start-ver=1.4 cd-journal=joma no-vol=136 cd-vols= no-issue=3 article-no= start-page=120 end-page=126 dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=20241202 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Effects of parity on the associations between evacuation and psychological distress and cardiovascular disease among women after the Great East Japan Earthquake : A cross-sectional study of the Fukushima Health Management Survey kn-title=東日本大震災後の女性における出産歴が避難と精神的苦痛や循環器疾患との関連に及ぼす影響：福島県「県民健康調査」を用いた横断研究 en-subtitle= kn-subtitle= en-abstract= kn-abstract=　Introduction : Women are more likely to be physically, mentally, and socially vulnerable after disasters because of the physical, socioeconomical, and lifestyle-related factors that are often related to their parity. Here, we analyzed the effects of women's parity on the association between evacuation and psychological distress, trauma reactions, and cardiovascular disease (CVD).
　Participants and Methods : The participants were residents living in 13 municipalities in the evacuation zone of Japan's Fukushima Prefecture after the March 11, 2011 Great East Japan Earthquake who responded to the Fukushima Health Management Survey in FY2012. A total of 30,709 women aged 40-90 years were included in the analyses. We performed a logistic regression analysis to estimate the odds ratios (ORs) and 95% confidence intervals (CIs) adjusted for CVD risk factors.
　Results : A multivariate analysis revealed that among the parous women (n = 19,608), evacuation was associated with psychological distress (adjusted OR 1.30, 95%CI : 1.17-1.44), trauma reactions (OR 1.22, 95%CI : 1.11-1.35), and heart disease (OR 1.14, 95%CI : 1.03-1.26) compared to the non-evacuation status. Among the nulliparous women (n = 1,794), there was no association between the evacuation and any outcomes.
　Conclusion : The evacuation of individuals after the Great East Japan Earthquake was associated with psychological distress, trauma reactions, and heart disease, especially among parous women. en-copyright= kn-copyright= en-aut-name=YasukawaSumiyo en-aut-sei=Yasukawa en-aut-mei=Sumiyo kn-aut-name=安川純代 kn-aut-sei=安川 kn-aut-mei=純代 aut-affil-num=1 ORCID= en-aut-name=EguchiEri en-aut-sei=Eguchi en-aut-mei=Eri kn-aut-name=江口依里 kn-aut-sei=江口 kn-aut-mei=依里 aut-affil-num=2 ORCID= en-aut-name=OhiraTetsuya en-aut-sei=Ohira en-aut-mei=Tetsuya kn-aut-name=大平哲也 kn-aut-sei=大平 kn-aut-mei=哲也 aut-affil-num=3 ORCID= en-aut-name=HayashiFumikazu en-aut-sei=Hayashi en-aut-mei=Fumikazu kn-aut-name=林史和 kn-aut-sei=林 kn-aut-mei=史和 aut-affil-num=4 ORCID= en-aut-name=SakaiAkira en-aut-sei=Sakai en-aut-mei=Akira kn-aut-name=坂井晃 kn-aut-sei=坂井 kn-aut-mei=晃 aut-affil-num=5 ORCID= en-aut-name=ShimabukuroMichio en-aut-sei=Shimabukuro en-aut-mei=Michio kn-aut-name=島袋充生 kn-aut-sei=島袋 kn-aut-mei=充生 aut-affil-num=6 ORCID= en-aut-name=FujimoriKeiya en-aut-sei=Fujimori en-aut-mei=Keiya kn-aut-name=藤森敬也 kn-aut-sei=藤森 kn-aut-mei=敬也 aut-affil-num=7 ORCID= en-aut-name=MiuraItaru en-aut-sei=Miura en-aut-mei=Itaru kn-aut-name=三浦至 kn-aut-sei=三浦 kn-aut-mei=至 aut-affil-num=8 ORCID= en-aut-name=YabeHirooki en-aut-sei=Yabe en-aut-mei=Hirooki kn-aut-name=矢部博興 kn-aut-sei=矢部 kn-aut-mei=博興 aut-affil-num=9 ORCID= en-aut-name=MaedaMasaharu en-aut-sei=Maeda en-aut-mei=Masaharu kn-aut-name=前田正治 kn-aut-sei=前田 kn-aut-mei=正治 aut-affil-num=10 ORCID= en-aut-name=YasumuraSeiji en-aut-sei=Yasumura en-aut-mei=Seiji kn-aut-name=安村誠司 kn-aut-sei=安村 kn-aut-mei=誠司 aut-affil-num=11 ORCID= affil-num=1 en-affil=Department of Nursing, Faculty of Health Sciences, Okayama University kn-affil=岡山大学学術研究院保健学域　看護学 affil-num=2 en-affil=Department of Epidemiology, School of Medicine, Fukushima Medical University kn-affil=福島県立医科大学医学部　疫学 affil-num=3 en-affil=Department of Epidemiology, School of Medicine, Fukushima Medical University kn-affil=福島県立医科大学医学部　疫学 affil-num=4 en-affil=Department of Epidemiology, School of Medicine, Fukushima Medical University kn-affil=福島県立医科大学医学部　疫学 affil-num=5 en-affil=Radiation Medical Science Center, Fukushima Medical University kn-affil=福島県立医科大学放射線医学県民健康管理センター affil-num=6 en-affil=Radiation Medical Science Center, Fukushima Medical University kn-affil=福島県立医科大学放射線医学県民健康管理センター affil-num=7 en-affil=Radiation Medical Science Center, Fukushima Medical University kn-affil=福島県立医科大学放射線医学県民健康管理センター affil-num=8 en-affil=Radiation Medical Science Center, Fukushima Medical University kn-affil=福島県立医科大学放射線医学県民健康管理センター affil-num=9 en-affil=Radiation Medical Science Center, Fukushima Medical University kn-affil=福島県立医科大学放射線医学県民健康管理センター affil-num=10 en-affil=Radiation Medical Science Center, Fukushima Medical University kn-affil=福島県立医科大学放射線医学県民健康管理センター affil-num=11 en-affil=Radiation Medical Science Center, Fukushima Medical University kn-affil=福島県立医科大学放射線医学県民健康管理センター en-keyword=東日本大震災（the Great East Japan Earthquake） kn-keyword=東日本大震災（the Great East Japan Earthquake） en-keyword=大規模災害（large disaster） kn-keyword=大規模災害（large disaster） en-keyword=出産歴（parity） kn-keyword=出産歴（parity） en-keyword=精神的苦痛（psychological distress） kn-keyword=精神的苦痛（psychological distress） en-keyword=循環器疾患（cardiovascular disease） kn-keyword=循環器疾患（cardiovascular disease） END start-ver=1.4 cd-journal=joma no-vol=136 cd-vols= no-issue=3 article-no= start-page=112 end-page=119 dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=20241202 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Evaluation of empathy in nursing students : Empathy in everyday situations and empathy as healthcare professionals kn-title=看護学生における共感性の検討―日常場面での共感性と医療者としての共感性から― en-subtitle= kn-subtitle= en-abstract= kn-abstract=　Empathy is crucial for building an effective patient-nurse relationship. This study aimed to examine two aspects of nursing students' empathy : their empathy in everyday situations and their empathy as healthcare professionals.
　This study involved 214 female students in their second to fourth years of nursing studies at a university, with analysis focusing on 118 participants. The Empathy Experience Scale Revised (EESR) was used to measure empathy in everyday situations, and the Jefferson Empathy Scale, Health Professionals version (JSE, HP-Version) measured the participants' empathy as healthcare professionals. The EESR comprises the Scale of Shared Experiences (SSE) and the Scale of Insufficient Sharing Experience (SISE) ; the JSE comprises Perspective Taking, Compassionate Care, and Standing in the Patient's Shoes.
　The total JSE scores and the Perspective Taking subfactor scores tended to be higher in fourth-year students, who also showed SISE scores significantly lower than those of students with fewer years of nursing study. Relationship analysis showed a moderate positive correlation between SSE scores and Perspective Taking scores. There was a weak negative correlation between SISE and Standing in the Patient's Shoes scores. Compassionate Care scores were not significantly related to SSE or SISE scores. These results suggest that nursing students' empathy as healthcare professionals increases as they advance in their nursing studies, and emphasize the importance of scale selection in measuring empathy. en-copyright= kn-copyright= en-aut-name=NagoshiShiori en-aut-sei=Nagoshi en-aut-mei=Shiori kn-aut-name=名越史織 kn-aut-sei=名越 kn-aut-mei=史織 aut-affil-num=1 ORCID= en-aut-name=MatsumotoRiho en-aut-sei=Matsumoto en-aut-mei=Riho kn-aut-name=松本梨穂 kn-aut-sei=松本 kn-aut-mei=梨穂 aut-affil-num=2 ORCID= en-aut-name=KajiwaraYuki en-aut-sei=Kajiwara en-aut-mei=Yuki kn-aut-name=梶原右揮 kn-aut-sei=梶原 kn-aut-mei=右揮 aut-affil-num=3 ORCID= en-aut-name=MorimotoMichiko en-aut-sei=Morimoto en-aut-mei=Michiko kn-aut-name=森本美智子 kn-aut-sei=森本 kn-aut-mei=美智子 aut-affil-num=4 ORCID= affil-num=1 en-affil=Department of Nursing, Faculty of Health Sciences, Okayama University Medical School kn-affil=岡山大学医学部保健学科　看護学 affil-num=2 en-affil=Department of Nursing, Faculty of Health Sciences, Okayama University Medical School kn-affil=岡山大学医学部保健学科　看護学 affil-num=3 en-affil=Division of Nursing, Faculty of Health Sciences, Okayama University kn-affil=岡山大学学術研究院保健学域　看護学 affil-num=4 en-affil=Division of Nursing, Faculty of Health Sciences, Okayama University kn-affil=岡山大学学術研究院保健学域　看護学 en-keyword=看護学生（nursing students） kn-keyword=看護学生（nursing students） en-keyword=共感性（empathy） kn-keyword=共感性（empathy） en-keyword=尺度（scale） kn-keyword=尺度（scale） END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=20240925 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=我が国の看護師が捉える「不穏」について en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=INOUEChiho en-aut-sei=INOUE en-aut-mei=Chiho kn-aut-name=井上千穂 kn-aut-sei=井上 kn-aut-mei=千穂 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=20240925 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=軽度認知機能低下のある地域高齢者のための安心尺度の開発 kn-title=Development of a comfort scale for community old dwellers with mild cognitive decline en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=SUZUKIYukie en-aut-sei=SUZUKI en-aut-mei=Yukie kn-aut-name=鈴木千枝 kn-aut-sei=鈴木 kn-aut-mei=千枝 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol=56 cd-vols= no-issue=2 article-no= start-page=1 end-page=16 dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=20241125 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Why Is Intermediate Organization Necessary? kn-title=なぜ中間組織が必要なのか en-subtitle= kn-subtitle= en-abstract= kn-abstract=　This paper challenges a fundamental question, ‘Why is an intermediate organization necessary?’ Due to transaction costs and market failures on the one hand and the limitations of organizational control mechanisms on the other hand, many‘ intermediate organizations’ are observed in the real world. How can we tackle to explain the governance mechanism considered to be‘ intermediate?’ 　If we are to discuss such socioeconomic orders, this paper assumes that we should not be able to link micro-level explanations and macro-level ones concerning the third mode of governance mechanisms all at once. We need to stick to the meso-level at fi rst. The theoretical elaboration since Ouchi’s（1980） discussion of clan-type governance and cumulative empirical research on industrial agglomerations have allowed us to construct a more sophisticated theory called community capital. 　In effective communities, members are ‘embedded as insiders’ who serve the purpose of the community, share experiences of failures and successes, and find and deepen their common identity. This limited membership is bound by‘ mutual trust to rely on each other’ for‘ distribution of short-term risks.’ In contrast to social norms that need to be abstract enough to be widely shared, the communal norms that are concrete enough to allow the members to understand without hesitation how they should behave in localized contexts are cumulatively cultivated along socializing process. Among the norms, sense of mutual obligation to incur intermittent costs for the whole community is a crucial norm for the sustainable development of the community. However, as a practical matter, membership control, mutual trust and short-term risk allocation may serve the communities in the short run, but they do not guarantee long-term accumulation of shared capital. As a result, the limits of community capital may need to be discussed once again, especially today when market liquidity is increasing, and its failures tend to become more apparent in a variety of areas. en-copyright= kn-copyright= en-aut-name=FujiiDaiji en-aut-sei=Fujii en-aut-mei=Daiji kn-aut-name=藤井大児 kn-aut-sei=藤井 kn-aut-mei=大児 aut-affil-num=1 ORCID= en-aut-name=OshimaTamako en-aut-sei=Oshima en-aut-mei=Tamako kn-aut-name=大島珠子 kn-aut-sei=大島 kn-aut-mei=珠子 aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=岡山大学学術研究院ヘルスシステム統合科学学域 affil-num=2 en-affil= kn-affil=国際医療福祉大学小田原保健医療学部看護学科 en-keyword=中間組織 kn-keyword=中間組織 en-keyword=内部組織の経済学 kn-keyword=内部組織の経済学 en-keyword=産業集積 kn-keyword=産業集積 en-keyword=コミュニティ・キャピタル kn-keyword=コミュニティ・キャピタル END start-ver=1.4 cd-journal=joma no-vol=136 cd-vols= no-issue=2 article-no= start-page=57 end-page=62 dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=20240801 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Five-year findings from the home blood pressure management study using IoT technology and future perspectives based on a time-series big data and AI analysis : the Masuda Study kn-title=IoT 技術を用いた家庭血圧管理研究の５年間の成果と時系列ビックデータ・AI を活用した今後の展望：益田研究 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=HisamatsuTakashi en-aut-sei=Hisamatsu en-aut-mei=Takashi kn-aut-name=久松隆史 kn-aut-sei=久松 kn-aut-mei=隆史 aut-affil-num=1 ORCID= en-aut-name=KinutaMinako en-aut-sei=Kinuta en-aut-mei=Minako kn-aut-name=絹田皆子 kn-aut-sei=絹田 kn-aut-mei=皆子 aut-affil-num=2 ORCID= en-aut-name=FukudaMari en-aut-sei=Fukuda en-aut-mei=Mari kn-aut-name=福田茉莉 kn-aut-sei=福田 kn-aut-mei=茉莉 aut-affil-num=3 ORCID= en-aut-name=TaniguchiKaori en-aut-sei=Taniguchi en-aut-mei=Kaori kn-aut-name=谷口かおり kn-aut-sei=谷口 kn-aut-mei=かおり aut-affil-num=4 ORCID= en-aut-name=NakahataNoriko en-aut-sei=Nakahata en-aut-mei=Noriko kn-aut-name=中畑典子 kn-aut-sei=中畑 kn-aut-mei=典子 aut-affil-num=5 ORCID= en-aut-name=KandaHideyuki en-aut-sei=Kanda en-aut-mei=Hideyuki kn-aut-name=神田秀幸 kn-aut-sei=神田 kn-aut-mei=秀幸 aut-affil-num=6 ORCID= affil-num=1 en-affil=Department of Public Health, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil=岡山大学学術研究院医歯薬学域　公衆衛生学 affil-num=2 en-affil=Department of Public Health, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil=岡山大学学術研究院医歯薬学域　公衆衛生学 affil-num=3 en-affil=Department of Public Health, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil=岡山大学学術研究院医歯薬学域　公衆衛生学 affil-num=4 en-affil=Department of Environmental Medicine and Public Health, Faculty of Medicine, Shimane University kn-affil=島根大学医学部　環境保健医学 affil-num=5 en-affil=Department of Health and Nutrition, Faculty of Nursing and Nutrition, The University of Shimane kn-affil=島根県立大学看護栄養学部　健康栄養学科 affil-num=6 en-affil=Department of Public Health, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil=岡山大学学術研究院医歯薬学域　公衆衛生学 en-keyword=家庭血圧（home blood pressure） kn-keyword=家庭血圧（home blood pressure） en-keyword=IoT kn-keyword=IoT en-keyword=AI kn-keyword=AI en-keyword=ビックデータ（big data） kn-keyword=ビックデータ（big data） END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=20240325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=脳卒中患者に対する熟練看護師の看護実践に基づく暗黙知の探求 kn-title=Exploring tacit knowledge based on an expert nurse’s practice for stroke patients en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=OBAMASatsuki en-aut-sei=OBAMA en-aut-mei=Satsuki kn-aut-name=小浜さつき kn-aut-sei=小浜 kn-aut-mei=さつき aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=20240325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=地域で生活する統合失調症者の内面化したスティグマとSOCおよびパーソナルリカバリーとの関連 kn-title=The Relationships among Internalized Stigma, Sense of Coherence, and Personal Recovery of Persons with Schizophrenia Living in the Community en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=KURAMOTOAya en-aut-sei=KURAMOTO en-aut-mei=Aya kn-aut-name=藏本綾 kn-aut-sei=藏本 kn-aut-mei=綾 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=20230925 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=化学療法を受ける大腸がん患者の手指に生じる末梢神経障害の特徴―横断的観察研究― en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=YASUDAChika en-aut-sei=YASUDA en-aut-mei=Chika kn-aut-name=安田千香 kn-aut-sei=安田 kn-aut-mei=千香 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=20230925 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=流死産カップルへの精神支援に関する看護スタッフの知識と意識についての調査 kn-title=Japanese Nursing Staff's Knowledge and Attitude toward Bereavement Care for Couples with Miscarriage/stillbirth and Its Associated Factors en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=LIUSiyu en-aut-sei=LIU en-aut-mei=Siyu kn-aut-name=劉思雨 kn-aut-sei=劉 kn-aut-mei=思雨 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=20230925 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=看護師の道徳的苦悩、道徳的勇気、および、キャリア・アイデンティティ：横断的研究 kn-title=Moral distress, moral courage, and career identity among nurses: A cross-sectional study en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=PENGMengyun en-aut-sei=PENG en-aut-mei=Mengyun kn-aut-name=彭梦云 kn-aut-sei=彭 kn-aut-mei=梦云 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=20230925 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=慢性腎臓病患者の病気認知パターンと病気認知パターンにおけるセルフケア行動の違いの検討 kn-title=Identification of illness representational patterns and examining differences of self-care behavior in the patterns in chronic kidney disease en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=KAJIWARAYuki en-aut-sei=KAJIWARA en-aut-mei=Yuki kn-aut-name=梶原右揮 kn-aut-sei=梶原 kn-aut-mei=右揮 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=20230925 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=子ども虐待予防連携：保健師と助産師が捉えた気になる妊産婦の様相 kn-title=Collaborative support for child abuse prevention: Perspectives of public health nurses and midwives regarding pregnant and postpartum women of concern en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=YOKOMIZOAkemi en-aut-sei=YOKOMIZO en-aut-mei=Akemi kn-aut-name=横溝珠実 kn-aut-sei=横溝 kn-aut-mei=珠実 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol=134 cd-vols= no-issue=1 article-no= start-page=28 end-page=31 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=20220401 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Artificial intelligence in nursing kn-title=地域での看護実践におけるデータ分析に生かすAI 研究 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=HagaChiyori en-aut-sei=Haga en-aut-mei=Chiyori kn-aut-name=芳我ちより kn-aut-sei=芳我 kn-aut-mei=ちより aut-affil-num=1 ORCID= affil-num=1 en-affil=School of Nursing, Kagawa University Faculty of Medicine kn-affil=香川大学医学部　看護学科 en-keyword=看護学 kn-keyword=看護学 en-keyword=公衆衛生 kn-keyword=公衆衛生 en-keyword=ビッグデータ kn-keyword=ビッグデータ en-keyword=健康診査 kn-keyword=健康診査 END start-ver=1.4 cd-journal=joma no-vol=134 cd-vols= no-issue=1 article-no= start-page=22 end-page=27 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=20220401 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Developing a scale to measure nurses' difficulty related to the treatment of gender dysphoric patients kn-title=看護師の性別違和への関わりにくさについての尺度作成 en-subtitle= kn-subtitle= en-abstract= kn-abstract=　This study aimed to develop a scale to measure the perceived difficulty experienced by nurses in treating and caring for patients diagnosed with gender dysphoria and examine its reliability and validity. We developed a 26-item preliminary scale through discussions with experts in gender dysphoria treatment. We administered a questionnaire including this scale to 1,010 nurses working at Okayama University Hospital and analyzed the data of 346 nurses who had been involved in the treatment of gender dysphoria and had no missing responses.
　A total of 20 items consisting of two factors, “relationship building” and “negative emotion for gender dysphoria,” were extracted by exploratory factor analysis, and we used them in the final version of the scale. Cronbach's alpha coefficient for the entire scale was 0.879, indicating a high degree of internal consistency.
　However, the correlations with a communication skills scale (ENDCOREs) and the Scale of Gender Conception were limited, and the external validity could not be proven. This scale may be useful for evaluating nursing practice and educational support for nurses; however, there is room for further study on the scale validation. en-copyright= kn-copyright= en-aut-name=MiyakeMaki en-aut-sei=Miyake en-aut-mei=Maki kn-aut-name=三宅麻希 kn-aut-sei=三宅 kn-aut-mei=麻希 aut-affil-num=1 ORCID= en-aut-name=OshimaYoshitaka en-aut-sei=Oshima en-aut-mei=Yoshitaka kn-aut-name=大島義孝 kn-aut-sei=大島 kn-aut-mei=義孝 aut-affil-num=2 ORCID= en-aut-name=NambaShihoko en-aut-sei=Namba en-aut-mei=Shihoko kn-aut-name=難波志穂子 kn-aut-sei=難波 kn-aut-mei=志穂子 aut-affil-num=3 ORCID= en-aut-name=MatsumotoYosuke en-aut-sei=Matsumoto en-aut-mei=Yosuke kn-aut-name=松本洋輔 kn-aut-sei=松本 kn-aut-mei=洋輔 aut-affil-num=4 ORCID= en-aut-name=HoriuchiMakiko en-aut-sei=Horiuchi en-aut-mei=Makiko kn-aut-name=堀内真希子 kn-aut-sei=堀内 kn-aut-mei=真希子 aut-affil-num=5 ORCID= en-aut-name=YamadaNorihito en-aut-sei=Yamada en-aut-mei=Norihito kn-aut-name=山田了士 kn-aut-sei=山田 kn-aut-mei=了士 aut-affil-num=6 ORCID= affil-num=1 en-affil=Department of Nursing, Okayama University Hospital kn-affil=岡山大学病院　看護部 affil-num=2 en-affil=Department of Neuropsychiatry, Okayama University Hospital kn-affil=岡山大学病院　精神科神経科 affil-num=3 en-affil=Department of Center for Innovative Clinical Medicine, Okayama University Hospital kn-affil=岡山大学病院　新医療研究開発センター affil-num=4 en-affil=Department of Gender Center, Okayama University Hospital kn-affil=岡山大学病院　ジェンダーセンター affil-num=5 en-affil=Department of Medical Support, Clinical Psychology section, Okayama University Hospital kn-affil=岡山大学病院　医療技術部　臨床心理部門 affil-num=6 en-affil=Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil=岡山大学学術研究院医歯薬学域　精神神経病態学 en-keyword=性別違和 (gender dysphoria) kn-keyword=性別違和 (gender dysphoria) en-keyword=関わりにくさ (difficulty in relating) kn-keyword=関わりにくさ (difficulty in relating) en-keyword=コミュニケーション (communication) kn-keyword=コミュニケーション (communication) en-keyword=性差観 (gender conception) kn-keyword=性差観 (gender conception) END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=20220922 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=成人女性に対するフェイスマッサージの生理的・心理的効果に関する研究 kn-title=Physiological and Psychological Effectiveness of Facial Massage in Women : A Randomized Crossover Trial en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=OKAWAYuriko en-aut-sei=OKAWA en-aut-mei=Yuriko kn-aut-name=大川百合子 kn-aut-sei=大川 kn-aut-mei=百合子 aut-affil-num=1 ORCID= affil-num=1 en-affil=Okayama University kn-affil=岡山大学 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=20220325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=認知症高齢者の独居生活継続アセスメント指標の開発～デルファイ法による妥当性の検討～ en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=KubotaMami en-aut-sei=Kubota en-aut-mei=Mami kn-aut-name=久保田真美 kn-aut-sei=久保田 kn-aut-mei=真美 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=20210924 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=看護師における健康アウトカムに対する職域ストレス要因とジョブ・クラフティングとの交互作用 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=HayashiYuka en-aut-sei=Hayashi en-aut-mei=Yuka kn-aut-name=林由佳 kn-aut-sei=林 kn-aut-mei=由佳 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=20210325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=療養病床における看護管理者の協働関係構築能力の測定:介護職評価用尺度の開発を中心に en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=OgiRitsuko en-aut-sei=Ogi en-aut-mei=Ritsuko kn-aut-name=大儀律子 kn-aut-sei=大儀 kn-aut-mei=律子 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=20210325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=トランスジェンダー女性の性別表現：パス度向上の ための生活支援ニーズ kn-title=Gender Expression among Transgender Women in Japan: Support Is Needed to Improve Social Passing as a Woman en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=FurutaniMichiyo en-aut-sei=Furutani en-aut-mei=Michiyo kn-aut-name=古谷ミチヨ kn-aut-sei=古谷 kn-aut-mei=ミチヨ aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue=1 article-no= start-page=27 end-page=34 dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=20200327 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Trends in research on sarcopenia in Japan kn-title=日本におけるサルコペニアに関する研究の動向 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=OkazakiMizuki en-aut-sei=Okazaki en-aut-mei=Mizuki kn-aut-name=岡崎瑞生 kn-aut-sei=岡崎 kn-aut-mei=瑞生 aut-affil-num=1 ORCID= en-aut-name=MurataKohji en-aut-sei=Murata en-aut-mei=Kohji kn-aut-name=村田幸治 kn-aut-sei=村田 kn-aut-mei=幸治 aut-affil-num=2 ORCID= affil-num=1 en-affil=School of Human Nursing, The University Of Shiga Prefecture kn-affil=滋賀県立大学人間看護学部 affil-num=2 en-affil=Graduate School of Nursing, Sanyo Gakuen University kn-affil=山陽学園大学大学院看護学研究科 END start-ver=1.4 cd-journal=joma no-vol=1 cd-vols= no-issue= article-no= start-page=47 end-page=63 dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=20210331 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Information and communication technology equipment and services for remote monitoring and health management: Survey of services and their classification for use in home care nursing kn-title=遠隔での見守りのための機器・サービスの調査と訪問看護での利用を想定した分類 en-subtitle= kn-subtitle= en-abstract= kn-abstract=This study aims to improve the quality of home nursing care for the elderly. The report presents web-based information about devices and services for remote monitoring and health management using information and communication technology and about how they can improve home care nursing station efficiency in Japan. The search terms "elderly people," "watch over," and "service," plus "sensor" were used to narrow the search. After repeating the search using a chained search for materials and links extracted from those search results, services for home care stations particularly addressing the remote monitoring of elderly people were selected and extracted. Early detection of abnormalities for support by home health nurse responsibilities for observing the general condition of the patient was chosen as the main evaluation index of usefulness. The contractor and service cost were secondary evaluation axes. Results show 9 information communication devices and services for real-time monitoring of the elderly persons’ vital signs in real time for 24 hr, 2 of which are highly useful for early detection of abnormalities and subsequent response. Results suggest that other services might be more useful, depending on how they are used, and that general-purpose services with minimum functions and low cost of introduction and maintenance can provide more opportunities for utilization. Providing these services on a BtoBtoC model and responding to patients’ medical needs can supplement home care nursing station work, increase human resource and time efficiencies, and give patients "the feeling that a nurse is always at their bedside,” even when far away. en-copyright= kn-copyright= en-aut-name=SakamotoToshio en-aut-sei=Sakamoto en-aut-mei=Toshio kn-aut-name=坂本年生 kn-aut-sei=坂本 kn-aut-mei=年生 aut-affil-num=1 ORCID= en-aut-name=HirataAkina en-aut-sei=Hirata en-aut-mei=Akina kn-aut-name=平田晶奈 kn-aut-sei=平田 kn-aut-mei=晶奈 aut-affil-num=2 ORCID= en-aut-name=MoritaMizuki en-aut-sei=Morita en-aut-mei=Mizuki kn-aut-name=森田瑞樹 kn-aut-sei=森田 kn-aut-mei=瑞樹 aut-affil-num=3 ORCID= affil-num=1 en-affil=Graduate School of Interdisciplinary Science and Engineering in Health Systems, Okayama University kn-affil=岡山大学大学院ヘルスシステム統合科学研究科 affil-num=2 en-affil=Yell Co., Ltd. kn-affil=株式会社エール affil-num=3 en-affil=Graduate School of Interdisciplinary Science and Engineering in Health Systems, Okayama University kn-affil=岡山大学大学院ヘルスシステム統合科学研究科 en-keyword=elderly people kn-keyword=elderly people en-keyword=watch over kn-keyword=watch over en-keyword=sensor kn-keyword=sensor en-keyword=in home care support kn-keyword=in home care support en-keyword=telenursing kn-keyword=telenursing END start-ver=1.4 cd-journal=joma no-vol=1 cd-vols= no-issue= article-no= start-page=29 end-page=45 dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=20210331 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Consideration about recognition of factors causing lack of confirmation in the nursing scene kn-title=看護場⾯における確認不⾜を引き起こす要因の認識に関する検討 en-subtitle= kn-subtitle= en-abstract= kn-abstract=In the work process of nurses with high risk, it is very urgent to take countermeasures against the “lack of confirmation” of the main factors. Therefore, the purpose of this study is to clarify the details of the factors leading to the lack of confirmation, grasp the number of near misses, and to explore what kind of factors the individual characteristics of the nurse who acts as a stopper. We recruited 500 nurses on the Web and asked about the frequency of near misses due to lack of confirmation, the awareness of the causes of lack of confirmation, self-evaluation of stoppers, and the reasons why near misses did not lead to accidents. As a result, three factors were extracted regarding the recognition of the factors of lack of confirmation: "lack of consciousness", "inability to concentrate", and "lack of knowledge / experience". Three factors were extracted for self-evaluation of stopper characteristics: "awareness," "verification," and "cautiousness". In order to reduce the lack of confirmation, it is necessary to secure and allocate appropriate personnel and create an environment where treatment can be concentrated. Nurses should also raise knowledge and the awareness of the importance of confirmation. In addition, it is necessary to improve the clinical judgment of new nurses in order to prevent near misses. And it is thought that new nurses will become more confident by accumulating experience and affirming their abilities from their superiors, seniors and colleagues. en-copyright= kn-copyright= en-aut-name=ZuoWanxin en-aut-sei=Zuo en-aut-mei=Wanxin kn-aut-name=左婉馨 kn-aut-sei=左 kn-aut-mei=婉馨 aut-affil-num=1 ORCID= en-aut-name=HyodoYoshimi en-aut-sei=Hyodo en-aut-mei=Yoshimi kn-aut-name=兵藤好美 kn-aut-sei=兵藤 kn-aut-mei=好美 aut-affil-num=2 ORCID= en-aut-name=TanakaTomoko en-aut-sei=Tanaka en-aut-mei=Tomoko kn-aut-name=⽥中共⼦ kn-aut-sei=⽥中 kn-aut-mei=共⼦ aut-affil-num=3 ORCID= en-aut-name=GofukuAkio en-aut-sei=Gofuku en-aut-mei=Akio kn-aut-name=五福明夫 kn-aut-sei=五福 kn-aut-mei=明夫 aut-affil-num=4 ORCID= affil-num=1 en-affil=Graduate School of Interdisciplinary Science and Engineering in Health Systems, Okayama University kn-affil=岡山大学大学院ヘルスシステム統合科学研究科 affil-num=2 en-affil=Graduate School of Interdisciplinary Science and Engineering in Health Systems, Okayama University kn-affil=岡山大学ヘルスシステム統合科学研究科 affil-num=3 en-affil=Graduate School of Humanities and Social Sciences, Okayama University kn-affil=岡山大学大学院社会文化科学研究科 affil-num=4 en-affil=Graduate School of Interdisciplinary Science and Engineering in Health Systems, Okayama University kn-affil=岡山大学大学院ヘルスシステム統合科学研究科 en-keyword=lack of confirmation kn-keyword=lack of confirmation en-keyword=stoppers kn-keyword=stoppers en-keyword=nurse kn-keyword=nurse END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=20200925 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=病児保育（クリニック併設型）における家庭療養（Home Care）への看護実践と支援の実態に関する研究－全国調査から－ en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=UeyamaKazuko en-aut-sei=Ueyama en-aut-mei=Kazuko kn-aut-name=上山和子 kn-aut-sei=上山 kn-aut-mei=和子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil= END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=20200925 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=同一家系における２人目の乳がん患者の家族性乳がんへの対処過程 kn-title=Coping process against familial breast cancer by second patients within blood relatives en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=MoritaKumiko en-aut-sei=Morita en-aut-mei=Kumiko kn-aut-name=森田公美子 kn-aut-sei=森田 kn-aut-mei=公美子 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=20200925 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=小児がん家族への経済支援の検討 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=YamamotoYuko en-aut-sei=Yamamoto en-aut-mei=Yuko kn-aut-name=山本裕子 kn-aut-sei=山本 kn-aut-mei=裕子 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue=16 article-no= start-page=64 end-page=78 dt-received= dt-revised= dt-accepted= dt-pub-year=1988 dt-pub=19880331 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=三島由紀夫に於ける形容語としての漢語――「天人五衰」を中心に―― en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=新裕美 kn-aut-sei=新 kn-aut-mei=裕美 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山赤十字病院附属看護専門学校 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2019 dt-pub=20190325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=在宅療養がん患者のターミナル期における訪問看護支援に影響を及ぼす要因の検討 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=UchidaFumie en-aut-sei=Uchida en-aut-mei=Fumie kn-aut-name=内田史江 kn-aut-sei=内田 kn-aut-mei=史江 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2019 dt-pub=20190325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=食道切除再建術後の急性期にある食道がん患者が主体性を発揮していく過程 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=ItoMari en-aut-sei=Ito en-aut-mei=Mari kn-aut-name=伊藤真理 kn-aut-sei=伊藤 kn-aut-mei=真理 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol=130 cd-vols= no-issue=3 article-no= start-page=161 end-page=166 dt-received= dt-revised= dt-accepted= dt-pub-year=2018 dt-pub=20181203 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=A survey of nurses’ and physicians’ safety awareness in CT/MRI examinations kn-title=看護師と医師の CT/MRI検査における安全に対する認識調査 en-subtitle= kn-subtitle= en-abstract= kn-abstract=To perform computed tomography （CT）/magnetic resonance imaging （MRI） scans safely and reliably, adherence to a pre-scan checklist is crucial. However, physicians and nurses may differ in their recognition of the usefulness of this checklist. We conducted the present study to investigate possible differences between physicians’ and nurses’ awareness of CT/MRI scan safety in terms of their adherence to the pre-scan checklist.　We prepared an independently developed self-administered 23-item questionnaire about attributes of subjects, CT/ MRI scan safety recognition and current situation for CT/MRI examinations.　The survey was distributed to 468 participants who combined nurses and physicians at Okayama University Hospitalin Okayama, Japan. We analysis the responses of the 224 participants （117 nurses and 107 physicians）who returned the survey with on missing data （a 65.1% completion rate）. The overall safety recognition scores were significantly higher for the nurses than for the physicians （p＜0.001）. In addition, the physicians did not sufficiently know or implement the guidelines in the CT/MRI scan safety manual used at our hospital. Nurses and physicians demonstrated marked differences in their awareness and knowledge of safety regarding CT/MRI scans. Measures for improving safety recognition should thus be designed for individual healthcare occupations. en-copyright= kn-copyright= en-aut-name=WatanabeManae en-aut-sei=Watanabe en-aut-mei=Manae kn-aut-name=渡邉真苗 kn-aut-sei=渡邉 kn-aut-mei=真苗 aut-affil-num=1 ORCID= en-aut-name=MatsuuraRyutaro en-aut-sei=Matsuura en-aut-mei=Ryutaro kn-aut-name=松浦龍太郎 kn-aut-sei=松浦 kn-aut-mei=龍太郎 aut-affil-num=2 ORCID= en-aut-name=NambaShihoko en-aut-sei=Namba en-aut-mei=Shihoko kn-aut-name=難波志穂子 kn-aut-sei=難波 kn-aut-mei=志穂子 aut-affil-num=3 ORCID= affil-num=1 en-affil=Department of Nursing, Okayama University Hospital kn-affil=岡山大学病院　看護部 affil-num=2 en-affil=Okayama University Graduate School of Health Sciences kn-affil=岡山大学大学院保健学研究科 affil-num=3 en-affil=Center for Innovative Clinical Medicine, Okayama University Hospital kn-affil=岡山大学病院 新医療研究開発センター en-keyword=CT/MRI検査（CT/MRI examinations） kn-keyword=CT/MRI検査（CT/MRI examinations） en-keyword=安全認識（safety recognition） kn-keyword=安全認識（safety recognition） en-keyword=職種の差異（difference between occupations） kn-keyword=職種の差異（difference between occupations） en-keyword=CT/MRI検査マニュアル（CT/MRI examinations manual） kn-keyword=CT/MRI検査マニュアル（CT/MRI examinations manual） END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2018 dt-pub=20180927 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=看護師の正確な情報伝達に関する医療安全教育の検討 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=YamamotoEmiko en-aut-sei=Yamamoto en-aut-mei=Emiko kn-aut-name=山本恵美子 kn-aut-sei=山本 kn-aut-mei=恵美子 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Humanities and Social Sciences, Okayama University kn-affil=岡山大学大学院社会文化科学研究科 END start-ver=1.4 cd-journal=joma no-vol=28 cd-vols= no-issue=2 article-no= start-page=76 end-page=84 dt-received= dt-revised= dt-accepted= dt-pub-year=2012 dt-pub=20120820 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Effects of Perioperative Management Training Program on the Awareness of Team Medicine among Trainee Dentists kn-title=歯科医師臨床研修におけるチーム医療研修プログラム : 研修歯科医の関心および理解に与えた効果の検討 en-subtitle= kn-subtitle= en-abstract= kn-abstract=　質が高く、安心・安全な医療を実現していくために、チーム医療の促進は重要な課題であり、チーム医療を担う医療人の育成が必要とされている。岡山大学病院歯科医師臨床研修では、平成23年度から周術期管理センターを研修の場とする「チーム医療研修プログラム」を開始した。本報告では、研修歯科医のプログラムに対する関心とチーム医療に関する理解に与えた効果をアンケート調査によって検討することを目的とした。対象は平成23年度本学病院研修歯科医44名とし、医師、看護師、薬剤師、理学療法士、管理栄養士など多職種によって行われる周術期管理チーム医療を体験させた。受講前には本プログラムに対する期待度を、受講後には満足度、有意義度について質問し、研修歯科医のプログラムに対する関心度を評価した。また、プログラム受講前後に周術期チーム医療に関する用語や職種について質問し、チーム医療に関する理解度を評価した。90.9%の研修歯科医がプログラムに対して期待し、受講後は88.6%が満足だった、84.1%が有意義だったと回答した。さらに、周術期管理に関する用語について主観的理解度が向上し、チーム医療にかかわる職種についての理解が深まった。歯科医師臨床研修におけるチーム医療教育の方法として、周術期管理チーム医療の現場に実際に関与させるプログラムは、研修歯科医の関心が高く、研修歯科医の周術期管理チーム医療に対する理解を深めることが示唆された。 