanding of self and others has developed from "I-it relationship" to "I-thau relationship" as she experiences nursing care. Due to these change in the relation, her understanding of the patient and self-understanding has deepened, which consequently changed the quality of her nursing care. Through these nursing educational counseling, it has been recognized that the nursing care which is based on humanism is achieved in "I-thau relationship" between the nurse and the patient.
Keywords 看護学概論 (introduction to nursing) われ―なんじの関係 (I-thou relationship) 人間尊重 (human respect) 看護 (nursing)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-09-10
Volume volume8
Issue issue1
Start Page 49
End Page 59
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307584
JaLCDOI 10.18926/15283
Title Alternative Views concerning nursing and nursing course of senior high school guidance teachers
FullText URL 008_1_043_048.pdf
Author Ohta, Takeo| Shimoishi, Yasuaki| Kageyama, Jingo| Shibuya, Koichi| Tohge, Hiroko| Endo, Hiroshi|
Abstract 1993年に岡山県で行った先の研究で,高校生の看護課程の選択にあたって,進路指導を行っている教師の役割が大きい事を報告した。今回は3年経った1996年に,同じ郵送調査を岡山県および周辺10県の普通科高校617校より無作為に選んだ127校において実施した。64校より得られた回答を要約すると以下の通りであった。1.教師が挙げた看護婦不足の理由はまず「勤務時間が厳しい(85.9%)」,「仕事の内容が厳しい(53.1%)」といった仕事のきつさで,次いで「仕事の割には社会的評価が低い(32.8%)」であった。2.教師が学生に肯定的イメージとして看護課程を勧める理由は,「まず専門職であること(73.4%)」,次いで「人に貢献できる喜び(53.1%)」であった。これらの結果は前回の結果と比較して統計的な有意差は認めなかった。3.近年進められている3年制看護課程(準学士課程)から4年制課程(学士課程)への移行に関して,教師はこれらは学生の関心を呼ぶとし(79.8%),看護課程へ進学する者は増加するであろうとしている(57.8%)。またこれまでよりこの課程への進学を教師は勧め易くなるとしている(56.3%)。これらの率は前回の結果と比較すると統計的に有意に高かった。
Abstract Alternative A previous study in Okayama prefecture in 1993 indicated the importance of high school teachers' influential rule on student's choice of nursing course. The same questionnaire survey was sent out by mail in 1996 to guidance teachers of 127 general high schools randomly selected from 617 schools in 10 prefectures, in and around Okayama. Data obtained from 64 teachers were analyzed and the results were as follows; 1. They suggested that shortage of nursing manpower was due to the harsh working conditions such as long and irregular hours (85.9%) and hard work (53.1 %), and also the low social esteem of nurse (32.8%). 2. The aspect of nursing noted by teachers were job specialty (73.4%) and devotion to people (53.l%). There were no statistical difference between these results and those of the previous study. 3. The teachers answered that the new four-year nuersing course (baccalaureate) currently being promoted from over the the present three-year course (associate degree) would be an incentive to students (79.8%) and might increase the number of students choosing to study nursing (57.8%). And they also noted that they would more readily recommend this course to students than before. These rates were significantly increased compared to the results of the previous report.
Keywords 看護課程 (nursing course) 看護 (nursing) 看護婦 高校教師 (high school teacher) 進路指導 high school student
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-09-10
Volume volume8
Issue issue1
Start Page 43
End Page 48
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307697
JaLCDOI 10.18926/15282
Title Alternative Influence of the Bone for Electron-beam Therapy
FullText URL 008_1_037_042.pdf
Author Nakagiri, Yoshitada| Inamura, Keiji| Tahara, Seiji| Uno, Hirofumi| Azuma, Yoshiharu| Sibuya, Koichi| Goto, Sachiko| Maruyama, Toshinori| Morioka, Yasuki| Sakae, Katsuyosi| 中川 富夫| Takemoto, Mitsuhiro| Sugita, Katsuhiko| Hiraki, Yoshio|
Abstract 電子線治療は,体表面またはその近傍に発生する悪性腫瘍の治療にしばしば用いられる治療法である。電子線はエネルギーに対応した飛程を持っており,飛程を越えると急激に線量は減少する。この性質は腫瘍に一定の線量を照射し,腫瘍後方に存在する決定臓器を保護することができるので,病巣を選択的 に治療するのに好都合である。しかし,照射野内に人体軌部組織より密度の違う物質が存在する場合,散乱,吸収の影響が大きく,電子線線量分布は乱れたものとなる。今回,人体内にある骨を想定してVolumeの違う骨Phantomを使 用して影響を調べたところ,骨幅によって骨後方および断端に線量の乱れが生じることがわかった。すなわち,骨の中央ではある程度後方に距離が離れると,線量は大きく減少する現象が見られた。また,横方向の線量分布は骨断端近くで一旦線量の減少が見られ,断端を離れると急激に増加する。したがって,実際の臨床において,Target Volume近くに骨が存在する場合は総線量の決定に際して注意が必要である。
Abstract Alternative The Electron-beam therapy is often used for the treatment to malignant tumors on the surface or its neighborhood of the body. An electron-beam has the range depended on its energy, and its dose is rapidly decreased at the points beyond the range. This property is available to irradiating a tumor with leaving the critical organs unexposed. However, we should take notice that the dose-distributions are disordered if materials of various densities are in the irradiation field. In this paper, we examined how the dose-distribution are disordered by using the phantom made from human bones of various volumes. As a result, the peculiar disorders of the dose-distribution due to the difference of the bone width were found at the back and edge of a bone. Moreover, the dose at the edge of a bone was decreased, but the dose at the side of a bone was rapidly increased in the distance position from the bone. It is necessary to take account of that the above peculiar phenomenon affect the total dose for the treatment when bones exist near the target volume in the irradiation field.
Keywords 電子線治療 (electron-beam therapy) 線量分布 (dose distribution) 不均質物質 (inhomogeneity)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-09-10
Volume volume8
Issue issue1
Start Page 37
End Page 42
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307839
JaLCDOI 10.18926/15281
Title Alternative Correlative study of hippocampal atrophy assessed by MRI and clinical features in temporal lobe epilepsy.
FullText URL 008_1_031_035.pdf
Author Sato, Keiko| Okamoto, Motoi| Joja, Ikuo| Nakatsu, Takeshi| Morimoto, Kiyoshi| Hayabara, Toshiyuki| Kuroda, Shigetoshi|
Abstract 側頭葉てんかん患者39例の海馬萎縮をMRIを用いて評価し,臨床像との関連を検討した。MRIの冠状断short SE像で海馬の幅を計測し,萎縮側海馬の村側海馬に対する比(a)を求め,海馬萎縮(+)群;a<0.8,11例,境界群;0.8≦a<0.9,13例,海馬萎縮(-)群;a≧0.9,15例の3群に分けた。海馬萎縮(+)群で罹病期間が長い傾向があった。また,発作間歇期脳波の焦点側は海馬委縮(+)群の11例中9例で萎縮側と一致した。しかし,発病年齢,MRI撮影時年齢,発作頻度,全般化発作の有無,抗てんかん薬総服用量,知能障害,精神症状,生下時仮死の有無については3群間で差が認められなかった。この結果から,側頭葉てんかんにおける海馬萎縮は,生下時や全身けいれん発作時の低酸素状態によるものではなく,脳局所の反復するてんかん性発射と関連する可能性が示唆され,海馬萎縮の機序を考えるうえで興味深く思われた。
Abstract Alternative We studied hippocampal atrophy in 39 patients with temporal lobe epilepsy using MRI. The ratio (a) of the width of the hippocampus on the atrophic side to that on the contralateral side was measured in coronal sections of the short SE in MRI. According to this ratio, the patients were divided into three groups : 11 with hippocampal atrophy (a<0.8), 13 with borderline atrophy (0.8≦a≦0.9), and 15 with no hippocampal atrophy (a≧0.8). In the patients of the group with hippocampal atrophy, the clinical history of epilepsy tended to be long, and the site of hippocampal atrophy was consistent with that of interictal spike foci on the electroencephalogram in 9 out of 11 patients. However, there was no difference between the three groups, with regard to age at onset, age when MRI was conducted, frequency of seizures, generalized seizures, the types and doses of antiepileptic drugs used, history of neonatal asphyxia, intelligence and epilpetic psychosis. These results suggest that hippocampal atrophy in temporal lobe epilepsy may be related to repetition of epileptic dischargges in a localized part of the brain.