en-copyright= kn-copyright= en-aut-name=YamanakaReiko en-aut-sei=Yamanaka en-aut-mei=Reiko kn-aut-name=山中玲子 kn-aut-sei=山中 kn-aut-mei=玲子 aut-affil-num=1 ORCID= en-aut-name=SogaYoshihiko en-aut-sei=Soga en-aut-mei=Yoshihiko kn-aut-name=曽我賢彦 kn-aut-sei=曽我 kn-aut-mei=賢彦 aut-affil-num=2 ORCID= en-aut-name=YoshitomiAiko en-aut-sei=Yoshitomi en-aut-mei=Aiko kn-aut-name=吉冨愛子 kn-aut-sei=吉冨 kn-aut-mei=愛子 aut-affil-num=3 ORCID= en-aut-name=ShiraiHajime en-aut-sei=Shirai en-aut-mei=Hajime kn-aut-name=白井肇 kn-aut-sei=白井 kn-aut-mei=肇 aut-affil-num=4 ORCID= en-aut-name=SuzukiKoji en-aut-sei=Suzuki en-aut-mei=Koji kn-aut-name=鈴木康司 kn-aut-sei=鈴木 kn-aut-mei=康司 aut-affil-num=5 ORCID= en-aut-name=KonoTakayuki en-aut-sei=Kono en-aut-mei=Takayuki kn-aut-name=河野隆幸 kn-aut-sei=河野 kn-aut-mei=隆幸 aut-affil-num=6 ORCID= en-aut-name=ToriiYasuhiro en-aut-sei=Torii en-aut-mei=Yasuhiro kn-aut-name=鳥井康弘 kn-aut-sei=鳥井 kn-aut-mei=康弘 aut-affil-num=7 ORCID= en-aut-name=MoritaManabu en-aut-sei=Morita en-aut-mei=Manabu kn-aut-name=森田学 kn-aut-sei=森田 kn-aut-mei=学 aut-affil-num=8 ORCID= affil-num=1 en-affil=Hospital Dentistry, Okayama University Hospital kn-affil=岡山大学病院医療支援歯科治療部 affil-num=2 en-affil=Hospital Dentistry, Okayama University Hospital kn-affil=岡山大学病院医療支援歯科治療部 affil-num=3 en-affil=Hospital Dentistry, Okayama University Hospital kn-affil=岡山大学病院医療支援歯科治療部 affil-num=4 en-affil=Hospital Dentistry, Okayama University Hospital kn-affil=岡山大学病院総合歯科 affil-num=5 en-affil=Hospital Dentistry, Okayama University Hospital kn-affil=岡山大学病院総合歯科 affil-num=6 en-affil=Hospital Dentistry, Okayama University Hospital kn-affil=岡山大学病院総合歯科 affil-num=7 en-affil=Hospital Dentistry, Okayama University Hospital kn-affil=岡山大学病院総合歯科 affil-num=8 en-affil=Hospital Dentistry, Okayama University Hospital kn-affil=岡山大学病院医療支援歯科治療部 en-keyword=研修歯科医 kn-keyword=研修歯科医 en-keyword=歯科医師臨床研修 kn-keyword=歯科医師臨床研修 en-keyword=チーム医療 kn-keyword=チーム医療 en-keyword=周術期管理 kn-keyword=周術期管理 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2018 dt-pub=20180323 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=性同一障害 MTF male to female当事者の性別違和感に関する記述的研究 kn-title=Descriptive Study on Gender Dysphoria in Japanese Individuals with Male Male-to-Female Gender Identity Disorder en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=ShinoharaYoshie en-aut-sei=Shinohara en-aut-mei=Yoshie kn-aut-name=篠原好江 kn-aut-sei=篠原 kn-aut-mei=好江 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2018 dt-pub=20180323 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=ほめられた経験が看護学生の学習動機づけに及ぼす影響 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=HidakaYu en-aut-sei=Hidaka en-aut-mei=Yu kn-aut-name=日髙優 kn-aut-sei=日髙 kn-aut-mei=優 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2018 dt-pub=20180323 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=乳がん患者の性生活 : 治療に伴う変化に対するコーピング kn-title=The sexual lives of breast cancer patients: Coping with changes associated with treatment en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=YoshikawaAyumi en-aut-sei=Yoshikawa en-aut-mei=Ayumi kn-aut-name=吉川あゆみ kn-aut-sei=吉川 kn-aut-mei=あゆみ aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2018 dt-pub=20180323 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=病院で働く精神科看護師がリカバリーの概念を理解するための体験プログラムの評価 kn-title=Evaluation of an experience-based program to understand the concept of recovery amonghospital-based psychiatric nurses en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=OkamotoAki en-aut-sei=Okamoto en-aut-mei=Aki kn-aut-name=岡本亜紀 kn-aut-sei=岡本 kn-aut-mei=亜紀 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2017 dt-pub=20170929 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=保健師による「活動の対象とめざす成果」の記述の実態 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=FukukawaKyoko en-aut-sei=Fukukawa en-aut-mei=Kyoko kn-aut-name=福川京子 kn-aut-sei=福川 kn-aut-mei=京子 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol=43 cd-vols= no-issue= article-no= start-page=15 end-page=28 dt-received= dt-revised= dt-accepted= dt-pub-year=2016 dt-pub=20160331 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=図像で読み解くボウエンの『愛の世界』 : ボウエン最後のビッグ・ハウス小説としての意義 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=山根木加名子 kn-aut-sei=山根木 kn-aut-mei=加名子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=元神戸市看護大学 END start-ver=1.4 cd-journal=joma no-vol=129 cd-vols= no-issue=2 article-no= start-page=93 end-page=99 dt-received= dt-revised= dt-accepted= dt-pub-year=2017 dt-pub=20170801 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The development of a scale to measure stress recognition during the treatment of diabetes patients kn-title=糖尿病患者の「治療に伴うストレス認知尺度」の開発 en-subtitle= kn-subtitle= en-abstract= kn-abstract=　The purpose of this study was to establish a measurement scale for "stress recognition in receiving treatment" in patients with diabetes. A self-completed questionnaire was distributed to 149 type-2 diabetes outpatients in March-May 2015 after authorization from Okayama Prefectural University and the ethics committee of the hospital. 　The "stress recognition in receiving treatment" scale was designed as a second-order factor model consisting of 14 items and the following four factors : the respondent's sense of (1) the burden of being sick, (2) the burden on interpersonal relationships, (3) the burden of treatment, and (4) the burden of medical expenses. 　Stress recognition in treatment means recognition of being stressed in the burdens related to the illness, interpersonal relationships, treatment and medical expenses. 　The suitability of the questionnaire data was then evaluated with a structural equation model. The suitability of the factor model to the data satisfied the statistically acceptable standards as Comparative Fit Index (CFI) ＝0.931, Root Mean Square Error of Approximation (RMSEA) ＝0.096, Tucker-Lewis Index (TLI) ＝0.946. 　As the construct validity was not examined by the scale created in this study or by existing scale, it was verified by using the degrees of mental healthiness and HbA1c that were proved to be associated with the sense of burden. 　In addition, the construct validity of the questionnaire was supported by a significant correlation between the Japanese version of the WHO-Five Well-being Index (S-WHO-5-J) and the patients' HbA1c levels. The use of this measure is expected to contribute to the early detection of a decline in a diabetic patient's activities of daily living and to the early confirmation of patients' support status. en-copyright= kn-copyright= en-aut-name=SumiyoshiKazuko en-aut-sei=Sumiyoshi en-aut-mei=Kazuko kn-aut-name=住吉和子 kn-aut-sei=住吉 kn-aut-mei=和子 aut-affil-num=1 ORCID= en-aut-name=KawataChieko en-aut-sei=Kawata en-aut-mei=Chieko kn-aut-name=川田智恵子 kn-aut-sei=川田 kn-aut-mei=智恵子 aut-affil-num=2 ORCID= en-aut-name=OkamotoTatsuo en-aut-sei=Okamoto en-aut-mei=Tatsuo kn-aut-name=岡本辰夫 kn-aut-sei=岡本 kn-aut-mei=辰夫 aut-affil-num=3 ORCID= en-aut-name=OhashiMutsuko en-aut-sei=Ohashi en-aut-mei=Mutsuko kn-aut-name=大橋睦子 kn-aut-sei=大橋 kn-aut-mei=睦子 aut-affil-num=4 ORCID= en-aut-name=MikaneSakae en-aut-sei=Mikane en-aut-mei=Sakae kn-aut-name=實金栄 kn-aut-sei=實金 kn-aut-mei=栄 aut-affil-num=5 ORCID= en-aut-name=TakabayashiNoriko en-aut-sei=Takabayashi en-aut-mei=Noriko kn-aut-name=高林範子 kn-aut-sei=高林 kn-aut-mei=範子 aut-affil-num=6 ORCID= en-aut-name=FutoyuYoshiko en-aut-sei=Futoyu en-aut-mei=Yoshiko kn-aut-name=太湯好子 kn-aut-sei=太湯 kn-aut-mei=好子 aut-affil-num=7 ORCID= en-aut-name=KimWoesook en-aut-sei=Kim en-aut-mei=Woesook kn-aut-name=金外淑 kn-aut-sei=金 kn-aut-mei=外淑 aut-affil-num=8 ORCID= en-aut-name=WadaJun en-aut-sei=Wada en-aut-mei=Jun kn-aut-name=和田淳 kn-aut-sei=和田 kn-aut-mei=淳 aut-affil-num=9 ORCID= en-aut-name=ShikataKenichi en-aut-sei=Shikata en-aut-mei=Kenichi kn-aut-name=四方賢一 kn-aut-sei=四方 kn-aut-mei=賢一 aut-affil-num=10 ORCID= en-aut-name=NakajimaKazuo en-aut-sei=Nakajima en-aut-mei=Kazuo kn-aut-name=中嶋和夫 kn-aut-sei=中嶋 kn-aut-mei=和夫 aut-affil-num=11 ORCID= affil-num=1 en-affil=Faculty of Health and Welfare Science, Okayama Prefectural University kn-affil=岡山県立大学　保健福祉学部 affil-num=2 en-affil=Health and Nursing Sciences Masters Program, Wakayama Medical University kn-affil=和歌山県立医科大学　大学院保健看護学研究科 affil-num=3 en-affil=Ryobi General Research Institute of Community Care kn-affil=両備地域ケア総合研究所 affil-num=4 en-affil=Department of Nursing, Okayama University Hospital kn-affil=岡山大学病院 看護部 affil-num=5 en-affil=Faculty of Health and Welfare Science, Okayama Prefectural University kn-affil=岡山県立大学　保健福祉学部 affil-num=6 en-affil=Faculty of Health and Welfare Science, Okayama Prefectural University kn-affil=岡山県立大学　保健福祉学部 affil-num=7 en-affil=School of Health Science and Social Welfare, Kibi International University kn-affil=吉備国際大学　保健医療福祉学部 affil-num=8 en-affil=College of Nursing Art and Science, University of Hyogo kn-affil=兵庫県立大学　看護学部 affil-num=9 en-affil=Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil=岡山大学大学院医歯薬学総合研究科　腎・免疫・内分泌代謝内科学 affil-num=10 en-affil=Center for Innovative Clinical Medicine, Okayama University Hospital kn-affil=岡山大学病院　新医療研究開発センター affil-num=11 en-affil=Ryobi General Research Institute of Community Care kn-affil=両備地域ケア総合研究所 en-keyword=糖尿病患者 (diabetes patients) kn-keyword=糖尿病患者 (diabetes patients) en-keyword=治療 (treatment) kn-keyword=治療 (treatment) en-keyword=ストレス認知 (stress recognition) kn-keyword=ストレス認知 (stress recognition) en-keyword=尺度開発 (development of a scale) kn-keyword=尺度開発 (development of a scale) END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2017 dt-pub=20170324 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=ラドンの吸入と飲泉によるマウス高尿酸血症の抑制の差異に関する研究 kn-title=Difference in the action mechanism of radon inhalation and radon hot spring water drinking in suppression of hyperuricemia in mice en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=EtaniReo en-aut-sei=Etani en-aut-mei=Reo kn-aut-name=恵谷玲央 kn-aut-sei=恵谷 kn-aut-mei=玲央 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2017 dt-pub=20170324 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The process of initial treatment choice among female patients with breast cancer who received a second opinion kn-title=セカンドオピニオンを受けた女性乳がん患者の初期治療選択過程 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=MatsuiMiyuki en-aut-sei=Matsui en-aut-mei=Miyuki kn-aut-name=松井美由紀 kn-aut-sei=松井 kn-aut-mei=美由紀 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol=7 cd-vols= no-issue= article-no= start-page=167 end-page=174 dt-received= dt-revised= dt-accepted= dt-pub-year=2017 dt-pub=20170327 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Active Learning Approach in Simulated Health Guidance Utilizing ICT : Class Development and Improvement to Cultivate Practical Learning Instruction Abilities kn-title=ICT を活用した模擬保健指導における能動的学修の取り組み : 実践的指導力の育成をめざした授業の開発と改善 en-subtitle= kn-subtitle= en-abstract= kn-abstract=　養護教諭の職務の重要な柱である保健指導の実践的指導力を育成するために，養成段階においても能動的学修を推進する必要がある。そこで教職科目「教育方法論」において，ICT を活用した能動的学修として模擬保健指導に取り組んだ。授業では，子どもの実態や健康課題に基づいて指導案を作成し保健指導の設計・実施・評価を一連の流れとしたグループ活動を展開した。平成25 年度から平成27 年度の3 年間の授業開発・改善の結果，「非常に到達目標を達成できた」とする学生は，平成25 年度の18.2%から平成27 年度は26.7%に増加した。「授業目標や内容が非常に理解できた」のは31.8%から60%，「教材が授業内容の理解や自宅学習に非常に役立った」のは40.9%から60%，2時間以上予習や課題にかける学生も18.2%から40%に増加した．保健指導の実践的指導力を育成し効果的な授業を可能とするためには，模擬保健指導をICT を活用した能動的学修にすることは有効といえる。 en-copyright= kn-copyright= en-aut-name=KanoAki en-aut-sei=Kano en-aut-mei=Aki kn-aut-name=加納亜紀 kn-aut-sei=加納 kn-aut-mei=亜紀 aut-affil-num=1 ORCID= en-aut-name=TakahashiKayo en-aut-sei=Takahashi en-aut-mei=Kayo kn-aut-name=高橋香代 kn-aut-sei=高橋 kn-aut-mei=香代 aut-affil-num=2 ORCID= en-aut-name=KamimuraHiroko en-aut-sei=Kamimura en-aut-mei=Hiroko kn-aut-name=上村弘子 kn-aut-sei=上村 kn-aut-mei=弘子 aut-affil-num=3 ORCID= en-aut-name=MunakataHokuma en-aut-sei=Munakata en-aut-mei=Hokuma kn-aut-name=棟方百熊 kn-aut-sei=棟方 kn-aut-mei=百熊 aut-affil-num=4 ORCID= affil-num=1 en-affil=Faculty of Nursing, Seisen University kn-affil=聖泉大学看護学部 affil-num=2 en-affil=Kurashiki Sakuyo University kn-affil=くらしき作陽大学子ども教育学部 affil-num=3 en-affil=Graduate School of Education, Okayama University kn-affil=岡山大学大学院教育学研究科 affil-num=4 en-affil=Graduate School of Education, Okayama University kn-affil=岡山大学大学院教育学研究科 en-keyword=養護教諭 (Yogo Teacher) kn-keyword=養護教諭 (Yogo Teacher) en-keyword=保健指導 (Health guidance) kn-keyword=保健指導 (Health guidance) en-keyword=能動的学修 (Active Learning) kn-keyword=能動的学修 (Active Learning) en-keyword=ICT活用 kn-keyword=ICT活用 en-keyword=経年比較 (Chronological Changes) kn-keyword=経年比較 (Chronological Changes) END start-ver=1.4 cd-journal=joma no-vol=129 cd-vols= no-issue=1 article-no= start-page=31 end-page=34 dt-received= dt-revised= dt-accepted= dt-pub-year=2017 dt-pub=20170403 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=A prophylactic approach to postoperative delirium through collaborative practice kn-title=チーム医療による術後せん妄発症予防についての検討 en-subtitle= kn-subtitle= en-abstract= kn-abstract= We launched our Psychiatry Liaison Team in the Department of Neuropsychiatry of Okayama University Hospital in 2009. Since nearly half of all new cases had suffered delirium, we subsequently launched our Delirium Control Team in 2011. The main purposes of the Delirium Control Team are to prevent the occurrence of delirium through early interventions by various medical staff, and to educate co-medical staff about delirium care. In this article, we present the recent activities and future outlook of both the Psychiatry Liaison Team and the Delirium Control Team. en-copyright= kn-copyright= en-aut-name=OdaKoji en-aut-sei=Oda en-aut-mei=Koji kn-aut-name=小田幸治 kn-aut-sei=小田 kn-aut-mei=幸治 aut-affil-num=1 ORCID= en-aut-name=OyanagiKie en-aut-sei=Oyanagi en-aut-mei=Kie kn-aut-name=大栁貴惠 kn-aut-sei=大栁 kn-aut-mei=貴惠 aut-affil-num=2 ORCID= en-aut-name=YamaguchiMegumi en-aut-sei=Yamaguchi en-aut-mei=Megumi kn-aut-name=山口恵 kn-aut-sei=山口 kn-aut-mei=恵 aut-affil-num=3 ORCID= en-aut-name=BabaKanako en-aut-sei=Baba en-aut-mei=Kanako kn-aut-name=馬場華奈己 kn-aut-sei=馬場 kn-aut-mei=華奈己 aut-affil-num=4 ORCID= en-aut-name=EsumiSatoru en-aut-sei=Esumi en-aut-mei=Satoru kn-aut-name=江角悟 kn-aut-sei=江角 kn-aut-mei=悟 aut-affil-num=5 ORCID= en-aut-name=SendaMayuko en-aut-sei=Senda en-aut-mei=Mayuko kn-aut-name=千田真友子 kn-aut-sei=千田 kn-aut-mei=真友子 aut-affil-num=6 ORCID= en-aut-name=InoueShinichirou en-aut-sei=Inoue en-aut-mei=Shinichirou kn-aut-name=井上真一郎 kn-aut-sei=井上 kn-aut-mei=真一郎 aut-affil-num=7 ORCID= en-aut-name=KawataKiyohiro en-aut-sei=Kawata en-aut-mei=Kiyohiro kn-aut-name=川田清宏 kn-aut-sei=川田 kn-aut-mei=清宏 aut-affil-num=8 ORCID= en-aut-name=OkabeNobuyuki en-aut-sei=Okabe en-aut-mei=Nobuyuki kn-aut-name=岡部伸幸 kn-aut-sei=岡部 kn-aut-mei=伸幸 aut-affil-num=9 ORCID= en-aut-name=YamadaNorihito en-aut-sei=Yamada en-aut-mei=Norihito kn-aut-name=山田了士 kn-aut-sei=山田 kn-aut-mei=了士 aut-affil-num=10 ORCID= affil-num=1 en-affil=Departments of Neuropsychiatry, Okayama University Hospital kn-affil=岡山大学病院　精神科神経科 affil-num=2 en-affil=Departments of Medical Support, Okayama University Hospital kn-affil=岡山大学病院　医療技術部 affil-num=3 en-affil=Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil=岡山大学大学院医歯薬学総合研究科　精神神経病態学 affil-num=4 en-affil=Departments of Nursing, Okayama University Hospital, kn-affil=岡山大学病院　看護部 affil-num=5 en-affil=Departments of Pharmacy, Okayama University Hospital kn-affil=岡山大学病院　薬剤部 affil-num=6 en-affil=Departments of Neuropsychiatry, Okayama University Hospital kn-affil=岡山大学病院　精神科神経科 affil-num=7 en-affil=Departments of Neuropsychiatry, Okayama University Hospital kn-affil=岡山大学病院　精神科神経科 affil-num=8 en-affil=Departments of Neuropsychiatry, Okayama University Hospital kn-affil=岡山大学病院　精神科神経科 affil-num=9 en-affil=Department of Psychiatry, Okayama City Hospital kn-affil=岡山市民病院　心療科 affil-num=10 en-affil=Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil=岡山大学大学院医歯薬学総合研究科　精神神経病態学 en-keyword=せん妄対策チーム (delirium control team) kn-keyword=せん妄対策チーム (delirium control team) en-keyword=せん妄予防 (delirium prevention) kn-keyword=せん妄予防 (delirium prevention) en-keyword=せん妄ハイリスク患者 (patients at risk of delirium) kn-keyword=せん妄ハイリスク患者 (patients at risk of delirium) en-keyword=精神科リエゾンチーム (psychiatry liaison team) kn-keyword=精神科リエゾンチーム (psychiatry liaison team) en-keyword=周術期 (perioperative period) kn-keyword=周術期 (perioperative period) END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2016 dt-pub=20160930 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=看護行為中のブランケット保護がもたらす心身への影響 kn-title=Psychosomatic effects of blanketing in nursing care en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=TokunagaNamiji en-aut-sei=Tokunaga en-aut-mei=Namiji kn-aut-name=徳永なみじ kn-aut-sei=徳永 kn-aut-mei=なみじ aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2016 dt-pub=20160930 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=冷え症高齢者に対するフットマッサージの冷え症状の緩和効果 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=TanasakiYukiko en-aut-sei=Tanasaki en-aut-mei=Yukiko kn-aut-name=棚﨑由紀子 kn-aut-sei=棚﨑 kn-aut-mei=由紀子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2016 dt-pub=20160325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=原因不明の不育症女性における自律神経活動の変化 kn-title=Altered autonomic nervous system activity in women with unexplained recurrent pregnancy loss en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=KataokaKumie en-aut-sei=Kataoka en-aut-mei=Kumie kn-aut-name=片岡久美恵 kn-aut-sei=片岡 kn-aut-mei=久美恵 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2016 dt-pub=20160325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=子宮筋腫合併妊婦における不安と対児感情 kn-title=Anxiety and Feelings toward Their Baby among Pregnant Women with Uterine Leiomyomas en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=SenoMiki en-aut-sei=Seno en-aut-mei=Miki kn-aut-name=妹尾未妃 kn-aut-sei=妹尾 kn-aut-mei=未妃 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END start-ver=1.4 cd-journal=joma no-vol=40 cd-vols= no-issue= article-no= start-page=61 end-page=76 dt-received= dt-revised= dt-accepted= dt-pub-year=2015 dt-pub=20151125 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Research into Medical Safety Education for Nurses and Nursing Students - Current Situation and Issues of Nursing Education Related to Safety Communication - kn-title=看護師・看護学生を対象とした医療安全教育の研究 ―安全な情報伝達をめぐる看護教育分野の現状と課題― en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=YamamotoEmiko en-aut-sei=Yamamoto en-aut-mei=Emiko kn-aut-name=山本恵美子 kn-aut-sei=山本 kn-aut-mei=恵美子 aut-affil-num=1 ORCID= en-aut-name=TanakaTomoko en-aut-sei=Tanaka en-aut-mei=Tomoko kn-aut-name=田中共子 kn-aut-sei=田中 kn-aut-mei=共子 aut-affil-num=2 ORCID= en-aut-name=HyodoYoshimi en-aut-sei=Hyodo en-aut-mei=Yoshimi kn-aut-name=兵藤好美 kn-aut-sei=兵藤 kn-aut-mei=好美 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学大学院社会文化科学研究科 affil-num=2 en-affil= kn-affil=岡山大学大学院社会文化科学研究科 affil-num=3 en-affil= kn-affil=岡山大学大学院保健学研究科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2015 dt-pub=20150930 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=キャリアパスを考慮した中堅看護師の能力開発に関する研究 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=OzawaYukio en-aut-sei=Ozawa en-aut-mei=Yukio kn-aut-name=小澤幸夫 kn-aut-sei=小澤 kn-aut-mei=幸夫 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学大学院 END start-ver=1.4 cd-journal=joma no-vol=31 cd-vols= no-issue= article-no= start-page=50 end-page=54 dt-received= dt-revised= dt-accepted= dt-pub-year=2015 dt-pub=201504 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The practice of "animal experimental science" education that broaden student perspectives kn-title=視野の拡大を取り入れた「動物実験学」教育の試み en-subtitle= kn-subtitle= en-abstract=When they first enroll, most university students have a negative view of animal experiments. To provide a more accurate and balanced understanding, we have introduced "animal experimental science" education that aims to broaden perspectives. In addition to conventional animal experiments in medicine and biotechnology, we have also introduced the concept of experimentation in the field of animal nursing, in which the role of the companion animal is studied. In the lower grades, students have little information and tend to assume that all animal experiments are cruel. They are therefore very critical of animal experiments. In the higher grades, students take part in animal experiments. By appreciating the need for such experiments, our students became less critical. As graduation thesis students, many students choose to undertake animal experiments, if a scientific challenge requires it. Introducing the concepts of “laboratory animals” and “animal experiments” at the right educational stage leads students to a better understanding of animal experimentation. Through this process, the students’ reluctant acceptance can be changed to acceptance with a positive attitude. kn-abstract=入学時に動物実験に対し悪いイメージを持っている学生は少なくない。倉敷芸術科学大学生命科学部動物生命科学科では動物実験に対する正しい理解のため、医学およびバイオ分野における従来の動物実験の考え方のみならず、家庭動物を学びの対象とする動物看護分野における動物実験の考え方を取り入れることで、視点の拡大を目指す動物実験学を導入している。動物実験についての情報が少ない低学年では、「動物実験は残酷である」という部分に視点が集中し批判的な意見をもっている。しかしながら、学年が上がっていく過程で自身が動物実験を実施し、その必要性を実感する経験を繰り返すことで、動物実験を単に批判することはなくなっていく。4 年生では卒業研究における課題に科学的アプローチするために動物実験が必要な場合、多くの学生が動物実験の実施を前向きに選択するようにまでなる。学生の学びの対象に即した実験動物や動物実験の定義を教育に導入することで、動物実験への正しい理解へ繋がり、消極的容認が容認や肯定的態度へと変化していくと考えられる。 en-copyright= kn-copyright= en-aut-name=FurumotoKayo en-aut-sei=Furumoto en-aut-mei=Kayo kn-aut-name=古本佳代 kn-aut-sei=古本 kn-aut-mei=佳代 aut-affil-num=1 ORCID= en-aut-name=FurukawaToshinori en-aut-sei=Furukawa en-aut-mei=Toshinori kn-aut-name=古川敏紀 kn-aut-sei=古川 kn-aut-mei=敏紀 aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=倉敷芸術科学大学 生命科学部 動物生命科学科 affil-num=2 en-affil= kn-affil=倉敷芸術科学大学 生命科学部 動物生命科学科 END start-ver=1.4 cd-journal=joma no-vol=31 cd-vols= no-issue= article-no= start-page=40 end-page=49 dt-received= dt-revised= dt-accepted= dt-pub-year=2015 dt-pub=201504 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Practice of the 3Rs in Practical Training Using Animals -Preliminary training for the care, handling, injection and dissection of mice and rats- kn-title=実験動物を用いる実習における3Rs 実践の試み －マウス、ラットの飼育、保定、注射、解剖に向けての予備トレーニング－ en-subtitle= kn-subtitle= en-abstract=In order to improve animal welfare through practical training in laboratory animal techniques at Hiroshima Animal Care College, we have been searching for ways to reduce animal suffering caused by such practical training. Students in the Animal Management Department learn to use animals in the practicum of laboratory animal science in their third year. In order to practice the 3Rs (Reduction, Replacement, and Refinement), we have introduced preliminary training before the students work with live animals. Specifically, the following five practices are introduced: 1. Practice of handling cages 2. Practice of controlling fine manipulation by pinching elastic balls and their own skin 3. Practice of sewing a dust cloth by hand, to learn how to handle sharp instruments 4. Practice of injecting chicken wing tips to learn how to inject animals 5. Practice of dissection techniques using thin pastry, chicken skin, and chicken wing tips We have not objectively verified whether these efforts are effective to reduce animal suffering. However, subjectively, we have observed some positive effects on the students. The primary object of this training is to reduce animal suffering. Furthermore, it may promote the psychological preparation of students who will be using live laboratory animals. Currently, training courses for animal technicians and animal nurses are taught at colleges or universities. From the viewpoints of ethics and animal welfare, it is necessary to refine the practical training program to work with live animals. We report our preliminary training as part of the program. kn-abstract=広島アニマルケア専門学校では、動物看護コース3 年課程（動物看護師志望者と実験動物技術者志望者が混 在）の3 年次に実施する実験動物学実習に際して、動物福祉の観点から動物に与える苦痛を可能な限り少なく できる実施法を模索してきた。実際に生きた動物を用いる実習を行う前に、いくつかの予備トレーニングを取 り入れた3Rs 実践の試みである。具体的には、ケージ取り扱い練習、先鋭器具取り扱い練習のための雑巾縫 製、保定練習を目的とした軟質ボールによる手指トレーニング、自身の皮膚摘まみ練習、鉛筆や鶏手羽先を用 いた注射器具使用練習、そして餃子の皮、鶏皮、鶏手羽先を用いた解剖器具使用練習などである。これらの取 り組みそれぞれが、果たして効果的であるかどうか検証できているわけではないが、学生の取り組みを間近で 観察した立場から、感覚的には効果を実感している。また、予備トレーニングは、動物に与える苦痛を軽減す ることを最大の目標とするものであるが、一方で、動物を用いた実習に臨む学生の心理的準備を促す効果もあ るように感じている。実験動物技術者や動物看護師養成課程、コースが、大学や専門学校に設けられ、そこに 多くの学生が学んでいる現在、動物を用いた実習のプログラムを動物実験倫理・動物福祉の観点からさらに洗 練させることが望まれる。そのプログラムの一部として、われわれの予備トレーニングの取り組みを紹介した。 en-copyright= kn-copyright= en-aut-name=UsudaToshiki en-aut-sei=Usuda en-aut-mei=Toshiki kn-aut-name=臼田俊樹 kn-aut-sei=臼田 kn-aut-mei=俊樹 aut-affil-num=1 ORCID= en-aut-name=FurumotoKayo en-aut-sei=Furumoto en-aut-mei=Kayo kn-aut-name=古本佳代 kn-aut-sei=古本 kn-aut-mei=佳代 aut-affil-num=2 ORCID= en-aut-name=KitaMegumu en-aut-sei=Kita en-aut-mei=Megumu kn-aut-name=北德 kn-aut-sei=北 kn-aut-mei=德 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=広島アニマルケア専門学校動物看護コース affil-num=2 en-affil= kn-affil=広島アニマルケア専門学校動物看護コース affil-num=3 en-affil= kn-affil=倉敷芸術科学大学動物生命科学科 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2015 dt-pub=20150325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Non-Invasive Prenatal Testing（NIPT）を希望する日本人妊婦の意思決定に影響する要因に関しての調査 （NIPTを受けることへの日本人妊婦の知識と意識） en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=MikamoShoko en-aut-sei=Mikamo en-aut-mei=Shoko kn-aut-name=美甘祥子 kn-aut-sei=美甘 kn-aut-mei=祥子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学大学院 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2015 dt-pub=20150325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=新生児をもつ母親の育児上の不安や疑問 ーソーシャルメディアにおける発言のテキストマイニングによる分析ー en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=IdaAyumi en-aut-sei=Ida en-aut-mei=Ayumi kn-aut-name=井田歩美 kn-aut-sei=井田 kn-aut-mei=歩美 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学大学院 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2015 dt-pub=20150325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=在宅介護における高齢者夫婦の「生きる希望」に関連する要因 ～妻が夫を介護する夫婦と夫が妻を介護する夫婦における分析～ en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=OkinakaYumi en-aut-sei=Okinaka en-aut-mei=Yumi kn-aut-name=沖中由美 kn-aut-sei=沖中 kn-aut-mei=由美 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学大学院 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2015 dt-pub=20150325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=保健師を対象としたリフレクションに基づく保健指導技術向上プログラムの効果 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=KoideKeiko en-aut-sei=Koide en-aut-mei=Keiko kn-aut-name=小出恵子 kn-aut-sei=小出 kn-aut-mei=恵子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学大学院 END start-ver=1.4 cd-journal=joma no-vol=158 cd-vols= no-issue= article-no= start-page=169 end-page=181 dt-received= dt-revised= dt-accepted= dt-pub-year=2015 dt-pub=20150225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Developing a Coeducation “Contemporary Rhythm Dance” Class Based on Continuous Exchange of Ideas between the Teacher and the Teacher Educator. -A Case Study at a Junior High School Attached to O University School of Education- kn-title=教師と教師教育者の協働による男女共習「現代的なリズムのダンス」授業づくりの試み ─ O 大学教育学部附属中学校の事例的研究 ─ en-subtitle= kn-subtitle= en-abstract= kn-abstract=　This study is a case study of efforts to develop a coeducation “contemporary rhythm dance” class at the junior high school attached to O University School of Education through continuous feedback between the teacher and the teacher educator. Body stiffness and self consciousness at being seen or looked at by others emerged as students’ major problems from the physical and emotional perspectives, respectively. As a result of trying multiple suggestions from students to improve the above issues from the three aspects of time, space, and movement, and based on an analysis of learner questionnaire data and teacher records, it appears that the students started to enjoy learning contemporary rhythm dance. en-copyright= kn-copyright= en-aut-name=SakoHaruko en-aut-sei=Sako en-aut-mei=Haruko kn-aut-name=酒向治子 kn-aut-sei=酒向 kn-aut-mei=治子 aut-affil-num=1 ORCID= en-aut-name=IdeharaChinami en-aut-sei=Idehara en-aut-mei=Chinami kn-aut-name=出原智波 kn-aut-sei=出原 kn-aut-mei=智波 aut-affil-num=2 ORCID= en-aut-name=HirataMariko en-aut-sei=Hirata en-aut-mei=Mariko kn-aut-name=平田麻里子 kn-aut-sei=平田 kn-aut-mei=麻里子 aut-affil-num=3 ORCID= en-aut-name=IzakiYayoi en-aut-sei=Izaki en-aut-mei=Yayoi kn-aut-name=猪崎弥生 kn-aut-sei=猪崎 kn-aut-mei=弥生 aut-affil-num=4 ORCID= affil-num=1 en-affil= kn-affil=岡山大学大学院教育学研究科　生活・健康スポーツ学系　保健体育講座 affil-num=2 en-affil= kn-affil= affil-num=3 en-affil= kn-affil=下田看護専門学校 affil-num=4 en-affil= kn-affil=お茶の水女子大学 en-keyword=ダンス kn-keyword=ダンス en-keyword=舞踊教育 kn-keyword=舞踊教育 en-keyword=ジェンダー kn-keyword=ジェンダー END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2014 dt-pub=20140930 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=認知症高齢者のアクティビティケアに対する看護職・介護職の評価基準の類型化 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=AoyagiAkiko en-aut-sei=Aoyagi en-aut-mei=Akiko kn-aut-name=青柳暁子 kn-aut-sei=青柳 kn-aut-mei=暁子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END start-ver=1.4 cd-journal=joma no-vol=11 cd-vols= no-issue=2 article-no= start-page=1647 end-page=1660 dt-received= dt-revised= dt-accepted= dt-pub-year=2014 dt-pub=201402 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Associations of Serum Retinol, alpha-Tocopherol, and gamma-Tocopherol with Biomarkers among Healthy Japanese Men en-subtitle= kn-subtitle= en-abstract= kn-abstract=Retinol, alpha-tocopherol, and gamma-tocopherol are fat-soluble vitamins acting as antioxidants via the prevention of lipid oxidation. Little is known about circulatory levels in healthy individuals. The present cross-sectional study aimed at elucidating the relationship between these antioxidants and clinical biomarkers in 206 male (median age 41 years, range 23-67) employees from companies located in the Okayama Prefecture, Japan. Subjects younger than 40 years (n = 94) showed a positive association of the frequency of alcohol consumption with the circulating retinol (beta = 0.344, p = 0.001) and gamma-tocopherol levels (beta = 0.219, p = 0.041), and an inverse association of fast insulin with serum retinol (beta = -0.301, p = 0.009). In participants older than 40 years (n = 112) we found that an inverse association of HOMA-R with serum retinol (beta = -0.262, p = 0.021), a-tocopherol (beta = -0.236, p = 0.035), and gamma-tocopherol levels (beta = -0.224, p = 0.052); and cigarette smoking was inversely associated with the levels of serum a-tocopherol (beta = -0.286, p = 0.008) and gamma-tocopherol (beta = -0.229, p = 0.040). We further found negative relationships between serum ferritin and the retinol (beta = -0.211, p = 0.032) and a-tocopherol levels (beta = -0.223, p = 0.022) in men over 40 years of age. The present study suggests that the circulatory levels of antioxidant vitamins may modulate the action of insulin and that higher levels of iron might decrease the levels of antioxidant vitamins in the blood. en-copyright= kn-copyright= en-aut-name=ZouYu en-aut-sei=Zou en-aut-mei=Yu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=WangDa-Hong en-aut-sei=Wang en-aut-mei=Da-Hong kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=SakanoNoriko en-aut-sei=Sakano en-aut-mei=Noriko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=SatoYoshie en-aut-sei=Sato en-aut-mei=Yoshie kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=IwanagaSuketaka en-aut-sei=Iwanaga en-aut-mei=Suketaka kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=TaketaKazuhisa en-aut-sei=Taketa en-aut-mei=Kazuhisa kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=KuboMasayuki en-aut-sei=Kubo en-aut-mei=Masayuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=TakemotoKei en-aut-sei=Takemoto en-aut-mei=Kei kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=MasatomiChie en-aut-sei=Masatomi en-aut-mei=Chie kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= en-aut-name=InoueKiyomi en-aut-sei=Inoue en-aut-mei=Kiyomi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=10 ORCID= en-aut-name=OginoKeiki en-aut-sei=Ogino en-aut-mei=Keiki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=11 ORCID= affil-num=1 en-affil= kn-affil=Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Publ Hlth affil-num=2 en-affil= kn-affil=Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Publ Hlth affil-num=3 en-affil= kn-affil=Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Gerontol Res affil-num=4 en-affil= kn-affil=Okayama Univ, Grad Sch Hlth Sci affil-num=5 en-affil= kn-affil=Kyoto Univ, Fac Med, Dept Publ Hlth affil-num=6 en-affil= kn-affil=Geriatr Hlth Serv Facil affil-num=7 en-affil= kn-affil=Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Publ Hlth affil-num=8 en-affil= kn-affil=Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Publ Hlth affil-num=9 en-affil= kn-affil=Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Publ Hlth affil-num=10 en-affil= kn-affil=Kobe Tokiwa Univ, Fac Hlth Sci, Dept Nursing affil-num=11 en-affil= kn-affil=Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Publ Hlth en-keyword=serum retinol kn-keyword=serum retinol en-keyword=serum alpha-tocopherol kn-keyword=serum alpha-tocopherol en-keyword=serum gamma-tocopherol kn-keyword=serum gamma-tocopherol en-keyword=HOMA-R kn-keyword=HOMA-R en-keyword=serum ferritin kn-keyword=serum ferritin en-keyword=smoking kn-keyword=smoking en-keyword=alcohol consumption kn-keyword=alcohol consumption END start-ver=1.4 cd-journal=joma no-vol=41 cd-vols= no-issue= article-no= start-page=1 end-page=13 dt-received= dt-revised= dt-accepted= dt-pub-year=2014 dt-pub=20140801 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Elizabeth Bowen’s The Last September: A Postcolonial Reading en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=YamanekiKanako en-aut-sei=Yamaneki en-aut-mei=Kanako kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=神戸市看護大学 END start-ver=1.4 cd-journal=joma no-vol=126 cd-vols= no-issue=2 article-no= start-page=133 end-page=135 dt-received= dt-revised= dt-accepted= dt-pub-year=2014 dt-pub=20140801 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Treatment for a non-compliant patient with cancer and epilepsy kn-title=癌告知後の精神症状の治療に難渋したてんかん既往のある癌患者の１例 en-subtitle= kn-subtitle= en-abstract= kn-abstract=　A 58-year-old man with cervical esophageal cancer and a history of epilepsy was treated with chemoradiotherapy from May of 2013. When tube feeding was initiated due to aspiration pneumonitis, the patient showed a degree of irritability that affected routine staff work and treatment compliance. We attempted to perform supportive care for maladjustment by the notice, the fast, and the tube feeding, but there was no improvement. After we added carbamazepine, primidone, and propericiazine (which had been canceled at the initiation of the tube feeding) to the patient's intravenous phenytoin, the symptoms and treatment compliance improved significantly. We concluded that the causes of the patient's irritability were maladjustment and his epilepsy. en-copyright= kn-copyright= en-aut-name=MinamiDaisuke en-aut-sei=Minami en-aut-mei=Daisuke kn-aut-name=南大輔 kn-aut-sei=南 kn-aut-mei=大輔 aut-affil-num=1 ORCID= en-aut-name=IchiharaEiki en-aut-sei=Ichihara en-aut-mei=Eiki kn-aut-name=市原英基 kn-aut-sei=市原 kn-aut-mei=英基 aut-affil-num=2 ORCID= en-aut-name=OkabeNobuyuki en-aut-sei=Okabe en-aut-mei=Nobuyuki kn-aut-name=岡部伸幸 kn-aut-sei=岡部 kn-aut-mei=伸幸 aut-affil-num=3 ORCID= en-aut-name=YokomichiNaosuke en-aut-sei=Yokomichi en-aut-mei=Naosuke kn-aut-name=横道直佑 kn-aut-sei=横道 kn-aut-mei=直佑 aut-affil-num=4 ORCID= en-aut-name=KougeNoriko en-aut-sei=Kouge en-aut-mei=Noriko kn-aut-name=高下典子 kn-aut-sei=高下 kn-aut-mei=典子 aut-affil-num=5 ORCID= en-aut-name=KajizonoMakoto en-aut-sei=Kajizono en-aut-mei=Makoto kn-aut-name=鍛治園誠 kn-aut-sei=鍛治園 kn-aut-mei=誠 aut-affil-num=6 ORCID= en-aut-name=AkimotoYutaka en-aut-sei=Akimoto en-aut-mei=Yutaka kn-aut-name=秋元悠 kn-aut-sei=秋元 kn-aut-mei=悠 aut-affil-num=7 ORCID= en-aut-name=HoriKeisuke en-aut-sei=Hori en-aut-mei=Keisuke kn-aut-name=堀圭介 kn-aut-sei=堀 kn-aut-mei=圭介 aut-affil-num=8 ORCID= en-aut-name=MatsubaraMinoru en-aut-sei=Matsubara en-aut-mei=Minoru kn-aut-name=松原稔 kn-aut-sei=松原 kn-aut-mei=稔 aut-affil-num=9 ORCID= en-aut-name=NasuJunichiro en-aut-sei=Nasu en-aut-mei=Junichiro kn-aut-name=那須淳一郎 kn-aut-sei=那須 kn-aut-mei=淳一郎 aut-affil-num=10 ORCID= en-aut-name=TanimotoMitsune en-aut-sei=Tanimoto en-aut-mei=Mitsune kn-aut-name=谷本光音 kn-aut-sei=谷本 kn-aut-mei=光音 aut-affil-num=11 ORCID= en-aut-name=KiuraKatsuyuki en-aut-sei=Kiura en-aut-mei=Katsuyuki kn-aut-name=木浦勝行 kn-aut-sei=木浦 kn-aut-mei=勝行 aut-affil-num=12 ORCID= en-aut-name=MatsuokaJunzi en-aut-sei=Matsuoka en-aut-mei=Junzi kn-aut-name=松岡順治 kn-aut-sei=松岡 kn-aut-mei=順治 aut-affil-num=13 ORCID= affil-num=1 en-affil= kn-affil=岡山大学病院　緩和支持医療科 affil-num=2 en-affil= kn-affil=岡山大学病院　血液・腫瘍・呼吸器内科 affil-num=3 en-affil= kn-affil=岡山大学病院　精神科神経科 affil-num=4 en-affil= kn-affil=岡山大学病院　緩和支持医療科 affil-num=5 en-affil= kn-affil=岡山大学病院　看護部 affil-num=6 en-affil= kn-affil=岡山大学病院　薬剤部 affil-num=7 en-affil= kn-affil=岡山大学病院　消化器内科 affil-num=8 en-affil= kn-affil=岡山大学病院　消化器内科 affil-num=9 en-affil= kn-affil=岡山大学病院　消化器内科 affil-num=10 en-affil= kn-affil=岡山大学病院　消化器内科 affil-num=11 en-affil= kn-affil=岡山大学病院　血液・腫瘍・呼吸器内科 affil-num=12 en-affil= kn-affil=岡山大学病院　血液・腫瘍・呼吸器内科 affil-num=13 en-affil= kn-affil=岡山大学病院　緩和支持医療科 en-keyword=てんかん（epilepsy） kn-keyword=てんかん（epilepsy） en-keyword=易怒性（irritability） kn-keyword=易怒性（irritability） en-keyword=適応障害（maladjustment） kn-keyword=適応障害（maladjustment） END start-ver=1.4 cd-journal=joma no-vol=126 cd-vols= no-issue=2 article-no= start-page=117 end-page=126 dt-received= dt-revised= dt-accepted= dt-pub-year=2014 dt-pub=20140801 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The origin of infra-slow oscillations of oxygenated hemoglobin observed in functional near-infrared spectroscopy kn-title=光トポグラフィーでみられる酸素化ヘモグロビン量の低周波変動の発生源に関する研究 en-subtitle= kn-subtitle= en-abstract= kn-abstract=There is increasing interest in the intrinsic activity of the resting brain, especially the activity slower than 0.1Hz (i.e., low-frequency oscillations, or LFOs). To investigate the origin of LFOs observed in functional near-infrared spectroscopy (fNIRS), we recorded multichannel fNIRS and electroencephalography (EEG) from the frontal cortex of 11 healthy young volunteers in the resting state. Electrocardiography (ECG), electro-oculography and respiration were also measured. Synchronous oscillations of oxy-hemoglobin (oxy-Hb) around 1.0Hz were detected in all fNIRS channels, and their frequency was consistent with a peak frequency of ECG, suggesting the changes of cerebral blood flow due to heart beats. In addition, oxy-Hb oscillations around 0.1Hz (i.e., LFOs) appeared in the fNIRS. The channels where LFOs appeared differed among the subjects, and the LFOs appeared or disappeared even in the same fNIRS channels. The appearance of LFOs in fNIRS channels was significantly higher when the LFOs appeared on the EEG in the adjacent EEG electrodes compared to when LFOs did not appear on EEG. The amplitude and coherence (synchronicity) of the LFOs were increased by changing the subjects' position from dorsal to the sitting position in both fNIRS and EEG, and the coherence in particular was increased in the homologous fNIRS channels on the bilateral hemispheres. These results suggest that LFOs of oxy-Hb couple with resting-state EEG activity. en-copyright= kn-copyright= en-aut-name=ShoshiChikafumi en-aut-sei=Shoshi en-aut-mei=Chikafumi kn-aut-name=所司睦文 kn-aut-sei=所司 kn-aut-mei=睦文 aut-affil-num=1 ORCID= en-aut-name=UenoHiroshi en-aut-sei=Ueno en-aut-mei=Hiroshi kn-aut-name=上野浩司 kn-aut-sei=上野 kn-aut-mei=浩司 aut-affil-num=2 ORCID= en-aut-name=KuboMasako en-aut-sei=Kubo en-aut-mei=Masako kn-aut-name=久保正子 kn-aut-sei=久保 kn-aut-mei=正子 aut-affil-num=3 ORCID= en-aut-name=OdaMasuko en-aut-sei=Oda en-aut-mei=Masuko kn-aut-name=小田真珠子 kn-aut-sei=小田 kn-aut-mei=真珠子 aut-affil-num=4 ORCID= en-aut-name=HirataNaoya en-aut-sei=Hirata en-aut-mei=Naoya kn-aut-name=平田直也 kn-aut-sei=平田 kn-aut-mei=直也 aut-affil-num=5 ORCID= en-aut-name=TakemotoRika en-aut-sei=Takemoto en-aut-mei=Rika kn-aut-name=武本梨佳 kn-aut-sei=武本 kn-aut-mei=梨佳 aut-affil-num=6 ORCID= en-aut-name=KinugasaKazushi en-aut-sei=Kinugasa en-aut-mei=Kazushi kn-aut-name=衣笠和孜 kn-aut-sei=衣笠 kn-aut-mei=和孜 aut-affil-num=7 ORCID= en-aut-name=OkamotoMotoi en-aut-sei=Okamoto en-aut-mei=Motoi kn-aut-name=岡本基 kn-aut-sei=岡本 kn-aut-mei=基 aut-affil-num=8 ORCID= affil-num=1 en-affil= kn-affil=川崎医療短期大学　臨床検査科 affil-num=2 en-affil= kn-affil=近畿大学医学部　薬理学講座 affil-num=3 en-affil= kn-affil=東京工科大学医療保健学部　看護学科 affil-num=4 en-affil= kn-affil=倉敷成人病健診センター affil-num=5 en-affil= kn-affil=福山市民病院 affil-num=6 en-affil= kn-affil=岡山大学病院　医療技術部 affil-num=7 en-affil= kn-affil=岡山療護センター affil-num=8 en-affil= kn-affil=岡山大学大学院保健学研究科　検査技術科学 en-keyword=fNIRS kn-keyword=fNIRS en-keyword=EEG kn-keyword=EEG en-keyword=LFOs kn-keyword=LFOs en-keyword=コヒーレンス解析（Coherence analysis） kn-keyword=コヒーレンス解析（Coherence analysis） en-keyword=連続ウェーブレット解析（continuous wavelet transforms） kn-keyword=連続ウェーブレット解析（continuous wavelet transforms） END start-ver=1.4 cd-journal=joma no-vol=68 cd-vols= no-issue=3 article-no= start-page=129 end-page=135 dt-received= dt-revised= dt-accepted= dt-pub-year=2014 dt-pub=201406 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Association of Dietary Fat and Carbohydrate Consumption and Predicted Ten-year Risk for Developing Coronary Heart Disease in a General Japanese Population en-subtitle= kn-subtitle= en-abstract= kn-abstract=We examined the relationships between dietary carbohydrate, protein, fat, and the ratio of n6/n3 fatty acid intakes with the predicted 10-year coronary heart disease (CHD) risk in a general Japanese population. We used the Framingham risk score to determine the 10-year CHD risk of the subjects, who were employees of 6 companies in a single prefecture in Japan. After excluding the subjects who reported any history of angina pectoris, myocardial infarction, diabetes, or cancer, and those with missing data resulting in the inability of estimation of 10-year CHD risk and food intakes, the final data analysis was carried out for 809 subjects. The logistic regression models revealed a significantly increased odds ratio of 10-year CHD risk in the subjects with the highest tertile of carbohydrate intake (% energy) (odds ratio 3.64, 95% CI, 2.07-6.40);after adjustment for other variables, the odds ratio for the 10-year CHD risk was also higher in the subjects with the highest tertile of carbohydrate intake (odds ratio 1.72, 95% CI, 0.70-4.25). We also found that fat intake and the ratio of n6/n3 fatty acids were inversely associated with the predicted 10-year CHD risk (p for trend＜0.01). The present findings added evidence of a positive association of dietary carbohydrate and inverse associations of total fat and n6/n3 fatty acid ratio with the predicted 10-year CHD risk in a general Japanese population. en-copyright= kn-copyright= en-aut-name=MinouraAkira en-aut-sei=Minoura en-aut-mei=Akira kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=WangDa-Hong en-aut-sei=Wang en-aut-mei=Da-Hong kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=SatoYoshie en-aut-sei=Sato en-aut-mei=Yoshie kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=ZouYu en-aut-sei=Zou en-aut-mei=Yu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=SakanoNoriko en-aut-sei=Sakano en-aut-mei=Noriko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=KuboMasayuki en-aut-sei=Kubo en-aut-mei=Masayuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=TakemotoKei en-aut-sei=Takemoto en-aut-mei=Kei kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=MasatomiChie en-aut-sei=Masatomi en-aut-mei=Chie kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=OginoKeiki en-aut-sei=Ogino en-aut-mei=Keiki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= affil-num=1 en-affil= kn-affil=Department of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences affil-num=2 en-affil= kn-affil=Department of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences affil-num=3 en-affil= kn-affil=Graduate School of Health Sciences, Okayama University affil-num=4 en-affil= kn-affil=Department of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences affil-num=5 en-affil= kn-affil=Department of Gerontology Research, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences affil-num=6 en-affil= kn-affil=Department of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences affil-num=7 en-affil= kn-affil=Department of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences affil-num=8 en-affil= kn-affil=Department of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences affil-num=9 en-affil= kn-affil=Department of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences en-keyword=fat intake kn-keyword=fat intake en-keyword=carbohydrate intake kn-keyword=carbohydrate intake en-keyword=ratio of n6/n3 fatty acids kn-keyword=ratio of n6/n3 fatty acids en-keyword=10-year coronary heart disease risk kn-keyword=10-year coronary heart disease risk en-keyword=Japanese kn-keyword=Japanese END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2014 dt-pub=20140325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=外来外照射療法開始前のがん患者が必要とする情報と患者の内的世界 ―患者のセルフケアを促進する治療開始前の看護支援の検討― en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=KurodaSumie en-aut-sei=Kuroda en-aut-mei=Sumie kn-aut-name=黒田寿美恵 kn-aut-sei=黒田 kn-aut-mei=寿美恵 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2014 dt-pub=20140325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=脳卒中後遺症としての痛みしびれに対する足浴後マッサージの効果 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=TokiKazue en-aut-sei=Toki en-aut-mei=Kazue kn-aut-name=登喜和江 kn-aut-sei=登喜 kn-aut-mei=和江 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2014 dt-pub=20140325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=若年女性の｢浮き趾｣と不定愁訴の関連 kn-title=General Malaise and Physical Symptoms in Young Women with Untouched Toe en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=AkamatsuMegumi en-aut-sei=Akamatsu en-aut-mei=Megumi kn-aut-name=赤松恵美 kn-aut-sei=赤松 kn-aut-mei=恵美 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2014 dt-pub=20140325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=日本における2000年から2010年の間の看護職員の地理的な分布の傾向：マルチレベル分析 kn-title=Trends in Geographic Distribution of Nursing Staff in Japan from 2000 to 2010: A Multilevel Analysis en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=IzutsuMasato en-aut-sei=Izutsu en-aut-mei=Masato kn-aut-name=井筒将斗 kn-aut-sei=井筒 kn-aut-mei=将斗 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END start-ver=1.4 cd-journal=joma no-vol=20 cd-vols= no-issue= article-no= start-page=2 end-page=3 dt-received= dt-revised= dt-accepted= dt-pub-year=2010 dt-pub=20100901 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=移植後合併症の看護ポイント─GVHD③ 口腔GVHD en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=杉浦裕子 kn-aut-sei=杉浦 kn-aut-mei=裕子 aut-affil-num=1 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=曽我賢彦 kn-aut-sei=曽我 kn-aut-mei=賢彦 aut-affil-num=2 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=前田嘉信 kn-aut-sei=前田 kn-aut-mei=嘉信 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学病院 医療技術部（歯科部門） 歯科衛生士室 affil-num=2 en-affil= kn-affil=岡山大学病院 歯周科 affil-num=3 en-affil= kn-affil=岡山大学病院 血液・腫瘍内科 END start-ver=1.4 cd-journal=joma no-vol=47 cd-vols= no-issue=3 article-no= start-page=181 end-page=191 dt-received= dt-revised= dt-accepted= dt-pub-year=2013 dt-pub=201303 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Evaluation of urinary hydrogen peroxide as an oxidative stress biomarker in a healthy Japanese population en-subtitle= kn-subtitle= en-abstract= kn-abstract=The usefulness of urinary hydrogen peroxide (H2O2) as an oxidative stress biomarker was evaluated in 766 healthy Japanese. The mean level of urinary concentrations of H2O2 was 5.66 +/- 8.27 mu mol/g creatinine, and was significantly higher in females than in males. Significant correlations of H2O2 were observed with age, aspartate aminotransferase (AST), alanine aminotransferase (ALT), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-c), insulin, 8-hydroxy-2'-deoxyguanosine (8-OHdG), and exercise habit in females. In both sexes, H2O2 showed a significant correlation with 8-OHdG. By a multiple logistic regression analysis, urinary H2O2 was positively associated with urinary 8-OHdG and TC and was inversely associated with insulin. By stratification of sex and age, the association of urinary H2O2 with TC was positive in both sexes under 50 years old and was inverse in males over 50 years old, and that with insulin was inverse in males over 50 years old and in females under 50 years old. Moreover, by stratification of sex and age, a positive association of H2O2 with exercise and an inverse association of H2O2 with alcohol consumption became clear in males under 50 years old, although there were no significant odds for H2O2 after adjustment for covariates. In conclusion, the present results suggest that urinary H2O2 is a useful biomarker for oxidative stress, showing an association with 8-OHdG, TC, and insulin independently. en-copyright= kn-copyright= en-aut-name=SatoY. en-aut-sei=Sato en-aut-mei=Y. kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=OginoK. en-aut-sei=Ogino en-aut-mei=K. kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=SakanoN. en-aut-sei=Sakano en-aut-mei=N. kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=WangD. H. en-aut-sei=Wang en-aut-mei=D. H. kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=YoshidaJ. en-aut-sei=Yoshida en-aut-mei=J. kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=AkazawaY. en-aut-sei=Akazawa en-aut-mei=Y. kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=KanbaraS. en-aut-sei=Kanbara en-aut-mei=S. kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=InoueK. en-aut-sei=Inoue en-aut-mei=K. kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=KuboM. en-aut-sei=Kubo en-aut-mei=M. kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= en-aut-name=TakahashiH. en-aut-sei=Takahashi en-aut-mei=H. kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=10 ORCID= affil-num=1 en-affil= kn-affil=Okayama Univ, Grad Sch Hlth Sci affil-num=2 en-affil= kn-affil=Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Publ Hlth affil-num=3 en-affil= kn-affil=Kagawa Univ, Fac Med, Dept Hyg affil-num=4 en-affil= kn-affil=Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Publ Hlth affil-num=5 en-affil= kn-affil=Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Publ Hlth affil-num=6 en-affil= kn-affil=Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Publ Hlth affil-num=7 en-affil= kn-affil=Kochi Univ, Fac Nursing affil-num=8 en-affil= kn-affil=Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Publ Hlth affil-num=9 en-affil= kn-affil=Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Publ Hlth affil-num=10 en-affil= kn-affil=Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Publ Hlth en-keyword=H2O2 kn-keyword=H2O2 en-keyword=8-OHdG kn-keyword=8-OHdG en-keyword=lifestyle kn-keyword=lifestyle en-keyword=total cholesterol kn-keyword=total cholesterol en-keyword=exercise kn-keyword=exercise END start-ver=1.4 cd-journal=joma no-vol=35 cd-vols= no-issue=5 article-no= start-page=25 end-page=34 dt-received= dt-revised= dt-accepted= dt-pub-year=2012 dt-pub=201212 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The process for inpatients with alcoholic liver diseases to decide to stop and continue abstaining from drinking kn-title=アルコール性肝障害入院患者が断酒を決意し断酒を継続するプロセス en-subtitle= kn-subtitle= en-abstract=This study aimed to clarify the process for inpatients with alcoholic liver diseases to decide to stop and continue abstaining from drinking in order to review nursing support to effectively help the patients. We conducted semi-structured interviews involving six inpatients with alcoholic liver diseases and analyzed the results by the modified grounded theory approach (M-GTA). As the result, we observed, in the process for inpatients with alcoholic liver diseases to decide to stop and continue abstaining from drinking, [reviewing one's own addiction to alcohol] and [learning about the drawbacks of heavy drinking] strongly motivated the patients to [decide to abstain from drinking and receive treatment], and the achievement of abstinence from drinking further motivated them to [decide to continue abstaining from drinking even after leaving the hospital] and actually do so. The results suggest the need for nurses to help the patients review how they became addicted to alcohol and learn about the drawbacks of heavy drinking. kn-abstract=本研究は、アルコール性肝障害入院患者が，断酒を決意し，断酒を継続するプロセスを 明らかにし，断酒の決意と断酒の継続を可能にする看護支援について検討することである。 入院中のアルコール性肝障害患者6 名を対象とし、半構造化面接を行い、M-GTA の手法 で分析した結果、アルコール性肝障害入院患者が断酒を決意し断酒を継続するプロセスは， 【アルコールに飲み込まれていった自分を振り返る】ことや，【多量飲酒がもたらす不利益 を知る】ことが強い動機づけとなって【断酒し治療を受ける決心をする】を経て断酒し， その断酒の実績から【退院後も継続的な断酒を決意する】ことで、断酒継続の決意をより 強めて，入院中の断酒を継続するプロセスであることが明らかになった。 看護師は、アルコールに飲み込まれていった自分を患者自身が振り返ること、および、 多量飲酒がもたらす不利益を自覚できるように支援する必要であることが示唆された。 en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=山田隆子 kn-aut-sei=山田 kn-aut-mei=隆子 aut-affil-num=1 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=秋元典子 kn-aut-sei=秋元 kn-aut-mei=典子 aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=岡山大学保健学研究科 affil-num=2 en-affil= kn-affil=岡山大学保健学研究科 en-keyword=アルコール性肝障害 kn-keyword=アルコール性肝障害 en-keyword=断酒 kn-keyword=断酒 en-keyword=修正版グラウンデッド・セオリー・アプローチ kn-keyword=修正版グラウンデッド・セオリー・アプローチ END start-ver=1.4 cd-journal=joma no-vol=40 cd-vols= no-issue= article-no= start-page=1 end-page=10 dt-received= dt-revised= dt-accepted= dt-pub-year=2013 dt-pub=20130331 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Elizabeth Bowen’s Eva Trout: Iseult as a Failed ‘Writing Woman’ en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=YamanekiKanako en-aut-sei=Yamaneki en-aut-mei=Kanako kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=神戸市看護大学 END start-ver=1.4 cd-journal=joma no-vol=34 cd-vols= no-issue= article-no= start-page=79 end-page=90 dt-received= dt-revised= dt-accepted= dt-pub-year=2012 dt-pub=20121126 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The Research Note about the Background of the Cultural Adaptation Problems of Foreign Nurses and Care Worker Candidates in Japan －From the View of EPA Systems and Its Circumstances－ kn-title=在日外国人看護師・介護士候補生の異文化適応問題の背景に関する研究ノート ―EPA制度とその運用― en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=HatanakaKaori en-aut-sei=Hatanaka en-aut-mei=Kaori kn-aut-name=畠中香織 kn-aut-sei=畠中 kn-aut-mei=香織 aut-affil-num=1 ORCID= en-aut-name=TanakaTomoko en-aut-sei=Tanaka en-aut-mei=Tomoko kn-aut-name=田中共子 kn-aut-sei=田中 kn-aut-mei=共子 aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=社会文化科学研究科 affil-num=2 en-affil= kn-affil=社会文化科学研究科 文化共生学講座 END start-ver=1.4 cd-journal=joma no-vol=32 cd-vols= no-issue= article-no= start-page=15 end-page=24 dt-received= dt-revised= dt-accepted= dt-pub-year=2011 dt-pub=20111125 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=A Review of Research about Nurses' Medical Incidents kn-title=ヒヤリハットに関する研究の動向 : 看護師を対象とした研究を中心に en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=SakodaYuko en-aut-sei=Sakoda en-aut-mei=Yuko kn-aut-name=迫田裕子 kn-aut-sei=迫田 kn-aut-mei=裕子 aut-affil-num=1 ORCID= en-aut-name=HyodoYoshimi en-aut-sei=Hyodo en-aut-mei=Yoshimi kn-aut-name=兵藤好美 kn-aut-sei=兵藤 kn-aut-mei=好美 aut-affil-num=2 ORCID= en-aut-name=TanakaTomoko en-aut-sei=Tanaka en-aut-mei=Tomoko kn-aut-name=田中共子 kn-aut-sei=田中 kn-aut-mei=共子 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学文化科学研究科 affil-num=2 en-affil= kn-affil=岡山大学保健学研究科 affil-num=3 en-affil= kn-affil=岡山大学社会文化科学研究科 END start-ver=1.4 cd-journal=joma no-vol=122 cd-vols= no-issue=3 article-no= start-page=225 end-page=229 dt-received= dt-revised= dt-accepted= dt-pub-year=2010 dt-pub=20101201 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Usefulness of the waterless method for surgical hand washing：A comparison with the conventional scrub method kn-title=手術時手洗いにおける従来法とツーステージ・サージカルスクラブ法，ウォーターレス法の比較について en-subtitle= kn-subtitle= en-abstract= kn-abstract=To evaluate the usefulness of the waterless hand washing method for surgical anti-sepsis, we conducted a microbial sampling study, comparing it to a conventional surgical scrub method. A total of 18 operating-room nurses were undertaking the following three-hand washing protocols : scrubbing with blushes using 4w/v% chlorhexidine gluconate (CHG) and also rubbing with CHG, followed by application of a 0.2w/v% CHG with ethanol (HS) preparation. (conventional method); rubbing with CHG and application of HS (two-stage surgical scrub method; TSS); rubbing with anti-septic soap and application of HS (waterless method; WL). Microbial sampling was conducted after hand washing using the glove juice method. No statistically significant differences in bacterial numbers were found among these three methods. The number of bacterially positive subjects was significantly higher in the conventional method than the TSS method. These results indicate that there are adverse effects of blush-scrubbing, as the detected bacteria were related to normal skin flora. As such, the WL method for hand anti-sepsis appears to be equivalent to the conventional surgical scrubbing method in terms of microbial detection. The WL method should therefore be introduced as a standard hand anti-sepsis method at the time of surgery because it is cost-effective as well as time-efficient. en-copyright= kn-copyright= en-aut-name=KobayashiYuka en-aut-sei=Kobayashi en-aut-mei=Yuka kn-aut-name=小林由佳 kn-aut-sei=小林 kn-aut-mei=由佳 aut-affil-num=1 ORCID= en-aut-name=YamadaMisa en-aut-sei=Yamada en-aut-mei=Misa kn-aut-name=山田美佐 kn-aut-sei=山田 kn-aut-mei=美佐 aut-affil-num=2 ORCID= en-aut-name=FujiiHiromi en-aut-sei=Fujii en-aut-mei=Hiromi kn-aut-name=藤井裕美 kn-aut-sei=藤井 kn-aut-mei=裕美 aut-affil-num=3 ORCID= en-aut-name=KoYukiko en-aut-sei=Ko en-aut-mei=Yukiko kn-aut-name=甲由紀子 kn-aut-sei=甲 kn-aut-mei=由紀子 aut-affil-num=4 ORCID= en-aut-name=UotaniIzumi en-aut-sei=Uotani en-aut-mei=Izumi kn-aut-name=魚谷いづみ kn-aut-sei=魚谷 kn-aut-mei=いづみ aut-affil-num=5 ORCID= en-aut-name=TamotoMariko en-aut-sei=Tamoto en-aut-mei=Mariko kn-aut-name=田本真理子 kn-aut-sei=田本 kn-aut-mei=真理子 aut-affil-num=6 ORCID= en-aut-name=NadaMasako en-aut-sei=Nada en-aut-mei=Masako kn-aut-name=名田正子 kn-aut-sei=名田 kn-aut-mei=正子 aut-affil-num=7 ORCID= en-aut-name=MuraiHiroyuki en-aut-sei=Murai en-aut-mei=Hiroyuki kn-aut-name=村井裕之 kn-aut-sei=村井 kn-aut-mei=裕之 aut-affil-num=8 ORCID= en-aut-name=KadoEi en-aut-sei=Kado en-aut-mei=Ei kn-aut-name=角英 kn-aut-sei=角 kn-aut-mei=英 aut-affil-num=9 ORCID= en-aut-name=IwagakiHiromi en-aut-sei=Iwagaki en-aut-mei=Hiromi kn-aut-name=岩垣博巳 kn-aut-sei=岩垣 kn-aut-mei=博巳 aut-affil-num=10 ORCID= en-aut-name=TomodaJun en-aut-sei=Tomoda en-aut-mei=Jun kn-aut-name=友田純 kn-aut-sei=友田 kn-aut-mei=純 aut-affil-num=11 ORCID= en-aut-name=SaitoShinya en-aut-sei=Saito en-aut-mei=Shinya kn-aut-name=斎藤信也 kn-aut-sei=斎藤 kn-aut-mei=信也 aut-affil-num=12 ORCID= affil-num=1 en-affil= kn-affil=国立病院機構福山医療センター　看護部 affil-num=2 en-affil= kn-affil=国立病院機構福山医療センター　看護部 affil-num=3 en-affil= kn-affil=国立病院機構福山医療センター　看護部 affil-num=4 en-affil= kn-affil=国立病院機構福山医療センター　看護部 affil-num=5 en-affil= kn-affil=国立病院機構福山医療センター　看護部 affil-num=6 en-affil= kn-affil=国立病院機構福山医療センター　看護部 affil-num=7 en-affil= kn-affil=国立病院機構福山医療センター　看護部 affil-num=8 en-affil= kn-affil=国立病院機構福山医療センター　臨床検査部 affil-num=9 en-affil= kn-affil=国立病院機構福山医療センター　薬剤部 affil-num=10 en-affil= kn-affil=国立病院機構福山医療センター　外科 affil-num=11 en-affil= kn-affil=国立病院機構福山医療センター　内科 affil-num=12 en-affil= kn-affil=岡山大学大学院保健学研究科　感染管理学 en-keyword=手洗い (hand washing) kn-keyword=手洗い (hand washing) en-keyword=手指消毒 (hand antisepsis) kn-keyword=手指消毒 (hand antisepsis) en-keyword=ツーステージ・サージカルスクラブ法 (surgical scrub method) kn-keyword=ツーステージ・サージカルスクラブ法 (surgical scrub method) en-keyword=ウォーターレス法 (waterless method) kn-keyword=ウォーターレス法 (waterless method) en-keyword=手術 (surgery) kn-keyword=手術 (surgery) END start-ver=1.4 cd-journal=joma no-vol=57 cd-vols= no-issue= article-no= start-page=115 end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=1986 dt-pub=198607 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=看護部だより en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=Institute for Environmental Medicine, Okayama University Medical Scool en-aut-sei=Institute for Environmental Medicine, Okayama University Medical Scool en-aut-mei= kn-aut-name=岡山大学医学部附属環境病態研究施設，岡山大学医学部附属病院三朝分院 kn-aut-sei=岡山大学医学部附属環境病態研究施設，岡山大学医学部附属病院三朝分院 kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil= END start-ver=1.4 cd-journal=joma no-vol=58 cd-vols= no-issue= article-no= start-page=71 end-page=72 dt-received= dt-revised= dt-accepted= dt-pub-year=1987 dt-pub=198708 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=看護部だより en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=Institute for Environmental Medicine, Okayama University Medical Scool en-aut-sei=Institute for Environmental Medicine, Okayama University Medical Scool en-aut-mei= kn-aut-name=岡山大学医学部附属環境病態研究施設，岡山大学医学部附属病院三朝分院 kn-aut-sei=岡山大学医学部附属環境病態研究施設，岡山大学医学部附属病院三朝分院 kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil= END start-ver=1.4 cd-journal=joma no-vol=59 cd-vols= no-issue= article-no= start-page=102 end-page=104 dt-received= dt-revised= dt-accepted= dt-pub-year=1988 dt-pub=198808 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Study and trailning in nursing division kn-title=看護部活動報告 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=Nursing section en-aut-sei=Nursing section en-aut-mei= kn-aut-name=三朝分院看護部 kn-aut-sei=三朝分院看護部 kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil= END start-ver=1.4 cd-journal=joma no-vol=60 cd-vols= no-issue= article-no= start-page=108 end-page=110 dt-received= dt-revised= dt-accepted= dt-pub-year=1989 dt-pub=198907 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=看護部活動報告 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=三朝分院看護部 kn-aut-sei=三朝分院看護部 kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil= END start-ver=1.4 cd-journal=joma no-vol=60 cd-vols= no-issue= article-no= start-page=103 end-page=107 dt-received= dt-revised= dt-accepted= dt-pub-year=1989 dt-pub=198907 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Application of personal computer system in nursing division. -(1) Programming for a roster- kn-title=看護部におけるパソコン活用（第一報）勤務表作成プログラムの試作 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=NakaiMutsuo en-aut-sei=Nakai en-aut-mei=Mutsuo kn-aut-name=中井睦郎 kn-aut-sei=中井 kn-aut-mei=睦郎 aut-affil-num=1 ORCID= en-aut-name=YoshidaJunko en-aut-sei=Yoshida en-aut-mei=Junko kn-aut-name=吉田順子 kn-aut-sei=吉田 kn-aut-mei=順子 aut-affil-num=2 ORCID= en-aut-name=InagakiKikuko en-aut-sei=Inagaki en-aut-mei=Kikuko kn-aut-name=稲垣喜久子 kn-aut-sei=稲垣 kn-aut-mei=喜久子 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院三朝分院 affil-num=2 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=3 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 END start-ver=1.4 cd-journal=joma no-vol=58 cd-vols= no-issue= article-no= start-page=69 end-page=70 dt-received= dt-revised= dt-accepted= dt-pub-year=1987 dt-pub=198708 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=第14回喘息児童の夏期教室へ参加して en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=高田信江 kn-aut-sei=高田 kn-aut-mei=信江 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院看護部 END start-ver=1.4 cd-journal=joma no-vol=57 cd-vols= no-issue= article-no= start-page=113 end-page=114 dt-received= dt-revised= dt-accepted= dt-pub-year=1986 dt-pub=198607 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=1600Kcalの食事を試食して en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=中村寿美江 kn-aut-sei=中村 kn-aut-mei=寿美江 aut-affil-num=1 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=石湯和子 kn-aut-sei=石湯 kn-aut-mei=和子 aut-affil-num=2 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=谷本悦子 kn-aut-sei=谷本 kn-aut-mei=悦子 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=2 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=3 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 END start-ver=1.4 cd-journal=joma no-vol=57 cd-vols= no-issue= article-no= start-page=112 end-page=112 dt-received= dt-revised= dt-accepted= dt-pub-year=1986 dt-pub=198607 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=第13回喘息児童の夏期教室へ参加して en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=山田香須美 kn-aut-sei=山田 kn-aut-mei=香須美 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 END start-ver=1.4 cd-journal=joma no-vol=62 cd-vols= no-issue= article-no= start-page=87 end-page=90 dt-received= dt-revised= dt-accepted= dt-pub-year=1991 dt-pub=199108 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=看護部活動報告 ―平成2年度― en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=三朝分院看護部 kn-aut-sei=三朝分院看護部 kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil= END start-ver=1.4 cd-journal=joma no-vol=63 cd-vols= no-issue= article-no= start-page=148 end-page=153 dt-received= dt-revised= dt-accepted= dt-pub-year=1992 dt-pub=199206 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=看護部活動報告 ―平成3年度― en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=三朝分院看護部 kn-aut-sei=三朝分院看護部 kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil= END start-ver=1.4 cd-journal=joma no-vol=63 cd-vols= no-issue= article-no= start-page=85 end-page=88 dt-received= dt-revised= dt-accepted= dt-pub-year=1992 dt-pub=199206 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The efficacy of maternity swimming to reduce　mother's weight kn-title=岡山大学医学部附属病院三朝分院における妊婦水泳 ―第５報　妊婦水泳による体重減少効果について― en-subtitle= kn-subtitle= en-abstract=The efficacy of awimming to reduce mother's weight were studided retrospectively in 107 women. Each time they swum for a hour. They were given a chance of swimming at only one time in a week. Most of them reduced their weight after the swimming. The average of the weight loss was 460 gram after each time of swimming. In women who had a chance of swimming at ten times or more, the mother's weight gain in a week when they had a chance of swimming, was statistically (p<0.01) less than the weight in a week when they didn't swim. Thus, the maternity swimming was thought to have the efficacy to reduce mother's weight. If the maternlty swimming is clinically applied for the treatment of obese pregnant women, their weight will reduce efficiently. kn-abstract=第1報において妊婦水泳に関する妊婦の認識について報告し (1) ,第2報において妊婦水泳の現状とその適応について報告した (2) ｡その後,第3報において妊婦水泳が母児の循環系におぼす影響について報告し (3) ,第4報にて出産後1年間の児の予後調査を行った (4) 。今回は,妊婦水泳による体重減少効果について検討を行った。その結果,妊婦水泳前後で平均460gの体重減少がみられた｡また水泳を10回以上行った妊婦において,水泳を行っている期間の体重増加が水泳を行っていない期間の体重増加に比べて有意に少なかった｡これより,妊婦水泳には一定の減量効果があり,肥満妊婦の治療にも応用できると考えられた。 en-copyright= kn-copyright= en-aut-name=OkudaHiroyuki en-aut-sei=Okuda en-aut-mei=Hiroyuki kn-aut-name=奥田博之 kn-aut-sei=奥田 kn-aut-mei=博之 aut-affil-num=1 ORCID= en-aut-name=TakatoriAkimasa en-aut-sei=Takatori en-aut-mei=Akimasa kn-aut-name=高取明正 kn-aut-sei=高取 kn-aut-mei=明正 aut-affil-num=2 ORCID= en-aut-name=SakataJunko en-aut-sei=Sakata en-aut-mei=Junko kn-aut-name=坂田旬子 kn-aut-sei=坂田 kn-aut-mei=旬子 aut-affil-num=3 ORCID= en-aut-name=KamimotoManabu en-aut-sei=Kamimoto en-aut-mei=Manabu kn-aut-name=上本学 kn-aut-sei=上本 kn-aut-mei=学 aut-affil-num=4 ORCID= en-aut-name=FujiiJunko en-aut-sei=Fujii en-aut-mei=Junko kn-aut-name=藤井純子 kn-aut-sei=藤井 kn-aut-mei=純子 aut-affil-num=5 ORCID= en-aut-name=DokaiChiho en-aut-sei=Dokai en-aut-mei=Chiho kn-aut-name=土海智穂 kn-aut-sei=土海 kn-aut-mei=智穂 aut-affil-num=6 ORCID= en-aut-name=TanizakiYoshiro en-aut-sei=Tanizaki en-aut-mei=Yoshiro kn-aut-name=谷崎勝朗 kn-aut-sei=谷崎 kn-aut-mei=勝朗 aut-affil-num=7 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院三朝分院産婦人科 affil-num=2 en-affil= kn-affil=岡山大学医学部附属病院三朝分院産婦人科 affil-num=3 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=4 en-affil= kn-affil=岡山大学医学部附属病院三朝分院リハビリテーション部 affil-num=5 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=6 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=7 en-affil= kn-affil=岡山大学医学部附属病院三朝分院内科 en-keyword=妊婦水泳 (Maternity Swimming) kn-keyword=妊婦水泳 (Maternity Swimming) en-keyword=体重減少 (Reduce mother's weight) kn-keyword=体重減少 (Reduce mother's weight) END start-ver=1.4 cd-journal=joma no-vol=63 cd-vols= no-issue= article-no= start-page=79 end-page=84 dt-received= dt-revised= dt-accepted= dt-pub-year=1992 dt-pub=199206 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Character, Habit and Taste of woman with coldeness in their bodies kn-title=冷え性婦人の病態生理学的検討―第3報,冷え性婦人の性格･生活習慣･食事の嗜好調査― en-subtitle= kn-subtitle= en-abstract=The character, habit and taste were studied about by means of a questionnaire survey and Cornell Medical Index in 100 women who felt cold in their part of bodies. More than 30% of the women showed the neurotic personality, They had a tendency to dislike the greasy foods, and frequently had sweet foods. More than 50% of them ordinally complained of shoulder stiffness and generalfatigue. The women who played sports weekly were less than 20%. The neurotic porsonality, the tendency to dislike the greasy foods and the lack of exercise were seemed to be the feature of their character, taste, and habit. Thus, improvement of their personality and life style may have a good effect on the coldness in women. kn-abstract=冷え性の発現は寒冷刺激に対する血管運動性体温調節と密接に関係しているが,患者の性格･生活習慣･食事の嗜好等にも関わっていると考えられる｡そこで今回は冷え性婦人100名を対象にCMl調査と35項目にのぼるアンケート調査を行った｡その結果,冷え性の増悪因子として,日頃の運動不足･神経症的性格傾向･過労･食べ物の嗜好がクローズアップされ,この面での生活指導が冷え性の治療を行っていく上で,薬物的な治療と並んで重要であることか示唆された。 en-copyright= kn-copyright= en-aut-name=TakatoriAkimasa en-aut-sei=Takatori en-aut-mei=Akimasa kn-aut-name=高取明正 kn-aut-sei=高取 kn-aut-mei=明正 aut-affil-num=1 ORCID= en-aut-name=OkudaHiroyuki en-aut-sei=Okuda en-aut-mei=Hiroyuki kn-aut-name=奥田博之 kn-aut-sei=奥田 kn-aut-mei=博之 aut-affil-num=2 ORCID= en-aut-name=SakataJunko en-aut-sei=Sakata en-aut-mei=Junko kn-aut-name=坂田旬子 kn-aut-sei=坂田 kn-aut-mei=旬子 aut-affil-num=3 ORCID= en-aut-name=FujiiJunko en-aut-sei=Fujii en-aut-mei=Junko kn-aut-name=藤井純子 kn-aut-sei=藤井 kn-aut-mei=純子 aut-affil-num=4 ORCID= en-aut-name=TanizakiYoshiro en-aut-sei=Tanizaki en-aut-mei=Yoshiro kn-aut-name=谷崎勝朗 kn-aut-sei=谷崎 kn-aut-mei=勝朗 aut-affil-num=5 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院三朝分院産婦人科 affil-num=2 en-affil= kn-affil=岡山大学医学部附属病院三朝分院産婦人科 affil-num=3 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=4 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=5 en-affil= kn-affil=岡山大学医学部附属病院三朝分院内科 en-keyword=冷え性 (Coldness in women) kn-keyword=冷え性 (Coldness in women) en-keyword=性格 (Character) kn-keyword=性格 (Character) en-keyword=生活習慣 (Habit) kn-keyword=生活習慣 (Habit) en-keyword=嗜好 (Taste) kn-keyword=嗜好 (Taste) END start-ver=1.4 cd-journal=joma no-vol=7 cd-vols= no-issue=2 article-no= start-page=149 end-page=157 dt-received= dt-revised= dt-accepted= dt-pub-year=1997 dt-pub=19970131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=A study on actual conditions of care for the elderly in urban and rural areas of Okayama prefecture kn-title=岡山県の都市部･農村部における高齢者の在宅ケアの実態 en-subtitle= kn-subtitle= en-abstract=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. kn-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｡ en-copyright= kn-copyright= en-aut-name=OhtaNiwa en-aut-sei=Ohta en-aut-mei=Niwa kn-aut-name=太田にわ kn-aut-sei=太田 kn-aut-mei=にわ aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=高齢者 (the elderly) kn-keyword=高齢者 (the elderly) en-keyword=在宅ケア (home care) kn-keyword=在宅ケア (home care) en-keyword=都市部 (urban area) kn-keyword=都市部 (urban area) en-keyword=農村部 (rural area) kn-keyword=農村部 (rural area) en-keyword=岡山県 (Okayama prefecture) kn-keyword=岡山県 (Okayama prefecture) END start-ver=1.4 cd-journal=joma no-vol=7 cd-vols= no-issue=2 article-no= start-page=135 end-page=148 dt-received= dt-revised= dt-accepted= dt-pub-year=1997 dt-pub=19970131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Psychometric assessment of the instruments for the factors relating to QOL after adult kidney transplantation kn-title=腎移植者のQOLに関係する諸概念の測定用具の作成および信頼性と妥当性の検討 en-subtitle= kn-subtitle= en-abstract=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. kn-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。 en-copyright= kn-copyright= en-aut-name=HayashiYuko en-aut-sei=Hayashi en-aut-mei=Yuko kn-aut-name=林優子 kn-aut-sei=林 kn-aut-mei=優子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=測定用具 (instrument) kn-keyword=測定用具 (instrument) en-keyword=信頼性 (reliability) kn-keyword=信頼性 (reliability) en-keyword=妥当性 (validity) kn-keyword=妥当性 (validity) END start-ver=1.4 cd-journal=joma no-vol=7 cd-vols= no-issue=2 article-no= start-page=129 end-page=134 dt-received= dt-revised= dt-accepted= dt-pub-year=1997 dt-pub=19970131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Differences in interpersonal values for three cohorts of new nursing students kn-title=看護学生における対人関係価値のコホートによる相違 en-subtitle= kn-subtitle= en-abstract=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. kn-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｡ en-copyright= kn-copyright= en-aut-name=KatoKumiko en-aut-sei=Kato en-aut-mei=Kumiko kn-aut-name=加藤久美子 kn-aut-sei=加藤 kn-aut-mei=久美子 aut-affil-num=1 ORCID= en-aut-name=KondoMasuko en-aut-sei=Kondo en-aut-mei=Masuko kn-aut-name=近藤益子 kn-aut-sei=近藤 kn-aut-mei=益子 aut-affil-num=2 ORCID= en-aut-name=TadaMasako en-aut-sei=Tada en-aut-mei=Masako kn-aut-name=多田政子 kn-aut-sei=多田 kn-aut-mei=政子 aut-affil-num=3 ORCID= en-aut-name=NagataHiroshi en-aut-sei=Nagata en-aut-mei=Hiroshi kn-aut-name=永田博 kn-aut-sei=永田 kn-aut-mei=博 aut-affil-num=4 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部 affil-num=3 en-affil= kn-affil=香川県健康民生部 affil-num=4 en-affil= kn-affil=岡山大学医療技術短期大学部 en-keyword=対人関係価値 (interpersonal values) kn-keyword=対人関係価値 (interpersonal values) en-keyword=看護学生 (nursing students) kn-keyword=看護学生 (nursing students) en-keyword=コホート (cohorts) kn-keyword=コホート (cohorts) en-keyword=社会化 (socialization) kn-keyword=社会化 (socialization) END start-ver=1.4 cd-journal=joma no-vol=7 cd-vols= no-issue=2 article-no= start-page=121 end-page=128 dt-received= dt-revised= dt-accepted= dt-pub-year=1997 dt-pub=19970131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The deveropment of introduction to nursing - The first report. From the viewpoint of Humanologies by Murtin Buber. kn-title=看護学概論の展開 ― 第1報 ｢M. ブーバーの人間学｣の視点から en-subtitle= kn-subtitle= en-abstract=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. kn-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｡ en-copyright= kn-copyright= en-aut-name=KatoKumiko en-aut-sei=Kato en-aut-mei=Kumiko kn-aut-name=加藤久美子 kn-aut-sei=加藤 kn-aut-mei=久美子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=看護学概論 (Introduction to Nursing) kn-keyword=看護学概論 (Introduction to Nursing) en-keyword=人間学 (Humanology) kn-keyword=人間学 (Humanology) en-keyword=われ―なんじの関係 (I-thou relationship) kn-keyword=われ―なんじの関係 (I-thou relationship) en-keyword=フローレンス・ナイチンゲール (Florence Nightingale) kn-keyword=フローレンス・ナイチンゲール (Florence Nightingale) END start-ver=1.4 cd-journal=joma no-vol=7 cd-vols= no-issue=2 article-no= start-page=113 end-page=120 dt-received= dt-revised= dt-accepted= dt-pub-year=1997 dt-pub=19970131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Senior high school students' recognition and interest in allied medical education of college kn-title=医療技術教育に対する高校生の認識と関心に関する研究 en-subtitle= kn-subtitle= en-abstract=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. kn-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｡ en-copyright= kn-copyright= en-aut-name=OhtaTakeo en-aut-sei=Ohta en-aut-mei=Takeo kn-aut-name=太田武夫 kn-aut-sei=太田 kn-aut-mei=武夫 aut-affil-num=1 ORCID= en-aut-name=ShimoishiYasuaki en-aut-sei=Shimoishi en-aut-mei=Yasuaki kn-aut-name=下石靖昭 kn-aut-sei=下石 kn-aut-mei=靖昭 aut-affil-num=2 ORCID= en-aut-name=KageyamaJingo en-aut-sei=Kageyama en-aut-mei=Jingo kn-aut-name=景山甚郷 kn-aut-sei=景山 kn-aut-mei=甚郷 aut-affil-num=3 ORCID= en-aut-name=ShibuyaKoichi en-aut-sei=Shibuya en-aut-mei=Koichi kn-aut-name=渋谷光一 kn-aut-sei=渋谷 kn-aut-mei=光一 aut-affil-num=4 ORCID= en-aut-name=TohgeHiroko en-aut-sei=Tohge en-aut-mei=Hiroko kn-aut-name=唐下博子 kn-aut-sei=唐下 kn-aut-mei=博子 aut-affil-num=5 ORCID= en-aut-name=EndoHiroshi en-aut-sei=Endo en-aut-mei=Hiroshi kn-aut-name=遠藤浩 kn-aut-sei=遠藤 kn-aut-mei=浩 aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部 affil-num=4 en-affil= kn-affil=岡山大学医療技術短期大学部 affil-num=5 en-affil= kn-affil=岡山大学医療技術短期大学部 affil-num=6 en-affil= kn-affil=岡山大学医療技術短期大学部 en-keyword=医療技術教育 (the allied medical education) kn-keyword=医療技術教育 (the allied medical education) en-keyword=高校生 (senior high school students) kn-keyword=高校生 (senior high school students) en-keyword=短期大学 (junior college) kn-keyword=短期大学 (junior college) en-keyword=大学 (college) kn-keyword=大学 (college) en-keyword=進学 (high school students wishing to go on to college) kn-keyword=進学 (high school students wishing to go on to college) END start-ver=1.4 cd-journal=joma no-vol=8 cd-vols= no-issue=1 article-no= start-page=85 end-page=90 dt-received= dt-revised= dt-accepted= dt-pub-year=1997 dt-pub=19970910 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Nursing students' images of the elderly before and after a two-week nursing practice kn-title=看護学生の老人施設実習前後の老人イメージ en-subtitle= kn-subtitle= en-abstract=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. kn-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｡ en-copyright= kn-copyright= en-aut-name=WatanabeKumi en-aut-sei=Watanabe en-aut-mei=Kumi kn-aut-name=渡辺久美 kn-aut-sei=渡辺 kn-aut-mei=久美 aut-affil-num=1 ORCID= en-aut-name=KondoMasuko en-aut-sei=Kondo en-aut-mei=Masuko kn-aut-name=近藤益子 kn-aut-sei=近藤 kn-aut-mei=益子 aut-affil-num=2 ORCID= en-aut-name=OhtaNiwa en-aut-sei=Ohta en-aut-mei=Niwa kn-aut-name=太田にわ kn-aut-sei=太田 kn-aut-mei=にわ aut-affil-num=3 ORCID= en-aut-name=IkedaToshiko en-aut-sei=Ikeda en-aut-mei=Toshiko kn-aut-name=池田敏子 kn-aut-sei=池田 kn-aut-mei=敏子 aut-affil-num=4 ORCID= en-aut-name=MaedaMakiko en-aut-sei=Maeda en-aut-mei=Makiko kn-aut-name=前田真紀子 kn-aut-sei=前田 kn-aut-mei=真紀子 aut-affil-num=5 ORCID= en-aut-name=OhtaTakeo en-aut-sei=Ohta en-aut-mei=Takeo kn-aut-name=太田武夫 kn-aut-sei=太田 kn-aut-mei=武夫 aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=4 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=5 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=6 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=老人 (elderly) kn-keyword=老人 (elderly) en-keyword=イメージ (images) kn-keyword=イメージ (images) en-keyword=看護学生 (nursing students) kn-keyword=看護学生 (nursing students) en-keyword=看護実習 (nursing practice) kn-keyword=看護実習 (nursing practice) en-keyword=看護教育 (nursing education) kn-keyword=看護教育 (nursing education) END start-ver=1.4 cd-journal=joma no-vol=8 cd-vols= no-issue=1 article-no= start-page=77 end-page=84 dt-received= dt-revised= dt-accepted= dt-pub-year=1997 dt-pub=19970910 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Food intake and nutrients intake of nursing student. kn-title=看護学生の食品摂取量と栄養摂取状況 en-subtitle= kn-subtitle= en-abstract=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. kn-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｡ en-copyright= kn-copyright= en-aut-name=HoshinaEiko en-aut-sei=Hoshina en-aut-mei=Eiko kn-aut-name=保科英子 kn-aut-sei=保科 kn-aut-mei=英子 aut-affil-num=1 ORCID= en-aut-name=OhtaNiwa en-aut-sei=Ohta en-aut-mei=Niwa kn-aut-name=太田にわ kn-aut-sei=太田 kn-aut-mei=にわ aut-affil-num=2 ORCID= en-aut-name=OhtaTakeo en-aut-sei=Ohta en-aut-mei=Takeo kn-aut-name=太田武夫 kn-aut-sei=太田 kn-aut-mei=武夫 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=看護学生 (nursing students) kn-keyword=看護学生 (nursing students) en-keyword=食品摂取量 (food intake) kn-keyword=食品摂取量 (food intake) en-keyword=栄養摂取量 (nutrients intake) kn-keyword=栄養摂取量 (nutrients intake) END start-ver=1.4 cd-journal=joma no-vol=8 cd-vols= no-issue=1 article-no= start-page=69 end-page=76 dt-received= dt-revised= dt-accepted= dt-pub-year=1997 dt-pub=19970910 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=An analysis of quitting behavior and desire to quit of nurses. kn-title=看護職における離職の実態及び離･転職願望と諸要因との関係 en-subtitle= kn-subtitle= en-abstract=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. kn-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｡ en-copyright= kn-copyright= en-aut-name=HayashiYuko en-aut-sei=Hayashi en-aut-mei=Yuko kn-aut-name=猪下光 kn-aut-sei=猪下 kn-aut-mei=光 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=看護職 (nurses) kn-keyword=看護職 (nurses) en-keyword=離職の理由 (resign) kn-keyword=離職の理由 (resign) en-keyword=離・転職願望の背景 (desired resign) kn-keyword=離・転職願望の背景 (desired resign) END start-ver=1.4 cd-journal=joma no-vol=8 cd-vols= no-issue=1 article-no= start-page=61 end-page=68 dt-received= dt-revised= dt-accepted= dt-pub-year=1997 dt-pub=19970910 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The relationships between the components in QOL causal model of kidney posttransplant recipients and recipient characteristics. kn-title=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 en-subtitle= kn-subtitle= en-abstract=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. kn-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｡ en-copyright= kn-copyright= en-aut-name=HayashiYuko en-aut-sei=Hayashi en-aut-mei=Yuko kn-aut-name=林優子 kn-aut-sei=林 kn-aut-mei=優子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=QOL (quality of life) kn-keyword=QOL (quality of life) en-keyword=対処 (coping) kn-keyword=対処 (coping) en-keyword=対処に影響を及ぼす要因 (affecting factors on the coping) kn-keyword=対処に影響を及ぼす要因 (affecting factors on the coping) en-keyword=レシピエント特性 (recipient characteristics) kn-keyword=レシピエント特性 (recipient characteristics) END start-ver=1.4 cd-journal=joma no-vol=8 cd-vols= no-issue=1 article-no= start-page=49 end-page=59 dt-received= dt-revised= dt-accepted= dt-pub-year=1997 dt-pub=19970910 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The development of introduction to nursing - The second report. Nursing educational counseling to understand I-thau relationship. kn-title=看護学概論の展開―第2報 ｢われ―なんじ｣の関係を理解するための看護教育面接 en-subtitle= kn-subtitle= en-abstract=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. kn-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｡ en-copyright= kn-copyright= en-aut-name=KatoKumiko en-aut-sei=Kato en-aut-mei=Kumiko kn-aut-name=加藤久美子 kn-aut-sei=加藤 kn-aut-mei=久美子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=看護学概論 (introduction to nursing) kn-keyword=看護学概論 (introduction to nursing) en-keyword=われ―なんじの関係 (I-thou relationship) kn-keyword=われ―なんじの関係 (I-thou relationship) en-keyword=人間尊重 (human respect) kn-keyword=人間尊重 (human respect) en-keyword=看護 (nursing) kn-keyword=看護 (nursing) END start-ver=1.4 cd-journal=joma no-vol=8 cd-vols= no-issue=1 article-no= start-page=43 end-page=48 dt-received= dt-revised= dt-accepted= dt-pub-year=1997 dt-pub=19970910 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Views concerning nursing and nursing course of senior high school guidance teachers kn-title=進路指導を行う高校教師の看護職についての認識 en-subtitle= kn-subtitle= en-abstract=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. kn-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。 en-copyright= kn-copyright= en-aut-name=OhtaTakeo en-aut-sei=Ohta en-aut-mei=Takeo kn-aut-name=太田武夫 kn-aut-sei=太田 kn-aut-mei=武夫 aut-affil-num=1 ORCID= en-aut-name=ShimoishiYasuaki en-aut-sei=Shimoishi en-aut-mei=Yasuaki kn-aut-name=下石靖昭 kn-aut-sei=下石 kn-aut-mei=靖昭 aut-affil-num=2 ORCID= en-aut-name=KageyamaJingo en-aut-sei=Kageyama en-aut-mei=Jingo kn-aut-name=景山甚郷 kn-aut-sei=景山 kn-aut-mei=甚郷 aut-affil-num=3 ORCID= en-aut-name=ShibuyaKoichi en-aut-sei=Shibuya en-aut-mei=Koichi kn-aut-name=渋谷光一 kn-aut-sei=渋谷 kn-aut-mei=光一 aut-affil-num=4 ORCID= en-aut-name=TohgeHiroko en-aut-sei=Tohge en-aut-mei=Hiroko kn-aut-name=唐下博子 kn-aut-sei=唐下 kn-aut-mei=博子 aut-affil-num=5 ORCID= en-aut-name=EndoHiroshi en-aut-sei=Endo en-aut-mei=Hiroshi kn-aut-name=遠藤浩 kn-aut-sei=遠藤 kn-aut-mei=浩 aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部 affil-num=4 en-affil= kn-affil=岡山大学医療技術短期大学部 affil-num=5 en-affil= kn-affil=岡山大学医療技術短期大学部 affil-num=6 en-affil= kn-affil=岡山大学医療技術短期大学部 en-keyword=看護課程 (nursing course) kn-keyword=看護課程 (nursing course) en-keyword=看護 (nursing) kn-keyword=看護 (nursing) en-keyword=看護婦 kn-keyword=看護婦 en-keyword=高校教師 (high school teacher) kn-keyword=高校教師 (high school teacher) en-keyword=進路指導 kn-keyword=進路指導 en-keyword=high school student kn-keyword=high school student END start-ver=1.4 cd-journal=joma no-vol=8 cd-vols= no-issue=1 article-no= start-page=7 end-page=16 dt-received= dt-revised= dt-accepted= dt-pub-year=1997 dt-pub=19970910 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The roles and the position of nurses in the renal transplant nursing kn-title=腎移植看護における看護婦の役割とその位置づけ en-subtitle= kn-subtitle= en-abstract=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. kn-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｡ en-copyright= kn-copyright= en-aut-name=HayashiYuko en-aut-sei=Hayashi en-aut-mei=Yuko kn-aut-name=林優子 kn-aut-sei=林 kn-aut-mei=優子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=腎移植看護 (renal transplant nursing) kn-keyword=腎移植看護 (renal transplant nursing) en-keyword=腎移植看護のフィロソフィー (philosophy of transplant nursing) kn-keyword=腎移植看護のフィロソフィー (philosophy of transplant nursing) en-keyword=チーム医療 (medical care as a team) kn-keyword=チーム医療 (medical care as a team) en-keyword=レシピエントと家族 (recipients and their family) kn-keyword=レシピエントと家族 (recipients and their family) en-keyword=ドナー (donors) kn-keyword=ドナー (donors) END start-ver=1.4 cd-journal=joma no-vol=9 cd-vols= no-issue=1 article-no= start-page=33 end-page=39 dt-received= dt-revised= dt-accepted= dt-pub-year=1998 dt-pub=19980930 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The relation of Ikigai (the meaning of one's life) to one's behavioral pattern and belief, researched through the elderly persons at their discharge from hospital kn-title=老人の退院時における生きがいと生活行動および生活信条との関連 en-subtitle= kn-subtitle= en-abstract=There have been few researches about Ikigai of the elderly at the time of leaving the hospital and about the ways of their home nursing care. The purpose of this study is to clarify the relation of Ikigai to one's behavioral pattern and belief. In three national university hospitals and a general hospital in Chugoku region and Shikoku region, ninety-two patients above the age of 70, ready to discharge, were interviewed and given a questionnaire. The questions were about their body condition, behavioral pattern, and belief, and their Ikigai. More than eighty percent of them seem to lead a life worth living at the time of leaving the hospital. The behavioral pattern scores on the "working as a volunteer" and "growing plants" are on a high level of Ikigai. The belief scores on the "enjoy every day" is also on a high level of Ikigai. In this paper the result of this interview is reported and a better nursing care for them is discussed. kn-abstract=退院を控えた老人が,どの程度生きがいを持って退院していくのか,老人自身のどのような生き方が生きがいに影響しているのかについて知るため,それまでの健康状態や,生活信条,生活行動について,退院許可の出た70歳以上の患者92名を対象として,独自の調査用紙に基づき面接調査を行った｡生きが いとこれまでの健康度,生活信条,生活行動の関連性を,分散分析及びt検定により解析した｡生きがいの平均得点が高かった生活行動は｢ボランティア｣で,続いて｢植物｣であった。生きがいの平均得点が高かった生活信条は｢その日を楽しく生きる｣と回答した人が,回答しなかった人との間に有意差があり,老人の退院時の生きがいの得点が高い傾向を示すことが明らかとなった｡ en-copyright= kn-copyright= en-aut-name=WatanabeKumi en-aut-sei=Watanabe en-aut-mei=Kumi kn-aut-name=渡辺久美 kn-aut-sei=渡辺 kn-aut-mei=久美 aut-affil-num=1 ORCID= en-aut-name=NakanishiYoshiko en-aut-sei=Nakanishi en-aut-mei=Yoshiko kn-aut-name=中西代志子 kn-aut-sei=中西 kn-aut-mei=代志子 aut-affil-num=2 ORCID= en-aut-name=IkedaToshiko en-aut-sei=Ikeda en-aut-mei=Toshiko kn-aut-name=池田敏子 kn-aut-sei=池田 kn-aut-mei=敏子 aut-affil-num=3 ORCID= en-aut-name=TakataSetuko en-aut-sei=Takata en-aut-mei=Setuko kn-aut-name=高田節子 kn-aut-sei=高田 kn-aut-mei=節子 aut-affil-num=4 ORCID= en-aut-name=KondoMasuko en-aut-sei=Kondo en-aut-mei=Masuko kn-aut-name=近藤益子 kn-aut-sei=近藤 kn-aut-mei=益子 aut-affil-num=5 ORCID= en-aut-name=OhtaNiwa en-aut-sei=Ohta en-aut-mei=Niwa kn-aut-name=太田にわ kn-aut-sei=太田 kn-aut-mei=にわ aut-affil-num=6 ORCID= en-aut-name=InoshitaHikari en-aut-sei=Inoshita en-aut-mei=Hikari kn-aut-name=猪下光 kn-aut-sei=猪下 kn-aut-mei=光 aut-affil-num=7 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=4 en-affil= kn-affil=広島県立保健福祉短期大学 affil-num=5 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=6 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=7 en-affil= kn-affil=香川医科大学医学部看護学科 en-keyword=老人 (the elderly) kn-keyword=老人 (the elderly) en-keyword=生きがい (Ikigai) kn-keyword=生きがい (Ikigai) en-keyword=生活信条 (belief) kn-keyword=生活信条 (belief) en-keyword=生活行動 (behavioral pattern) kn-keyword=生活行動 (behavioral pattern) END start-ver=1.4 cd-journal=joma no-vol=9 cd-vols= no-issue=1 article-no= start-page=23 end-page=31 dt-received= dt-revised= dt-accepted= dt-pub-year=1998 dt-pub=19980930 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Present status of home health nursing in a Japanese hospital-based home health care agency kn-title=在宅看護における訪問看護内容の検討 ―病院を基盤とする訪問看護ステーションの事例調査― en-subtitle= kn-subtitle= en-abstract=We investigated the present status of home health nursing in a Japanese hospital-based home health care agency, to clarify present problems in home health nursing and to assess the roles of home health nurses. Based on our results, ADL of care recipients who lived alone were clearly independent compared with care recipients who lived with family care-givers. The level of ADL of both care recipients who lived with their spouses and those who lived with more than 2 family members were not different. It indicates that aged family care-givers assume great responsibility. In cases of bedridden recipients,daily life care was performed at a high rate, but mental care or teaching care was performed at a low rate. Home health nurses should focus on primary preventive care, mental care for recipients and care-givers, and teaching care or management of a care plan. kn-abstract=病院を基盤とした在宅看護提供機関における在宅看護の現状を調査し,在宅看護の現在の問題点を明らかにするとともに,在宅看護に携わる看護婦の役割について検討した｡本調査の結果,一人暮らしの患者は,家族に介護者のいる患者に比べ明らかにADLが高い場合も訪問看護を受けていることが分かった｡また,高齢者夫婦二人暮らしの患者と2世代以上家族の患者のADLに差はなく,このことは,高齢の介護者に相当の負担がかかっていると言える｡訪問看護内容としては, 日常生活自立度の低い患者への日常生活援助の実施率は高く,精神的支援や指導的看護技術の実施率は低かった｡在宅看護に携わる看護婦は, 日常生活援助に追われがちであるが,一次予防に焦点を当てたケア,患者や介護者の精神的支援,指導,ケアマネジメントを行うことは緊急の課題である｡ en-copyright= kn-copyright= en-aut-name=SatoYoshie en-aut-sei=Sato en-aut-mei=Yoshie kn-aut-name=佐藤美恵 kn-aut-sei=佐藤 kn-aut-mei=美恵 aut-affil-num=1 ORCID= en-aut-name=TakahashiKayo en-aut-sei=Takahashi en-aut-mei=Kayo kn-aut-name=高橋香代 kn-aut-sei=高橋 kn-aut-mei=香代 aut-affil-num=2 ORCID= en-aut-name=IkedaToshiko en-aut-sei=Ikeda en-aut-mei=Toshiko kn-aut-name=池田敏子 kn-aut-sei=池田 kn-aut-mei=敏子 aut-affil-num=3 ORCID= en-aut-name=MatsuedaMutsumi en-aut-sei=Matsueda en-aut-mei=Mutsumi kn-aut-name=松枝睦美 kn-aut-sei=松枝 kn-aut-mei=睦美 aut-affil-num=4 ORCID= en-aut-name=YanagawaKanou en-aut-sei=Yanagawa en-aut-mei=Kanou kn-aut-name=柳川協 kn-aut-sei=柳川 kn-aut-mei=協 aut-affil-num=5 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学教育学部 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=4 en-affil= kn-affil=岡山大学大学院教育学研究科 affil-num=5 en-affil= kn-affil=岡山大学教育学部 en-keyword=訪問看護 (home health nursing) kn-keyword=訪問看護 (home health nursing) en-keyword=看護内容 (nursing care) kn-keyword=看護内容 (nursing care) en-keyword=看護婦 (nurse) kn-keyword=看護婦 (nurse) END start-ver=1.4 cd-journal=joma no-vol=9 cd-vols= no-issue=1 article-no= start-page=15 end-page=21 dt-received= dt-revised= dt-accepted= dt-pub-year=1998 dt-pub=19980930 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Trends in quality of life of in-unit hemodialysis patients kn-title=外来透析者のQOLの傾向 en-subtitle= kn-subtitle= en-abstract=The purpose of this study is to clarify the quality of life (QOL) of in-unit hemodialysis patients. The subjects were 341 in-unit hemodialysis patients who agreed to participate in this study from four hospitals in Nagoya, Osaka, Okayama, and Hirosima. The Ferrans and Powers Quality of Life Index (QLI) Hemodialysis version (an authorised translation into Japanese) was used for measuring perceived quality of life. By factor analysis, 'socio-economic functioning', 'support from family and others', 'well-being of mind', 'physical health' and 'medical treatment and education' were extracted as five factors of the QOL. The QOL score on the 'support from family and others' was the highest of all, whereas 'physical health' and 'socio-economic functioning' were lower than other three factors. These results showed importance of physical and social dimensions in caring hemodialysis patients in clinical practice. kn-abstract=本研究の目的は,外来透析者の主観的な評価によりQOLを測定し,そのQOLの傾向を明らかにすることである。対象者は,名古屋･大阪･岡山･広島の4施設における外来透析者で,研究に同意を得られた341名とし,研究方法は,自己記入式質問紙法を用いた｡測定用具は,Ferrans & PowersのQuality of Life Index (QLI)を翻訳して用い,データ分析はプロマックス法による因子分析を行なった｡QLI項目を因子分析した結果,｢社会･経済的な機能｣｢家族･他者からの支え｣｢心の安寧｣｢身体の健康｣｢医療と教育｣の5因子が抽出された｡そして,｢家族･他者からの支え｣および｢医療と教育｣はQLI得点が高く,｢社会･経済的な機能｣および｢身体の健康｣は低いことが明らかになった｡従って,QOLを高めるためには,社会的側面や身体面をより重視して看護していくことが重要であると考えられた｡ en-copyright= kn-copyright= en-aut-name=KobayashiYuu en-aut-sei=Kobayashi en-aut-mei=Yuu kn-aut-name=小林有 kn-aut-sei=小林 kn-aut-mei=有 aut-affil-num=1 ORCID= en-aut-name=HayashiYuko en-aut-sei=Hayashi en-aut-mei=Yuko kn-aut-name=林優子 kn-aut-sei=林 kn-aut-mei=優子 aut-affil-num=2 ORCID= en-aut-name=KanaoNaomi en-aut-sei=Kanao en-aut-mei=Naomi kn-aut-name=金尾直美 kn-aut-sei=金尾 kn-aut-mei=直美 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=透析看護 (hemodialysis patient) kn-keyword=透析看護 (hemodialysis patient) en-keyword=QOL (quality of life) kn-keyword=QOL (quality of life) en-keyword=満足度と重要度 (factor analysis) kn-keyword=満足度と重要度 (factor analysis) END start-ver=1.4 cd-journal=joma no-vol=9 cd-vols= no-issue=1 article-no= start-page=9 end-page=14 dt-received= dt-revised= dt-accepted= dt-pub-year=1998 dt-pub=19980930 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Relationships between the QOL components in kidney posttransplant recipients and their demographic characteristics kn-title=腎移植を受けたレシピエントのQOL構成要素とレシピエント属性との関係 en-subtitle= kn-subtitle= en-abstract=This study analyzed the relationships between QOL components in kidney posttransplant recipients and their demographic characteristics. The subjects were 329 resipients receiving a kidney transplant. QOL was analyzed using the Ferrans and Powers QLI kidney transplant version. Recipient's age, gender, marital status, job status, time since transplant, and type of kideny transplant were related to the QOL components. We believe that the findings are useful to provide information which must be considered, caring kidney posttransplant recipients. kn-abstract=本研究の目的は,レシピエントのQOL向上を目指した看護援助を行っていく上で,考慮すべきレシピエントの属性を明らかにすることである｡腎移植を受けたレシピエント329名を対象に,QOL(Ferrans and PowersのQuality of Life Index-kidney transplant version)及びレシピエント属性を分析した｡その結果,QOL構成要素別に見た考慮すべき属性は,①『社会･経済的な機能』,『家族の絆』,『情緒的な支え』,『安らぎと幸福』における年齢｡②『社会･経済的な機能』,『家族の絆』,『情緒的な支え』,『安らぎと幸福』における婚姻状況。③『社会的･経済的な機能』,『身体の健康』における就労状況。④『情緒的な支え』における移植後年数｡⑤『家族の絆』,『情緒的な支え』,『安らぎと幸福』における性別｡⑥『安らぎと幸福』におけるドナー腎の種類であった｡ en-copyright= kn-copyright= en-aut-name=HoshinaEiko en-aut-sei=Hoshina en-aut-mei=Eiko kn-aut-name=保科英子 kn-aut-sei=保科 kn-aut-mei=英子 aut-affil-num=1 ORCID= en-aut-name=HayashiYuko en-aut-sei=Hayashi en-aut-mei=Yuko kn-aut-name=林優子 kn-aut-sei=林 kn-aut-mei=優子 aut-affil-num=2 ORCID= en-aut-name=NakanishiYoshiko en-aut-sei=Nakanishi en-aut-mei=Yoshiko kn-aut-name=中西代志子 kn-aut-sei=中西 kn-aut-mei=代志子 aut-affil-num=3 ORCID= en-aut-name=KanaoNaomi en-aut-sei=Kanao en-aut-mei=Naomi kn-aut-name=金尾直美 kn-aut-sei=金尾 kn-aut-mei=直美 aut-affil-num=4 ORCID= en-aut-name=WatanabeKumi en-aut-sei=Watanabe en-aut-mei=Kumi kn-aut-name=渡邉久美 kn-aut-sei=渡邉 kn-aut-mei=久美 aut-affil-num=5 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=4 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=5 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=腎移植 (kidney transplant) kn-keyword=腎移植 (kidney transplant) en-keyword=QOL構成要素 (QOL components) kn-keyword=QOL構成要素 (QOL components) en-keyword=レシピエント属性 (recipient demographic characteristics) kn-keyword=レシピエント属性 (recipient demographic characteristics) END start-ver=1.4 cd-journal=joma no-vol=8 cd-vols= no-issue=2 article-no= start-page=157 end-page=164 dt-received= dt-revised= dt-accepted= dt-pub-year=1998 dt-pub=19980131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Reactions of pulmonary emphysema patients before and after VRS - Forcusing on the rehabilitation, activity, surgery - kn-title=肺気腫患者のVRS手術前後に示す反応 ―リハビリ,活動,手術に焦点を当てて― en-subtitle= kn-subtitle= en-abstract=Pulmonary emphysema has been mainly treated with medicine, but recently VRS(volume reduction surgery) has been receiving much attention. In nursing care for VRS patients, it is important to help the patient improve his/her daily activities and recover physical function smoothly after surgery. The purpose of this study is to clarify the reactions of pulmonary emphysema patients before and after VRS for appropriate nursing. The subjects were eight pulmonary emphysema patients at a ward in Okayama University Hospital, but six of them completed both before and after VRS data collection. The data were collected by interview and observation, and from medical and nursing records. Contents of the interview included rehabilitation, daily activities, respiratory symptoms, operative stress, and so on. The results were as follows : , , , and on rehabilitation, on activity, , , , , and on surgery were extracted as pre-operative patients's reactions. on rehabilitation, on activity, and on surgery, on future were extracted as post-operative patients's reactions. kn-abstract=今まで内科的治療が主体であった肺気腫に対して,近年外科的治療(Volume Reduction Surgery 以後VRSと略す)が行われるようになった｡VRSを受ける患者の看護では,手術前後において, リハビリテーション(以後リハビリと略す)や機能回復に向けてのケアが必要不可欠とされる。そこで,本研究は肺気腫患者の適切な看護援助を検討するために,手術前後に示す肺気腫患者のリハビリや活動に対する反応を明らかにすることを目的とした｡対象者は当病棟に入院している肺気腫患者8名(VRS手術前8名,手術後はそのうちの6名である)で, リハビリ, 日常生活活動,呼吸,手術などについて,面接ならびに観察による調査を行った｡分析の結果,手術前においてリハビリでは≪義務感≫,頑張って行えば呼吸が楽になるという≪期待感≫,≪サポート≫,≪不安≫が,活動では≪活動の制限≫,手術では呼吸が楽になるのではという≪期待感≫,≪おまかせ≫,≪いちかばちかの賭け≫,≪不安≫,≪回復に向けての欲求の高まり≫が明らかになった｡手術後においてリハビリでは≪呼吸が楽になるための手段≫が, 日常生活活動では≪今の状態よりは良くなると いう期待感≫が,手術では≪達成感≫ と≪身体的苦痛≫が,将来については≪ささやかな欲求≫が明らかになった｡ en-copyright= kn-copyright= en-aut-name=KatoShoko en-aut-sei=Kato en-aut-mei=Shoko kn-aut-name=加藤晶子 kn-aut-sei=加藤 kn-aut-mei=晶子 aut-affil-num=1 ORCID= en-aut-name=YubaShigeko en-aut-sei=Yuba en-aut-mei=Shigeko kn-aut-name=弓場茂子 kn-aut-sei=弓場 kn-aut-mei=茂子 aut-affil-num=2 ORCID= en-aut-name=FujiiReiko en-aut-sei=Fujii en-aut-mei=Reiko kn-aut-name=藤井玲子 kn-aut-sei=藤井 kn-aut-mei=玲子 aut-affil-num=3 ORCID= en-aut-name=TatsugamiSatoko en-aut-sei=Tatsugami en-aut-mei=Satoko kn-aut-name=立神聡子 kn-aut-sei=立神 kn-aut-mei=聡子 aut-affil-num=4 ORCID= en-aut-name=TakemasuMiki en-aut-sei=Takemasu en-aut-mei=Miki kn-aut-name=竹升美紀 kn-aut-sei=竹升 kn-aut-mei=美紀 aut-affil-num=5 ORCID= en-aut-name=KosoNaho en-aut-sei=Koso en-aut-mei=Naho kn-aut-name=高祖奈穂 kn-aut-sei=高祖 kn-aut-mei=奈穂 aut-affil-num=6 ORCID= en-aut-name=HayashiYuko en-aut-sei=Hayashi en-aut-mei=Yuko kn-aut-name=林優子 kn-aut-sei=林 kn-aut-mei=優子 aut-affil-num=7 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院 affil-num=2 en-affil= kn-affil=岡山大学医学部附属病院 affil-num=3 en-affil= kn-affil=岡山大学医学部附属病院 affil-num=4 en-affil= kn-affil=岡山大学医学部附属病院 affil-num=5 en-affil= kn-affil=岡山大学医学部附属病院 affil-num=6 en-affil= kn-affil=岡山大学医学部附属病院 affil-num=7 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=肺気腫患者 (pulmonary emphysema patients) kn-keyword=肺気腫患者 (pulmonary emphysema patients) en-keyword=VRS (volume reduction surgery) kn-keyword=VRS (volume reduction surgery) en-keyword=手術前後の患者の反応 (reactions of pulmonary emphysema patients) kn-keyword=手術前後の患者の反応 (reactions of pulmonary emphysema patients) END start-ver=1.4 cd-journal=joma no-vol=8 cd-vols= no-issue=2 article-no= start-page=147 end-page=155 dt-received= dt-revised= dt-accepted= dt-pub-year=1998 dt-pub=19980131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Evaluation of adult nursing practices using self-assessment form - analysis in 3rd and 5th weeks of practice - kn-title=学生の自己評価による成人看護実習の達成度 ―3週後･5週後の自己評価結果の分析― en-subtitle= kn-subtitle= en-abstract=The purpose of this study was to evaluate the adult nursing practices using a self-assessment form. Seventy-four third-grade nursing students assessed 11 items in the 3rd and 5th weeks of practice. The scores of all assessment items in the 5th week were significantly higher than these in the 3rd week. The lowest scoreing item at both 3rd and 5th weeks was understanding of the utility of social resources. The students assigned patients with malignant diseases reported higher scores on 3 assessment items. These findings suggest that students should share their experiences and learn about social resources during clinical practice. kn-abstract=この研究目的は,実習目標の達成度に対する学生の自己評価を明らかにすることである｡調査対象は短大の看護学科3年生74名である｡調査は自記式の調査票により成人看護実習の3週後と終了時の5週後に行った｡この自己評価は実習目標11項目について5件法で行った｡その結果,患者理解,患者指導,自己の内面の気づきなど目標は,3週後より5週間の実習によってより評価が高くなった｡最も自己評価が低いのは社会資源の活用の理解であった｡悪性の患者を受け持った学生の方は良性の患者の受け持ち学生より,人間としての態度や死生観などに関して5週後有意に高値であった｡今後の課題は,限られた実習期間内で,学生個々の経験をどのように共有させるかや患者の福祉について理解を深めることである｡ en-copyright= kn-copyright= en-aut-name=OhtaNiwa en-aut-sei=Ohta en-aut-mei=Niwa kn-aut-name=太田にわ kn-aut-sei=太田 kn-aut-mei=にわ aut-affil-num=1 ORCID= en-aut-name=IkedaToshiko en-aut-sei=Ikeda en-aut-mei=Toshiko kn-aut-name=池田敏子 kn-aut-sei=池田 kn-aut-mei=敏子 aut-affil-num=2 ORCID= en-aut-name=OhiNobuko en-aut-sei=Ohi en-aut-mei=Nobuko kn-aut-name=大井伸子 kn-aut-sei=大井 kn-aut-mei=伸子 aut-affil-num=3 ORCID= en-aut-name=KageyamaJingo en-aut-sei=Kageyama en-aut-mei=Jingo kn-aut-name=景山甚郷 kn-aut-sei=景山 kn-aut-mei=甚郷 aut-affil-num=4 ORCID= en-aut-name=KanaoNaomi en-aut-sei=Kanao en-aut-mei=Naomi kn-aut-name=金尾直美 kn-aut-sei=金尾 kn-aut-mei=直美 aut-affil-num=5 ORCID= en-aut-name=KobayashiYu en-aut-sei=Kobayashi en-aut-mei=Yu kn-aut-name=小林有 kn-aut-sei=小林 kn-aut-mei=有 aut-affil-num=6 ORCID= en-aut-name=HayashiYuko en-aut-sei=Hayashi en-aut-mei=Yuko kn-aut-name=林優子 kn-aut-sei=林 kn-aut-mei=優子 aut-affil-num=7 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=4 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=5 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=6 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=7 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=実習目標 (goal in practice) kn-keyword=実習目標 (goal in practice) en-keyword=自己評価 (self-assessment) kn-keyword=自己評価 (self-assessment) en-keyword=成人看護実習 (adult nursing practice) kn-keyword=成人看護実習 (adult nursing practice) en-keyword=看護学生 (nursing student) kn-keyword=看護学生 (nursing student) en-keyword=実習期間 (period of practice) kn-keyword=実習期間 (period of practice) END start-ver=1.4 cd-journal=joma no-vol=8 cd-vols= no-issue=2 article-no= start-page=137 end-page=146 dt-received= dt-revised= dt-accepted= dt-pub-year=1998 dt-pub=19980131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Pre-operative anxiety and nursing care - Through two students'case studies on surgical patients - kn-title=手術を受ける患者の術前不安の理解と看護援助 ―受け持った手術患者の事例研究を通して学生が学んだこと― en-subtitle= kn-subtitle= en-abstract=Pre-operative nursing is to care and educate a patient so that he/she can undergo an operation at ease and in safety and recover quickly after surgery. One of the pre-operative nursing is to relieve anxiety. It's very important for pre-operative nursing to assess pre-operative anxiety and do the nursing action according to patient's anxiety level. Nursing student seems to have much understanding of pre-operative anxiety through observing a patient's behavior, talking with a patient, and caring a patient in clinical practice. Two students'case studies on surgical patients are presented in this paper. This paper shows how they promote deeper understanding of pre-operative anxiety and the nursing care is promoted by observing the patient and listening objectively to what the patient says and giving appropriate feedback. kn-abstract=手術前の看護は,患者が安全･安楽に手術を受けることができ,術後の回復過程がスムーズにいくように援助することである.その看護の一つとして術前不安の緩和に向けての援助がある。その人の不安レベルに応じた適切な看護援助を行うためには,患者の不安を正しくアセスメントすることが重要になる｡看護学生にとって,患者の不安への理解は,臨床実習の場で,患者を観察したり,患者と向き合って話を交わしたり,ケアを行ったりする体験を通して培われていくものであると思われる｡本論文では,2名の学生が行った術前不安に関する事例研究から,客観的に分析する方法を用いて患者を観察したり, 患者の話を聞いたり,看護行為を行うことによって,術前不安と看護援助の理解が深められることを論述した｡ en-copyright= kn-copyright= en-aut-name=HayashiYuko en-aut-sei=Hayashi en-aut-mei=Yuko kn-aut-name=林優子 kn-aut-sei=林 kn-aut-mei=優子 aut-affil-num=1 ORCID= en-aut-name=OkazakiMegumi en-aut-sei=Okazaki en-aut-mei=Megumi kn-aut-name=岡崎恵 kn-aut-sei=岡崎 kn-aut-mei=恵 aut-affil-num=2 ORCID= en-aut-name=SumiKumiko en-aut-sei=Sumi en-aut-mei=Kumiko kn-aut-name=角公美子 kn-aut-sei=角 kn-aut-mei=公美子 aut-affil-num=3 ORCID= en-aut-name=SatoYoshie en-aut-sei=Sato en-aut-mei=Yoshie kn-aut-name=佐藤美恵 kn-aut-sei=佐藤 kn-aut-mei=美恵 aut-affil-num=4 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学医学部附属病院 affil-num=3 en-affil= kn-affil=島根県立総合看護学院 affil-num=4 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=CABGを受ける患者 (Coronary artery bypass grafting patient) kn-keyword=CABGを受ける患者 (Coronary artery bypass grafting patient) en-keyword=右肺下葉切除術を受ける患者 (Robectomy patient) kn-keyword=右肺下葉切除術を受ける患者 (Robectomy patient) en-keyword=術前不安 (Pre-operative anxiety) kn-keyword=術前不安 (Pre-operative anxiety) en-keyword=術前不安への看護援助 (Nursing care) kn-keyword=術前不安への看護援助 (Nursing care) END start-ver=1.4 cd-journal=joma no-vol=8 cd-vols= no-issue=2 article-no= start-page=131 end-page=136 dt-received= dt-revised= dt-accepted= dt-pub-year=1998 dt-pub=19980131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Introduction of thickened food for patient with dysphagia after surgical treatment for tumor in oral cavity kn-title=口腔腫瘍術後患者の摂食障害に対するとろみ食の導入 en-subtitle= kn-subtitle= en-abstract=Following an operation to remove a tumor in the oral cavity, a patient with dysphagia who had received IVH and intubation feeding for 21 days, was given food thickened with proceeded starch and dextrin (Tromelin). The patient acceptance was good and he could chew and swallow safely and easily than if given ordinary food. The psychological and emotional effects of such postoperational care are also discussed. kn-abstract=口腔腫瘍術後患者は,程度に差はあるが,嚥下･摂食障害をきたしやすい｡その経口摂取開始初期の栄養について,患者が満足して,より快適に摂取でき,経口のみで栄養が満たされるような食事を工夫した｡そのためには,食べやすさを増すためにトロメリンでとろみをつけ, また,食べ残しがないように患者の嗜好を取り入れた｡そして,この嗜好を取り入れたとろみ食を, 口腔腫瘍術後患者一例に提供した｡その結果, とろみ食は,食べやすく,全量摂取でき,良好な栄養状態を維持し,口内の移植皮弁へのトラブルもなく有効であるという結果が得られた｡また,患者が意欲や自信を持つという精神面への効果も見られた｡ en-copyright= kn-copyright= en-aut-name=MoriMisayo en-aut-sei=Mori en-aut-mei=Misayo kn-aut-name=森繰代 kn-aut-sei=森 kn-aut-mei=繰代 aut-affil-num=1 ORCID= en-aut-name=EguchiTomomi en-aut-sei=Eguchi en-aut-mei=Tomomi kn-aut-name=江口智美 kn-aut-sei=江口 kn-aut-mei=智美 aut-affil-num=2 ORCID= en-aut-name=ShimizuYoshie en-aut-sei=Shimizu en-aut-mei=Yoshie kn-aut-name=清水美恵 kn-aut-sei=清水 kn-aut-mei=美恵 aut-affil-num=3 ORCID= en-aut-name=ImuraKeiko en-aut-sei=Imura en-aut-mei=Keiko kn-aut-name=井村桂子 kn-aut-sei=井村 kn-aut-mei=桂子 aut-affil-num=4 ORCID= en-aut-name=MorimotoMisao en-aut-sei=Morimoto en-aut-mei=Misao kn-aut-name=森本操 kn-aut-sei=森本 kn-aut-mei=操 aut-affil-num=5 ORCID= en-aut-name=KondoMasuko en-aut-sei=Kondo en-aut-mei=Masuko kn-aut-name=近藤益子 kn-aut-sei=近藤 kn-aut-mei=益子 aut-affil-num=6 ORCID= en-aut-name=OhtaTakeo en-aut-sei=Ohta en-aut-mei=Takeo kn-aut-name=太田武夫 kn-aut-sei=太田 kn-aut-mei=武夫 aut-affil-num=7 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院看護部 affil-num=2 en-affil= kn-affil=岡山大学医学部附属病院看護部 affil-num=3 en-affil= kn-affil=岡山大学医学部附属病院看護部 affil-num=4 en-affil= kn-affil=岡山大学医学部附属病院看護部 affil-num=5 en-affil= kn-affil=岡山大学医学部附属病院看護部 affil-num=6 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=7 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=口腔腫瘍 kn-keyword=口腔腫瘍 en-keyword=術後 (postoperative care) kn-keyword=術後 (postoperative care) en-keyword=摂食障害 (dysphagia) kn-keyword=摂食障害 (dysphagia) en-keyword=とろみ食 (thickened food) kn-keyword=とろみ食 (thickened food) en-keyword=栄養 (nutrition) kn-keyword=栄養 (nutrition) END start-ver=1.4 cd-journal=joma no-vol=9 cd-vols= no-issue=2 article-no= start-page=65 end-page=74 dt-received= dt-revised= dt-accepted= dt-pub-year=1999 dt-pub=19990226 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Development of an aptitude scale for nursing students kn-title=看護学生の適性に関する尺度開発の試み ―信頼性･妥当性の検証― en-subtitle= kn-subtitle= en-abstract=Efforts to ensure the necessary aptitude for health care professionals as well as knowledge and skills taught to nursing students are important to provide proper health services and care. A questionnaire containing 22 items was developed to evaluate teaching effectiveness. These items were obtained from previous studies and our findings in nursing practice and teaching. Stability reliability of this method was estimated using test/retest. The correlation coefficient for individual items ranged from 0.36 to 0.71. Only 2 of the 22 items showed correlation values below 0.40. Internal reliability of the 5 subscales was determined using the Cronbach's alpha coefficient 0.83. The values ranged from 0.56 to 0.80. Five components extracted by factor analysis were identified as follows : and . kn-abstract=看護教育では,看護者として必要な知識,技術のみならず看護するのにふさわしい態度や姿勢等を育成することを重視している｡このような看護者にふさわしい態度形成を援助する教育の成果を評価するために看護学生の適性に関する尺度開発を試みた｡尺度に用いる項目は,看護者にふさわしい態度や性格特性及び適性等に関する過去の文献調査と筆者等の臨床看護及び看護教育の経験とで検討し決定した｡最終的に絞り込んだ項目は,22項目であった｡この項目の信頼性･妥当性を検証するために,医療技術短大の看護学生206人を対象に質問紙調査を実施した｡信頼性については,76人を対象に再検査を実施し安定性を検討した｡その結果,相関係数の一番低い項目は｢研究心｣｢自制心｣で,0.36であった｡残りの項目は,相関係数0.40以上で,一番高い項目は｢冷静｣の0.71であった｡内的整合性を示すCronbach's α信頼性係数は,全項目では0.83であった｡因子分析の結果得られた5因子に基づく下位尺度のCronbach's α信頼性係数は,最も高いものは<リーダーシップ>0.80であり,最も低いものは<精神的成熟>0.56であった｡構成概念の妥当性を検討するために因子分析をおこなった結果,5因子が抽出された｡それぞれを<リ ーダーシップ><社会性><探求心><精神的成熟><忍耐>と命名し,下位尺度とした｡ en-copyright= kn-copyright= en-aut-name=IkedaToshiko en-aut-sei=Ikeda en-aut-mei=Toshiko kn-aut-name=池田敏子 kn-aut-sei=池田 kn-aut-mei=敏子 aut-affil-num=1 ORCID= en-aut-name=KondohIsao en-aut-sei=Kondoh en-aut-mei=Isao kn-aut-name=近藤勲 kn-aut-sei=近藤 kn-aut-mei=勲 aut-affil-num=2 ORCID= en-aut-name=TanakaKoji en-aut-sei=Tanaka en-aut-mei=Koji kn-aut-name=田中宏二 kn-aut-sei=田中 kn-aut-mei=宏二 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=岡山大学教育学部 affil-num=3 en-affil= kn-affil=岡山大学教育学部 en-keyword=看護学生 (nursing students) kn-keyword=看護学生 (nursing students) en-keyword=看護教育 (nursing education) kn-keyword=看護教育 (nursing education) en-keyword=看護 (nursing) kn-keyword=看護 (nursing) en-keyword=適性 (aptitude) kn-keyword=適性 (aptitude) en-keyword=尺度 (scale) kn-keyword=尺度 (scale) END start-ver=1.4 cd-journal=joma no-vol=9 cd-vols= no-issue=2 article-no= start-page=59 end-page=64 dt-received= dt-revised= dt-accepted= dt-pub-year=1999 dt-pub=19990226 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Evaluation of the system of admitting students on the recommendation of their high school principals kn-title=推薦入試制度の検討 en-subtitle= kn-subtitle= en-abstract=At the nursing department of our college, we introduced in 1993 a system of admitting students on the recommendation of their high school principals, by which about 20 % of the full quota are to be admitted. Since then, our department has graduated students for 3 years. To evaluate the usefulness of this system, students admitted by this system were compared with those admitted by general entrance examination in terms of their college record and the during learning. The college record in the students admitted on recommendation was similar to or slightly better than that in the students admitted by general entrance examination. However, these results were obtained only by comparing the college record, and this system has been used only 3 years. To confirm the usefulness of this recommendation-admission system, further studies are necessary. kn-abstract=岡山大学医療技術短期大学部看護学科では,平成5年度より定員の約20%を募集人員とした推薦入試制度を導入し,以来本年で3回卒業生を送りだしてきた｡本学は来年度から保健学科として新入生を募集することになっており,推薦入学もとられる予定である｡そこで,これを機会に推薦入学学生と一般入試による入学生との在学成績,学習態度等を比較検討し,推薦入試制度の有用性を検討した｡推薦入学生の在学成績は一般入試による入学者の成績とほとんど差はないか,むしろよい傾向にある結果を得た｡今回の検討結果は在学成績のみでしかも期間が3回しか卒業生を送りだしていない時点であることから推薦入学制度の有用性を結論づけるためには更に今後検討が必要である｡ en-copyright= kn-copyright= en-aut-name=KageyamaJingo en-aut-sei=Kageyama en-aut-mei=Jingo kn-aut-name=景山甚郷 kn-aut-sei=景山 kn-aut-mei=甚郷 aut-affil-num=1 ORCID= en-aut-name=OhtaTakeo en-aut-sei=Ohta en-aut-mei=Takeo kn-aut-name=太田武夫 kn-aut-sei=太田 kn-aut-mei=武夫 aut-affil-num=2 ORCID= en-aut-name=YamadaIchiro en-aut-sei=Yamada en-aut-mei=Ichiro kn-aut-name=山田一朗 kn-aut-sei=山田 kn-aut-mei=一朗 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=3 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=推薦入試 (recommendation-admission system) kn-keyword=推薦入試 (recommendation-admission system) en-keyword=成績 (record) kn-keyword=成績 (record) en-keyword=有用性 (usefulness) kn-keyword=有用性 (usefulness) END start-ver=1.4 cd-journal=joma no-vol=9 cd-vols= no-issue=1 article-no= start-page=1 end-page=7 dt-received= dt-revised= dt-accepted= dt-pub-year=1998 dt-pub=19980930 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Analysis of six cases of renal transplant recipients havingcomplaints about transplanted kidney and medical care. kn-title=移植された腎臓と医療に不満を抱く腎移植者6事例の分析 en-subtitle= kn-subtitle= en-abstract=The purpose of our nursing study is to know how we can improve QOL (Quality of Life) of renal transplant recipients. Our study uses nursing intervention. Now we examine effective nursing intervention necessary for improving this QOL. The result of this study comes from analyzing the cases of six renal transplant recipients. They had some complaints about their transplanted kidney and medical care. Depending on this analytical result, we examined renal transplant nursing. As a result, the following five items became clear concerning the complaints of these six recipients. Those were, (1) physical state, (2) ability to achieve their responsibility and social support, (3) self-realization and their view of life, (4) work and their economic independence, (5) relation to their family. These six recipients' physical states were in bad condition and had complaints about their health. All of the living donor kidney transplant recipients had complaints about the role in their family and their social role to others. Male transplant recipients were not satisfied with the social support. These analytical results are important for our nursing to improve QOL of renal transplant recipients. kn-abstract=これまで､腎移植者のQOLの向上をめざした系統的アプローチを看護援助モデルを基に検討してきた｡そして現在､腎移植者に対する効果的かつ具体的な看護介入について検討を進めている｡本研究では､移植された腎臓と受けている医療に不満を抱く腎移植者6名の事例分析を基に､腎移植者への看護的関わりを検討した｡その結果､この6名の移植者が抱く不満は､身体状態､責任を果す能力と周囲のサポート､自己実現と人生観､仕事と経済的自立､家族との関係の5つのカテゴリーに分類された｡そして､6名に共通する不満は､身体状態の問題に起因した健康に対してであった｡また､生体腎移植者はすべて家族に対する役割や他人に対する社会的役割の達成について不満を抱いていた｡そして､男性の移植者は､周囲からのサポートに満足していなかった｡これらのことは､腎移植者のQOL向上に向けた看護介入を具体化する上で最も考慮すべき要点であることが明らかとなった｡ en-copyright= kn-copyright= en-aut-name=NakanishiYoshiko en-aut-sei=Nakanishi en-aut-mei=Yoshiko kn-aut-name=中西代志子 kn-aut-sei=中西 kn-aut-mei=代志子 aut-affil-num=1 ORCID= en-aut-name=HayashiYuko en-aut-sei=Hayashi en-aut-mei=Yuko kn-aut-name=林優子 kn-aut-sei=林 kn-aut-mei=優子 aut-affil-num=2 ORCID= en-aut-name=KanaoNaomi en-aut-sei=Kanao en-aut-mei=Naomi kn-aut-name=金尾直美 kn-aut-sei=金尾 kn-aut-mei=直美 aut-affil-num=3 ORCID= en-aut-name=WatanabeKumi en-aut-sei=Watanabe en-aut-mei=Kumi kn-aut-name=渡辺久美 kn-aut-sei=渡辺 kn-aut-mei=久美 aut-affil-num=4 ORCID= en-aut-name=HoshinaEiko en-aut-sei=Hoshina en-aut-mei=Eiko kn-aut-name=保科英子 kn-aut-sei=保科 kn-aut-mei=英子 aut-affil-num=5 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=4 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=5 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=QOL (quality of life) kn-keyword=QOL (quality of life) en-keyword=腎移植者 (renal transplant recipient) kn-keyword=腎移植者 (renal transplant recipient) en-keyword=健康状態 (health) kn-keyword=健康状態 (health) en-keyword=サポート (social support) kn-keyword=サポート (social support) en-keyword=看護的アプローチ (nursing approach) kn-keyword=看護的アプローチ (nursing approach) END start-ver=1.4 cd-journal=joma no-vol=12 cd-vols= no-issue=1 article-no= start-page=77 end-page=82 dt-received= dt-revised= dt-accepted= dt-pub-year=2001 dt-pub=20011225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Survey on recipients expenses and degrees of satisfaction in the nursing insurance system kn-title=介護保険における費用と満足度に対する認識調査 en-subtitle= kn-subtitle= en-abstract=We carried out a survey on the caregivers impression and degrees of satisfaction. The objects are 95 family members who mainly take care of the elderly receiving the visiting care under the nursing insurance law. Sheets of questionnaires were delivered and collected from July to September, 2000. They were mainly focused on the expenses, qualities and quantities of the nursing service. We found that : 1. Many people are unsatisfied with the expenses. They were satisfied with the qualities and quantities of the nursing service, but they think that the fees are expensive. 2. Many caregivers have anxieties about the future of the elderly and they feel that they have no free time for themselves. 3. Many have impression that the nursing insurance law itself and the procedure for a contract are complicated. kn-abstract=本研究は,介護保険法の利用者と家族の満足度や,介護保険法がどのように受け止めているのかを明らかにすることを目的とした｡対象は,介護保険法の中で訪問看護を受けている利用者の家族の方(主に介護を担当されている方)95名で,郵送法により52名の回答を得た(回収率54.7%)｡研究期間は,2000年7月から9月であり,アンケートは介護にかかる費用･介護サービスの2点に重点をおいて作成した｡その結果,以下の実態を把握することができた｡ 1.介護保険法を利用するにあたり,介護サービスにおける費用の問題が多い｡介護サービスの内容には満足していたが,介護サービスにかかる費用は高いと感じている｡ 2.介護者は,介護をしていて｢利用者のこれからのことが心配である｣,｢自分の時間が持てない｣と感じている人が多いことがわかった｡ 3.介護保険法や利用契約の手続きが複雑であるという意見が多かった｡今後,介護保険法の利用に向けて,これらの問題点に対する解決への取り組みが必要であることが示唆された｡ en-copyright= kn-copyright= en-aut-name=KamadaKayoko en-aut-sei=Kamada en-aut-mei=Kayoko kn-aut-name=鎌田佳代子 kn-aut-sei=鎌田 kn-aut-mei=佳代子 aut-affil-num=1 ORCID= en-aut-name=TakeokaChiharu en-aut-sei=Takeoka en-aut-mei=Chiharu kn-aut-name=武岡千晴 kn-aut-sei=武岡 kn-aut-mei=千晴 aut-affil-num=2 ORCID= en-aut-name=TerashimaTomoe en-aut-sei=Terashima en-aut-mei=Tomoe kn-aut-name=寺嶋朋恵 kn-aut-sei=寺嶋 kn-aut-mei=朋恵 aut-affil-num=3 ORCID= en-aut-name=FujiiKanako en-aut-sei=Fujii en-aut-mei=Kanako kn-aut-name=藤井可奈子 kn-aut-sei=藤井 kn-aut-mei=可奈子 aut-affil-num=4 ORCID= en-aut-name=MatsushitaHideyo en-aut-sei=Matsushita en-aut-mei=Hideyo kn-aut-name=松下英代 kn-aut-sei=松下 kn-aut-mei=英代 aut-affil-num=5 ORCID= en-aut-name=YanoMiyuki en-aut-sei=Yano en-aut-mei=Miyuki kn-aut-name=矢野美雪 kn-aut-sei=矢野 kn-aut-mei=美雪 aut-affil-num=6 ORCID= en-aut-name=HyodoYoshimi en-aut-sei=Hyodo en-aut-mei=Yoshimi kn-aut-name=兵藤好美 kn-aut-sei=兵藤 kn-aut-mei=好美 aut-affil-num=7 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科第12期生 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科第12期生 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科第12期生 affil-num=4 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科第12期生 affil-num=5 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科第12期生 affil-num=6 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科第12期生 affil-num=7 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=介護保険法 (nursing insurance law) kn-keyword=介護保険法 (nursing insurance law) en-keyword=介護サービス (nursing service) kn-keyword=介護サービス (nursing service) en-keyword=費用 (expenses) kn-keyword=費用 (expenses) en-keyword=負担 (burden) kn-keyword=負担 (burden) en-keyword=満足感 (satisfaction) kn-keyword=満足感 (satisfaction) END start-ver=1.4 cd-journal=joma no-vol=12 cd-vols= no-issue=1 article-no= start-page=71 end-page=76 dt-received= dt-revised= dt-accepted= dt-pub-year=2001 dt-pub=20011225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Report on the international conference, "Improving Life through Health Promotion : Nurses Making a Difference" kn-title=国際会議「ヘルスプロモーションを通した発展:看護者が重要な成果を生み出す」報告 en-subtitle= kn-subtitle= en-abstract=Health promotion has obtained a high importance in the formulation of new health policies, especially in industrialized countries since the Ottawa declaration. At the end of the 20th century, health promotion was integrated into exiting health policies in developing countries in order to solve new health issues such as the increasing elderly population and chronic diseases. Nurses all over the world have to play an active role in order to perform effective health promotion activities and obtain satisfactory results from such intervention. An international conference titled "Improving Life through Health promotion : Nurses Making a Difference" was held in Thailand in January 2001. One of the key speakers, Professor Nola J. Pender who is the Dean of the research center for nursing research, University of Michigan, USA who has done extensive research on health promotion with WHO, reiterated that nurses, as scientists should make every effort to develop international research partnership so that they can expand the science of health promotion, design and test the effectiveness of interventions for culturally diverse populations. kn-abstract=1986年のオタワ宣言以来,ヘルスプロモーションは先進工業国を中心に健康づくりの柱として健康政策策定に大きな役割を果たしてきた｡