Keywords 側頭葉てんかん (temporal lobe epilepsy) 海馬委縮 (hippocampal atrophy) 罹病期間 (clinical history) MRI 発作間歇期脳波 (interictal EEG foci)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-09-10
Volume volume8
Issue issue1
Start Page 31
End Page 35
ISSN 0917-4494
Related Url http://eprints.lib.okayama-u.ac.jp/15276/
language 日本語
File Version publisher
NAID 120002307245
JaLCDOI 10.18926/15280
Title Alternative A study on recording and analysis conditions of polysomnography for automated computer analysis of sleep stages.
FullText URL 008_1_023_029.pdf
Author Okamoto, Motoi| Inoue, Makiko| Nakashima, Makiko| Ito, Sekiko|
Abstract 自動解析装置を用いて終夜睡眠ポリグラフを解析する際の記録条件と解析条件を検討した。対象は若年成人女性10名で,解析には0xford社製睡眠ポリグラフ記録・解析装置Medilog SAC 847 Systemを用い,第3夜の記録を視察判定と比較した。徐波睡眠の指標となるδ波の最小振幅基準を初期設定の基線から±31/μVと,これより低い±25/μVに設定すると,徐波睡眠量,徐波睡眠率とも視察による判定とほぼ同じ解析結果が得られた。眼球運動の入力感度はREM睡眠量,REM睡眠率に影響しなかったが,オトガイ筋電図の入力感度を初期設定の1.5VにするとREM睡眠がほとんどみれなくなる例が多く,1.0VではREM睡眠量がこれまでの報告より少ないものの,視察判定に近い結果が得られた。以上の研究結果から,我々が用いた自動解析装置では,オトガイ筋電図の入力感度を1.0V,δ波の最小振幅基準を±25~31/μVに設定すれば,視察判定とほぼ同じ解析結果が得られると考えられた。
Abstract Alternative Recording and analysis conditions of polysomnography were examined in 10 young adult female by using sleep analysis computer Medilog SAC 847 system (Oxford). The quantity and percentage of slow wave sleep were consistent with those of visual inspection when the minimum delta amplitude was adjusted at ± 25~31μV from the baseline. The gain amplitude of mandibular electromyogram dramatically affected recognition of REM stage by the computer. Percentage of REM sleep was almost same as that of visual inspection when the gain potentiometer was adjusted to read 50μV peak-to-peak calibration signal as 1.0V, while REM stage was not recognized when the gain potentiometer was adjusted to 1.5V. In contrast, the gain amplitude of electropthalmogram did not affect the recognition of REM stage.
Keywords 睡眠 (sleep) 終夜ポリグラフ (polysomnography) 自動解析 (automated computer analysis) 記録条件 (recording conditions) 解析条件 (analysis condition)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-09-10
Volume volume8
Issue issue1
Start Page 23
End Page 29
ISSN 0917-4494
Related Url http://eprints.lib.okayama-u.ac.jp/15276/
language 日本語
File Version publisher
NAID 120002307692
JaLCDOI 10.18926/15279
Title Alternative A case of human infection with Diphyllobothrium in Fukuyama City, Hiroshima Prefecture
FullText URL 008_1_017_022.pdf
Author Kazuno, Hiroshi| Cho, Tohru| Kobayashi, Takako| Kusaura, Junko| Saito, Tetsuro| Tongu, Yasumasa|
Abstract Three strobilae with scoleces were expelled from a 16-year-old man by the administration of 600mg (20mg/kg) praziquantel. The No.1 strobila had a scolex 6.5cm in length. The No.2 strobila had a scolex 28cm in length. The No.3 strobila with a scolex and mature segments was 142cm in length. The No.3 strobila was identified as Diphyllobothrium latum by its morphological characteristics. The No.1 strobila had a scolex similar to that of the No.3 strobila. However, the No.2 strobila was equipped with a hammer-like scolex. This result suggests that the No.2 strobila belonged to species other than D. Latum.