20世紀後半になるとアジア諸国を始めとする発展途上国でも人口の高齢化や慢性疾患の増加に対応するために,ヘルスプロモーションを視野に入れた健康政策が策定されるようになった｡このような状況の中で,各国国民のヘルスプロモーションに対する看護職が担うべき役割が世界的に問われている｡｢ヘルスプロモーションを通した発展:看護者が重要な成果を生み出す｣と題した国際会議がタイで開催され,共催校の一つであるミシガン大学看護学部の教授で,世界保健機関(WHO)とともに長年ヘルスプロモーションの研究に取り組んでいるベンダー教授の基調報告は,それに対する回答でもあった｡すなわち,看護者は科学者として成長するために,国際的共同研究の蓄積に努め,文化的背景が異なる人々にヘルスプロモーションの介入計画･評価を発展的に進めていくことが重要である｡ en-copyright= kn-copyright= en-aut-name=HiguchiMachiko en-aut-sei=Higuchi en-aut-mei=Machiko kn-aut-name=樋口まち子 kn-aut-sei=樋口 kn-aut-mei=まち子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=ヘルスプロモーション (Health promotion) kn-keyword=ヘルスプロモーション (Health promotion) en-keyword=看護の役割 (role of the nurse) kn-keyword=看護の役割 (role of the nurse) en-keyword=文化交流 (Cross-cultural exchange) kn-keyword=文化交流 (Cross-cultural exchange) en-keyword=国際共同研究 (International research partnership) kn-keyword=国際共同研究 (International research partnership) END start-ver=1.4 cd-journal=joma no-vol=12 cd-vols= no-issue=1 article-no= start-page=45 end-page=52 dt-received= dt-revised= dt-accepted= dt-pub-year=2001 dt-pub=20011225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Support team and its effects on house remodeling for aged and handicapped persons kn-title=高齢者･障害者のための住宅改造と支援チームの効果 en-subtitle= kn-subtitle= en-abstract=The maintenance and improvement of housing environments are essential for aged and handicapped persons living in a local communities. The support team consists of public health nurses, home helpers, occupational therapists and architects took part in giving an advices for house remodeling in Tsuyama City. We compared the effectiveness of the participation of the team before and after remodeling of housing environment. An interview was conducted at each cases for places of remodeling, living spaces, quantity of care and ease of going. The results are as follows ; 1. The remodeling of bathrooms, participating support team improved the living spaces to be able to take bath. 2. The remodeling of entrances and corridors for leaving beds, improved the living space and the QOL of care recipients. The results suggest that the remodeling of houses dose not always lighten care burdens for caring, but changes the quality of care for aged and handicapped persons. kn-abstract=地域で生活する高齢者･障害者にとって,住宅環境の整備は必須の要件である｡津山市では在宅生活を支援する立場にある保健婦やホームヘルパー,作業療法士等保健･福祉関係者と,建築関係者が共同で支援チームをつくり住宅改造に関わってきた｡本研究では,この支援チームが関わった事例と直接関わらないで当事者と業者のみで改造を実施した事例を比較し,支援チームが関わることの効果をみた｡調査方法は,各事例の家庭を訪問して面接聞き取り調査を行った｡調査内容は調査票を用いて改造箇所,生活空間,介護量,外出の状況について尋ねた｡改造前後の変化を比較して,支援チームの効果について以下のことが明らかになった｡ 1.支援チームの関与による浴室の改造は,入浴が可能となり生活空間が広がるなど改善が認められた｡ 2.離床を目的にした玄関･廊下･居室の改造は,外出などの日常生活行動を広げ,本人のQOLを高めることに役立つ｡以上より住宅の改造が,介護者の介護負担を必ずしも直接軽減するとは限らないが,高齢者･障害者の介護の質に変化を与えることが示唆された。 en-copyright= kn-copyright= en-aut-name=MotohoshioYasuko en-aut-sei=Motohoshio en-aut-mei=Yasuko kn-aut-name=本干尾八州子 kn-aut-sei=本干尾 kn-aut-mei=八州子 aut-affil-num=1 ORCID= en-aut-name=TanakaMisako en-aut-sei=Tanaka en-aut-mei=Misako kn-aut-name=田中操子 kn-aut-sei=田中 kn-aut-mei=操子 aut-affil-num=2 ORCID= en-aut-name=SugiiMasumi en-aut-sei=Sugii en-aut-mei=Masumi kn-aut-name=杉井真澄 kn-aut-sei=杉井 kn-aut-mei=真澄 aut-affil-num=3 ORCID= en-aut-name=HukushimaToshiko en-aut-sei=Hukushima en-aut-mei=Toshiko kn-aut-name=福島敏子 kn-aut-sei=福島 kn-aut-mei=敏子 aut-affil-num=4 ORCID= en-aut-name=TaguchiMichiko en-aut-sei=Taguchi en-aut-mei=Michiko kn-aut-name=田口道子 kn-aut-sei=田口 kn-aut-mei=道子 aut-affil-num=5 ORCID= en-aut-name=TakamiKyoko en-aut-sei=Takami en-aut-mei=Kyoko kn-aut-name=高見京子 kn-aut-sei=高見 kn-aut-mei=京子 aut-affil-num=6 ORCID= en-aut-name=NakashimaYasuko en-aut-sei=Nakashima en-aut-mei=Yasuko kn-aut-name=中島康子 kn-aut-sei=中島 kn-aut-mei=康子 aut-affil-num=7 ORCID= en-aut-name=TsushimaYuko en-aut-sei=Tsushima en-aut-mei=Yuko kn-aut-name=津島裕子 kn-aut-sei=津島 kn-aut-mei=裕子 aut-affil-num=8 ORCID= en-aut-name=YasumotoKatsuhiro en-aut-sei=Yasumoto en-aut-mei=Katsuhiro kn-aut-name=安本勝博 kn-aut-sei=安本 kn-aut-mei=勝博 aut-affil-num=9 ORCID= en-aut-name=TaniguchiNozomi en-aut-sei=Taniguchi en-aut-mei=Nozomi kn-aut-name=谷口望 kn-aut-sei=谷口 kn-aut-mei=望 aut-affil-num=10 ORCID= en-aut-name=OhtaTakeo en-aut-sei=Ohta en-aut-mei=Takeo kn-aut-name=太田武夫 kn-aut-sei=太田 kn-aut-mei=武夫 aut-affil-num=11 ORCID= en-aut-name=OkanoHatsue en-aut-sei=Okano en-aut-mei=Hatsue kn-aut-name=岡野初枝 kn-aut-sei=岡野 kn-aut-mei=初枝 aut-affil-num=12 ORCID= affil-num=1 en-affil= kn-affil=津山市役所 affil-num=2 en-affil= kn-affil=津山市役所 affil-num=3 en-affil= kn-affil=津山市役所 affil-num=4 en-affil= kn-affil=津山市役所 affil-num=5 en-affil= kn-affil=津山市役所 affil-num=6 en-affil= kn-affil=津山市役所 affil-num=7 en-affil= kn-affil=津山市役所 affil-num=8 en-affil= kn-affil=津山市役所 affil-num=9 en-affil= kn-affil=津山市役所 affil-num=10 en-affil= kn-affil=津山市役所 affil-num=11 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=12 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=高齢者・障害者 (aged and handicapped person) kn-keyword=高齢者・障害者 (aged and handicapped person) en-keyword=住宅改造 (house remodeling) kn-keyword=住宅改造 (house remodeling) en-keyword=支援チーム (support team) kn-keyword=支援チーム (support team) END start-ver=1.4 cd-journal=joma no-vol=12 cd-vols= no-issue=1 article-no= start-page=37 end-page=44 dt-received= dt-revised= dt-accepted= dt-pub-year=2001 dt-pub=20011225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Investigation of Quality of Life in Kidney Transplant Recipients kn-title=腎移植を受けたレシピエントの背景とQOLに関する調査 en-subtitle= kn-subtitle= en-abstract=Kidney transplantation is a cure which improve quality of life of kidney disease patients. It is important to note, however, that kidney transplantation is not a complete cure because it will not prevent kidney diseases from recurring, thereby producing new physical and psychosocial problems for the recipients. The purpose of this study is to identify the relationship between their quality of life and the recipients' background that may influence the recipients' quality of life. One hundred nineteen recipients responded to our questionnaires which included reason for undergoing the transplantation, how to feel own life, locus of control, quality of life, and so on. The following results were obtained : 81% of the recipients reported that they were feeling positive about life. The recipients, who are undergoing the transplantation to want to live life to the full and having internal locus of control, promoted their sense of good quality of life. It is therefore considered important to initiate nursing intervention before the transplantation, based on some recipient's background. kn-abstract=腎移植は,レシピエントのQOLを高めることで期待される治療法であるが,移植後の拒絶反応や合併症,あるいはそれらに伴う心理社会的問題などによって移植後のQOLに影響を及ぼす危険性を孕んでいる｡本研究では,腎移植後レシピエントのQOL向上を目指した看護援助を検討するために,移植後のQOLに影響すると考えられる移植を受けた理由やそのときの気持ち,ローカスオブコントロールをとりあげた。本研究の目的は,そのようなレシピエントの背景がQOLとどのように関係しているのかを明らかにすることである｡対象者は研究の同意を得た腎移植後のレシピエント119名であり,人生に対する感じ方,移植を受けた理由やそのときの気持ち,ローカスオブコントロール,QOLなどについて自己報告調査を行った｡その結果,レシピエントは移植後に何らかの身体症状や合併症が生じていても,81%の者が人生を肯定的に感じていた｡そして,生活を充実させたいとして移植を受けた者が,また,ローカスオブコントロールの内的統制傾向が強い者ほどQOLを高める傾向にあった｡したがって,看護婦はQOLに影響を及ぼすレシピエントの背景を加味して,移植前から適切な看護援助を行う必要性が示唆された｡ en-copyright= kn-copyright= en-aut-name=HayashiYuko en-aut-sei=Hayashi en-aut-mei=Yuko kn-aut-name=林優子 kn-aut-sei=林 kn-aut-mei=優子 aut-affil-num=1 ORCID= en-aut-name=NakanishiYoshiko en-aut-sei=Nakanishi en-aut-mei=Yoshiko kn-aut-name=中西代志子 kn-aut-sei=中西 kn-aut-mei=代志子 aut-affil-num=2 ORCID= en-aut-name=WatanabeKumi en-aut-sei=Watanabe en-aut-mei=Kumi kn-aut-name=渡邉久美 kn-aut-sei=渡邉 kn-aut-mei=久美 aut-affil-num=3 ORCID= en-aut-name=KanaoNaomi en-aut-sei=Kanao en-aut-mei=Naomi kn-aut-name=金尾直美 kn-aut-sei=金尾 kn-aut-mei=直美 aut-affil-num=4 ORCID= en-aut-name=HoshinaEiko en-aut-sei=Hoshina en-aut-mei=Eiko kn-aut-name=保科英子 kn-aut-sei=保科 kn-aut-mei=英子 aut-affil-num=5 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=3 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=4 en-affil= kn-affil=国立病院四国がんセンター affil-num=5 en-affil= kn-affil=岡山大学医学部附属病院看護部 en-keyword=腎移植 (Kidney transplantation) kn-keyword=腎移植 (Kidney transplantation) en-keyword=人生に対する感じ方 (How to feel own life) kn-keyword=人生に対する感じ方 (How to feel own life) en-keyword=移植を受けた理由 (Reason for undergoing transplantation) kn-keyword=移植を受けた理由 (Reason for undergoing transplantation) en-keyword=ローカスオブコントロール (Locus of control) kn-keyword=ローカスオブコントロール (Locus of control) en-keyword=QOL kn-keyword=QOL END start-ver=1.4 cd-journal=joma no-vol=12 cd-vols= no-issue=1 article-no= start-page=27 end-page=36 dt-received= dt-revised= dt-accepted= dt-pub-year=2001 dt-pub=20011225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Attempts to create the amenity from the nursing point of view - Through approach by using the wrapping skills - kn-title=看護の視点からのアメニティ創出への試み ―ラッピング技法を用いてのアプローチから― en-subtitle= kn-subtitle= en-abstract=The importance of producing the comfortable environment, namely to create the amenity for the patients admitted in the hospitals, has been recognized recently. In this study, to create the better amenity for admitted patients' daily life by the nurses, we examined the influence of the ways of displaying, placing and decorating the daily materials, such as booklets, tea cups, letters and etc. on a bed side table, using the wrapping skills. As a result, we found out that creating the amenity using the wrapping skills might be useful for the admitted patients' care and their mental healing. Furthermore, we indicated some important points when using the wrapping skills, such as selecting appropriate materials and methods suiting for each subjected matter. kn-abstract=病院におけるアメニティの重要性は十数年前から言われているが,それは建物の建築の時だけでなく,その後療養の場所をどのように維持し,快適環境を患者にいつまでも提供していくかである｡これまで日常の看護業務において掲示物やパンフレットの置き方,床頭台のあり方などは整理整頓の一環で病棟管理の中にあった｡だが,もう一つの流れがある｡ウイリアム・モリスは生活の中における芸術化を考え,生活用品そのものに美しきと手作りの良さがあることを提唱した｡こうした生活デザインの流れの中で,本研究では本学科棟内において床頭台のディスプレイや掲示の仕方,パンフレットの置き方など,ラッピング技法を使用し,入院生活上のアメニティの創出を試みた｡その後,ラッピング技法を用いたアメニティ創出の試みは患者の心を癒す可能性のあることを明らかにした｡また,ラッピング技法使用上の留意点についても指摘した｡ en-copyright= kn-copyright= en-aut-name=OnoKiyomi en-aut-sei=Ono en-aut-mei=Kiyomi kn-aut-name=小野清美 kn-aut-sei=小野 kn-aut-mei=清美 aut-affil-num=1 ORCID= en-aut-name=HayashiYuko en-aut-sei=Hayashi en-aut-mei=Yuko kn-aut-name=林優子 kn-aut-sei=林 kn-aut-mei=優子 aut-affil-num=2 ORCID= en-aut-name=OhiNobuko en-aut-sei=Ohi en-aut-mei=Nobuko kn-aut-name=大井伸子 kn-aut-sei=大井 kn-aut-mei=伸子 aut-affil-num=3 ORCID= en-aut-name=OkudaHiroyuki en-aut-sei=Okuda en-aut-mei=Hiroyuki kn-aut-name=奥田博之 kn-aut-sei=奥田 kn-aut-mei=博之 aut-affil-num=4 ORCID= en-aut-name=YamaokaKiyonori en-aut-sei=Yamaoka en-aut-mei=Kiyonori kn-aut-name=山岡聖典 kn-aut-sei=山岡 kn-aut-mei=聖典 aut-affil-num=5 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=3 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=4 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=5 en-affil= kn-affil=岡山大学医学部保健学科放射線技術科学専攻 en-keyword=アメニティ (amenity) kn-keyword=アメニティ (amenity) en-keyword=ラッピング (wrapping skill) kn-keyword=ラッピング (wrapping skill) en-keyword=入院生活 (life in hospital) kn-keyword=入院生活 (life in hospital) en-keyword=色彩 (color) kn-keyword=色彩 (color) en-keyword=癒し (care healing) kn-keyword=癒し (care healing) END start-ver=1.4 cd-journal=joma no-vol=12 cd-vols= no-issue=1 article-no= start-page=19 end-page=26 dt-received= dt-revised= dt-accepted= dt-pub-year=2001 dt-pub=20011225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The subjective lived experience that patients have with chronic renal disease kn-title=慢性腎疾患患者の主観的体験世界 en-subtitle= kn-subtitle= en-abstract=This study explored the inner experiences of young adults with chronic renal disease. Five patients received an in-depth and non-structured interview for what they were experiencing as related to the disease. Analyses showed that the patients' inner experiences could be characterized as follows : (1) feelings and thoughts the patients experience, (2) interpretations they give to the disease and to their self, (3) reliance they place on significant others surrounding them and (4) change and development they make in their self-concept. Nurses are required to understand the inner experiences of patients in order to provide them with due care of high quality. kn-abstract=本研究では慢性腎疾患を有する若い成人の内的経験世界を検討した｡5名の患者が疾病に関してどのようなことを経験しているのかについて非組織的な深層面接を受けた｡分析の結果,患者の内的経験世界は,(1)患者が経験している感情や思考,(2)疾病や自己についての解釈,(3)重要な他者への信頼,(4)自己の変化と発達(成長)という4つに特徴づけられることが明らかになった｡しかるべき質の高い看護を提供するためには,看護者は,患者の内的経験世界を理解することが必要である｡ en-copyright= kn-copyright= en-aut-name=IdeiFumiko en-aut-sei=Idei en-aut-mei=Fumiko kn-aut-name=出射史子 kn-aut-sei=出射 kn-aut-mei=史子 aut-affil-num=1 ORCID= en-aut-name=KatoKumiko en-aut-sei=Kato en-aut-mei=Kumiko kn-aut-name=加藤久美子 kn-aut-sei=加藤 kn-aut-mei=久美子 aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=慢性腎疾患 (Chronic renal disease) kn-keyword=慢性腎疾患 (Chronic renal disease) en-keyword=青年後期 (Young adulthood) kn-keyword=青年後期 (Young adulthood) en-keyword=主観的体験世界 (Subjective lived experience) kn-keyword=主観的体験世界 (Subjective lived experience) en-keyword=自己 (Self) kn-keyword=自己 (Self) en-keyword=重要他者 (Significant others) kn-keyword=重要他者 (Significant others) END start-ver=1.4 cd-journal=joma no-vol=12 cd-vols= no-issue=2 article-no= start-page=131 end-page=141 dt-received= dt-revised= dt-accepted= dt-pub-year=2002 dt-pub=20020320 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Nursing practice on Midwifery "Postpartum group guidance" by Okayama University School of Health Sciences Advanced Course of Midwifery kn-title=岡山大学医療技術短期大学部専攻科助産学特別専攻における助産学実習の実際｢産褥期集団指導｣ en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=GodaNoriko en-aut-sei=Goda en-aut-mei=Noriko kn-aut-name=合田典子 kn-aut-sei=合田 kn-aut-mei=典子 aut-affil-num=1 ORCID= en-aut-name=ShiraiKiyoko en-aut-sei=Shirai en-aut-mei=Kiyoko kn-aut-name=白井喜代子 kn-aut-sei=白井 kn-aut-mei=喜代子 aut-affil-num=2 ORCID= en-aut-name=OkazakiYuka en-aut-sei=Okazaki en-aut-mei=Yuka kn-aut-name=岡崎愉加 kn-aut-sei=岡崎 kn-aut-mei=愉加 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=3 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=助産学実習 (nursing practice on Midwifery) kn-keyword=助産学実習 (nursing practice on Midwifery) en-keyword=助産技術学 (techniques of Midwifery) kn-keyword=助産技術学 (techniques of Midwifery) en-keyword=集団指導 (group guidance) kn-keyword=集団指導 (group guidance) en-keyword=産褥期指導 (postpartum guidance) kn-keyword=産褥期指導 (postpartum guidance) END start-ver=1.4 cd-journal=joma no-vol=12 cd-vols= no-issue=2 article-no= start-page=123 end-page=129 dt-received= dt-revised= dt-accepted= dt-pub-year=2002 dt-pub=20020320 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Investigation of collaboration among community-based medical facilities and patient support system in centralcommunity hospitals in Okayama kn-title=岡山県下の地域中核病院における地域医療連携業務,患者支援システムの実態調査 en-subtitle= kn-subtitle= en-abstract=The purpose of this study was to investigate the current status of collaboration among community-based medical facilities and patient support system in ten central community hospitals in Okayama. Interviews were conducted using a questionnaire regarding the current status of collaboration among community-based medical facilities and patient support system in ten central community hospitals. It was revealed that although the size and position of the sections varied, all hospitals were trying to facilitate collaboration among other community-based medical facilities by developing stronger relationships with family doctors. They mainly focused on improving the quality of services for referred patients and referring physicians. Besides, all hospitals possessed another section providing patient support services such as patient education and counseling. Staffs in the sections were trying to build stronger relationship with other health-related and medical facilities in their communities. Finally, it is discussed regarding how to facilitate collaboration among community-based medical facilities and provide patient support system in a university hospital. kn-abstract=本研究の目的は, 1)県下中核病院の地域医療連携,患者支援活動の現状について面接調査を行い,その実態を明らかにすること, 2)その結果をもとに,今後の特定機能病院に求められる地域医療連携や患者支援のあり方を検討する上での参考にすること,の2点にあった｡県下10か所の地域中核病院を対象に,地域医療連携業務やその他の患者支援活動に関する質問紙を作成し,面接調査を行った｡その結果,医療連携部門の歴史や業務内容は様々であったが,どの病院も地域医療連携部門を設置することで,開業医との連携を強化し,紹介･逆紹介の円滑化を図ろうとしている状況がうかがえた｡特に連携業務の中 でも,開業医からの紹介患者を病院にスムーズに受け入れる機能を重視している傾向が見られた｡また,すべての対象病院が地域医療連携以外の患者支援活動を行う部門を有しており,医療相談や地域の医療保健施設との連携強化等の業務を主に行っていた｡これらの調査結果をもとに,特定機能病院である大学病院に求められる地域医療連携･患者支援のあり方について考察した｡ en-copyright= kn-copyright= en-aut-name=NagamuneNoriyo en-aut-sei=Nagamune en-aut-mei=Noriyo kn-aut-name=長宗典代 kn-aut-sei=長宗 kn-aut-mei=典代 aut-affil-num=1 ORCID= en-aut-name=NakanishiYoshiko en-aut-sei=Nakanishi en-aut-mei=Yoshiko kn-aut-name=中西代志子 kn-aut-sei=中西 kn-aut-mei=代志子 aut-affil-num=2 ORCID= en-aut-name=KawataChieko en-aut-sei=Kawata en-aut-mei=Chieko kn-aut-name=川田智恵子 kn-aut-sei=川田 kn-aut-mei=智恵子 aut-affil-num=3 ORCID= en-aut-name=OhtaNiwa en-aut-sei=Ohta en-aut-mei=Niwa kn-aut-name=太田にわ kn-aut-sei=太田 kn-aut-mei=にわ aut-affil-num=4 ORCID= en-aut-name=HayashiYuko en-aut-sei=Hayashi en-aut-mei=Yuko kn-aut-name=林優子 kn-aut-sei=林 kn-aut-mei=優子 aut-affil-num=5 ORCID= en-aut-name=YasukataFumiko en-aut-sei=Yasukata en-aut-mei=Fumiko kn-aut-name=安酸史子 kn-aut-sei=安酸 kn-aut-mei=史子 aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=3 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=4 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=5 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=6 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=地域医療連携 (collaboration among community-based medical facilities) kn-keyword=地域医療連携 (collaboration among community-based medical facilities) en-keyword=患者支援システム (patient support system) kn-keyword=患者支援システム (patient support system) END start-ver=1.4 cd-journal=joma no-vol=13 cd-vols= no-issue=1 article-no= start-page=55 end-page=66 dt-received= dt-revised= dt-accepted= dt-pub-year=2002 dt-pub=20021225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Practice on Management of Midwifery business by Okayama University School of Health Sciences Advanced Course of Midwifery kn-title=岡山大学医療技術短期大学部専攻科助産学特別専攻における助産業務管理学実習の実際 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=GodaNoriko en-aut-sei=Goda en-aut-mei=Noriko kn-aut-name=合田典子 kn-aut-sei=合田 kn-aut-mei=典子 aut-affil-num=1 ORCID= en-aut-name=MatsuiTamiko en-aut-sei=Matsui en-aut-mei=Tamiko kn-aut-name=松井たみこ kn-aut-sei=松井 kn-aut-mei=たみこ aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=岡山大学医学部附属病院 en-keyword=助産業務 (management of Midwifery business) kn-keyword=助産業務 (management of Midwifery business) en-keyword=助産師 (Midwife) kn-keyword=助産師 (Midwife) en-keyword=助産管理実習 (practice on management of Midwifery business) kn-keyword=助産管理実習 (practice on management of Midwifery business) END start-ver=1.4 cd-journal=joma no-vol=13 cd-vols= no-issue=1 article-no= start-page=47 end-page=53 dt-received= dt-revised= dt-accepted= dt-pub-year=2002 dt-pub=20021225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Analysis of the accidents related to injection in the ICU at O university hospital kn-title=O大学病院集中治療部における事故報告書を用いた注射事故の分析 en-subtitle= kn-subtitle= en-abstract=In comparison with general award, intensive care unit (ICU) requires various acknowledge and skillful techniques for nurses. On these circumstances, especially, the drug administration or injection to patients would be a trigger of the serious trouble. In this study, we investigated the risk factors of the medical accidents related to drug administration in the ICU at O university hospital for last three years retrospectively. Conclusively, it was implicated that the nurses who work at the ICU for less than 4 years have been more involved in them and the troubles happened frequently when the new members joined. Furthermore the serious troubles occurred in terms of the dosage and the infusion rate. kn-abstract=本研究は,集中治療部(以下ICUとする)で発生しやすい注射事故の現状を把握し,今後の改善点を検討することを目的とした｡O大学病院のICUにおいて1998年から2001年に提出された看護師の事故報告書を基礎資料とし,そのうち注射薬に関する事故報告103件を分析対象とした｡報告書の内容から,①事故発生時の背景,②事故が患者へ与えた影響,③薬剤投与過程のどの段階における事故発生であったかについて分類,集計を行った｡また,事故が患者へ与えた影響と,事故発生時の背景および薬剤投与過程との関連性について分析した｡その結果,総事故件数のうち注射事故が56.3%を占め,月別では,5月, 4月,2月の順に多く,経験年数別では,ICU経験年数4年未満の看護師で事故発生率が高かった｡患者影響レベルの高い事故は,人事異動月にICU経験年数4年未満で多かった｡エラーマップでは,看護婦(時に医師)の実施,薬剤の投与量,指示速度に関するエラーが集中して多かった｡ en-copyright= kn-copyright= en-aut-name=OgataMiyoko en-aut-sei=Ogata en-aut-mei=Miyoko kn-aut-name=尾形美代子 kn-aut-sei=尾形 kn-aut-mei=美代子 aut-affil-num=1 ORCID= en-aut-name=SasakiKatsue en-aut-sei=Sasaki en-aut-mei=Katsue kn-aut-name=佐々木克枝 kn-aut-sei=佐々木 kn-aut-mei=克枝 aut-affil-num=2 ORCID= en-aut-name=AshikagaKumiko en-aut-sei=Ashikaga en-aut-mei=Kumiko kn-aut-name=足利久美子 kn-aut-sei=足利 kn-aut-mei=久美子 aut-affil-num=3 ORCID= en-aut-name=MorimotoSayo en-aut-sei=Morimoto en-aut-mei=Sayo kn-aut-name=森本紗代 kn-aut-sei=森本 kn-aut-mei=紗代 aut-affil-num=4 ORCID= en-aut-name=WatanabeKumi en-aut-sei=Watanabe en-aut-mei=Kumi kn-aut-name=渡邉久美 kn-aut-sei=渡邉 kn-aut-mei=久美 aut-affil-num=5 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院集中治療部 affil-num=2 en-affil= kn-affil=岡山大学医学部附属病院集中治療部 affil-num=3 en-affil= kn-affil=岡山大学医学部附属病院集中治療部 affil-num=4 en-affil= kn-affil=岡山大学医学部附属病院集中治療部 affil-num=5 en-affil= kn-affil=岡山大学医学部保健学科 en-keyword=集中治療部 (Intensive care unit) kn-keyword=集中治療部 (Intensive care unit) en-keyword=注射事故 (Injection accident) kn-keyword=注射事故 (Injection accident) en-keyword=事故報告書 (Accident report) kn-keyword=事故報告書 (Accident report) END start-ver=1.4 cd-journal=joma no-vol=13 cd-vols= no-issue=1 article-no= start-page=25 end-page=36 dt-received= dt-revised= dt-accepted= dt-pub-year=2002 dt-pub=20021225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Recognition of the "team medical-care" in medical field. kn-title=医療現場における｢チーム医療｣の認識 ―アンケート調査結果から― en-subtitle= kn-subtitle= en-abstract=Recently, the "team medical-care" has been received increasing attention in medical field. Therefore we have to develop a clear understanding of "team medical-care". The purpose of this study is to investigate things regarded as "team medical-care" by co-medical, recognition of other category of license, the advantages of "team medical-care" and recognition against the "team medical-care" by different category of license. Total 652 nurses, clinical radiological technologists and clinical laboratory technologists who are working at 8 hospitals in Okayama prefecture were examined by using questionnaire and 470 members (72.1%) responded to it. They were nurses 207 (44.0%), clinical radiological technologists 91 (19.4%), clinical laboratory technologists 172 (36.6%). Majority of respondents recognized that the medical conference consisted of different category of license promoted the "team medical-care", and ninety percent of participants prompted more frequent medical conference. In both by category of license and years of experience, they regarded doctor, nurse, physical therapist and occupational therapist as the menber of the "team medical-care" at high rate. The respondences which have over 15 years of experience regarded all category of license as the menber of the "team medical-care", while the respondences which have less than 10 to 14 years of experience showed disperision of the recongnition. The advantages of "team medical-care" were highly perceived as "patient-centered medical care" by all category of license. kn-abstract=チーム医療に対して高い関心が寄せられていることから,チーム医療として認識される具体的な事柄や各職種に対する認識,その利点や職種間の認識の違いなどを明らかにする目的で,岡山県内の病院の看護師,診療放射線技師,臨床検査技師,計652名に対してアンケート調査を行った｡有効回答者数470名で,その内訳は看護師207名,診療放射線技師91名,臨床検査技師172名であった｡結果はチーム医療と認識される具体的な事柄については,異業種間カンファレンスがチーム医療を促進する事柄として認識されているが,整備･実施されていないことがうかがえた｡各職種に対する認識については,職種別･経験年数別にみても,医師,看護師,理学･作業療法士はチーム医療のメンバーとして認識されている割合が高かった｡また,経験年数別では,10～14年の人までは統計上ややばらつきがみられるが,経験年数15年以上の人はあらゆる職種をチーム医療のメンバーであると考え,その重要性を認識していることがわかった｡チーム医療の利点については,どの職種も共通して｢患者中心の医療｣と考えている割合が高かった｡ en-copyright= kn-copyright= en-aut-name=MitsuiAkemi en-aut-sei=Mitsui en-aut-mei=Akemi kn-aut-name=三井明美 kn-aut-sei=三井 kn-aut-mei=明美 aut-affil-num=1 ORCID= en-aut-name=ShimadaAkemi en-aut-sei=Shimada en-aut-mei=Akemi kn-aut-name=島田明美 kn-aut-sei=島田 kn-aut-mei=明美 aut-affil-num=2 ORCID= en-aut-name=TaniguchiNaoko en-aut-sei=Taniguchi en-aut-mei=Naoko kn-aut-name=谷口直子 kn-aut-sei=谷口 kn-aut-mei=直子 aut-affil-num=3 ORCID= en-aut-name=NakamuraJunko en-aut-sei=Nakamura en-aut-mei=Junko kn-aut-name=中村純子 kn-aut-sei=中村 kn-aut-mei=純子 aut-affil-num=4 ORCID= en-aut-name=NishikawaEri en-aut-sei=Nishikawa en-aut-mei=Eri kn-aut-name=西川絵里 kn-aut-sei=西川 kn-aut-mei=絵里 aut-affil-num=5 ORCID= en-aut-name=TanakaDaisaku en-aut-sei=Tanaka en-aut-mei=Daisaku kn-aut-name=田中大策 kn-aut-sei=田中 kn-aut-mei=大策 aut-affil-num=6 ORCID= en-aut-name=MoritaYuichi en-aut-sei=Morita en-aut-mei=Yuichi kn-aut-name=森田雄一 kn-aut-sei=森田 kn-aut-mei=雄一 aut-affil-num=7 ORCID= en-aut-name=NagiSachiyo en-aut-sei=Nagi en-aut-mei=Sachiyo kn-aut-name=凪幸世 kn-aut-sei=凪 kn-aut-mei=幸世 aut-affil-num=8 ORCID= en-aut-name=HasegawaMasumi en-aut-sei=Hasegawa en-aut-mei=Masumi kn-aut-name=長谷川益美 kn-aut-sei=長谷川 kn-aut-mei=益美 aut-affil-num=9 ORCID= en-aut-name=NakagiriYoshitada en-aut-sei=Nakagiri en-aut-mei=Yoshitada kn-aut-name=中桐義忠 kn-aut-sei=中桐 kn-aut-mei=義忠 aut-affil-num=10 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科学生 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科学生 affil-num=3 en-affil= kn-affil=岡山大学医学部保健学科学生 affil-num=4 en-affil= kn-affil=岡山大学医学部保健学科学生 affil-num=5 en-affil= kn-affil=岡山大学医学部保健学科学生 affil-num=6 en-affil= kn-affil=岡山大学医学部保健学科学生 affil-num=7 en-affil= kn-affil=岡山大学医学部保健学科学生 affil-num=8 en-affil= kn-affil=岡山大学医学部保健学科学生 affil-num=9 en-affil= kn-affil=岡山大学医学部保健学科学生 affil-num=10 en-affil= kn-affil=岡山大学医学部保健学科 en-keyword=チーム医療 (team medical-care) kn-keyword=チーム医療 (team medical-care) en-keyword=アンケート調査 (questionnaire) kn-keyword=アンケート調査 (questionnaire) en-keyword=カンファレンス (medical conference) kn-keyword=カンファレンス (medical conference) END start-ver=1.4 cd-journal=joma no-vol=13 cd-vols= no-issue=1 article-no= start-page=17 end-page=24 dt-received= dt-revised= dt-accepted= dt-pub-year=2002 dt-pub=20021225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Nursing Care Workers' Concerns about Child Restraint System kn-title=チャイルドシートに関する看護職の意識調査 en-subtitle= kn-subtitle= en-abstract=This study surveyed nursing care workers (workers) understandings of regulations regarding the emergent transportation of childhood patients and child restraint systems (CRS). It also ascertained how they addressed issues involved in the transportation of children by car. Subjects were 725 workers at hospitals or health centers in Okayama City, who were sent an anonymous style questionnaire that was then retrieved by mail (recovery rate 72.2%). As the results, 84.6% of workers had never discussed childhood patient transportation during admission/discharge, with most not being involved in the transportation of children. Only 40.9% answered correctly to 5 questions regarding the exclusive provisions of CRS used to ascertain understanding of the regulations. There were two responses regarding "CRS application to fat children or those with mental restlessness": some encouraged the parents to make a decision and others took advices from doctors. A driver was held responsible for a car accident in Japan when a healthy child was transported without CRS. No case regarding the exclusive provisions has yet been reported. In cases of car accidents, drivers will from now surely be held responsible for the use of CRS. This survey provided nursing care workers for the opportunity to recognize the importance of CRS in the emergenty transportation of children. kn-abstract=本調査は患児の救急搬送時のことやCRS (child restraint system)における法規制の理解などに対する看護職の意識と子どもの車での搬送に関する問題への対応を知る目的で実施した｡岡山市内にある病院および保健所･保健センターに勤務している看護職725名(回収率72.2%)を対象に無記名アンケート方式で郵送法にて実施した｡その結果,入退院時の搬送については｢一度も話したことがない者｣は84.6%で,搬送に関してはほとんど関与していなかった｡CRSの除外規定に関する法的理解について5項目質問したが､正解者は40.9%であった｡その他"肥満児および精神的な不穏時のCRSの対応"として は保護者への判断を促す者と医師の判断を仰ぐ者との2通りの意見があった｡ わが国では健常児の非CRS使用時の搬送時に事故がおき運転者責任を問われたが,除外規定に関する判例ではなかった｡今後は交通事故の発生の場合には確実にCRSの問題は運転者の判断を問われることになる｡看護職としては子どもの搬送にCRSは関与していることを認識することへの示唆となるだろう｡ en-copyright= kn-copyright= en-aut-name=OnoKiyomi en-aut-sei=Ono en-aut-mei=Kiyomi kn-aut-name=小野清美 kn-aut-sei=小野 kn-aut-mei=清美 aut-affil-num=1 ORCID= en-aut-name=SumiyoshiKazuko en-aut-sei=Sumiyoshi en-aut-mei=Kazuko kn-aut-name=住吉和子 kn-aut-sei=住吉 kn-aut-mei=和子 aut-affil-num=2 ORCID= en-aut-name=OkazakiYuka en-aut-sei=Okazaki en-aut-mei=Yuka kn-aut-name=岡崎愉加 kn-aut-sei=岡崎 kn-aut-mei=愉加 aut-affil-num=3 ORCID= en-aut-name=OhtaTakeo en-aut-sei=Ohta en-aut-mei=Takeo kn-aut-name=太田武夫 kn-aut-sei=太田 kn-aut-mei=武夫 aut-affil-num=4 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科 affil-num=3 en-affil= kn-affil=岡山大学医学部保健学科 affil-num=4 en-affil= kn-affil=岡山大学医学部保健学科 en-keyword=チャイルドシート (child restraint system) kn-keyword=チャイルドシート (child restraint system) en-keyword=看護職 (nursing care worker) kn-keyword=看護職 (nursing care worker) en-keyword=子どもの搬送 (child transportation) kn-keyword=子どもの搬送 (child transportation) END start-ver=1.4 cd-journal=joma no-vol=13 cd-vols= no-issue=1 article-no= start-page=1 end-page=5 dt-received= dt-revised= dt-accepted= dt-pub-year=2002 dt-pub=20021225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=危機に立つ助産師教育 kn-title=Midwifery Education At Risk en-subtitle= kn-subtitle= en-abstract=日本の助産師教育はその期間の短さ,臨床訓練の不十分さで国際的に大変見劣りしている｡国際化の中で卒業生が海外で活躍する機会も大幅に増えている現在,先進国として世界的基準に恥じない教育実践が求められる｡これは国内のより質の高い助産師へのニーズにも合致することである｡わが国の助産師教育課程は昭和23年に制定された保健婦助産婦看護婦法に基づいている｡この法律は戦後間もないGHQの指導下に産声を上げた｡制定当時のアメリカには助産師制度はなく,助産師の教育期間は6ヶ月以上とされ今日に至っている｡しかし,今日の欧米では助産師教育期間は12～48ヶ月(実習は8～33ヶ月)とされ,日本の2倍以上である｡分娩介助数も日本の10例程度に対し,EU基準では最低40例が義務付けられており,高度な助産技術の習得を目指している｡従来,わが国における助産師教育の主流は看護師教育を終了した者を対象とした1年課程の助産師学校養成所および短期大学専攻科における専門的な助産学教育であった｡この課程では指定規則の基準に加えて,各校独自に助産師教育の充実を図る努力が行われてきた｡しかし,近年の看護学教育の急速な4年制大学化に伴い, 4年制大学における助産師教育は最低の指定基準を満たすために,助産学専門科目の一部は選択科目として位置付けられ,その他は看護学の科目に読み替えられる事となった｡この様な状況の中で,今後の助産師教育をどう国際的基準に合わせていくか,真剣な議論が必要である｡ kn-abstract=Midwifery education in Japan falls far short of the international standard with respect to the course requirements and the length of the clinical training. Student midwives in Japan are required to assist ten deliveries during the designated two-month clinical practicum, a difficult task to satisfy due to Japan's low birthrate. In contrast, midwifery education in Western countries takes between 12 and 48 months to finish and the E.U. standard requires students to assist at least 40 deliveries during their clinical training. Midwifery training in Japan had been traditionally offered as a non-degree certificate program at private institutions. However, four-year universities have started to offer the program as an elective program. At four-year universities, some midwifery course requirements have been deleted and the length of the clinical training has been shortened because of the congested curriculum. Serious discussion is necessary regarding the improvement of midwifery education in Japan. en-copyright= kn-copyright= en-aut-name=GodaNoriko en-aut-sei=Goda en-aut-mei=Noriko kn-aut-name=合田典子 kn-aut-sei=合田 kn-aut-mei=典子 aut-affil-num=1 ORCID= en-aut-name=NakatsukasaYachiyo en-aut-sei=Nakatsukasa en-aut-mei=Yachiyo kn-aut-name=中務八千代 kn-aut-sei=中務 kn-aut-mei=八千代 aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=岡山大学非常勤講師 en-keyword=Midwife (助産師) kn-keyword=Midwife (助産師) en-keyword=Clinical training (臨床実習) kn-keyword=Clinical training (臨床実習) en-keyword=Midwifery Education (助産学) kn-keyword=Midwifery Education (助産学) END start-ver=1.4 cd-journal=joma no-vol=13 cd-vols= no-issue=2 article-no= start-page=99 end-page=107 dt-received= dt-revised= dt-accepted= dt-pub-year=2003 dt-pub=20030320 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Study of childcare anxieties and way coping in O city kn-title=O市における育児不安に関する検討 en-subtitle= kn-subtitle= en-abstract=The purpose of this study is to identify childcare anxieties of mothers and how public health nurses cope with them. The data was collected from the contents of 216 consultations of mothers with children under 14th months of age carried by public health nurses of N public health center, O city. It was revealed that most of the consultations were about child's physical and nutritious concerns. The childcare anxieties associated with growth and birth order and the child's age in months. Moreover, we found that even though there is a large volume of information available about childcare, it is too general. Based on the research findings, we made clear tendency of childcare anxiety of mothers and how the public health nurses coped with them. kn-abstract=本研究の目的は,母親たちが育児に関して直面している不安を把握し,その不安に対する保健師の対処の実態を明らかにすることである｡そこでO市にあるN保健センターの家庭訪問と月1回の育児相談会において,保健師が受けた育児に関する相談を分析した｡対象はN保健センター管内の4つの地区で,1歳2ヶ月未満の児を持つ母親からの216件の相談内容である｡その結果,母親たちの育児不安で最も多かったのは児の身体や栄養についてであった｡さらに不安は出産順位によっても差があり,また児の月齢により変化し,その内容は児の成長発達と深く関係していた｡そして,育児に関する情報は増えているものの,個別性に欠けていることや,母親たちの知識に偏りがあることも明らかになった｡これらの結果をもとに,現在の母親が抱える不安の傾向を考察し,N保健センターで実施している育児支援活動を踏まえ,母親の不安の対処について検討した｡ en-copyright= kn-copyright= en-aut-name=ItakuraYuko en-aut-sei=Itakura en-aut-mei=Yuko kn-aut-name=板倉祐子 kn-aut-sei=板倉 kn-aut-mei=祐子 aut-affil-num=1 ORCID= en-aut-name=OhdoiNozomi en-aut-sei=Ohdoi en-aut-mei=Nozomi kn-aut-name=大土井希 kn-aut-sei=大土 kn-aut-mei=井希 aut-affil-num=2 ORCID= en-aut-name=KoikeMakiko en-aut-sei=Koike en-aut-mei=Makiko kn-aut-name=小池麻希子 kn-aut-sei=小池 kn-aut-mei=麻希子 aut-affil-num=3 ORCID= en-aut-name=UmejiChie en-aut-sei=Umeji en-aut-mei=Chie kn-aut-name=梅地智恵 kn-aut-sei=梅地 kn-aut-mei=智恵 aut-affil-num=4 ORCID= en-aut-name=NomuraKayo en-aut-sei=Nomura en-aut-mei=Kayo kn-aut-name=野村佳代 kn-aut-sei=野村 kn-aut-mei=佳代 aut-affil-num=5 ORCID= en-aut-name=HiguchiMachiko en-aut-sei=Higuchi en-aut-mei=Machiko kn-aut-name=樋口まち子 kn-aut-sei=樋口 kn-aut-mei=まち子 aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻学生 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻学生 affil-num=3 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻学生 affil-num=4 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻学生 affil-num=5 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=6 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=母子保健 (Maternity health) kn-keyword=母子保健 (Maternity health) en-keyword=育児不安 (childcare anxiety) kn-keyword=育児不安 (childcare anxiety) END start-ver=1.4 cd-journal=joma no-vol=13 cd-vols= no-issue=2 article-no= start-page=91 end-page=98 dt-received= dt-revised= dt-accepted= dt-pub-year=2003 dt-pub=20030320 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Students' empirical learning from clinical nursing practice for chronic illness kn-title=成人看護実習(慢性期)における学生の経験による学び en-subtitle= kn-subtitle= en-abstract=This study is designed to clarify the students empirical learning during clinical practice. It focuses on what and how the students feel, suffer from, think about, care for, and cultivate their own views about nursing. The students were actively involved with the patient at the bedside. The objectives were to share a feeling with a patient, listen to the patient, accept the feeling, and observe the patient. As the students got to know the patient and their relationship developed, the students were able to creatively care for the patient. These experiences during clinical nursing practice helped the students to develop their view of nursing. The students saw nursing as warm and sophisticated profession. kn-abstract=本報告は,慢性期看護実習において,学生が何をどのように感じ,悩み,考え,創造し,ケアし,看護観や自己成長を培っていったかという｢経験による学び｣の過程とその状況を明らかにすることを目的としている｡その結果,学生は,関心を持って患者と出会うことで患者の心情を感じとり,受け止め,考えたり悩んだりしながら,患者のそばにいる,感情を共有する,傾聴する,思いを受け止める,そばでよく観察する,などして能動的に患者にかかわっていた｡患者との相互関係のなかで,患者を知り,患者がわかるようになると患者の問題が見えてくるようになり,必要なケアを考えて,創造したケアを実践していた｡それらの経験が看護観を培っていた｡また,看護婦が醸し出す良い雰囲気を経験した学生は,人間としての暖かさと看護の専門家としての看護師像を浮き彫りにさせ,自分を見つめて自己成長を培っていた｡ en-copyright= kn-copyright= en-aut-name=HayashiYuko en-aut-sei=Hayashi en-aut-mei=Yuko kn-aut-name=林優子 kn-aut-sei=林 kn-aut-mei=優子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=慢性期看護実習 (Clinical nursing practice for chronic illness) kn-keyword=慢性期看護実習 (Clinical nursing practice for chronic illness) en-keyword=経験による学び (Empirical learning) kn-keyword=経験による学び (Empirical learning) en-keyword=看護観 (View of nursing) kn-keyword=看護観 (View of nursing) en-keyword=自己成長 (Self development) kn-keyword=自己成長 (Self development) END start-ver=1.4 cd-journal=joma no-vol=13 cd-vols= no-issue=2 article-no= start-page=83 end-page=90 dt-received= dt-revised= dt-accepted= dt-pub-year=2003 dt-pub=20030320 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Achievement levels of students on clinical nursing practice for chronic illness kn-title=成人看護実習(慢性期)における実習目標の到達度 en-subtitle= kn-subtitle= en-abstract=This paper is designed to demonstrate the relationships between each objective and the students' achievement levels for the objectives of clinical nursing practice. Seventy four students evaluated their own achievement levels related to their clinical nursing practice. Evaluation scores for each objective were analyzed. The following results were obtained: The objective of cultivating the view of nursing and developing themselves had the highest score. Understanding the mechanism of disease, physical examination and treatment, and patient care, understanding nursing care toward patient's self care, and understanding nursing care for patient in crisis had high scores. The students, through their own nursing care, explored the meaning of each care (or each experience) and inquired about the nature of nursing. Their view of nursing and self development was formed from their own various experiences. Correlation among each objective was found. Each for clinical nursing practice has reliability and validity. kn-abstract=実習目標の到達度及び実習目標間の関係を明らかにするために,74名の学生による実習目標の自己評価を分析した｡その結果,実習目標の到達度は,｢自己の看護観や自己成長を培う｣が最も高かった｡そして｢疾患の病態生理や検査･治療についての理解と看護援助｣｢セルフケアに向けた看護援助｣｢危機に直面している患者の看護援助｣などの看護実践面に関する目標が高値を示していた｡学生は目標に沿った看護を実践する中で,経験したひとつひとつのケアを意味づけたり,看護とは何かを探求していったと思われ,それが看護観の形成や自己成長につながっていったものと考えられた｡実習目標間の関係では,各実習目標との間に相関が見られ,それらは信頼性のある妥当な慢性期看護実習の目標であることが確認された｡ en-copyright= kn-copyright= en-aut-name=HayashiYuko en-aut-sei=Hayashi en-aut-mei=Yuko kn-aut-name=林優子 kn-aut-sei=林 kn-aut-mei=優子 aut-affil-num=1 ORCID= en-aut-name=KageyamaJingo en-aut-sei=Kageyama en-aut-mei=Jingo kn-aut-name=景山甚郷 kn-aut-sei=景山 kn-aut-mei=甚郷 aut-affil-num=2 ORCID= en-aut-name=NakanishiYoshiko en-aut-sei=Nakanishi en-aut-mei=Yoshiko kn-aut-name=中西代志子 kn-aut-sei=中西 kn-aut-mei=代志子 aut-affil-num=3 ORCID= en-aut-name=IshizakiHiroyuki en-aut-sei=Ishizaki en-aut-mei=Hiroyuki kn-aut-name=石﨑博之 kn-aut-sei=石﨑 kn-aut-mei=博之 aut-affil-num=4 ORCID= en-aut-name=MorimotoMichiko en-aut-sei=Morimoto en-aut-mei=Michiko kn-aut-name=森本美智子 kn-aut-sei=森本 kn-aut-mei=美智子 aut-affil-num=5 ORCID= en-aut-name=MoriKeiko en-aut-sei=Mori en-aut-mei=Keiko kn-aut-name=森恵子 kn-aut-sei=森 kn-aut-mei=恵子 aut-affil-num=6 ORCID= en-aut-name=TsuboiKeiko en-aut-sei=Tsuboi en-aut-mei=Keiko kn-aut-name=坪井桂子 kn-aut-sei=坪井 kn-aut-mei=桂子 aut-affil-num=7 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=3 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=4 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=5 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=6 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=7 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=慢性期看護実習 (Clinical nursing practice) kn-keyword=慢性期看護実習 (Clinical nursing practice) en-keyword=実習目標の到達度 (Achievement levels) kn-keyword=実習目標の到達度 (Achievement levels) en-keyword=自己評価 (Self-assessment) kn-keyword=自己評価 (Self-assessment) en-keyword=実習目標間の関係 (Relationships between each objective) kn-keyword=実習目標間の関係 (Relationships between each objective) END start-ver=1.4 cd-journal=joma no-vol=13 cd-vols= no-issue=2 article-no= start-page=67 end-page=75 dt-received= dt-revised= dt-accepted= dt-pub-year=2003 dt-pub=20030320 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Examination of informed consent to preoperative esophagus cancer patient kn-title=食道がん患者に対する術前インフォームド･コンセントの検討 en-subtitle= kn-subtitle= en-abstract=It is important for the patients with esophageal cancer to receive truth telling about their illness as well as to have informed consent fully concerning treatment method when making self-decision. There have been few reports about the self-decision oriented informed consent which were analyzed with qualitative induction research. We therefore conducted qualitative research using semi-structured questionnaire to elucidate how an informed consent should be conducted to support the patients to make self-decision for accepting surgical treatment. As results, 1. Informed consent should not be an event but a process according to capacity of the patients for understanding their own illness. 2. Explanation about the condition following an operation, especially about the symptom or the procedure causing pain, should be supportive for the patients with picturing a specific image, considering the personality of the patients. 3. Supportive system for patients after receiving informed consent and making a decision accepting surgical treatment should be improved because of insufficient sharing of information among medical team members. kn-abstract=食道がん患者が食道切除術を受けることを自己決定する場合には,食道癌であることの告知と､食道癌に対する治療方法に関するインフォームド･コンセントが重要となる｡食道がん患者の治療法選択における自己決定を指向したインフォームド･コンセントの有り様について,質的帰納的に分析した文献は少ない｡今回,食道がん患者に対して,半構成的質問用紙を用いて,面接を実施することで,患者が治療法として手術を自己決定するために役立つインフォームド･コンセントとはどのようにあればいいかを明らかにした｡その結果,患者が食道切除術を受けることを決めるためには,①患者の理解度にあわせ,何度かに分けてインフォームド･コンセントが行われる必要があること,②術後に起こってくる症状,特に患者にとって苦痛を伴う検査,処置等については,患者のパーソナリティーを考えながら,術後のイメージがわくような説明が必要であること,③患者の自己決定に至る過程のみならず,インフォームド･コンセント後においても,患者や家族を支援する体制が重要であること,が明らかになった｡ en-copyright= kn-copyright= en-aut-name=MoriKeiko en-aut-sei=Mori en-aut-mei=Keiko kn-aut-name=森恵子 kn-aut-sei=森 kn-aut-mei=恵子 aut-affil-num=1 ORCID= en-aut-name=KanaoNaomi en-aut-sei=Kanao en-aut-mei=Naomi kn-aut-name=金尾直美 kn-aut-sei=金尾 kn-aut-mei=直美 aut-affil-num=2 ORCID= en-aut-name=NanbaKayo en-aut-sei=Nanba en-aut-mei=Kayo kn-aut-name=難波佳代 kn-aut-sei=難波 kn-aut-mei=佳代 aut-affil-num=3 ORCID= en-aut-name=IshikawaTakako en-aut-sei=Ishikawa en-aut-mei=Takako kn-aut-name=石川貴子 kn-aut-sei=石川 kn-aut-mei=貴子 aut-affil-num=4 ORCID= en-aut-name=SaitoShinya en-aut-sei=Saito en-aut-mei=Shinya kn-aut-name=斎藤信也 kn-aut-sei=斎藤 kn-aut-mei=信也 aut-affil-num=5 ORCID= en-aut-name=NaomotoYoshio en-aut-sei=Naomoto en-aut-mei=Yoshio kn-aut-name=猶本良夫 kn-aut-sei=猶本 kn-aut-mei=良夫 aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=国立病院四国がんセンター affil-num=3 en-affil= kn-affil=岡山大学医学部附属病院西病棟3階 affil-num=4 en-affil= kn-affil=岡山大学医学部附属病院西病棟3階 affil-num=5 en-affil= kn-affil=岡山大学医学部附属病院消化器･腫瘍外科 affil-num=6 en-affil= kn-affil=岡山大学医歯学総合研究科消化器･腫瘍外科 en-keyword=インフォームド･コンセント (Informed consent) kn-keyword=インフォームド･コンセント (Informed consent) en-keyword=食道がん (esophagus cancer) kn-keyword=食道がん (esophagus cancer) en-keyword=治療法の選択 (selecting treatment method) kn-keyword=治療法の選択 (selecting treatment method) en-keyword=自己決定 (self-determination) kn-keyword=自己決定 (self-determination) END start-ver=1.4 cd-journal=joma no-vol=14 cd-vols= no-issue=1 article-no= start-page=75 end-page=83 dt-received= dt-revised= dt-accepted= dt-pub-year=2003 dt-pub=20031225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=A study on patient's difficult experiences' and coping methods for them that patients go through following laryngectomy kn-title=食道癌のために喉頭切除術を受けた患者が体験している困難とそれへの対処方法 en-subtitle= kn-subtitle= en-abstract=The objective of the present study is to clarify difficult experiences and coping methods for them that patients go through following laryngectomy. A semi-structured interview was conducted on a patient who had undergone laryngectomy and was living at home. The results of qualitative induction analysis identified the following eight categories for difficult experiences: 1) Uneasiness to have to live with fear of metastasis, 2) Being frustrated about not being able to communicate weel, 3) Annoyingness not to be able to do former life, 4) Inconvenience to have to live supporting changing function, 5) Have fear of unexpected symptoms, 6) Self-hatred for not playing a role, 7) Being uncomfortable when people look at the tracheal stoma, and 8) Needing time to reconstruct life. And the results of qualitative induction analysis identified the following twelve categories for coping methods: 1) Have mental images postoperative situation, 2) Continue treatment, 3) Switch to communication method except for speaking, 4) Eat while figuring out a good way in the daily life, 5) Soak in the bathtub until at tracheostomy and wipe out other part of body when taking a bath, 6) Buy new clothes not cover tracheostomy, 7)Replace tracheostomy tube without attachment to live, and making the airway clean, 8) Receive information about the smell from the family, 9) Consult a doctor, 10) Master coping method on his own, 11) Practice what I can now, 12) Keep usual not hiding under a cover according to his sense, 13) Brings it close to former life spending time. 'Have mental images postoperative situation' was based on other coping methods. The results clarified that, in order to allow laryngectomized patients to overcome these difficult experiences, it is important for them to have mental images of situations that they will face following surgery. kn-abstract=本研究の目的は,喉頭切除術を受けた患者が体験している困難とそれへの対処方法を明らかにすることである｡自宅で生活する1名の喉頭切除術後患者に対して行った半構成面接により得られたデータを質的帰納的に分析した結果,喉頭切除術を受けた患者が体験している困難な体験としては,【転移に対する恐怖を持ち続けて生活していかなければならない不安】【うまく意思疎通できないことへの苛立ち】【元通りの生活ができない煩わしさ】【変化した機能を補いながら生きていかなくてはならない不便さ】【予測できない症状に対する恐怖】【役割を果たせないことに対する自己嫌悪】【気管ロを特異な目で見られることの不快感】【生活を再構築するための時間の必要性】の8のカテゴリーが抽出された｡また,困難な体験に対する患者の対処方法としては,<術後の状態をイメージする><治療を継続する><発声以外の方法によるコミュニケーションへの転換をはかる><毎日の生活の中で工夫しながら食べる><入浴時つかれるところまでつかり,あとは拭く><気管口をふさがない洋服に買い換える><生きて行くために淡々と気管カニューレの入れ替えを行い,気道の清浄化をはかる><家族から臭いについて情報を得る><自分で病院を受診する><自分で対処方法を修得する><今自分のできることを行う><自分の感覚に従って,覆い隠さず普通にする><時間をかけて元の生活に近づける>の13のカテゴリーが抽出された｡<術後の状態をイメージする>という対処方法は,その他12の対処方法の根底として存在し,この<術後の状態をイメージする>という対処方法が,困難な体験を乗り越えていくための原動力になっていることが明らかとなった｡ en-copyright= kn-copyright= en-aut-name=MoriKeiko en-aut-sei=Mori en-aut-mei=Keiko kn-aut-name=森恵子 kn-aut-sei=森 kn-aut-mei=恵子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=食道癌 (Esophageal cancer) kn-keyword=食道癌 (Esophageal cancer) en-keyword=喉頭切除術 (laryngectomy) kn-keyword=喉頭切除術 (laryngectomy) en-keyword=失声 (loss of voice) kn-keyword=失声 (loss of voice) en-keyword=インフォメーションニーズ (information needs) kn-keyword=インフォメーションニーズ (information needs) en-keyword=生活の再構築 (restructuring of postoperative life) kn-keyword=生活の再構築 (restructuring of postoperative life) END start-ver=1.4 cd-journal=joma no-vol=14 cd-vols= no-issue=1 article-no= start-page=103 end-page=111 dt-received= dt-revised= dt-accepted= dt-pub-year=2003 dt-pub=20031225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The role of forensic psychiatric nursing in foreign nations kn-title=諸外国における司法精神看護の役割 en-subtitle= kn-subtitle= en-abstract=This paper overviews the role of forensic psychiatric nursing, focusing on the situation overseas. Forensic nursing is primarily involved with the investigation and evaluation of an individual's mental state to determine whether the criminal justice system or the health care system most equitably meets their needs. From an American perspective, Lynch describes different areas of forensic nursing. 'Clinical forensic nursing' involves the application of clinical and scientific knowledge to questions of law and the criminal and civil investigation of survivors of traumatic injury and also includes court-related issues associated with patient treatment. The American system also utilizes a 'sexual assault nurse examiner,' this role is concerned with the clinical examination of sexually assaulted victims and the employment of therapeutic interventions to enable the process of healing. In the UK, this area of work has primarily emerged within the criminal justice system with specially trained police officers engaging with adult individuals who have been the victims of sexual assault, and working in partnership with medical interventions and investigation. Another specialty in the UK is 'forensic psychiatric nursing', concerning the assessment of criminal defendants before their court hearing. In the area of forensic nursing, the subjects are offenders with mental disorders, their families, and victims. The important roles in forensic psychiatric nursing are summarized as follows: assessment of mood and psychiatric symptoms, medication management, risk management, training in social skills, crisis intervention, and evaluation of behavioral or mental disorder. kn-abstract=本論文は,諸外国における司法精神看護(forensic psychiatric nursing)について文献学的に概観し,司法精神看護の役割について明らかにすることを目的とした｡司法精神看護師の役割としては,法的知識と看護の知識を持った上で,犯罪者が法廷に出る前の精神症状のアセスメントをし,適切な治療やケアを受けることができるように調整していくこと､また性的暴力を受けた被害者を検査し､フォローアップケアを行うこと等があった｡司法精神看護の対象は,重大な罪を犯した精神障害者(触法精神障害者)だけでなく,触法精神障害者の家族,被害者が含まれていた｡触法精神障害者に対しては,投薬,薬の効果･副作用の教育,社会的能力のトレーニングを行い,触法精神障害者の家族や犯罪被害者に対しては,感情のアセスメント,心理的危機介入,行動面等の評価を行う役割を担っていた｡ en-copyright= kn-copyright= en-aut-name=HidakaKyoko en-aut-sei=Hidaka en-aut-mei=Kyoko kn-aut-name=日高経子 kn-aut-sei=日高 kn-aut-mei=経子 aut-affil-num=1 ORCID= en-aut-name=MikiAkiko en-aut-sei=Miki en-aut-mei=Akiko kn-aut-name=三木明子 kn-aut-sei=三木 kn-aut-mei=明子 aut-affil-num=2 ORCID= en-aut-name=KanasakiHaruka en-aut-sei=Kanasaki en-aut-mei=Haruka kn-aut-name=金崎悠 kn-aut-sei=金崎 kn-aut-mei=悠 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部･歯学部附属病院看護部 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=3 en-affil= kn-affil=岡山大学大学院保健学研究科看護学専攻修士課程 en-keyword=司法精神看護 (forensic psychiatric nursing) kn-keyword=司法精神看護 (forensic psychiatric nursing) en-keyword=役割 (role) kn-keyword=役割 (role) en-keyword=触法精神障害者 (mentally disorder offenders) kn-keyword=触法精神障害者 (mentally disorder offenders) en-keyword=被害者 (victim) kn-keyword=被害者 (victim) END start-ver=1.4 cd-journal=joma no-vol=14 cd-vols= no-issue=1 article-no= start-page=95 end-page=101 dt-received= dt-revised= dt-accepted= dt-pub-year=2003 dt-pub=20031225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Deregulation in the Education: The Transition of Nursing Education kn-title=教育における規制媛和 ―看護教育の立場から― en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=GodaNoriko en-aut-sei=Goda en-aut-mei=Noriko kn-aut-name=合田典子 kn-aut-sei=合田 kn-aut-mei=典子 aut-affil-num=1 ORCID= en-aut-name=OhmuroRitsuko en-aut-sei=Ohmuro en-aut-mei=Ritsuko kn-aut-name=大室律子 kn-aut-sei=大室 kn-aut-mei=律子 aut-affil-num=2 ORCID= en-aut-name=HosogoeSachiko en-aut-sei=Hosogoe en-aut-mei=Sachiko kn-aut-name=細越幸子 kn-aut-sei=細越 kn-aut-mei=幸子 aut-affil-num=3 ORCID= en-aut-name=NishiyamaChiharu en-aut-sei=Nishiyama en-aut-mei=Chiharu kn-aut-name=西山智春 kn-aut-sei=西山 kn-aut-mei=智春 aut-affil-num=4 ORCID= en-aut-name=SuzukiYoshiko en-aut-sei=Suzuki en-aut-mei=Yoshiko kn-aut-name=鈴木良子 kn-aut-sei=鈴木 kn-aut-mei=良子 aut-affil-num=5 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=千葉大学看護学部附属看護実践指導研究センター affil-num=3 en-affil= kn-affil=岩手県立大学看護学部看護学科 affil-num=4 en-affil= kn-affil=桐生短期大学看護学科 affil-num=5 en-affil= kn-affil=神奈川県立綾瀬西高等学校 en-keyword=規制緩和 (deregulation) kn-keyword=規制緩和 (deregulation) en-keyword=大綱化 (flexibility) kn-keyword=大綱化 (flexibility) en-keyword=教育 (education) kn-keyword=教育 (education) en-keyword=看護教育 (nursing education) kn-keyword=看護教育 (nursing education) END start-ver=1.4 cd-journal=joma no-vol=14 cd-vols= no-issue=1 article-no= start-page=85 end-page=94 dt-received= dt-revised= dt-accepted= dt-pub-year=2003 dt-pub=20031225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Analysis of humidification of low-flow-oxygen therapy kn-title=低流量酸素吸入時の加湿に関する検討 en-subtitle= kn-subtitle= en-abstract=Guidelines proposed by several medical associations in the United States showed that there was no scientific evidence of the validity of humidification during the inhalation of low flow oxygen. Therefore we abolished the humidification in the division of special procedures of O University hospital. Afterwards, some medical staffs or patients requested humidification. Further there are patients from various departments where standardization of humidification is not identified. Thus we needed to standardize the humidification during the inhalation of oxygen in our division. We reviewed published reports regarding humidification during the inhalation of low flow oxygen because there were no standards or guidelines of the humidification in our country. As a result, we confirmed that there was no symptomatic difference during the inhalation of oxygen between with and without humidification if the flow volume was less than 2 L/min in our country, or equal and less than 5 L/min in foreign countries. On the other hand, we noticed that patients were likely to complain of dry sensation of nose and/or pharynx during the inhalation of oxygen with or without humidification. We think that reevaluation of necessity of humidification during higher volume of oxygen taking room humidity into consideration in our country the flow volume of oxygen depending on the change of its amount is now required. And it is important to. establish the way to prevent dry sensation during the inhalation of oxygen. kn-abstract=低流量酸素吸入時の加湿について,アメリカのいくつかの学会が提唱するガイドラインでは,加湿には科学的根拠がないとしている｡このため,O大学医学部附属病院放射線部特殊検査室において,低流量酸素吸入時の加湿を廃止したが,廃止後,医療者や患者から加湿の要望が若干あった｡また,病院内の各部署から依頼をうける特殊検査室では,院内における加湿状況にばらつきがあり,明確な基準を確立する必要性を感じた｡我が国において,酸素加湿に対する基準やガイドラインは見当たらないため,国内外の文献をもとに,低流量酸素吸入時の加湿の必要性について考察した｡加湿の効果を,健常者や患者を対象として加湿の有無で比較調査した研究では,日本国内で酸素流量2L/分以下,アメリカで5L/分以下において自覚症状に有意差は認められず,加湿器を使用しなくても問題がないことが明らかにされていた｡日本国内で酸素流量を5L/分以下に設定して比較調査した研究は行われていなかった｡特記すべき点として,有意差は認められなかったものの,両群とも鼻･咽頭の乾燥感に関する訴えが多かったことが挙げられた｡これらの知見から,日本国内において,さらに酸素流量を増し,環境中の湿度を考慮した比較調査が必要であることと,鼻･咽頭の乾燥感への対策を考案することが,加湿の基準を確立する上で重要であると考える｡ en-copyright= kn-copyright= en-aut-name=KatoKozuki en-aut-sei=Kato en-aut-mei=Kozuki kn-aut-name=加藤湖月 kn-aut-sei=加藤 kn-aut-mei=湖月 aut-affil-num=1 ORCID= en-aut-name=ShakudaMine en-aut-sei=Shakuda en-aut-mei=Mine kn-aut-name=尺田峰 kn-aut-sei=尺田 kn-aut-mei=峰 aut-affil-num=2 ORCID= en-aut-name=WatanabeKumi en-aut-sei=Watanabe en-aut-mei=Kumi kn-aut-name=渡邉久美 kn-aut-sei=渡邉 kn-aut-mei=久美 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部・歯学部附属病院放射線部 affil-num=2 en-affil= kn-affil=岡山大学医学部・歯学部附属病院放射線部 affil-num=3 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=低流量酸素吸入(low flow oxygen) kn-keyword=低流量酸素吸入(low flow oxygen) en-keyword=加湿 (humidification) kn-keyword=加湿 (humidification) en-keyword=乾燥感 (dry sensation) kn-keyword=乾燥感 (dry sensation) END start-ver=1.4 cd-journal=joma no-vol=14 cd-vols= no-issue=1 article-no= start-page=65 end-page=73 dt-received= dt-revised= dt-accepted= dt-pub-year=2003 dt-pub=20031225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=First year students' understanding of the relationship between the kn-title=｢助産学総論｣と看護系の実習との関連における理解度に関する一考察 ―O大学保健学科看護学専攻･助産師コース第一期生の場合― en-subtitle= kn-subtitle= en-abstract=The "fundamentals of midwifery" is one of the most basic subjects in the education of midwives, but only 30 hours of lectures are given in this subject. To have students approach the subject as a professional one, numerous elements including current problems faced by women and problems between women and their partners need to be presented in the limited hours. In doing this, it is important not only to give lectures, but also to instill recognition of the relationship of the lectures to nursing. community and midwifery practices. Students filled out questionnaires to evaluate the lectures and to indicate their level of understanding of midwifery practice. From the results, the students' levels of understanding of the contents of the "fundamentals of midwifery" were investigated and classified into: 1) what needs to be understood from the "fundamentals of midwifery" lectures, 2) what can be understood in relation to midwifery practice, and 3) what can be understood through other practice. kn-abstract=助産学総論は助産師の基礎教育において最も基本となる教科であるが,講義時間は30時間と限られた中で近年の女性やパートナーとの問題を含め,専門職として学修させるためには膨大な内容を示唆していかなければならない｡それには講義のみでなく看護学実習,地域実習,助産学実習などとの関連も把握しながら,これを遂行していくことは重要である｡講義および助産学実習について講義評価アンケートや実習理解度アンケートなどから助産学総論の内容への理解度を検討した｡検討結果,助産学総論の講義内容においてわかったことは,｢助産学総論の講義で理解させなければならないこと｣,｢助産学実習と関連して理解させられること｣,｢助産学実習以外の他の実習でも理解させられること｣などの内容を選別することができた｡ en-copyright= kn-copyright= en-aut-name=OnoKiyomi en-aut-sei=Ono en-aut-mei=Kiyomi kn-aut-name=小野清美 kn-aut-sei=小野 kn-aut-mei=清美 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=助産学 (Midwifery) kn-keyword=助産学 (Midwifery) en-keyword=助産学実習 (Midwifery practice) kn-keyword=助産学実習 (Midwifery practice) en-keyword=看護学実習 (nursing practice) kn-keyword=看護学実習 (nursing practice) END start-ver=1.4 cd-journal=joma no-vol=14 cd-vols= no-issue=1 article-no= start-page=57 end-page=64 dt-received= dt-revised= dt-accepted= dt-pub-year=2003 dt-pub=20031225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Provision of information and health care in a maternity ward: More effective use of corridor notice boards kn-title=産科病棟における保健サービスと情報提供に関する一考察―廊下にある掲示板の工夫をして― en-subtitle= kn-subtitle= en-abstract=Although bulletin boards in hospitals are considered a readily accessible means of information sharing, there are virtually no studies available on this subject. However, as a self-assessment survey of the Japan Council for Quality Health Care includes a rating of "attention given to posted materials" as one of its items, we thus conducted a study focused on the bulletin board situated in the corridor of O University Hospital's maternity ward. After measuring color visibility and lighting intensity around the board, we reorganized the layout of posted materials; after which we evaluated the appearance of the board using the Semantic Differential Method. The results were positive; and in addition, we conducted other surveys intended to obtain comments and requests. As a result of such efforts, we came up with two criteria to consider when designing a bulletin board; namely, on how to use bulletin boards effectively and on classifying the type of announcement. 1. Arrange display materials according to importance and urgency levels 2. Use font sizes and drawings as eye-catching means 1. There is a need to provide patient education and health information related to the field of obstetrics. 2. There is a need to clearly identify the targets, i.e. whether the posted materials are intended for the patients and/or for family members. 3. There is also a need to provide general news or to post drawings and pictures for the purpose of comforting patients. kn-abstract=病棟における情報提供の一つとして掲示板は手軽に利用されるが,これに関する研究はないといっても過言ではない｡しかし,日本医療機能評価機構(Japan Council for Quality Health Care)においては自己評価票の項目として｢掲示物の配慮｣について評価するようになっている｡そこで,O大学附属病院産科病棟の廊下にある掲示板を使用し,掲示板周辺の色彩の視感測定と照度測定を実施し後,掲示物の内容の整理をし,その美観について整理前後の評価をSD法(Semantic Diferenial Method)で評価しその結果, 整理後は好転していた｡さらに,掲示物への意見の調査,希望する掲示内容に関する調査なども実施した｡これらのことから掲示板の有効活用の仕方と情報提供の内容の選別の2点が明確化した｡それぞれの留意点は以下のとおりである｡<有効活用について>1.掲示物の重要度と緊急性に応じた貼り方をする｡2.文字や絵の大きさにより,掲示板の有効活用をする｡<情報提供の内容の選別について>1.産科領域の患者教育および健康教育などの提供の必要性がある｡2.掲示物の内容は患者本人に必要なことか,家族にも必要なことなのか,対象者の明確化をして貼付する必要がある｡3.一般ニュースの提供や絵や写真などの癒しの必要性もある。 en-copyright= kn-copyright= en-aut-name=OnoKiyomi en-aut-sei=Ono en-aut-mei=Kiyomi kn-aut-name=小野清美 kn-aut-sei=小野 kn-aut-mei=清美 aut-affil-num=1 ORCID= en-aut-name=OkudaHiroyuki en-aut-sei=Okuda en-aut-mei=Hiroyuki kn-aut-name=奥田博之 kn-aut-sei=奥田 kn-aut-mei=博之 aut-affil-num=2 ORCID= en-aut-name=MatsuiTamiko en-aut-sei=Matsui en-aut-mei=Tamiko kn-aut-name=松井たみこ kn-aut-sei=松井 kn-aut-mei=たみこ aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=3 en-affil= kn-affil=岡山大学医学部・歯学部附属病院 en-keyword=情報提供 (information service) kn-keyword=情報提供 (information service) en-keyword=サービス (health care) kn-keyword=サービス (health care) en-keyword=産科病棟 (maternity ward) kn-keyword=産科病棟 (maternity ward) END start-ver=1.4 cd-journal=joma no-vol=14 cd-vols= no-issue=1 article-no= start-page=47 end-page=55 dt-received= dt-revised= dt-accepted= dt-pub-year=2003 dt-pub=20031225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The grief process of patient's family over the death at hospital against the cancer kn-title=病状の急変により病院死となった在宅癌患者を看取った家族の悲嘆反応とその支援 en-subtitle= kn-subtitle= en-abstract=The aim of this study was to clarify the grief process of patient's family and to know how to support the family when the cancer patient who had been given terminal home care, was forced to die at hospital against the patient's will owing to aggravated condition. We interviewed patient's husband and daughter to analyze the family grief process on the basis of A. Deeken's grief process. The results showed that husband's grade was the 7th and daughter's was the 5th. The factor that caused the grief of the patient's family are listed as follows: the experience of rapidly changing circumstances surrounding them and family's regretting feeling concerning the notification of the cancer. kn-abstract=近年,在宅で死を迎えたいという人が増えている｡本研究の目的は,終末期を在宅で迎えようとしていた癌患者が,病状の悪化により病院死となった場合の事例を対象に,家族の悲嘆反応の変化を把握し,家族に対しどのような援助が必要なのかを明らかにすることである｡インタビューを患者の夫と娘に行い,A. Deekenによる12の悲嘆のプロセスの概念を基に分析を行った｡その結果,夫はA. Deekenの概念のうち7段階に該当しており,娘は5段階に該当していた｡悲嘆反応に影響を与えた要因としては,急な病変の経験,家族間の協力や仕事,告知に関する心残りがあげられた｡在宅療養継続か入院かを見極めること,キーパーソンをみつけること,家族の仕事をアセスメントすること,家族が告知をどう捉えているかを把握し尊重することなどが,必要な援助であることが示唆された。 en-copyright= kn-copyright= en-aut-name=AkahataAyumi en-aut-sei=Akahata en-aut-mei=Ayumi kn-aut-name=赤畠鮎美 kn-aut-sei=赤畠 kn-aut-mei=鮎美 aut-affil-num=1 ORCID= en-aut-name=OkanoHatsue en-aut-sei=Okano en-aut-mei=Hatsue kn-aut-name=岡野初枝 kn-aut-sei=岡野 kn-aut-mei=初枝 aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=倉敷中央病院 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=在宅ケア (Home care) kn-keyword=在宅ケア (Home care) en-keyword=病状の悪化 (aggravated condition) kn-keyword=病状の悪化 (aggravated condition) en-keyword=病院死 (death at hospital) kn-keyword=病院死 (death at hospital) en-keyword=悲嘆反応 (grief process) kn-keyword=悲嘆反応 (grief process) END start-ver=1.4 cd-journal=joma no-vol=14 cd-vols= no-issue=1 article-no= start-page=37 end-page=45 dt-received= dt-revised= dt-accepted= dt-pub-year=2003 dt-pub=20031225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=A study of patient's intake of meals provided by the hospital and its relevant factors using a self-administered questionnaire kn-title=自己申告による入院患者の病院食の摂取量とその関連要因に関する研究 en-subtitle= kn-subtitle= en-abstract=We examined patient's intake of meal and its relevant factors using a self-administered questionnaire. The 92 subjects of this study were patients in 1) post operational status with digestive diseases, 2) therapeutic conditions with digestive diseases, 3) therapeutic conditions with hemopathy, and 4) therapeutic conditions with kidney and endocrine diseases. All patients were hospitalized for more than a week. The results demonstrate that: 1) approximately 40% of the patients ate less than half of the patient meal; 2) patient's intake of meal was significantly related to pleasure of meal time and satisfaction of hospital food service; and 3) patient's intake of meal was strongly affected by the applied treatment and the symptoms in the patient; and 4) there was no significant correlation between patient's intake of meal and dietary knowledge, interest, action and benefit. kn-abstract=岡山大学医学部附属病院に入院中で,主に消化器系の疾患を持ち手術を受けた患者,主に消化器内で治療中の患者,主に血液内科で治療前･治療中の患者,主に腎･内分泌内科など慢性疾患の治療を受けている患者で,1週間以上入院しており,了承の得られた92名の患者を対象に,自己申告による病院食の摂取量とその関連要因について調査した結果以下の4点が明らかになった｡ 1.病院食の摂取量が半分以下であると答えた患者は約40%であった｡ 2.病院食の摂取量は,治療方法,身体症状と強い関連がみられた｡ 3.病院食の摂取量が多い者は食事の時間を楽しく感じ,食事にも満足していた｡ 4.食事に対する知識･興味･行動･有益性と病院食の摂取量との間には有意な関係はみられなかった｡ en-copyright= kn-copyright= en-aut-name=KataokaTetsuya en-aut-sei=Kataoka en-aut-mei=Tetsuya kn-aut-name=片岡徹也 kn-aut-sei=片岡 kn-aut-mei=徹也 aut-affil-num=1 ORCID= en-aut-name=SumiyoshiKazuko en-aut-sei=Sumiyoshi en-aut-mei=Kazuko kn-aut-name=住吉和子 kn-aut-sei=住吉 kn-aut-mei=和子 aut-affil-num=2 ORCID= en-aut-name=KawataChieko en-aut-sei=Kawata en-aut-mei=Chieko kn-aut-name=川田智恵子 kn-aut-sei=川田 kn-aut-mei=智恵子 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部･歯学部附属病院 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=3 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=病院食の摂取量 (patient's intake of meals) kn-keyword=病院食の摂取量 (patient's intake of meals) en-keyword=身体症状 (the symptoms in the patient) kn-keyword=身体症状 (the symptoms in the patient) en-keyword=食事の満足度 (satisfaction of patient food service) kn-keyword=食事の満足度 (satisfaction of patient food service) en-keyword=給食サービスの評価 (evaluation of patient food service) kn-keyword=給食サービスの評価 (evaluation of patient food service) END start-ver=1.4 cd-journal=joma no-vol=14 cd-vols= no-issue=1 article-no= start-page=31 end-page=35 dt-received= dt-revised= dt-accepted= dt-pub-year=2003 dt-pub=20031225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Development of human limb volume meter for evaluation of edema kn-title=浮腫評価のための体肢容積計の開発 en-subtitle= kn-subtitle= en-abstract=Quantitative evaluation of the edema is important for perinatal medicine. In a conventional method, the volume of human limb has been estimated by 2 circumferences of the measurement position, which is measured with the tape measure. However, the following errors makes this measurement insufficient; ・the error by the way of winding of a measure to the measurement position, ・the error between volume of model geometry of measurement position and one of real shape of measurement position and so on. Then, we have developed a volume meter of human limb for the edema evaluation, which is high precision and suitable for the everyday use. Archimedes' principle was applied as this measurement principle. The mass change of water tank with water, when the measurement part water in, was converted to volume of measurement part. The linearity, resolution, stability. reproducibility of the volume meter was investigated. Considering these results, we found that the specification of this equipment was high precise as follows; maximum volume of 25,000 cm(3), resolution of 1 cm(3), nonlinearity of 0.007%. We also measured the diurnal volume change of foot and lower leg in three subjects. We found that the differences between foot and lower leg or among the subjects. The developed volume meter can be expected to apply to quantitative evaluation of the edema. kn-abstract=周産期医学にとって浮腫の定量評価は重要である｡これまでは,測定部位の2箇所の周囲長をメジャーで測り,その変化により浮腫を評価している｡また周囲長により容積を推定する方法も提案されている｡しかしながら,この方法ではメジャーの測定部位への巻き付け方による誤差や容積を推定する根拠となる測定部位のモデル形状と実際の測定部位の形状との誤差など様々な誤差の影響により,精度の点からは十分とはいえない｡そこで,本研究では浮腫評価のための高精度で日常的な使用に適した体肢容積計を開発した｡この測定原理はアルキメデスの原理を適用したもので,水を入れた水槽に測定部位を入れる前後の質量変化により,その容積を量るしくみである｡まず,この容積計の出力の線形性,分解能,安定性,再現性について検討を行った｡この結果,本装置の仕様は最大計測容積25,000cm(3),分解能1cm(3),非直線性0.007%以下となり,非常に高精度であるといえる｡また,被験者3名の足部,下腿部の容積の日内変化を測定した結果,各被験者の容積変化の特徴を明らかにすることができ,浮腫評価への応用ができることを確認した。 en-copyright= kn-copyright= en-aut-name=NakamuraTakao en-aut-sei=Nakamura en-aut-mei=Takao kn-aut-name=中村隆夫 kn-aut-sei=中村 kn-aut-mei=隆夫 aut-affil-num=1 ORCID= en-aut-name=GodaNoriko en-aut-sei=Goda en-aut-mei=Noriko kn-aut-name=合田典子 kn-aut-sei=合田 kn-aut-mei=典子 aut-affil-num=2 ORCID= en-aut-name=ShiraiKiyoko en-aut-sei=Shirai en-aut-mei=Kiyoko kn-aut-name=白井喜代子 kn-aut-sei=白井 kn-aut-mei=喜代子 aut-affil-num=3 ORCID= en-aut-name=KusuharaToshimasa en-aut-sei=Kusuhara en-aut-mei=Toshimasa kn-aut-name=楠原俊昌 kn-aut-sei=楠原 kn-aut-mei=俊昌 aut-affil-num=4 ORCID= en-aut-name=YamamotoYoshitake en-aut-sei=Yamamoto en-aut-mei=Yoshitake kn-aut-name=山本尚武 kn-aut-sei=山本 kn-aut-mei=尚武 aut-affil-num=5 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科放射線技術科学専攻 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=3 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=4 en-affil= kn-affil=岡山大学医学部保健学科放射線技術科学専攻 affil-num=5 en-affil= kn-affil=岡山大学医学部保健学科放射線技術科学専攻 en-keyword=体肢容積計 (volume meter) kn-keyword=体肢容積計 (volume meter) en-keyword=浮腫 (edema) kn-keyword=浮腫 (edema) en-keyword=アルキメデスの原理 (Archimedes' Principle) kn-keyword=アルキメデスの原理 (Archimedes' Principle) END start-ver=1.4 cd-journal=joma no-vol=14 cd-vols= no-issue=2 article-no= start-page=141 end-page=155 dt-received= dt-revised= dt-accepted= dt-pub-year=2004 dt-pub=20040331 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Home caregivers of the elderly: their motivation andpositive feedback in caregiving kn-title=高齢者の在宅介護者における介護継続理由と介護による学び en-subtitle= kn-subtitle= en-abstract=Seven home caregivers of the elderly were interviewed using questionnaires in two aspects; i.e. motivation to continue the care and positive feedback from the care itself. In particular, we focused on how these two aspects improve the quality of lives (QOL) of caregivers and the elderly. In terms of motivation, the affection and family bond are the most important factors and that deterioration of the elderly often make the caregivers to discontinue the care at home. Traditional view and gender roles based on the Japanese patriarchy have strong influence on the sense of obligation. Wish to be cared from the elderly in the early stage of the care and religious influence are not sources of strong motivations to continue. Two daughters-in laws who felt the feedback from the care have higher motivation, suggesting that positive recognition that the care gives a worthwhile experience, possibly provides a motivation for the care. kn-abstract=高齢者の在宅介護者7名に対して質問紙を用いた面接を行い,介護継続理由と介護より得たものの二側面について尋ねた｡その中で特に,それらがどのように介護者と高齢者のQOLを向上させるかに注目した｡介護継続理由については,愛情と家族の杵が最も重要であり,被介護者の健康の悪化が,しばしば在宅介護を中断させていた｡また家父長制に基づく性的役割が,介護者の義務感や伝統観に強く影響していることも明らかになった｡介護が始まった時期における被介護者からの希望や宗教的影響は,継続理由とはならないことが分かった｡また,介護から得るものが多いと感じていた2人の嫁は,介護に高い意欲を持っており,介護が価値ある体験であるという認識が,介護の動機付けを行っている可能性が示唆された。 en-copyright= kn-copyright= en-aut-name=TakaharaMayumi en-aut-sei=Takahara en-aut-mei=Mayumi kn-aut-name=高原万友美 kn-aut-sei=高原 kn-aut-mei=万友美 aut-affil-num=1 ORCID= en-aut-name=HyodoYoshimi en-aut-sei=Hyodo en-aut-mei=Yoshimi kn-aut-name=兵藤好美 kn-aut-sei=兵藤 kn-aut-mei=好美 aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=香川医科大学付属病院看護部 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=在宅介護者 (home caregivers) kn-keyword=在宅介護者 (home caregivers) en-keyword=高齢者 (the elderly) kn-keyword=高齢者 (the elderly) en-keyword=介護継続理由 (motivation) kn-keyword=介護継続理由 (motivation) en-keyword=介護から得たもの (feedback in caregiving) kn-keyword=介護から得たもの (feedback in caregiving) END start-ver=1.4 cd-journal=joma no-vol=14 cd-vols= no-issue=2 article-no= start-page=113 end-page=120 dt-received= dt-revised= dt-accepted= dt-pub-year=2004 dt-pub=20040331 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=An overview of the trend of research in nursing patients with uterine cancer who had undergone surgery and future research subjects kn-title=手術を経験する子宮がん患者の看護実践領域における研究の概観と今後の課題 en-subtitle= kn-subtitle= en-abstract=The purpose of this study was to review the literature on nursing patients with uterine cancer who had undergone surgery reported from 1994 through September 2003 and to elucidate future research subjects to be investigated. With three databases of literature information, JMED, CINAHL, and MEDLINE, only original papers were selected with the keywords of "uterine cancer", "nursing", and "hysterectomy". In consequence, Nine future research subjects were identified. They are as follows, 1) publishing our research, 2) research focused on early-detection and protection, and terminal phase of uterine cancer, 3) research focused on postoperative complication, 4) research about nursing to find, lead and progress abilities of patients, 5) research about sexuality after operation, 6) development of discharge-guiding program and critical pass, 7) research about self-efficacy of patients with uterine cancer, 8) research about cancer survivor, 9) intervening research. kn-abstract=本研究の目的は,1994年～2003年9月までに発表された手術を経験する子宮がん患者の看護実践領域における研究について,文献件数および研究領域の観点からその動向を概観し,今後の研究課題を明らかにすることである。JMED,CINAHL,MEDLINEの3つを文献情報データベースとして用い,｢子宮がん｣and｢看護｣and｢子宮摘出術｣および｢uterine cancer｣and｢nursing｣and｢hysterectomy｣の検索式により文献集合を絞り,原著論文に限って検討した｡その結果,以下の9つの課題, 1)行った研究を誌上発表する 2)子宮がんの早期発見･予防,ターミナル期に焦点を当てた研究 3)術後合併症に注目した研究 4)患者のもつ力に注目し,それを引き出し,高めていくことを支援する看護に関する研究 5)術後のセクシュアリティに関連した研究 6)退院指導プログラムの開発およびクリティカル･パスの作成 7)子宮がん患者の自己効力感に関連した研究 8)cancer survivorに関する研究 9)介入研究,が明らかになった｡ en-copyright= kn-copyright= en-aut-name=AkimotoNoriko en-aut-sei=Akimoto en-aut-mei=Noriko kn-aut-name=秋元典子 kn-aut-sei=秋元 kn-aut-mei=典子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=子宮がん患者 (uterine cancer) kn-keyword=子宮がん患者 (uterine cancer) en-keyword=看護研究 (nursing research) kn-keyword=看護研究 (nursing research) en-keyword=子宮摘出術 (hysterectomy) kn-keyword=子宮摘出術 (hysterectomy) en-keyword=文献概観 (literature review) kn-keyword=文献概観 (literature review) END start-ver=1.4 cd-journal=joma no-vol=15 cd-vols= no-issue=1 article-no= start-page=39 end-page=49 dt-received= dt-revised= dt-accepted= dt-pub-year=2004 dt-pub=20041215 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Nursing Education for a Gender-equal Society* - The Situation of Male Student Nurses - kn-title=男女共同参画社会における看護教育―男子看護学生の動向について― en-subtitle= kn-subtitle= en-abstract=Until quite recently, Japanese women had very few opportunities to become financially independent. However, women's rights and independence have been gradually promoted since 1975, the International Women's Year. The 1994 Cairo Conference on Population emphasized women's reproductive rights. Such international movements resulted in the enactment of the 1985 Equal Employment Opportunity Law and the 1999 Law for a Gender-Equal Society in Japan. On the other hand, nursing education had been offered for women only until it became possible for men to become nurses in 1968, when the 1948 law on nursing profession was amended. Almost half a century has passed, but the percentage of male nurses is still limited. There is still much to be done for achieving equality between male nurses and female nurses. We will overview the history of nursing education and discuss the problems that male nurses face. *Low No.78 of 1999 was established to promote genuine eguality between woman and men kn-abstract=題目:男女共同参画社会における看護教育―男子看護学生の動向について― 1975年の国際婦人年以来,カイロ宣言でのリプロダクテイブヘルス/ライツ,北京宣言等次々に男女差別の撤回と女性の自立をめざした運動が推進されてきた｡この女性のエンパワーメント運動の中で,我が国は労働基準法,男女雇用機会均等法,育児休業法等の制定および改正を経て,1999年6月｢男女共同参画社会基本法｣の施行に至った｡以来,国を挙げて男女共同参画社会の構築に取組んでいる｡看護界にあっては昭和23年に制定された保健婦助産婦看護婦法における看護職者は女子とされ,男子には国家免許を得る正式な資格が無かった｡やがて,法の改正とともに男性看護職者の進出が可能となってきた｡しかし,半世紀を経て,なお男性看護職者の占める割合は低く,看護界における男女共同参画の現状は進んでいるとはいい難い｡男性看護職者養成の沿革と現状を概観し,その問題点と課題を検討することとした｡ en-copyright= kn-copyright= en-aut-name=GodaNoriko en-aut-sei=Goda en-aut-mei=Noriko kn-aut-name=合田典子 kn-aut-sei=合田 kn-aut-mei=典子 aut-affil-num=1 ORCID= en-aut-name=OhmuroRitsuko en-aut-sei=Ohmuro en-aut-mei=Ritsuko kn-aut-name=大室律子 kn-aut-sei=大室 kn-aut-mei=律子 aut-affil-num=2 ORCID= en-aut-name=NishiyamaChiharu en-aut-sei=Nishiyama en-aut-mei=Chiharu kn-aut-name=西山智春 kn-aut-sei=西山 kn-aut-mei=智春 aut-affil-num=3 ORCID= en-aut-name=SuzukiYoshiko en-aut-sei=Suzuki en-aut-mei=Yoshiko kn-aut-name=鈴木良子 kn-aut-sei=鈴木 kn-aut-mei=良子 aut-affil-num=4 ORCID= en-aut-name=FuseChigusa en-aut-sei=Fuse en-aut-mei=Chigusa kn-aut-name=布施千草 kn-aut-sei=布施 kn-aut-mei=千草 aut-affil-num=5 ORCID= en-aut-name=MatsumotoYukie en-aut-sei=Matsumoto en-aut-mei=Yukie kn-aut-name=松本幸枝 kn-aut-sei=松本 kn-aut-mei=幸枝 aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=千葉大学看護学部附属看護実践指導研究センター affil-num=3 en-affil= kn-affil=桐生短期大学看護学科 affil-num=4 en-affil= kn-affil=神奈川県立綾瀬西高等学校 affil-num=5 en-affil= kn-affil=植草学園短期大学福祉学科地域介護福祉専攻 affil-num=6 en-affil= kn-affil=植草学園短期大学福祉学科地域介護福祉専攻 en-keyword=男女共同参画社会 (Gender-equal society) kn-keyword=男女共同参画社会 (Gender-equal society) en-keyword=男子看護師学生 (male student nurse) kn-keyword=男子看護師学生 (male student nurse) en-keyword=看護教育 (nursing education) kn-keyword=看護教育 (nursing education) END start-ver=1.4 cd-journal=joma no-vol=15 cd-vols= no-issue=1 article-no= start-page=29 end-page=37 dt-received= dt-revised= dt-accepted= dt-pub-year=2004 dt-pub=20041215 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The significance of therapy in a private room to patientsin acute psychiatric wards kn-title=精神科急性期病棟での精神疾患患者の考える個室環境の意味 en-subtitle= kn-subtitle= en-abstract=This study sought to clarify the significance of therapy provided in a private room to hospitalized mentally ill patients, by determining through interview and observation their thoughts and feelings about such an experience. Subjects were 7 mentally ill patients resident in a ward of private rooms. Few patients requested a private room on admission and their reasons for this were considered to include admissions on an involuntary basis, for medical treatment or for custodial care, or because psychiatric status did not enable them to state an intention to have a private room. The results showed that most patients hoped for treatment in a private room regardless of whether or not they had requested it, and that the offer of using such a facility was important to them because most patients who experienced such a therapeutic environment requested it thereafter. Thus, once a patient recognized the availability of therapy in a private room and its benefits, they wanted to use it or to use it more. Patients were found to request use of a private room to preserve privacy, rest in a therapeutic environment promote circumspection, and see themselves as independent of others around, with the affirmative meaning of using a private room as "a place to preserve my privacy ", "a place to take a rest", "a place to gain insight into myself", and "a place to control my condition". Patients reported a negative meaning of "a place to feel loneliness and anxiety". kn-abstract=本研究は,全個室病棟で療養する精神疾患患者を対象に,患者自身が考える個室環境の意味を明らかにすることを目的とした｡