Keywords 裂頭条虫 (Diphyllobothrium) 人体症例 (human case) 広島県 (Hiroshima Prefecture)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-09-10
Volume volume8
Issue issue1
Start Page 17
End Page 22
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307889
JaLCDOI 10.18926/15278
Title Alternative The roles and the position of nurses in the renal transplant nursing
FullText URL 008_1_007_016.pdf
Author Hayashi, Yuko|
Abstract 本論文の目的は,腎移植医療のなかで看護婦が果たすべき役割とその位置づけを明確にすることである。まず最初に,腎移植看護のフィロソフィーとチーム医療としての移植医療について述べた。次に調査結果と文献的考察を基に,腎移植看護に携わる看護婦の役割とその位置づけを概説した。ここでは, 看護の対象がレシピエントとその家族,生体腎ドナーであり,看護婦の役割は,移植を待機している時期,移植術前の時期,移植術直後の時期,退院前の時期,退院後のフォローアップの時期に区分して示した。その役割は予期的指導,術前術後の管理,セルフケア教育,相談指導,心理的支援,危機介入などであり,継続看護の必要性を強調している。
Abstract Alternative The purpose of this study is to clarify the roles and the position of nurses in the renal transplant nursing. First of all, the author describes philosophy of transplant nursing and medical care of recipients undergoing transplantation as a team. Then, the author outlines the roles and the position of nurses in relation to renal transplantation. Objects of nursing in this situation are the recipients, their families, and the living donors. The roles of nurses are shown in a separate manner at the period of waiting for transplantation, immediately before and after transplantation, before discharge from hospital, and follow-up period after discharge. The roles of nurses are anticipatory guidance, pre-and postoperartive management, self-care education, consultation, emotional support, and crisis intervention and so forth and the author stresses the necessity of continued nursing care.
Keywords 腎移植看護 (renal transplant nursing) 腎移植看護のフィロソフィー (philosophy of transplant nursing) チーム医療 (medical care as a team) レシピエントと家族 (recipients and their family) ドナー (donors)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-09-10
Volume volume8
Issue issue1
Start Page 7
End Page 16
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307715
JaLCDOI 10.18926/15277
Title Alternative Model theory of doubly transitive groups
FullText URL 008_1_001_006.pdf
Author Tanaka, Katsumi|
Abstract 2重可移群には,near-domainを解釈することができ(定理13), またnear-domainから2重可移群を構成することができる。つまり,2重可移群の研究はnear-domainの研究と同値になる。ここで,有限のnear-domainがnear-fieldになることは知られているが,無限のnear-domainがnear-fieldになるかどうかは知られていない。これに関連して,無限の2重可移群についても多くの未解決問題が残されている。このノートでは,これらの問題にたいするモデル論的なアプローチ(Morley rank有限の場合の構造析,geometricな方法など)をいくつか紹介する。
Abstract Alternative It is well known that we can interpret a near-domain in a doubly-transitive group and we can consruct a doubly-transitive group by a near-domain. This shows the equivalence of the study of doubly-transitive groups and that of near-domains. It is known that every finite near-domain is a near-field, however, it is open in infinite case. We investigate several open problems in this subject and some model theoretic approaches (in case of finite Morley rank, geometric) to them.
Keywords 置換群 (permutation group) ω-安定 (ω-stable group) Morley rank 2重可移群 (doubly transitive group)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-09-10
Volume volume8
Issue issue1
Start Page 1
End Page 6
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307870
Author 岡山大学医療技術短期大学部|
Published Date 1997-09-10
Publication Title 岡山大学医療技術短期大学部紀要
Volume volume8
Issue issue1
Content Type Others