個室に2週間以上療養し,インタビューの協力が得られた患者は7名であった｡患者にとっての個室環境の肯定的意味は,自分だけの空間を確保できることから,他者との距離の調節の場,プライバシーが保護される場,自由裁量が拡大される場であると捉えていた｡また,休養や睡眠が確保できる場,症状をコントロールできる場であるという治療的意味や,個室を自己洞察の場ととらえ,他者の影響を受けずに自分らしさを再獲得するためという意味が示された｡一方,個室環境の否定的意 味として,寂しさや不安が挙げられ,話しかけられる存在を身近に見出しにくい個室においては,わからないことや不安なことを尋ねにくく,人間関係を築くきっかけがつかみにくいことが示された｡ en-copyright= kn-copyright= en-aut-name=ToyotaYukiko en-aut-sei=Toyota en-aut-mei=Yukiko kn-aut-name=豊田由起子 kn-aut-sei=豊田 kn-aut-mei=由起子 aut-affil-num=1 ORCID= en-aut-name=MikiAkiko en-aut-sei=Miki en-aut-mei=Akiko kn-aut-name=三木明子 kn-aut-sei=三木 kn-aut-mei=明子 aut-affil-num=2 ORCID= en-aut-name=YabushitaYuichiro en-aut-sei=Yabushita en-aut-mei=Yuichiro kn-aut-name=藪下祐一郎 kn-aut-sei=藪下 kn-aut-mei=祐一郎 aut-affil-num=3 ORCID= en-aut-name=OnitsukaYoshihiko en-aut-sei=Onitsuka en-aut-mei=Yoshihiko kn-aut-name=鬼塚愛彦 kn-aut-sei=鬼塚 kn-aut-mei=愛彦 aut-affil-num=4 ORCID= affil-num=1 en-affil= kn-affil=駒木野病院 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=3 en-affil= kn-affil=駒木野病院 affil-num=4 en-affil= kn-affil=駒木野病院 en-keyword=精神疾患 (mentally ill) kn-keyword=精神疾患 (mentally ill) en-keyword=患者 (patients) kn-keyword=患者 (patients) en-keyword=個室 (private room) kn-keyword=個室 (private room) en-keyword=精神科急性期病棟 (acute psychiatric ward) kn-keyword=精神科急性期病棟 (acute psychiatric ward) END start-ver=1.4 cd-journal=joma no-vol=15 cd-vols= no-issue=1 article-no= start-page=23 end-page=28 dt-received= dt-revised= dt-accepted= dt-pub-year=2004 dt-pub=20041215 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Analysis of Problems in Family Nursing at Intensive Care Unit of O University Hospital kn-title=O大学病院のICUにおける家族看護の課題―看護記録からの分析― en-subtitle= kn-subtitle= en-abstract=To study family cares at an intensive care unit (ICU) in O University Hospital, we clarified problems existing in the family cares by grasping patients' character and their family conditions in reference to patients' past records. On the basis of the nursing records of 128 patients, the patients were classified according to reasons for their stay in ICU, their staying period, and how they had left ICU to examine the necessity for family cares mainly from the point how families' sentiment and behaviors differed depending on patients' staying period in ICU. Nursing practice for family cares was evaluated in consideration of whether information about patients' families had been recorded or not. As a result, nine percents of the patients studied had left ICU by death and in case patients died within 3 days in ICU, no nurses in charge of them had been assigned to or no sufficient follow-up cares had been given to their families, while families' information of all the patients staying in ICU for more than 14 days was recorded, which indicated that nurses could share the information with patients' families to understand them. This research showed the importance not only of giving grief cares to the families who had lost their important person after a short stay in ICU, but also of evaluating continuous cares for families with patients in ICU for a long time, suggesting the need for some revision of the present care system to give mental as well as physical cares to both patients and their families regardless of staying period in ICU. kn-abstract=O大学病院のICUにおける家族看護のあり方を検討するため,過去の記録から入室患者の特性と家族の状況を把握し,課題を明らかにした｡128例の看護記録を資料に,患者の入室理由,入室期間,転帰の状況を分類し,入室期間別の家族の言動等から,家族看護の必要性について検討した｡また,家族に対する看護実践を,家族に関する情報の記載の有無から評価した｡その結果,ICU入室患者の9%が死亡退院で,そのうち受け持ち看護師の決まっていない入室後3日以内に死を迎えた患者の家族へのフォローが充分に行えていなかったこと,また,14日以上の長期入室患者の家族には,全事例に家族に関する情報が 記載されており,看護師が家族の気持ちや疲労感,患者への回想などの語りを捉えていたことが明らかとなった｡今後は,短期間で死亡の転帰となった家族へのグリーフケアや,長期入室患者の家族に対する継続看護の評価が必要である。 en-copyright= kn-copyright= en-aut-name=WatanabeKumi en-aut-sei=Watanabe en-aut-mei=Kumi kn-aut-name=渡邉久美 kn-aut-sei=渡邉 kn-aut-mei=久美 aut-affil-num=1 ORCID= en-aut-name=TakeuchiKae en-aut-sei=Takeuchi en-aut-mei=Kae kn-aut-name=竹内加恵 kn-aut-sei=竹内 kn-aut-mei=加恵 aut-affil-num=2 ORCID= en-aut-name=OkanoHatsue en-aut-sei=Okano en-aut-mei=Hatsue kn-aut-name=岡野初枝 kn-aut-sei=岡野 kn-aut-mei=初枝 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=岡山大学医学部・歯学部附属病院集中治療部 affil-num=3 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=ICU (Intensive Care Unit) kn-keyword=ICU (Intensive Care Unit) en-keyword=家族看護 (Family Nursing) kn-keyword=家族看護 (Family Nursing) en-keyword=クリティカルケア (Critical care) kn-keyword=クリティカルケア (Critical care) END start-ver=1.4 cd-journal=joma no-vol=15 cd-vols= no-issue=1 article-no= start-page=15 end-page=21 dt-received= dt-revised= dt-accepted= dt-pub-year=2004 dt-pub=20041215 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Stressors and Coping in Hemodialysis Patients kn-title=血液透析患者のストレッサーと対処 en-subtitle= kn-subtitle= en-abstract=The purpose of this study is to clarify stressors and coping in hemodialysis patients, The subjects were sixty five hemodialysis outpatients who agreed to participate in this study. The data was collected by questionnaires that consisted of dialysis stressor, coping and demographic and medical characteristics, from two hospitals in Okayama city. The results were as follows: (1) "uncertainty concerning the future" has the highest scores among the dialysis stressors, and was followed by psychosocial stressors such as "length of treatment" and "limitation of physical activities". (2) In emotional control negative emotional coping to evade problems and positive emotional coping to face problems are much higher scores than cognitive coping to solve problems. In spite of the improved hemodialysis treatment of today, patients are still under high stresses. it was found that hemodialysis patients strove to cope well with stressful situations such as uncertainty concerning the future and restrictions on time. kn-abstract=本研究の目的は,血液透析患者のストレッサ-と対処について明らかにすることである｡対象者は岡山市内の二カ所の病院において,研究参加に同意が得られた外来透析患者65名であり,透析ストレッサ一,対処,人口統計学的や医学的な情報などについて質問紙法による調査を行った｡その結果,以下のようなことが明らかになった｡(1)透析ストレッサ-は｢将来への不安｣が最も高く,そして｢治療時間の長さ｣や｢身体的活動の制限｣などの精神的ストレッサ-が続いていた｡(2)対処は,消極的回避的および積極的前向き対処が問題解決的対処よりも上位を占めていた｡今日､医学や透析機器などの改良で透析治療は 進歩を遂げてきているが,透析患者は将来への不安や時間の拘束などの制約や負担を抱えている｡しかしながら,そのようなストレスフルな状況に対して,運命として引き受けるという感情を持ちながらもその思いをマイナスとしてだけに捉えるのではなく,前向きに対処をしていることが伺えた｡ en-copyright= kn-copyright= en-aut-name=HaraAkiko en-aut-sei=Hara en-aut-mei=Akiko kn-aut-name=原明子 kn-aut-sei=原 kn-aut-mei=明子 aut-affil-num=1 ORCID= en-aut-name=HayashiYuko en-aut-sei=Hayashi en-aut-mei=Yuko kn-aut-name=林優子 kn-aut-sei=林 kn-aut-mei=優子 aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部･歯学部附属病院看護部 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=血液透析患者 (Hemodialysis patients) kn-keyword=血液透析患者 (Hemodialysis patients) en-keyword=ストレッサー (stressor) kn-keyword=ストレッサー (stressor) en-keyword=対処 (coping) kn-keyword=対処 (coping) END start-ver=1.4 cd-journal=joma no-vol=14 cd-vols= no-issue=2 article-no= start-page=129 end-page=133 dt-received= dt-revised= dt-accepted= dt-pub-year=2004 dt-pub=20040331 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Antifungal effect of "Mokusaku-Eki" against Trichophyton mentagrophytes and Trichophyton rubrum kn-title=白癬菌に対する木酢液の発育抑制･殺菌作用 en-subtitle= kn-subtitle= en-abstract=The Mokusaku-Eki is a kind of pyroligneous acid and a dark brown colored solution which obtained from the charcoal burner of Quercus spp. woods as a by-product. In Japan, the antifungal effects of this solution are well known in public. However, it is not clear that minimal inhibitory concentration (MIC) of Mokusaku-Eki against Trichophyton spp. In this study, we examined their antifungal activities in view of MIC and germicidal effect. To examine MIC of Mokusaku-Eki against Trichophyton spp, agar, dilution assay were used. Sabouraud agar plates containing 2%, 3%, 4%, or 5% of Mokusaku-Eki were prepared. Then the spores of T. mentagrophytes and T. rubrum inoculated onto each agar plate respectively and incubate the plates at 30℃. The growth of T. mentagrophytes and T. rubrum were completely inhibited on the agar plates contained more than 3% Mokusaku-Eki. Furthermore, we investigated the fungicidal effect of Mokusaku-Eki against these fungus. We exposed the spores of T. mentagrophytes and T. rubrum respectively to 2.5%, 4% or 10% Mokusaku-Eki for 20 min, 1 hr, 6 hr, 24 hr, and 48 hr, and then inoculated them onto Sabouraud agar plates. Exposures of the spores to 5% of the Mokusaku-Eki for 24 hr and 48 hr completely killed them and we could show that Mokusaku-Eki have also germicidation activity against both T. mentagrophytes and T. rubrum. kn-abstract=足白癬は糖尿病患者で合併しやすく,高齢者にも多発する｡近年,白癬菌に対する木酢液の抗菌作用が知られており,この最適有効濃度を明らかにするため本研究を企画した｡白癬菌はTrichophyton mentagrophytesとTrichophyton rubrumの2菌種を用い,木酢液は市販品を用いた｡発育抑制テストは終濃度2,3,4,5%の木酢液を含んだ寒天平板希釈法で行った｡殺菌テストは2.5,5,10%溶液を胞子と接触後,寒天平板培地に接種し,菌の発育の有無を観察した｡発育抑制作用は,両菌種とも3%以上で7日培養後の菌糸の発育は見られなかった｡殺菌作用は, T. mentagrophytesでは10%,5%においては6時間接触で,2.5%においては24時間接触で菌糸の発育が見られず, T. rubrumでは,10%以上においては24時間接触で,5%においては48時間接触で菌糸の発育が見られなかった｡足浴等の看護ケアに木酢液を応用するためには,今後より短時間の接触で効果が得られる方法の検討が必要である｡ en-copyright= kn-copyright= en-aut-name=WatanabeKumi en-aut-sei=Watanabe en-aut-mei=Kumi kn-aut-name=渡邉久美 kn-aut-sei=渡邉 kn-aut-mei=久美 aut-affil-num=1 ORCID= en-aut-name=SumiyoshiKazuko en-aut-sei=Sumiyoshi en-aut-mei=Kazuko kn-aut-name=住吉和子 kn-aut-sei=住吉 kn-aut-mei=和子 aut-affil-num=2 ORCID= en-aut-name=KanekoNoriyo en-aut-sei=Kaneko en-aut-mei=Noriyo kn-aut-name=金子典代 kn-aut-sei=金子 kn-aut-mei=典代 aut-affil-num=3 ORCID= en-aut-name=YokotaKenji en-aut-sei=Yokota en-aut-mei=Kenji kn-aut-name=横田憲治 kn-aut-sei=横田 kn-aut-mei=憲治 aut-affil-num=4 ORCID= en-aut-name=KawataChieko en-aut-sei=Kawata en-aut-mei=Chieko kn-aut-name=川田智惠子 kn-aut-sei=川田 kn-aut-mei=智惠子 aut-affil-num=5 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=3 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=4 en-affil= kn-affil=岡山大学大学院医歯学総合研究科病原細菌学 affil-num=5 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=木酢液 (Mokusaku-Eki) kn-keyword=木酢液 (Mokusaku-Eki) en-keyword=白癬菌 (Trichophyton) kn-keyword=白癬菌 (Trichophyton) en-keyword=発育抑制作用 (Antifungal effect) kn-keyword=発育抑制作用 (Antifungal effect) en-keyword=足部白癬 (Trichophytosis) kn-keyword=足部白癬 (Trichophytosis) END start-ver=1.4 cd-journal=joma no-vol=15 cd-vols= no-issue=1 article-no= start-page=1 end-page=7 dt-received= dt-revised= dt-accepted= dt-pub-year=2004 dt-pub=20041215 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Quantitative evaluation method of swallowing hypofunctionby aging using Impedance Pharyngography (IPG) kn-title=インピーダンス咽頭図(IPG)を用いた加齢による嚥下機能減退の定量的評価法 en-subtitle= kn-subtitle= en-abstract=Impedance Pharyngography (IPG) measures neck electrical impedance during swallowing. IPG method is simple procedures and the technique which can perform noninvasive evaluation of swallowing function. IPG waveform reflects swallowing function. However, the influence on IPG waveform by swallowing hypofunction is various by the causes. That is, it will be dependent on a measurement person's subjectivity to compare directly IPG waveforms of subjects whose states of swallowing function differs, and objectivity is missing. kn-abstract=インピーダンス咽頭図(Impedance Pharyngography, 以下IPG)は嚥下活動中の頸部電気インピーダンスを測定するもので,嚥下機能評価を簡便かつ無侵襲に行うことができる手法である｡IPG波形は嚥下機能を反映するものであるが嚥下機能の減退による波形への影響はその原因により様々である｡すなわち嚥下機能の状態が異なる被験者のIPG波形を直接比較･診断することは測定者の主観に依存することになり客観性に欠ける｡本研究では,まず青年健常者のNormal IPGをもとに嚥下機能が反映される波形の特徴を評価するパラメータとして,咽頭通過時間,インピーダンス変化率,類似度,嚥下音タイミングの4つを採用し,IPCを定量的に評価する手法を提案した｡また,この評価法を高齢者のIPGに適用し,青年健常者に比べて嚥下活動に関与する器官が円滑に活動を履行する能力に減退が生じる様子を定量的に示した｡ en-copyright= kn-copyright= en-aut-name=KusuharaToshimasa en-aut-sei=Kusuhara en-aut-mei=Toshimasa kn-aut-name=楠原俊昌 kn-aut-sei=楠原 kn-aut-mei=俊昌 aut-affil-num=1 ORCID= en-aut-name=NakamuraTakao en-aut-sei=Nakamura en-aut-mei=Takao kn-aut-name=中村隆夫 kn-aut-sei=中村 kn-aut-mei=隆夫 aut-affil-num=2 ORCID= en-aut-name=MoriKeiko en-aut-sei=Mori en-aut-mei=Keiko kn-aut-name=森恵子 kn-aut-sei=森 kn-aut-mei=恵子 aut-affil-num=3 ORCID= en-aut-name=YamamotoYoshitake en-aut-sei=Yamamoto en-aut-mei=Yoshitake kn-aut-name=山本尚武 kn-aut-sei=山本 kn-aut-mei=尚武 aut-affil-num=4 ORCID= en-aut-name=ShirakawaYasuhiro en-aut-sei=Shirakawa en-aut-mei=Yasuhiro kn-aut-name=白川靖博 kn-aut-sei=白川 kn-aut-mei=靖博 aut-affil-num=5 ORCID= en-aut-name=NaomotoYoshio en-aut-sei=Naomoto en-aut-mei=Yoshio kn-aut-name=猶本良夫 kn-aut-sei=猶本 kn-aut-mei=良夫 aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科放射線技術科学専攻 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科放射線技術科学専攻 affil-num=3 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=4 en-affil= kn-affil=岡山大学医学部保健学科放射線技術科学専攻 affil-num=5 en-affil= kn-affil=岡山大学大学院医歯学総合研究科病態制御科学専攻 affil-num=6 en-affil= kn-affil=岡山大学大学院医歯学総合研究科病態制御科学専攻 en-keyword=嚥下活動 (swallowing) kn-keyword=嚥下活動 (swallowing) en-keyword=嚥下障害 (dysphagia) kn-keyword=嚥下障害 (dysphagia) en-keyword=生体電気インピーダンス (bio-electrical impedance) kn-keyword=生体電気インピーダンス (bio-electrical impedance) en-keyword=インピーダンス咽頭図 (Impedance Pharyngography (IPG)) kn-keyword=インピーダンス咽頭図 (Impedance Pharyngography (IPG)) en-keyword=嚥下機能評価 (assessment of swallowing function) kn-keyword=嚥下機能評価 (assessment of swallowing function) END start-ver=1.4 cd-journal=joma no-vol=15 cd-vols= no-issue=2 article-no= start-page=71 end-page=76 dt-received= dt-revised= dt-accepted= dt-pub-year=2005 dt-pub=20050331 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Investigation about the use of mental illness patients at visiting nursing stations in O prefecture kn-title=O県の訪問看護ステーションにおける精神疾患患者の利用に関する実態調査 en-subtitle= kn-subtitle= en-abstract=The family which has a mental illness member is apt to worry about social appearance because of the stigma of the illness. Therefore. it is often difficult to introduce a. social resource to such families. The purpose of this study is to clarify the status of usage of illness patients at visiting nursing stations. and find the problems of family care with such patients. The visiting nurses were surveyed about their experience that introducing social resources to families. Questionnaire survey were administered on the 126 visiting nursing stations of O prefecture, that had an experience to introduce social resources to such families. The valid answers from 64 visiting nursing stations (50.8% of surveyed) were obtained. As a result, 93.8% of visiting nursing stations were utilized by mental illness. The illnesses of patients were dementia, depression and schizophrenia, and had been accepted at 57, 28, and 17 facilities respectively. More than half of facilities had introduced social resources to mental illness patients at first of the service beginning. But some of them feel troublesome to care mental illness patient, and seek for information about psychiatric nursing. kn-abstract=精神疾患患者への訪問看護における問題を検討する基礎資料とするため,O県の訪問看護ステーションにおける精神疾患患者の利用状況と訪問看護師の利用者への社会資源導入経験の有無を明らかにすることを目的として調査を実施した｡調査は2003年9月に質問紙郵送法により実施した｡対象とした126施設のうち,回答の得られた64施設(回収率50.8%)の1か月間の利用者総数は2,471人であり,そのうち精神疾患患者は743人(30.1%)で,精神疾患のうち痴呆の占める割合は488人(65.7%)であった｡施設単位では精神疾患患者の利用は60施設(93.8%)にあり,疾患の内訳は痴呆が57施設,うつ病が28施設,統合失調症が17施設等であった｡また,訪問看護ステーション開設時からの精神疾患患者への社会資源の導入経験は約半数の34施設(53.1%)にあった｡少数の訪問看護師からは,精神疾患患者への対応の困難さを感じていること,精神科看護に関する情報を求めていることなどの意見があった｡訪問看護における精神科看護のニーズは今後も高まることが予測され,専門的技術の向上や地域における専門施設との連携が求められる｡ en-copyright= kn-copyright= en-aut-name=WatanabeKumi en-aut-sei=Watanabe en-aut-mei=Kumi kn-aut-name=渡邉久美 kn-aut-sei=渡邉 kn-aut-mei=久美 aut-affil-num=1 ORCID= en-aut-name=SumiyoshiKazuko en-aut-sei=Sumiyoshi en-aut-mei=Kazuko kn-aut-name=住吉和子 kn-aut-sei=住吉 kn-aut-mei=和子 aut-affil-num=2 ORCID= en-aut-name=MorimotoMichiko en-aut-sei=Morimoto en-aut-mei=Michiko kn-aut-name=森本美智子 kn-aut-sei=森本 kn-aut-mei=美智子 aut-affil-num=3 ORCID= en-aut-name=OkanoHatsue en-aut-sei=Okano en-aut-mei=Hatsue kn-aut-name=岡野初枝 kn-aut-sei=岡野 kn-aut-mei=初枝 aut-affil-num=4 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=3 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=4 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=社会資源 (Social resource) kn-keyword=社会資源 (Social resource) en-keyword=訪問看護 (Visiting nursing station) kn-keyword=訪問看護 (Visiting nursing station) en-keyword=精神疾患 (Mental illness) kn-keyword=精神疾患 (Mental illness) en-keyword=実態調査 (Survey) kn-keyword=実態調査 (Survey) END start-ver=1.4 cd-journal=joma no-vol=15 cd-vols= no-issue=2 article-no= start-page=63 end-page=69 dt-received= dt-revised= dt-accepted= dt-pub-year=2005 dt-pub=20050331 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Investigation of the tracheal suctioning-related microbialcolonization in home care patients with tracheotomy kn-title=気管内吸引を必要とする在宅療養患者の感染管理の実態 en-subtitle= kn-subtitle= en-abstract=Microbial colonization related to tracheal toilet was investigated in three home care patients who had tracheotomy with or without mechanical ventilation. We focused on the manipulation of suctioning tube to develop a effective and low-cost guidline for infection control. Tracheal suctioning was doned by wife in all the patients. Catheters used for suctioning was generally wiped with alcohol, washed in deionized or boiled water, and stored in alcohol-wiped container or immersed in 0.05% gluconate chlorhexizine. Catheter was changed into new one every 1.5 to 7 days. Samples were obtained from catheter, water used for washing, container as well as patients and their caregivers, and cultured on agar culture plate for Staphylococcus aureus, or Escherichia coli. Colonization of gauze around tracheotomy and water used for washing was detected in two patinets. E. coli and S. aureus were common organism colonizing gauze around tracheotomy. Therefore, it was suggested that the manipulation of the tracheal suctioning in home care influence on microbial colonization. kn-abstract=気管内吸引を必要とする在宅療養患者に対し,安全で経済的な感染管理方法を検討するため,在宅ケアにおける気管内吸引の実態と,吸引関連物品の細菌学的調査を実施した。対象は気管切開がされ,医療依存度の高い患者3名であり,気管内吸引は全て患者の妻が行っていた。吸引後のカテーテルは外側をアルコール綿で清拭し,内腔を洗浄水で洗浄していた。カテーテルは,0.05%グルコン酸クロルヘキシジンに浸漬あるいは,清潔な乾燥容器に保管されていた。カテーテルの交換時期は,1.5日から7日とばらつきがあった。カテーテル,洗浄水,浸潰液等の試料を,一般細菌,黄色ブドウ球菌,大腸菌群の寒天培地で培養したところ,各試料から一般細菌,黄色ブドウ球菌,大腸菌群が検出されたが,カテーテルの保管方法の違いによる細菌汚染に差は認められなかった｡また,気管切開部ガーゼからは,一般細菌,黄色ブドウ球菌,大腸菌群が検出された｡これらより,気管内吸引カテーテルおよび,洗浄水や浸溝用消毒液の清潔管理の必要性が示唆された｡ en-copyright= kn-copyright= en-aut-name=WatanabeKumi en-aut-sei=Watanabe en-aut-mei=Kumi kn-aut-name=渡邉久美 kn-aut-sei=渡邉 kn-aut-mei=久美 aut-affil-num=1 ORCID= en-aut-name=KanzakiHitomi en-aut-sei=Kanzaki en-aut-mei=Hitomi kn-aut-name=菅崎仁美 kn-aut-sei=菅崎 kn-aut-mei=仁美 aut-affil-num=2 ORCID= en-aut-name=SendaYoshiko en-aut-sei=Senda en-aut-mei=Yoshiko kn-aut-name=千田好子 kn-aut-sei=千田 kn-aut-mei=好子 aut-affil-num=3 ORCID= en-aut-name=OkamotoMotoi en-aut-sei=Okamoto en-aut-mei=Motoi kn-aut-name=岡本基 kn-aut-sei=岡本 kn-aut-mei=基 aut-affil-num=4 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=岡山訪問看護ステーション看護協会 affil-num=3 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=4 en-affil= kn-affil=岡山大学医学部保健学科検査技術科学専攻 en-keyword=感染管理 (Infection control) kn-keyword=感染管理 (Infection control) en-keyword=気管内吸引 (tracheal suctioning) kn-keyword=気管内吸引 (tracheal suctioning) en-keyword=在宅ケア (home care) kn-keyword=在宅ケア (home care) en-keyword=介護者 (caregiver) kn-keyword=介護者 (caregiver) END start-ver=1.4 cd-journal=joma no-vol=15 cd-vols= no-issue=2 article-no= start-page=51 end-page=62 dt-received= dt-revised= dt-accepted= dt-pub-year=2005 dt-pub=20050331 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Interprofessional education and training for collaborative work by nurses and care-workers in a special nursing home with small-scale care units kn-title=ユニットケアに取り組む特別養護老人ホームの看護職と介護職の協働と教育 en-subtitle= kn-subtitle= en-abstract=The purpose of this study was to identify the interprofessional education and training necessary to achieve teamwork between nurses and care-workers in small-scale care units within special nursing homes. The study design employed an inductive qualitative method. Data were collected from two nurses and three care-workers through personal interviews. Qualitative inductive analysis was used to obtain results. The present situation regarding care in small-scale care units by the two occupational categories was clarified as followed: 1) Despite attempts to work as a team, there were persistent differences in understanding the role of each worker and approach between the two occupational categories, leaving gaps in care. and 2) the care providers in both categories were willing to receive education and training to improve their professional skills and knowledge in order to play their expected roles. For future education, the following training programs were considered to be necessary to achieve cooperation among the two groups in performing the work: 1) a program that helps nurses master practical problemsolving skills, as expertise in problem-solving is expected of nurses in special nursing homes, 2) a program that helps care-workers to enhance their abilities for self-directed study at their level and according to their needs, so that people with various educational backgrounds and needs can obtain knowledge, skills, and ability to practice care. and 3) a program in which both nurses and care-workers can develop mutual respect for the expertise required by each occupation and that will produce synergistic effects on overall care. kn-abstract=本研究の目的は,ユニットケアに取り組む特別養護老人ホームにおいて,看護職と介護職の協働の状況を明らかにし,協働していく上で両職種が必要とする教育の方向性の示唆を得ることである｡看護職2名,介護職3名を対象に自由回答法による半構成的･個別面接を実施した｡その結果,協働の状況は, 1)両職種のユニットケアのとらえかたや取り組みは相違し,協働に向けた工夫を行っていたものの,協働関係は成立しにくい状況であった｡2)両職種は期待されている役割を担うために教育･研修を受け専門能力を高めたいと考えていた｡両職種が協働していく上で必要とする教育の方向性として,以下の示唆を得た｡1)利用者や介護職から期待される福祉施設における看護の役割と専門性を高めるために看護職が現実的な課題を解決する力の修得を目指す｡2)様々な教育背景と教育ニーズを持つ介護職が知識,技術,ケアの実践力を習得するためには,個人の学習状況とニーズに応じて学習科目を自己管理し自発的な力を高めていく｡3)両職種がお互いの専門性を認め,向上を図ることができるようにともに課題を解決し相互作用が継続できる共同研修プログラムによる研修を実施する｡ en-copyright= kn-copyright= en-aut-name=TsuboiKeiko en-aut-sei=Tsuboi en-aut-mei=Keiko kn-aut-name=坪井桂子 kn-aut-sei=坪井 kn-aut-mei=桂子 aut-affil-num=1 ORCID= en-aut-name=NishidaMasumi en-aut-sei=Nishida en-aut-mei=Masumi kn-aut-name=西田真寿美 kn-aut-sei=西田 kn-aut-mei=真寿美 aut-affil-num=2 ORCID= en-aut-name=NarikiyoYoshiharu en-aut-sei=Narikiyo en-aut-mei=Yoshiharu kn-aut-name=成清美治 kn-aut-sei=成清 kn-aut-mei=美治 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=3 en-affil= kn-affil=福井県立大学看護福祉学部社会福祉学科 en-keyword=看護職 (Nurse) kn-keyword=看護職 (Nurse) en-keyword=介護職 (Care-Worker) kn-keyword=介護職 (Care-Worker) en-keyword=教育 (Education) kn-keyword=教育 (Education) en-keyword=協働 (Collaboration) kn-keyword=協働 (Collaboration) en-keyword=ユニットケア (Small Scale Care Units) kn-keyword=ユニットケア (Small Scale Care Units) END start-ver=1.4 cd-journal=joma no-vol=16 cd-vols= no-issue=1 article-no= start-page=57 end-page=66 dt-received= dt-revised= dt-accepted= dt-pub-year=2005 dt-pub=20051225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Age dependent changes of menstrual pain of the women kn-title=リプロダクティブステージからみた月経痛の実態 en-subtitle= kn-subtitle= en-abstract=PURPOSE: Menstruation and menstrual pain of the women at various reproductive stages were investigated. METHOD: Changes in menstruation and menstrual pain of women at various reproductive stages were investigated by self-reporting questionnaires. Subjects were 193 healthy women of 18~52 years old with regular menstrual cycles. According to their age the subjects were classified into four groups; teens, 20~24 years old, 25~34 years old, and older than 35 years old. RESULTS: The average age of total subjects was 26.3±8.8, and 27.5% of the women have had gave birth. As the age advances, menstrual pain tends to be reduced and the uses of pain-killer as well as disturbances of daily life during menstruation were decreased. Also, menstrual cycles become more regular and the amount of menstrual bleeding and blood clots were decreased. Taken together, our findings suggest that age of the patients, in addition to sexual maturation and psychosocial aspects, should be taken into account for the appropriate care of women with dysmenorrhea. kn-abstract=18～52歳の月経周期のある健康な女性193名を10代,20～24歳,25～34歳,35歳以上の4つのリプロダクティブステージに分類し,月経及び月経痛に関する実態調査を実施した｡結果①規則的な月経周期の割合は,リプロダクティブステージが進むにつれ増加し,経血量は減少傾向を示した｡②月経痛はリプロダクティブステージの進行と共に軽減し,鎮痛剤使用頻度,日常生活への影響が少なくなる傾向を認めた｡③各リブログクティブステージの特徴は,10代では月経痛の頻度や日常労作への影響が最も多く,血塊の出現率が最も高率であった｡20～24歳は10代と類似していたが,鎮痛剤使用頻度は最も高率であった｡25～34歳では最も安定した性成熟状態を示し,月経痛は｢時々あり｣が最も高率であったが,血塊の出現率が高かった｡35歳以上では月経痛のない人が最も高率であり,生活への支障が最も少なかったが,｢1日3回以上｣の鎮痛剤使用は他のリプロダクティブステージと変わらなかった｡以上の結果に加えてリプロダクティブステージにおける月経周期や経血量の特徴を考えあわせると,身体的な性成熟機能と心理社会的側面を考慮し,各リプ ロダクティブステージに適した月経痛への対応が必要であると考える｡ en-copyright= kn-copyright= en-aut-name=IkedaTomoko en-aut-sei=Ikeda en-aut-mei=Tomoko kn-aut-name=池田智子 kn-aut-sei=池田 kn-aut-mei=智子 aut-affil-num=1 ORCID= en-aut-name=OkudaHiroyuki en-aut-sei=Okuda en-aut-mei=Hiroyuki kn-aut-name=奥田博之 kn-aut-sei=奥田 kn-aut-mei=博之 aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=岡山大学大学院保健学研究科 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=月経 (Menstruation) kn-keyword=月経 (Menstruation) en-keyword=月経痛 (Menstrual pain) kn-keyword=月経痛 (Menstrual pain) en-keyword=リプロダクティブステージ (Reproductive stage) kn-keyword=リプロダクティブステージ (Reproductive stage) END start-ver=1.4 cd-journal=joma no-vol=16 cd-vols= no-issue=1 article-no= start-page=49 end-page=55 dt-received= dt-revised= dt-accepted= dt-pub-year=2005 dt-pub=20051225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Influence of instructional posters on cleanness of the hands after hand washing kn-title=手指衛生ポスターの違いによる手洗い消毒後の手洗いミスの比較 en-subtitle= kn-subtitle= en-abstract=The objective of this study was to compare the cleanness of the hands after following two different posters. The subjects were 82 nursing students. They were divided into 2 groups of 41 each. For instructions one group was given a poster showing the procedures of hand washing, and the other group was given a poster showing areas to be washed carefully. After a fluorescent dye was sprayed on the fingers and the wrists, the testees washed their hands with antimicrobial soap under running water. Then, the state of the remaining fluorescent dye was photographed. The images were processed, and the extent of hand washing was quantified. As a result, hand washing was more effective in the group given the poster showing areas to be washed carefully than in the other group. Particularly, the back of the hand was significantly cleaner in the former than in the latter group (p< 0.05). Many posters at hand-washing sites show the procedure of hand washing. However, a poster showing areas prone to poor hand washing seems to be more effective for ensuring cleanness of the hands. kn-abstract=本研究の目的は,手洗いポスターの違いによる手洗い消毒後の手洗いミスを比較することである｡調査対象は看護学生82名であった｡対象を41名ずつ2グループに分け,1グループには手洗い順序を示したポスターを,もう1グループには,手洗いミスを起こしやすい部位を図示したポスターを教材として与えた｡学生は,手指と手首に蛍光塗料を塗布後,抗菌石けんと流水による手洗い消毒を実施した｡次に蛍光塗料の残存状況を写真撮影後,画像処理し手洗いミスとして点数化した｡その結果,手洗いミスを起こしやすいポスターを使用したグループの方が,手洗い順序ポスターを用いたグループより手洗いミスが少ない傾向にあった｡なかでも手背側は,手洗いミスのポスターを使ったグループの方が手洗いミスは有意に少なかった(p<0.05)｡日常,手洗い場に掲示されているポスターは,手洗い順序を示したものが多い｡しかし,手洗いミスを起こしやすい部位を図示したポスターでも,手指衛生効果があることが示唆された｡ en-copyright= kn-copyright= en-aut-name=MatsushimaTaku en-aut-sei=Matsushima en-aut-mei=Taku kn-aut-name=松島拓 kn-aut-sei=松島 kn-aut-mei=拓 aut-affil-num=1 ORCID= en-aut-name=AkasakaMaria en-aut-sei=Akasaka en-aut-mei=Maria kn-aut-name=赤坂球亜 kn-aut-sei=赤坂 kn-aut-mei=球亜 aut-affil-num=2 ORCID= en-aut-name=AndoHitomi en-aut-sei=Ando en-aut-mei=Hitomi kn-aut-name=安藤瞳 kn-aut-sei=安藤 kn-aut-mei=瞳 aut-affil-num=3 ORCID= en-aut-name=InoueMiwa en-aut-sei=Inoue en-aut-mei=Miwa kn-aut-name=井上みわ kn-aut-sei=井上 kn-aut-mei=みわ aut-affil-num=4 ORCID= en-aut-name=MitsumataYuki en-aut-sei=Mitsumata en-aut-mei=Yuki kn-aut-name=三又由紀 kn-aut-sei=三又 kn-aut-mei=由紀 aut-affil-num=5 ORCID= en-aut-name=SendaYoshiko en-aut-sei=Senda en-aut-mei=Yoshiko kn-aut-name=千田好子 kn-aut-sei=千田 kn-aut-mei=好子 aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=特定医療法人慈泉会相澤病院 affil-num=2 en-affil= kn-affil=大阪府立急性期総合医療センター affil-num=3 en-affil= kn-affil=三豊総合病院 affil-num=4 en-affil= kn-affil=倉敷市保健所 affil-num=5 en-affil= kn-affil=前岡山大学医学部保健学科看護学専攻 affil-num=6 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=手指衛生 (hand hygiene) kn-keyword=手指衛生 (hand hygiene) en-keyword=手洗い消毒 (antiseptic handwash) kn-keyword=手洗い消毒 (antiseptic handwash) en-keyword=ポスター (poster) kn-keyword=ポスター (poster) END start-ver=1.4 cd-journal=joma no-vol=16 cd-vols= no-issue=1 article-no= start-page=39 end-page=48 dt-received= dt-revised= dt-accepted= dt-pub-year=2005 dt-pub=20051225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Study on the difficulties experienced in daily life by esophageal cancer patients who underwent esophagectomy kn-title=食道がんのために食道切除術を受けた患者が抱える生活上の困難と対処に関する研究 en-subtitle= kn-subtitle= en-abstract=The purpose of this study is to clarify the difficulties faced in daily life by patients who have undergone esophagectomy due to esophageal cancer and now reside at home, as well as the actual conditions how to cope with such difficulties. 12 patients gave their consent to participate in the study, and semi-structured interview was conducted using open-ended questions. 6 of them had undergone reconstruction of the esophagus via the subcutaneous route anterior to the thoracic wall, and the other 6 via the posterior mediastinal route. The contents of the recorded interviews were transcribed into verbatim record, and a qualitative, inductive analysis was conducted using the content analysis method. As a result, it was found that the patients were suffering from two difficulties: "that eating activities had become a far greater hardship than had been expected" and "the narrowing of social life". Patients experiencing the former difficulty dealt with it by "learning eating methods suited to them personally in order to survive" and patients experiencing the latter difficulty dealt with it by "accepting the change to save their life" or "becoming accustomed to the change slowly", and then restructure their postoperative lives. kn-abstract=本研究の目的は,食道がん切除術を受け,自宅で生活する患者が直面している生活上の困難及びそれらへの対処の実態を明らかにすることである｡対象は,研究参加へ同意が得られた12名の外来通院中の患者とした｡対象12名の食道再建経路は, 6名が胸壁前皮下経路,6名が後縦隔経路であった｡患者の許可を得て録音した面接内容を逐語訳し,内容分析の手法を用いて質的･帰納的分析を行った｡その結果,患者は術式に関係なく,【予想をはるかに超えて苦痛と化した摂食行動】および【生活圏の狭小化】の2つの困難を抱えていることが明らかとなった｡患者は,前者には≪生きるために自分に見合った食べ方を体得する≫ ことで,後者には,≪命と引き換えに変化を受け入れる≫≪時間をかけて変化に慣れる≫ ことで対処し,術後の生活を再構築していた。 en-copyright= kn-copyright= en-aut-name=MoriKeiko en-aut-sei=Mori en-aut-mei=Keiko kn-aut-name=森恵子 kn-aut-sei=森 kn-aut-mei=恵子 aut-affil-num=1 ORCID= en-aut-name=AkimotoNoriko en-aut-sei=Akimoto en-aut-mei=Noriko kn-aut-name=秋元典子 kn-aut-sei=秋元 kn-aut-mei=典子 aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=食道がん (Esophageal cancer) kn-keyword=食道がん (Esophageal cancer) en-keyword=胸壁前皮下経路再建術 (subcutaneous rout) kn-keyword=胸壁前皮下経路再建術 (subcutaneous rout) en-keyword=術後の困難体験 (difficulties experienced in daily life) kn-keyword=術後の困難体験 (difficulties experienced in daily life) en-keyword=術後生活への看護支援 (Nursing support to the postoperative life) kn-keyword=術後生活への看護支援 (Nursing support to the postoperative life) END start-ver=1.4 cd-journal=joma no-vol=16 cd-vols= no-issue=1 article-no= start-page=31 end-page=38 dt-received= dt-revised= dt-accepted= dt-pub-year=2005 dt-pub=20051225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Caring of the Gynecological Cancer Patients for Their Families And Nursing Support kn-title=女性生殖器がん患者の家族への思いとそれに対する看護援助 en-subtitle= kn-subtitle= en-abstract=The purposes of this study are to identify desires of gynecological cancer patients thought for their families and to discuss nursing support to be provided. The subjects are eleven inpatients who had operation after diagnosis of gynecological cancers. Data was collected through semi-constitutive interview and analyzed based on the qualitative deductive method. What the patients most cared about were grouped into five categories: "Family would be impacted by cancer as much as the patients did"; "Sense of burden for making family worried"; "Family became closer and more united"; "Family would give me power to fight against the disease"; and "Change in the attitude toward the family". The patients and the families review their relationship, making them feel closer. Encouragement, understanding and support of the families would give the patients power to fight against the disease and cope with treatment. Nurses should understand the impacts cancer would give both to the patients and their families so that they can successfully help patients to accept treatments. Team support is especially important so that the roles in the family can be adjusted properly. kn-abstract=研究目的は女性生殖器がん患者の家族に対する思いを明らかにし,患者に対する看護援助について考察することである｡対象は女性生殖器がんと診断された後,手術を経験した入院患者11名｡半構成的面接にてデータ収集を行い,内容の分析は質的分析帰納的方法に基づいて行った｡女性生殖器がん患者の家族への思いについては『家族ががんの病気に自分と同じように衝撃を受ける』『心配をかけないために家族を気遣う』『家族関係が密になる』『病気に立ち向かう力を家族から与えられる』『家族に対する考えが変化する』のカテゴリーに分類された｡罹患の体験から関係を見つめなおし,家族関係の親密さを増す｡家族からの励まし,理解と支援を受けることによって患者は病気に立ち向かう力を家族から与えられ,治療に臨む｡看護者は患者と家族双方の衝撃を理解し,罹患をきっかけとした家族関係の変化が患者にとって治療の意欲につながるよう援助すること,家族内役割調整が進むようチーム体制で援助する必要性が示唆された。 en-copyright= kn-copyright= en-aut-name=KoshizukaKimie en-aut-sei=Koshizuka en-aut-mei=Kimie kn-aut-name=越塚君江 kn-aut-sei=越塚 kn-aut-mei=君江 aut-affil-num=1 ORCID= en-aut-name=KandaKiyoko en-aut-sei=Kanda en-aut-mei=Kiyoko kn-aut-name=神田清子 kn-aut-sei=神田 kn-aut-mei=清子 aut-affil-num=2 ORCID= en-aut-name=FujinoFumiyo en-aut-sei=Fujino en-aut-mei=Fumiyo kn-aut-name=藤野文代 kn-aut-sei=藤野 kn-aut-mei=文代 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=財団法人癌研究会癌研有明病院 affil-num=2 en-affil= kn-affil=群馬大学医学部保健学科 affil-num=3 en-affil= kn-affil=岡山大学医学部保健学科 en-keyword=女性生殖器がん (gynecological cancer patients) kn-keyword=女性生殖器がん (gynecological cancer patients) en-keyword=家族看護 (family nursing) kn-keyword=家族看護 (family nursing) en-keyword=がん看護 (cancer nursing) kn-keyword=がん看護 (cancer nursing) en-keyword=質的研究 (qualitative research) kn-keyword=質的研究 (qualitative research) END start-ver=1.4 cd-journal=joma no-vol=16 cd-vols= no-issue=1 article-no= start-page=21 end-page=30 dt-received= dt-revised= dt-accepted= dt-pub-year=2005 dt-pub=20051225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Perimenstrual symptoms and it's management - Assessment with Menstrual Distress Questionnaire - kn-title=月経周辺期における愁訴の変化 - Menstrual Distress Questionnaireによる変化の追究 - en-subtitle= kn-subtitle= en-abstract=Each of 34 women rated their experience of 46 symptoms on a six-point scale separately for the premenstrual, menstrual, and intermenstrual phases of her most recent menstrual cycle. The 46 symptoms were intercorrelated and factor analyzed separately for each phase. These symptoms were divided into six clusters of symptoms, such as pain, concentration, behavioral change, autonomic reaction, water retention, and negative affect. Pain and water retention were composed of physical symptoms, were always at higher position than three clusters of menstrual symptoms in perimenstrual change. Thus, mental symptoms in perimenstrual physiological changes were might be induced by physical changes. kn-abstract=月経周期の変化に伴う多様で複雑な月経周辺期の症状を,出来るだけ単純で基本的に共通した変化として捉え,症状に適した対応を検討することを目的として本研究を行った｡月経を有する22～45歳の女性34名に対し,Menstrual Distress Questionnaireの即時的回答法を用いて月経周辺期を[痛み],[集中力],[行動変化],[自律神経反応],[水分貯留],[負の感情]から構成された35症状6領域で縦断的に追究し,以下の結果を得た｡ 1.月経周辺期の症状を縦断的に比較検討した結果,Moosのデータと近似した日本人のデータを示した｡ 2.月経周辺期における領域の推移では,身体的症状で構成される[痛み領域],[水分貯留領域]の2領域が精神的症状で構成される他の領域に比べ,常に上位を占めていた｡以上の事より,月経周辺期の生理的変化に伴う精神的愁訴は,身体的変化によって誘発されている可能性が示唆された｡ en-copyright= kn-copyright= en-aut-name=GotoYuka en-aut-sei=Goto en-aut-mei=Yuka kn-aut-name=後藤由佳 kn-aut-sei=後藤 kn-aut-mei=由佳 aut-affil-num=1 ORCID= en-aut-name=OkudaHiroyuki en-aut-sei=Okuda en-aut-mei=Hiroyuki kn-aut-name=奥田博之 kn-aut-sei=奥田 kn-aut-mei=博之 aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=岡山大学大学院保健学研究科 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=Menstrual Distress Questionnaire kn-keyword=Menstrual Distress Questionnaire en-keyword=月経周辺期 (perimenstrual) kn-keyword=月経周辺期 (perimenstrual) en-keyword=月経前症候群 (premenstrual) kn-keyword=月経前症候群 (premenstrual) en-keyword=月経随伴症状 (menstrual symptom) kn-keyword=月経随伴症状 (menstrual symptom) END start-ver=1.4 cd-journal=joma no-vol=16 cd-vols= no-issue=2 article-no= start-page=85 end-page=91 dt-received= dt-revised= dt-accepted= dt-pub-year=2006 dt-pub=20060331 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The movement of midwifery education and a future challenge kn-title=助産学教育の動向と今後の課題 en-subtitle= kn-subtitle= en-abstract=Recently, nursing education entered the four year college system; midwifery education in Japan has come to have serious problems, not only in the decline in the number of midwives training but also in the quality of the education due to abolition of the professional training school and the junior college's advanced midwifery training course. Then, lectures and the clinical training period have been shortened in midwifery education in four year colleges because of the crowded curriculum. On the other hand, the birth rate has been declining, and the anxiety of child care and child abuse are serious social issues in that child care in the community and at home is declining in Japan. The role of midwives has increased all the more, and midwives are indispensable for mothers, babies and families in such social conditions. Also, the problem was examined by surveying the environment surrounding the direction of midwifery education. It is not easy to get three state qualifications of public health nurse, midwife and nurse in the nursing education program within four years. It was suggested that change in the educational system of midwifery was a pressing need to train educated and skilled midwives to meet a social need. kn-abstract=我が国における助産学教育は看護学教育の4年制化に伴い,大きな影響を受けている｡即ち,短大専攻科の4年制大学への移行により選択枠は減少し,講義および実習時間の短縮化を余儀なくされた｡さらに,専門学校の閉廃校も進んで助産師の養成数は減少し,その教育の質にも大きな問題を包含するようになった｡一方,少子化が進展し,地域社会や家庭における子育て力の低下等に伴う育児不安や児童虐待が大きな社会問題となっている｡このような社会情況の中で,助産師の果たすべき役割は益々増大し,助産師に対する期待は高まる一方である｡そこで,助産学教育の動向と取り巻く環境を概観することにより,その問題点を検討した｡その結果,1) 4年制看護学教育の中で保健師･助産師･看護師の3つの国家試験受験資格を得ることは容易ではないこと｡ 2) 社会の要請に応えうる人材育成のための専門的教育課程への移行が急務であることが示唆された。 en-copyright= kn-copyright= en-aut-name=GodaNoriko en-aut-sei=Goda en-aut-mei=Noriko kn-aut-name=合田典子 kn-aut-sei=合田 kn-aut-mei=典子 aut-affil-num=1 ORCID= en-aut-name=OhmuroRitsuko en-aut-sei=Ohmuro en-aut-mei=Ritsuko kn-aut-name=大室律子 kn-aut-sei=大室 kn-aut-mei=律子 aut-affil-num=2 ORCID= en-aut-name=NiinoYoshiko en-aut-sei=Niino en-aut-mei=Yoshiko kn-aut-name=新野由子 kn-aut-sei=新野 kn-aut-mei=由子 aut-affil-num=3 ORCID= en-aut-name=IchikawaKaori en-aut-sei=Ichikawa en-aut-mei=Kaori kn-aut-name=市川香織 kn-aut-sei=市川 kn-aut-mei=香織 aut-affil-num=4 ORCID= en-aut-name=FuseChigusa en-aut-sei=Fuse en-aut-mei=Chigusa kn-aut-name=布施千草 kn-aut-sei=布施 kn-aut-mei=千草 aut-affil-num=5 ORCID= en-aut-name=MatsumotoYukie en-aut-sei=Matsumoto en-aut-mei=Yukie kn-aut-name=松本幸枝 kn-aut-sei=松本 kn-aut-mei=幸枝 aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=千葉大学看護学部附属看護実践指導研究センター affil-num=3 en-affil= kn-affil=千葉大学看護学部附属看護実践指導研究センター affil-num=4 en-affil= kn-affil=千葉大学医学部附属病院 affil-num=5 en-affil= kn-affil=植草学園短期大学福祉学科地域介護福祉専攻 affil-num=6 en-affil= kn-affil=植草学園短期大学福祉学科地域介護福祉専攻 en-keyword=助産学教育 (Midwifery education) kn-keyword=助産学教育 (Midwifery education) en-keyword=助産師 (Midwife) kn-keyword=助産師 (Midwife) en-keyword=カリキュラム (Curriculum) kn-keyword=カリキュラム (Curriculum) END start-ver=1.4 cd-journal=joma no-vol=16 cd-vols= no-issue=2 article-no= start-page=79 end-page=83 dt-received= dt-revised= dt-accepted= dt-pub-year=2006 dt-pub=20060331 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Study on the method to quantify viable bacterial cellson the surface of endotracheal suction catheters kn-title=気管内吸引カテーテルに付着した一般細菌の生菌数測定方法に関する検討 en-subtitle= kn-subtitle= en-abstract=As a method for the detection of viable bacteria attached to endotracheal suction catheters, we evaluated sonication and dissociation using a tube mixer. The catheter fragments with Pseudomonas aeruginosa PAO1 were treated by each of the two methods, and viable cells in the elutions were counted. The highest number of viable cells was observed at 0.5 min by either method. The viable cell count decreased when the sonication time exceeded 1 min, while only a slight decrease of viable cells was observed by using a tube mixer. The catheters used for patients receiving care at home were fragmented and treated by a tube mixer to detach bacteria, and viable cells were counted. Electron microscopy observation showed an association between the viable cell count and morphology of surfaces of the catheters. These results suggest that adequate removal of bacteria attached to endotracheal suction catheters is possible by agitating catheter fragments for 0.5 min in physiological saline using a tube mixer. kn-abstract=気管内吸引カテーテルに付着した一般細菌の生菌数測定方法について,超音波法およびチューブミキサーによ攪拌法を用いて検討した｡まず,人工的に緑膿菌を付着させた気管内吸引カテーテルを超音波処理することにより生菌数を測定した｡その結果,処理時間が1分を経過すると生菌数は減少をはじめ経時的に減少傾向を示した｡一方,攪拌法では0.5分の処理をピーク値としてその後の減少傾向は認められなかった｡次に,在宅療養患者に使用したカテーテルをチューブミキサーで0.5分攪拌後,生菌数の測定を行った｡また,同じカテーテルを用いて走査型電子顕微鏡による観察を行った結果,画面上の細菌数の印象と生菌数の測定結果に矛盾はなかった｡これらのことから気管内吸引カテーテルに付着した一般細菌の生菌数測定方法として,生理食塩水に入れたカテーテルをチューブミキサーで攪拌する方法が有用であると考えられた｡ en-copyright= kn-copyright= en-aut-name=InukaiMasako en-aut-sei=Inukai en-aut-mei=Masako kn-aut-name=犬飼昌子 kn-aut-sei=犬飼 kn-aut-mei=昌子 aut-affil-num=1 ORCID= en-aut-name=NomuraKayo en-aut-sei=Nomura en-aut-mei=Kayo kn-aut-name=野村佳代 kn-aut-sei=野村 kn-aut-mei=佳代 aut-affil-num=2 ORCID= en-aut-name=WatanabeKumi en-aut-sei=Watanabe en-aut-mei=Kumi kn-aut-name=渡邉久美 kn-aut-sei=渡邉 kn-aut-mei=久美 aut-affil-num=3 ORCID= en-aut-name=SendaYoshiko en-aut-sei=Senda en-aut-mei=Yoshiko kn-aut-name=千田好子 kn-aut-sei=千田 kn-aut-mei=好子 aut-affil-num=4 ORCID= en-aut-name=MitsuhataRitsuko en-aut-sei=Mitsuhata en-aut-mei=Ritsuko kn-aut-name=光畑律子 kn-aut-sei=光畑 kn-aut-mei=律子 aut-affil-num=5 ORCID= en-aut-name=KariyamaReiko en-aut-sei=Kariyama en-aut-mei=Reiko kn-aut-name=狩山玲子 kn-aut-sei=狩山 kn-aut-mei=玲子 aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=3 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=4 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=5 en-affil= kn-affil=岡山大学大学院医歯薬学総合研究科泌尿器病態学 affil-num=6 en-affil= kn-affil=岡山大学大学院医歯薬学総合研究科泌尿器病態学 en-keyword=気管内吸引カテーテル (Endotracheal suction catheter) kn-keyword=気管内吸引カテーテル (Endotracheal suction catheter) en-keyword=付着菌の解離 (removal of attached bacteria) kn-keyword=付着菌の解離 (removal of attached bacteria) en-keyword=生菌数測定方法 (viable cell counts) kn-keyword=生菌数測定方法 (viable cell counts) en-keyword=細菌学的評価 (microbiological evaluation) kn-keyword=細菌学的評価 (microbiological evaluation) en-keyword=形態学的評価 (morphological evaluation) kn-keyword=形態学的評価 (morphological evaluation) END start-ver=1.4 cd-journal=joma no-vol=16 cd-vols= no-issue=2 article-no= start-page=67 end-page=78 dt-received= dt-revised= dt-accepted= dt-pub-year=2006 dt-pub=20060331 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Influence of caregivers meeting on caregivers life - The active caregivers change and interaction with past caregivers - kn-title=｢介護者の会｣参加によってもたらされる介護への影響―現役介護者の変化と介護終了者との相互作用― en-subtitle= kn-subtitle= en-abstract=This study investigates interactions between active caregivers and past caregivers, and to search the influence of caregivers meeting on the active caregivers. Especially, focuses are given on the intention of attendance by the past caregivers, what they obtained in the meeting, and the influence of past caregivers on the active caregiver. We interviewed 10 active caregivers and 13 past caregivers from two meetings using a semi-structural method. As a result, 1) management by the past caregivers give some relief to the active caregivers to participate, and they also provide the sense of security and the caring tips. 2) The past caregivers gradually change their viewpoint from listening to talking, and they look back own experience in caring. 3) The past caregivers acquire some information in the meeting, and obtained trust from the active caregivers, which leads to the growth and the motivation of the meeting. kn-abstract=本研究は,｢介護者の会｣参加によってもたらされる介護への影響を,現役介護者と介護終了者の相互作用に焦点を当てて探求しようとするものである｡特に介護終了者が介護を終えた今もどういう意図で会に参加し,実際に何が得られているのか,また介護終了者の参加がもたらす現役介護者への影響は何なのかを,明らかにすることを目的とした｡2つの｢介護者の会｣に依頼し,現役介護者10名,介護終了者13名を対象として,半構造的面接を行った｡その結果1)現役介護者は,会への参加によって将来への不安が軽減し,相談できる人が出来た,適切な介護用品を活用できるようになった等の変化が見られた｡ 2)現役介護者は介護終了者が｢介護者の会｣の世話役を行ってくれることで安心して会に参加でき,介護終了者から安心感や介護ヒントを与えられていた｡3)介護終了者は,次第に聴く立場から語る立場へと変化すると同時に,自らの介護の振り返りも行っていた｡4)介護終了者もまた｢介護者の会｣から情報や現役介護者からの信頼感を得ており,会の成長･活動意欲へと繋がっている,といったことが明らかになった｡ en-copyright= kn-copyright= en-aut-name=KatoHisae en-aut-sei=Kato en-aut-mei=Hisae kn-aut-name=加藤久恵 kn-aut-sei=加藤 kn-aut-mei=久恵 aut-affil-num=1 ORCID= en-aut-name=HyodoYoshimi en-aut-sei=Hyodo en-aut-mei=Yoshimi kn-aut-name=兵藤好美 kn-aut-sei=兵藤 kn-aut-mei=好美 aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=京都桂病院 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=介護者の会 (Caregivers meeting (Self help group)) kn-keyword=介護者の会 (Caregivers meeting (Self help group)) en-keyword=現役介護者 (active caregivers) kn-keyword=現役介護者 (active caregivers) en-keyword=介護終了者 (past caregivers) kn-keyword=介護終了者 (past caregivers) en-keyword=認知症高齢者 (dementia elderly person) kn-keyword=認知症高齢者 (dementia elderly person) en-keyword=参加継続理由 (participation continuance reason) kn-keyword=参加継続理由 (participation continuance reason) END start-ver=1.4 cd-journal=joma no-vol=17 cd-vols= no-issue=1 article-no= start-page=33 end-page=37 dt-received= dt-revised= dt-accepted= dt-pub-year=2007 dt-pub=20070315 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Spirituality of a Postgraduate Student With Cancer kn-title=ガンを患う大学院生のスピリチュアリティ en-subtitle= kn-subtitle= en-abstract=A postgraduate student who had been diagnosed with large bowel cancer underwent a surgery and spent her days under medical treatment soon after she had entered a postgraduate school. She took care of herself at home for her recovery for a while, but after that she got family nursing care. Deteriorating activities of daily living due to suffering from cancer caused deterioration of quality of life, so she worried about her declining confidence as a graduate student. Then she tried to express her spirituality to friends by talking with them using e-mails and telephone. It was considered that she could keep on having a hope to return to school because she always tried to come in contact with society to realize her situation. Family support and communication with medical staff as well as with friends seemed to have helped encouraging her spirituality during the days of her fighting against disease. kn-abstract=大学院に入学したが,まもなく大腸ガンと診断され手術,闘病生活に入った院生がいた｡単身で在宅療養の後,家族による介護を受けた｡ADLが低下して,日常生活が思うように送れないとき,ガンを患うことの苦悩と生活の質(QOL)の低下,院生としての信念の間で悩んだ｡友人にメールや電話で語りかけることで,自分のスピリチュアリティを表現していた｡社会と関わることで,自分の存在を確認し,大学に復帰する希望を持ち続けることができたと思える｡彼女がスピリチュアリティを高く保つことができたのは,家族の支援と友人や保健医療関係者との交流が関係していた｡ en-copyright= kn-copyright= en-aut-name=OkanoHatsue en-aut-sei=Okano en-aut-mei=Hatsue kn-aut-name=岡野初枝 kn-aut-sei=岡野 kn-aut-mei=初枝 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=在宅看護 (Home Care) kn-keyword=在宅看護 (Home Care) en-keyword=終末期 (Terminal Stage) kn-keyword=終末期 (Terminal Stage) en-keyword=スピリチュアリティ (Spirituality) kn-keyword=スピリチュアリティ (Spirituality) END start-ver=1.4 cd-journal=joma no-vol=17 cd-vols= no-issue=1 article-no= start-page=27 end-page=31 dt-received= dt-revised= dt-accepted= dt-pub-year=2007 dt-pub=20070315 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Tendency of long stay patients on a psychiatric ward : Analysis based on medical and nursing records kn-title=A大学病院精神科において90日以上入院している患者の傾向 ―診療記録および看護記録に基づく分析― en-subtitle= kn-subtitle= en-abstract=This fact-finding survey was carried out to identify attributes of long stay psychiatric patients to improve nursing intervention based on their actual experience in hospital. 56 subjects out of the 229 patients who were admitted to a psychiatric ward at a university teaching hospital during the year 2004 were found to be hospitalized more than 90 days (175.1 ± 79.7 days on average), and all of them agreed to be included in the study (16 males and 40 females). Data were collected from their medical and nursing records. Most of the participants ranged from teens to adults in their forties. They were mostly diagnosed as having depression, schizophrenia, eating disorder, bipolar affective disorder and adjustment disorder. The patients with eating disorder stayed longest (214.1 days on average). followed by patients with adjustment disorders and schizophrenia. It is assumed that, although certain types of disorder need months of medical interventions for restoring physical functions, patients with these disorders also need family and social support as well as nursing interventions to cope with their problems. The results suggest that qualitative studies should be needed to identify factors that necessitate a long stay and make the system more supportive and effective. kn-abstract=本研究は,A大学病院精神科に長期入院(90日以上)をしている患者に着目し,年齢や疾患名の傾向などの特徴を明らかにするとともに,これらの実態に照らした看護アプローチのあり方について検討することを目的とした｡対象は,2004年1月1日から12月31日までに入院した延べ229人のうち,90日以上入院した延べ56人である｡診療記録等から在院日数,年齢,性別,疾患名のリストを作成し,傾向を分析した｡90日以上の長期入院患者の平均在院日数は175.1±79.7日であり,年齢層は思春期から40歳台の壮年期までで全体の約7割を占めた｡性別は男性16人,女性40人で,疾患名別では,統合失調症9人(16.1%),うつ病12人(21.4%),摂食障害16人(28.6%),適応障害5人(8.9%),躁うつ病4人(7.1%),強迫性障害1人(1.8%),身体表現性障害1人(1.8%),その他8人(14.3%)であった｡疾患名別の平均在院日数は,摂食障害が214.1日,適応障害が199.6日,統合失調症が180.2日であり,躁うつ病が175.3日であった｡年齢,疾患名,性別による在院日数の差は有意でなかった｡ 摂食障害に代表されるように身体機能の回復に数か月の医学的アプローチが必要な疾患はあるが,これらの中には患者自身の課題解決にむけた支援や家族支援など,保健福祉的アプローチも必要であると思われ,今後,これら事例の経過を質的に分析し,在院日数を長期化させている要因を明らかにする必要がある。 en-copyright= kn-copyright= en-aut-name=WatanabeKumi en-aut-sei=Watanabe en-aut-mei=Kumi kn-aut-name=渡邉久美 kn-aut-sei=渡邉 kn-aut-mei=久美 aut-affil-num=1 ORCID= en-aut-name=ItoMiki en-aut-sei=Ito en-aut-mei=Miki kn-aut-name=伊東美希 kn-aut-sei=伊東 kn-aut-mei=美希 aut-affil-num=2 ORCID= en-aut-name=KunikataHiroko en-aut-sei=Kunikata en-aut-mei=Hiroko kn-aut-name=國方弘子 kn-aut-sei=國方 kn-aut-mei=弘子 aut-affil-num=3 ORCID= en-aut-name=YamamotoReiko en-aut-sei=Yamamoto en-aut-mei=Reiko kn-aut-name=山本礼子 kn-aut-sei=山本 kn-aut-mei=礼子 aut-affil-num=4 ORCID= en-aut-name=KimuraYukiko en-aut-sei=Kimura en-aut-mei=Yukiko kn-aut-name=木村由紀子 kn-aut-sei=木村 kn-aut-mei=由紀子 aut-affil-num=5 ORCID= en-aut-name=ArimuraEriko en-aut-sei=Arimura en-aut-mei=Eriko kn-aut-name=有村エリ子 kn-aut-sei=有村 kn-aut-mei=エリ子 aut-affil-num=6 ORCID= en-aut-name=TakedaShizue en-aut-sei=Takeda en-aut-mei=Shizue kn-aut-name=高田静恵 kn-aut-sei=高田 kn-aut-mei=静恵 aut-affil-num=7 ORCID= en-aut-name=TakeokaChiharu en-aut-sei=Takeoka en-aut-mei=Chiharu kn-aut-name=武岡千晴 kn-aut-sei=武岡 kn-aut-mei=千晴 aut-affil-num=8 ORCID= en-aut-name=UmezuNobuko en-aut-sei=Umezu en-aut-mei=Nobuko kn-aut-name=梅津伸子 kn-aut-sei=梅津 kn-aut-mei=伸子 aut-affil-num=9 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=2 en-affil= kn-affil=元岡山大学医学部･歯学部附属病院看護部 affil-num=3 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 affil-num=4 en-affil= kn-affil=岡山大学医学部･歯学部附属病院看護部 affil-num=5 en-affil= kn-affil=岡山大学医学部･歯学部附属病院看護部 affil-num=6 en-affil= kn-affil=岡山大学医学部･歯学部附属病院看護部 affil-num=7 en-affil= kn-affil=岡山大学医学部･歯学部附属病院看護部 affil-num=8 en-affil= kn-affil=岡山大学医学部･歯学部附属病院看護部 affil-num=9 en-affil= kn-affil=岡山大学医学部･歯学部附属病院看護部 en-keyword=在院日数 (length of hospitalization) kn-keyword=在院日数 (length of hospitalization) en-keyword=入院治療 (treatment at hospital) kn-keyword=入院治療 (treatment at hospital) en-keyword=精神科病棟 (psychiatric care unit) kn-keyword=精神科病棟 (psychiatric care unit) en-keyword=長期入院 (long-term hospitalization) kn-keyword=長期入院 (long-term hospitalization) END start-ver=1.4 cd-journal=joma no-vol=17 cd-vols= no-issue=1 article-no= start-page=17 end-page=26 dt-received= dt-revised= dt-accepted= dt-pub-year=2007 dt-pub=20070315 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Stress factors in nursing students kn-title=看護学生のストレスに影響を及ぼす要因 en-subtitle= kn-subtitle= en-abstract=Stress factors in undergraduate students from freshmen to the fourth grade in a nursing school were studied using questionnaires. In particular, focuses were given to stressors, effect of Health Locus of Control (HLC) and social support on stress reaction. 1 . Stress reactions such as anxiety, anger and depression have lower scores in a group with high HLC than that with low HLC. Thus, the higher group has a better degree of mental health. 2 . There is no appreciable difference in stress reactions between groups with much and little social support. However, support from their mothers has great effects on suppressing their stress reactions. 3 . Club activity is the major, and study and practice are the second factors of stressors in the freshmen and the second grade. Study and practice are the major stressor in the third and the fourth grade students. 4 . Various kinds of support from teachers yielded high scores in the fourth grade students particularly. On the other hand, freshmen and the second grade students have less relation contact with teachers. kn-abstract=看護学専攻の大学生1～4年生を対象に,ストレッサ一,ストレス反応におけるHealth Locus of Controlとソーシャルサポートの効果等に関する質問紙調査を行った結果,次の点が明らかになった｡ 1. ストレス反応(全体),不安･怒り･抑うつに関して,いずれもHLCの高群のほうが,低群よりも心身の健康度が高いことが明らかになった｡ 2. ソーシャルサポートの高低によるストレス反応に,有意な差は認められなかった｡また,ストレス反応に対する直接的影響も見られなかった｡しかしながら,下位項目である母親サポートについては,ストレス反応の抑制に効果のあることが明らかになった｡ 3. ストレッサ-では,1・2年生はクラブ活動が最も多く,次に学業が多かった｡3・ 4年生も学業が最も多かった｡ 4. サポート源では,4年生が他の学年より教員サポート人数において,高い値を示していた｡それに対し,1・2年生と教員の関わりは少ないということが明らかになった｡ en-copyright= kn-copyright= en-aut-name=KobayashiTamie en-aut-sei=Kobayashi en-aut-mei=Tamie kn-aut-name=小林民恵 kn-aut-sei=小林 kn-aut-mei=民恵 aut-affil-num=1 ORCID= en-aut-name=HyodoYoshimi en-aut-sei=Hyodo en-aut-mei=Yoshimi kn-aut-name=兵藤好美 kn-aut-sei=兵藤 kn-aut-mei=好美 aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=備前市役所 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=看護学生 (student nurse) kn-keyword=看護学生 (student nurse) en-keyword=ストレッサー (stressor) kn-keyword=ストレッサー (stressor) en-keyword=ストレス反応 (stress reaction) kn-keyword=ストレス反応 (stress reaction) en-keyword=ソーシャルサポート (social support) kn-keyword=ソーシャルサポート (social support) END start-ver=1.4 cd-journal=joma no-vol=17 cd-vols= no-issue=1 article-no= start-page=1 end-page=8 dt-received= dt-revised= dt-accepted= dt-pub-year=2007 dt-pub=20070315 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=A Review of the Effects of Laughter on Physical and Mental Health kn-title=健康における笑いの効果の文献学的考察 en-subtitle= kn-subtitle= en-abstract=Numerous studies have reported beneficial effect of laughter. The purpose of this study is to review physical and mental effects of laughter in previous studies in Japan. Several research of the physical advantages indicated immunological effects, easing pain, normalizing blood-sugar level and improvement of quality of sleeping. Moreover, mental effects of laughter have been reported for management of stress, establishment of human relations, and relaxation of tension. However, definitions of laughter vary in each study. Some studies suggest the unification of definition is necessary. The subjects of these studies were mostly healthy people. Study on laughter as effective of medical cure is needed in the future. kn-abstract=笑うことが人体に良い影響を及ぼしていることを証明する研究が,欧米を先駆けに,日本でも十数年前から実施されている｡本研究は,現在まで日本国内において報告されてきた笑いの効果を身体面,精神面の二方向から概観し,医療や看護の場で笑いを用いる有効性を提示することを目的とし,文献考察を行った｡身体面では,多くの研究において笑いの免疫系に関する効果が報告されていた｡その他,疼痛緩和,アレルギー患者の皮膚症状の改善,食後血糖値上昇抑制,リラクゼーション効果を明らかにするもの,笑いと睡眠の質に関する研究なども行われていた｡笑いの精神的効果として,ストレスコーピング,人間関係の確立,不安,緊張の緩和が挙げられていた｡しかし,笑いの定義は研究者により様々であり,笑いやユーモアの定義,分類,尺度化が必要であるとの指摘もなされている｡また,健康人を対象とした報告が多く,今後,医療の場でケアとしての笑いについての研究が期待される｡ en-copyright= kn-copyright= en-aut-name=MiyakeYu en-aut-sei=Miyake en-aut-mei=Yu kn-aut-name=三宅優 kn-aut-sei=三宅 kn-aut-mei=優 aut-affil-num=1 ORCID= en-aut-name=YokoyamaYoshie en-aut-sei=Yokoyama en-aut-mei=Yoshie kn-aut-name=横山美江 kn-aut-sei=横山 kn-aut-mei=美江 aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=財団法人 倉敷中央病院 affil-num=2 en-affil= kn-affil=岡山大学医学部保健学科看護学専攻 en-keyword=笑い (Laughter) kn-keyword=笑い (Laughter) en-keyword=ユーモア (Humor) kn-keyword=ユーモア (Humor) en-keyword=健康 (Health) kn-keyword=健康 (Health) END start-ver=1.4 cd-journal=joma no-vol=67 cd-vols= no-issue= article-no= start-page=134 end-page=146 dt-received= dt-revised= dt-accepted= dt-pub-year=1996 dt-pub=199611 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=ロイ適応看護論に基づく看護過程 en-subtitle= kn-subtitle= en-abstract= kn-abstract=私達はロイ看護モデルで事例を看護過程にそって展開することにした｡急性疾患では生命の危険があるものも少なくはなく,早期に治療とフォローが必要とされる｡それに加えて重要なことは患者自身病気に対し,恐怖にも近い不安を持つ｡患者は個人の中にある調節器対処機制と認知器対処機制によって環境の変化に対処していく｡対処した行動が適応行動か非効果的行動かは,四つの適応様式,つまり生理的,自己概念,役割機能,相互依存によって示される｡患者は自分に必要な行動を認知し,様々な環境に適応していかなければならない｡看護婦は効果的なコミュニケーションを用いて急性期の患者の行動をアセスメントし,適応行動か非効果的行動かを判定する｡その結果として四つの適応様式,それぞれに個人的特徴が強く現れる｡成人期の患者は個人の人生目標もあり,人生経験もある｡あるいは治療中に死に至ることもある｡そこで心理,社会的様式のアセスメントは特に個人の背景や価値観を理解した上でされなければならない｡患者の四つの適応様式,各々の適応を促進するために必要な介助を行うことは看護婦の役割であり,その人の健康や生活の質に貢献することができるものである｡ en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=寺崎佳代 kn-aut-sei=寺崎 kn-aut-mei=佳代 aut-affil-num=1 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=山田修子 kn-aut-sei=山田 kn-aut-mei=修子 aut-affil-num=2 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=坂本香須美 kn-aut-sei=坂本 kn-aut-mei=香須美 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院三朝分院4F病棟 affil-num=2 en-affil= kn-affil=岡山大学医学部附属病院三朝分院4F病棟 affil-num=3 en-affil= kn-affil=岡山大学医学部附属病院三朝分院4F病棟 END start-ver=1.4 cd-journal=joma no-vol=67 cd-vols= no-issue= article-no= start-page=126 end-page=133 dt-received= dt-revised= dt-accepted= dt-pub-year=1996 dt-pub=199611 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=外来看護に活かせるデータベースの作成 ―外来看護(内科,婦人科)のデータベース使用を試みて― en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=中村寿美江 kn-aut-sei=中村 kn-aut-mei=寿美江 aut-affil-num=1 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=細田つる子 kn-aut-sei=細田 kn-aut-mei=つる子 aut-affil-num=2 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=中村あけみ kn-aut-sei=中村 kn-aut-mei=あけみ aut-affil-num=3 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=寺崎佳代 kn-aut-sei=寺崎 kn-aut-mei=佳代 aut-affil-num=4 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=吉尾慶子 kn-aut-sei=吉尾 kn-aut-mei=慶子 aut-affil-num=5 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=伊賀真由美 kn-aut-sei=伊賀 kn-aut-mei=真由美 aut-affil-num=6 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=土海智穂 kn-aut-sei=土海 kn-aut-mei=智穂 aut-affil-num=7 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部内科外来 affil-num=2 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部内科外来 affil-num=3 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部内科外来 affil-num=4 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部内科外来 affil-num=5 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部産婦人科外来 affil-num=6 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部産婦人科外来 affil-num=7 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部産婦人科外来 en-keyword=外来看護 kn-keyword=外来看護 en-keyword=記録 kn-keyword=記録 en-keyword=データベース kn-keyword=データベース END start-ver=1.4 cd-journal=joma no-vol=68 cd-vols= no-issue= article-no= start-page=115 end-page=120 dt-received= dt-revised= dt-accepted= dt-pub-year=1997 dt-pub=199712 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=患者によるデーターベース自己記入の効果 en-subtitle= kn-subtitle= en-abstract= kn-abstract=入院時の情報収集は患者の苦痛,疲労が最小限になるよう,短時間で聴取でき,適切な問題把握かできることが望ましい｡しかし,当院の入院事情と重なり情報収集が円滑に進まず時間を要していた｡そこで,入院前にデーターベースを患者に渡し自己記入してもらうことを試みた結果,聴取･記録時間の短縮かでき,問題点のしぼりこみも早くできるようになった｡ en-copyright= kn-copyright= en-aut-name=TerasakiKayo en-aut-sei=Terasaki en-aut-mei=Kayo kn-aut-name=寺崎佳代 kn-aut-sei=寺崎 kn-aut-mei=佳代 aut-affil-num=1 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=石田三枝子 kn-aut-sei=石田 kn-aut-mei=三枝子 aut-affil-num=2 ORCID= en-aut-name=YoshioKeiko en-aut-sei=Yoshio en-aut-mei=Keiko kn-aut-name=吉尾慶子 kn-aut-sei=吉尾 kn-aut-mei=慶子 aut-affil-num=3 ORCID= en-aut-name=YamamotoSadae en-aut-sei=Yamamoto en-aut-mei=Sadae kn-aut-name=山本貞枝 kn-aut-sei=山本 kn-aut-mei=貞枝 aut-affil-num=4 ORCID= en-aut-name=NakamuraAkemi en-aut-sei=Nakamura en-aut-mei=Akemi kn-aut-name=中村あけみ kn-aut-sei=中村 kn-aut-mei=あけみ aut-affil-num=5 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=福井由美 kn-aut-sei=福井 kn-aut-mei=由美 aut-affil-num=6 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=坂本香須美 kn-aut-sei=坂本 kn-aut-mei=香須美 aut-affil-num=7 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=2 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=3 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=4 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=5 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=6 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=7 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 en-keyword=データベース kn-keyword=データベース en-keyword=自己記入 kn-keyword=自己記入 en-keyword=時間短縮 kn-keyword=時間短縮 END start-ver=1.4 cd-journal=joma no-vol=68 cd-vols= no-issue= article-no= start-page=71 end-page=79 dt-received= dt-revised= dt-accepted= dt-pub-year=1997 dt-pub=199712 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Application of hot spring pool training in　outpatients with chronic diseases and its clinical evaluation kn-title=通院患者の温泉プール利用状況とその臨床的評価 en-subtitle= kn-subtitle= en-abstract=For three months from April to June in 1996, 2109(30.8%) of 6848 outpatients (the total number) had swimming and walking traning in a hot spring pool. Of the 213 patients (the actual number), the numbers of female patients (72.3%), of patients over the age of 50 (80.3%), and of those coming inside Tottori prefecture (88.3%) were larger in analysis by the consultation cards for rehabillitation. The results of questionnaire from the patients performed from December 1996 to January 1997 demonstrated that patients with chronic respiratory disease had pool training 1 to 2 times a week (50.0%) and for longer term (more than 3 years, 52.9%), and patients with chronic pain disease had the training 3 to 5 times a week (38.0%) and for shoter term (less than 3 years, 61.9%). It was suggested from the results that tha training in a hot spring pool improved subjective and objective symptoms of each disease, and, furthermore, brought about improvement of general condition, psychological relaxation, and a change of feeling. kn-abstract=1996年4月より6月までの3ヵ月間に,三朝分院内の温泉プールで水泳ないし歩行訓練を受けた内科外来患者は延べ2109例(実数213例)で,外来患者総数(延べ6848例)に対する利用率は30.8%であった｡これらの対象症例について,リハビリテーション受診カードにより,性別,年令別,疾患別の検討を行った｡その結果,性別では女性が多く(72.3%),年齢別では50才以上の患者が多い(80.3%)傾向が見られた｡また,地域別検討では,鳥取県内からの患 者が多い(88.3%)傾向であった。さらに,1996年12月より1997年1月へかけて,アンケート調査を行い(集計数;64例)継続期間,利用回数,効果を感じた期間,効果のあった症状などについて疾患別に比較検討した｡その結果,慢性閉塞性肺疾患を主とした呼吸器疾患では,週に1～2回の利用回数(50.0%)で長期間(3年以上:52.9%)続けている患者が多い傾向であった｡また慢性関節リウマチ,腰痛などの慢性疼痛性疾患では,訓練期間は比較的短期間であっ たが（3年以下:52.9%),利用回数は週に3～5回(38.0%)と多い傾向が見られた。温泉プール訓練では,疾患本来の症状改善に加えて,全身状態の改善,精神的リラックス,気分転換などを感じていることが示唆された｡ en-copyright= kn-copyright= en-aut-name=NishimuraNobuko en-aut-sei=Nishimura en-aut-mei=Nobuko kn-aut-name=西村伸子 kn-aut-sei=西村 kn-aut-mei=伸子 aut-affil-num=1 ORCID= en-aut-name=KasuiHayako en-aut-sei=Kasui en-aut-mei=Hayako kn-aut-name=賀須井捷子 kn-aut-sei=賀須井 kn-aut-mei=捷子 aut-affil-num=2 ORCID= en-aut-name=YoshioKeiko en-aut-sei=Yoshio en-aut-mei=Keiko kn-aut-name=吉尾慶子 kn-aut-sei=吉尾 kn-aut-mei=慶子 aut-affil-num=3 ORCID= en-aut-name=NakamuraAkemi en-aut-sei=Nakamura en-aut-mei=Akemi kn-aut-name=中村あけみ kn-aut-sei=中村 kn-aut-mei=あけみ aut-affil-num=4 ORCID= en-aut-name=IkedaAkiko en-aut-sei=Ikeda en-aut-mei=Akiko kn-aut-name=池田昭子 kn-aut-sei=池田 kn-aut-mei=昭子 aut-affil-num=5 ORCID= en-aut-name=FukuiYumi en-aut-sei=Fukui en-aut-mei=Yumi kn-aut-name=福井由美 kn-aut-sei=福井 kn-aut-mei=由美 aut-affil-num=6 ORCID= en-aut-name=IgaMayumi en-aut-sei=Iga en-aut-mei=Mayumi kn-aut-name=伊賀真由美 kn-aut-sei=伊賀 kn-aut-mei=真由美 aut-affil-num=7 ORCID= en-aut-name=KurodaAkiko en-aut-sei=Kuroda en-aut-mei=Akiko kn-aut-name=黒田昭子 kn-aut-sei=黒田 kn-aut-mei=昭子 aut-affil-num=8 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=2 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=3 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=4 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=5 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=6 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=7 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=8 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 en-keyword=温水プール水泳訓練 (swimming training in a hot spring pool) kn-keyword=温水プール水泳訓練 (swimming training in a hot spring pool) en-keyword=呼吸器疾患 (respiratory disease) kn-keyword=呼吸器疾患 (respiratory disease) en-keyword=慢性疼痛性疾患 (chronic pain disease) kn-keyword=慢性疼痛性疾患 (chronic pain disease) END start-ver=1.4 cd-journal=joma no-vol=69 cd-vols= no-issue= article-no= start-page=93 end-page=95 dt-received= dt-revised= dt-accepted= dt-pub-year=1998 dt-pub=199812 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=平成9年度看声部教育･研修･活動状況 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=岡山大学医学部附属病院三朝分院看護部 kn-aut-sei=岡山大学医学部附属病院三朝分院看護部 kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil= END start-ver=1.4 cd-journal=joma no-vol=69 cd-vols= no-issue= article-no= start-page=88 end-page=92 dt-received= dt-revised= dt-accepted= dt-pub-year=1998 dt-pub=199812 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=リウマチ患者の残された機能を生かすための援助-パンツの改良を試みて- en-subtitle= kn-subtitle= en-abstract= kn-abstract=関節の変形と骨破壊を伴い,排泄動作に支障をきたしている慢性関節リウマチ患者に対し改良パンツの作成を試みた｡残存機能に合わせはきなれたパンツを=夫することにより,排泄動作が自立でき満足感が得られた｡ en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=土海智穂 kn-aut-sei=土海 kn-aut-mei=智穂 aut-affil-num=1 ORCID= en-aut-name=TerasakiKayo en-aut-sei=Terasaki en-aut-mei=Kayo kn-aut-name=寺崎佳代 kn-aut-sei=寺崎 kn-aut-mei=佳代 aut-affil-num=2 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=岡本和代 kn-aut-sei=岡本 kn-aut-mei=和代 aut-affil-num=3 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=山田修子 kn-aut-sei=山田 kn-aut-mei=修子 aut-affil-num=4 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=2 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=3 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=4 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 en-keyword=慢性関節リウマチ kn-keyword=慢性関節リウマチ en-keyword=改良衣類 kn-keyword=改良衣類 en-keyword=排泄自立 kn-keyword=排泄自立 en-keyword=満足感 kn-keyword=満足感 END start-ver=1.4 cd-journal=joma no-vol=69 cd-vols= no-issue= article-no= start-page=76 end-page=81 dt-received= dt-revised= dt-accepted= dt-pub-year=1998 dt-pub=199812 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The effects of perilla seed oil ointment for atopic dermatitis kn-title=アトピー性皮膚炎に対する新しい治療の試み～エゴマ軟膏の効果～ en-subtitle= kn-subtitle= en-abstract=The perilla seed oil contains rich α-linolenic acid (α-LNA), parent n-3 fatty acid. The dietary intake of n-3 fatty acid, such as perilla seed oil, has been reported to have some clinical effects in patients with allergic disease. In this report, we prepared the perilla seed oil ointment for atopic dermatitis and the effects of the ointment was evaluated in three patients with atopic dermatitis. This ointment suppressed skin itch, and improved papules, excoriation, lichenification and desquamation of the skin. These results suggest that the perilla seed oil ointment has some effectiveness including suppression of inflammatory changes of the skin in patients with atopic dermatitis. kn-abstract=近年アトピー性皮膚炎が増加しており,工ゴマ油を使った食事療法がアレルギー抑制に有用であることが報告されている｡そこで今回,エゴマ油を外用剤として使用するため,亜鉛華単軟膏を基剤とした工コマ軟膏を作製し,アトピー性皮膚炎患者3例を対象にその臨床応用を試みた｡その結果,掻痒感の軽減に効果がみられ,また皮膚症状では,丘疹.表皮剥離,苔癬化,落屑などの所見が改善される傾向が見られた｡ en-copyright= kn-copyright= en-aut-name=MiyamotoMiyuki en-aut-sei=Miyamoto en-aut-mei=Miyuki kn-aut-name=宮本美由紀 kn-aut-sei=宮本 kn-aut-mei=美由紀 aut-affil-num=1 ORCID= en-aut-name=AkiyamaChiaki en-aut-sei=Akiyama en-aut-mei=Chiaki kn-aut-name=穐山千晶 kn-aut-sei=穐山 kn-aut-mei=千晶 aut-affil-num=2 ORCID= en-aut-name=NoumiMichiyo en-aut-sei=Noumi en-aut-mei=Michiyo kn-aut-name=能見美智代 kn-aut-sei=能見 kn-aut-mei=美智代 aut-affil-num=3 ORCID= en-aut-name=TakataJunko en-aut-sei=Takata en-aut-mei=Junko kn-aut-name=高田純子 kn-aut-sei=高田 kn-aut-mei=純子 aut-affil-num=4 ORCID= en-aut-name=NisimuraNobuko en-aut-sei=Nisimura en-aut-mei=Nobuko kn-aut-name=西村伸子 kn-aut-sei=西村 kn-aut-mei=伸子 aut-affil-num=5 ORCID= en-aut-name=NakamuraSumie en-aut-sei=Nakamura en-aut-mei=Sumie kn-aut-name=中村寿美江 kn-aut-sei=中村 kn-aut-mei=寿美江 aut-affil-num=6 ORCID= en-aut-name=KawakamiYasuhiro en-aut-sei=Kawakami en-aut-mei=Yasuhiro kn-aut-name=川上恭弘 kn-aut-sei=川上 kn-aut-mei=恭弘 aut-affil-num=7 ORCID= en-aut-name=OkamotoMakoto en-aut-sei=Okamoto en-aut-mei=Makoto kn-aut-name=岡本誠 kn-aut-sei=岡本 kn-aut-mei=誠 aut-affil-num=8 ORCID= en-aut-name=AshidaKozo en-aut-sei=Ashida en-aut-mei=Kozo kn-aut-name=芦田耕三 kn-aut-sei=芦田 kn-aut-mei=耕三 aut-affil-num=9 ORCID= en-aut-name=MitsunobuFumihiro en-aut-sei=Mitsunobu en-aut-mei=Fumihiro kn-aut-name=光延文裕 kn-aut-sei=光延 kn-aut-mei=文裕 aut-affil-num=10 ORCID= en-aut-name=TanizakiYoshiro en-aut-sei=Tanizaki en-aut-mei=Yoshiro kn-aut-name=谷崎勝朗 kn-aut-sei=谷崎 kn-aut-mei=勝朗 aut-affil-num=11 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=2 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=3 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=4 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=5 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=6 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=7 en-affil= kn-affil=岡山大学医学部附属病院三朝分院薬剤部 affil-num=8 en-affil= kn-affil=岡山大学医学部附属病院三朝分院内科 affil-num=9 en-affil= kn-affil=岡山大学医学部附属病院三朝分院内科 affil-num=10 en-affil= kn-affil=岡山大学医学部附属病院三朝分院内科 affil-num=11 en-affil= kn-affil=岡山大学医学部附属病院三朝分院内科 en-keyword=アトピー性皮膚炎 kn-keyword=アトピー性皮膚炎 en-keyword=エゴマ軟膏 kn-keyword=エゴマ軟膏 en-keyword=掻痒感 kn-keyword=掻痒感 END start-ver=1.4 cd-journal=joma no-vol=70 cd-vols= no-issue= article-no= start-page=95 end-page=99 dt-received= dt-revised= dt-accepted= dt-pub-year=1999 dt-pub=199912 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=平成10年度看護部教育･研修･活動状況 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=NakamuraSumie en-aut-sei=Nakamura en-aut-mei=Sumie kn-aut-name=中村寿美江 kn-aut-sei=中村 kn-aut-mei=寿美江 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 en-keyword=看護部 kn-keyword=看護部 en-keyword=研修会 kn-keyword=研修会 en-keyword=活動 kn-keyword=活動 END start-ver=1.4 cd-journal=joma no-vol=70 cd-vols= no-issue= article-no= start-page=93 end-page=94 dt-received= dt-revised= dt-accepted= dt-pub-year=1999 dt-pub=199912 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=運動器疾患入院状況 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=NakamuraSumie en-aut-sei=Nakamura en-aut-mei=Sumie kn-aut-name=中村寿美江 kn-aut-sei=中村 kn-aut-mei=寿美江 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 en-keyword=看護部 kn-keyword=看護部 en-keyword=入院状況 kn-keyword=入院状況 en-keyword=運動器疾患 kn-keyword=運動器疾患 END start-ver=1.4 cd-journal=joma no-vol=70 cd-vols= no-issue= article-no= start-page=88 end-page=92 dt-received= dt-revised= dt-accepted= dt-pub-year=1999 dt-pub=199912 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Clincal evaluation of spa effects for patients with respiratory disease and chronic pain disease kn-title=呼吸器疾患及び疼痛性疾患に対する温泉療法の臨床評価 en-subtitle= kn-subtitle= en-abstract=Clinical evaluation of spatherapy, mainly swimming and walk training in a hot spring pool and fango therapy, was performed in 158 patients (78 with respiratory disease, 64 with chronic pain disease, and 16 with other diseases) who were admitted at our hospital to receive spa therapy from January to December in 1998. The number of patients over the age of 70 was largest, and the number of patients outside Tottori prefecture (72.2%) was larger than the number inside Tottori prefecture. Spa efficacy was assessed by 5 steps according to improvement of clinical symptoms; efficacy-marked, moderate,and slight, no efficacy, and worse. Spa therapy was evaluated as effective when their symptoms were markedly or moderately improved. The spa efficacy was 72.2% at 1 month, 81.8% at 2 months, and 76.5% at 3 months after spa therapy in patients with respiratory disease. In contrast, the, efficacy was 21.1% at 1 month, 60.0% at 2 months,and 64.0% at 3 months after the therapy in patients with chronic pain disease. The efficacy was higher as the term of admission was longer in patients with chronic pain disease. kn-abstract=1998年1月より12月までの1年間に,温泉療法-主として温泉プール水泳ないし歩行訓練及び鉱泥湿布治療-を受けた158例の入院症例(呼吸器疾患78例,疼痛性疾患64例,その他16例)について退院時に臨床効果を5段階で評価してもらいそれぞれの入院期間との比較検討を行った｡対象症例の年齢は70才代が最も多く,次いで60才代,50才代,80才代であった｡地域分布では,鳥取県外の入院症例が72.2%を占め,県外である遠隔地としては,岡山県,兵庫県,広島県,大阪府,東京都,神奈川県からの入院が多く見られた｡臨床効果は,"非常に良くなった"と,"かなり良くなった"を有効と判定し,その有効率は呼 吸器疾患では78.2%であった｡一方,疼痛性疾患では,その有効率は50.0%であったが,"少し良くなった"症例を含めると,95.3%,その他の症例は68.8%であった｡入院期間別に検討すると,呼吸器疾患では入院1ケ月で72.7%,2ケ月では81.8%,3ケ月以上では76.5%であった｡一方,疼痛性疾患では,入院1ケ月で21.1%,2ケ月で60.0%,3ケ月で64.0%であり,呼吸器疾患と比べ,効果出現までの期間がやヽ長く,入院期間が長くなるほど,その効果は高くなる傾向が見られた｡ en-copyright= kn-copyright= en-aut-name=NishimuraNobuko en-aut-sei=Nishimura en-aut-mei=Nobuko kn-aut-name=西村伸子 kn-aut-sei=西村 kn-aut-mei=伸子 aut-affil-num=1 ORCID= en-aut-name=TerasakiKayo en-aut-sei=Terasaki en-aut-mei=Kayo kn-aut-name=寺崎佳代 kn-aut-sei=寺崎 kn-aut-mei=佳代 aut-affil-num=2 ORCID= en-aut-name=YamamotoSadae en-aut-sei=Yamamoto en-aut-mei=Sadae kn-aut-name=山本貞枝 kn-aut-sei=山本 kn-aut-mei=貞枝 aut-affil-num=3 ORCID= en-aut-name=NakamuraSumie en-aut-sei=Nakamura en-aut-mei=Sumie kn-aut-name=中村寿美江 kn-aut-sei=中村 kn-aut-mei=寿美江 aut-affil-num=4 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=2 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=3 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=4 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 en-keyword=温泉療法 (spa therapy) kn-keyword=温泉療法 (spa therapy) en-keyword=呼吸器疾患 (respiratory disease) kn-keyword=呼吸器疾患 (respiratory disease) en-keyword=慢性疼痛性疾患 (chronic pain disease) kn-keyword=慢性疼痛性疾患 (chronic pain disease) END start-ver=1.4 cd-journal=joma no-vol=70 cd-vols= no-issue= article-no= start-page=73 end-page=78 dt-received= dt-revised= dt-accepted= dt-pub-year=1999 dt-pub=199912 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Analysis of Factors Regarding Spa Therapy in Patients with Rheumatoid Arthritis kn-title=慢性関節リウマチ患者の温泉治療効果に関する要因の分析 en-subtitle= kn-subtitle= en-abstract=In patients with rheumatoid arthritis (RA) who received spa therapy (ST) on admission, we examined factors for treatment response. This study included 6 RA patients and the following 4 parameters were investigated: presence or absence of previous ST, age, duration of RA, and grade of the functional disorder. Treatment response was evaluated according to the American College of Rheumatology core set measures. With respect to the presence or absence of previous ST, modified health assessment questionnaire (MHAQ), pain scale and patient global assessments in the group with previous ST were significantly improved compared to those in the group without previous ST. With respect to age, MHAQ in the group consisting of patients less than 75 years old was significantly improved compared to that in the group consisting of patients 75 years old or older. With respect to the grade of the functional disorder (class 2 or lower vs. class 3 or higher) and the duration of RA (less than 15 years vs. 15 years or more), there were no significant differences. These results suggest that repeated therapy is more effective in ST and treatment response may be relatively poor in elderly patients with RA aged over 75 years. kn-abstract=1998年4月より9月までの6ヶ月間に当院へ入院し温泉療法をうけた慢性関節リウマチ患者6例を対象に,温泉治療経験の有無,年齢,機能障害度(クラス),罹患年数の4項目が温泉療法効果に及ぼす影響につき検討した｡温泉治療経験の有無では治療経験を有する患者においてMHAQ(modified health assessment questionnaile),患者による疼痛評価,患者による全般活動性評価に有意な改善が見られ,年齢(75才以上,75才未満)では,75才未満においてMHAQに有意な改善傾向が見られた｡機能障害度(クラス3以上,クラス2以下),罹患年数(15年以上,15年未満)においては有意差は見られなかった｡温泉の永続効果を保つためには,年1～2回の入院を繰り返すことが効果的であることが示唆された｡ en-copyright= kn-copyright= en-aut-name=YoshioKeiko en-aut-sei=Yoshio en-aut-mei=Keiko kn-aut-name=吉尾慶子 kn-aut-sei=吉尾 kn-aut-mei=慶子 aut-affil-num=1 ORCID= en-aut-name=TagumaMasae en-aut-sei=Taguma en-aut-mei=Masae kn-aut-name=田熊正栄 kn-aut-sei=田熊 kn-aut-mei=正栄 aut-affil-num=2 ORCID= en-aut-name=NoumiMayumi en-aut-sei=Noumi en-aut-mei=Mayumi kn-aut-name=能見真由美 kn-aut-sei=能見 kn-aut-mei=真由美 aut-affil-num=3 ORCID= en-aut-name=NakamuraSumie en-aut-sei=Nakamura en-aut-mei=Sumie kn-aut-name=中村寿美江 kn-aut-sei=中村 kn-aut-mei=寿美江 aut-affil-num=4 ORCID= en-aut-name=HaradaSeishi en-aut-sei=Harada en-aut-mei=Seishi kn-aut-name=原田誠之 kn-aut-sei=原田 kn-aut-mei=誠之 aut-affil-num=5 ORCID= en-aut-name=TanizakiYoshiro en-aut-sei=Tanizaki en-aut-mei=Yoshiro kn-aut-name=谷崎勝朗 kn-aut-sei=谷崎 kn-aut-mei=勝朗 aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=2 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=3 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=4 en-affil= kn-affil=岡山大学医学部附属病院三朝分院看護部 affil-num=5 en-affil= kn-affil=岡山大学医学部附属病院三朝分院内科 affil-num=6 en-affil= kn-affil=岡山大学医学部附属病院三朝分院内科 en-keyword=慢性関節リウマチ kn-keyword=慢性関節リウマチ en-keyword=温泉療法 kn-keyword=温泉療法 END start-ver=1.4 cd-journal=joma no-vol=71 cd-vols= no-issue= article-no= start-page=96 end-page=100 dt-received= dt-revised= dt-accepted= dt-pub-year=2001 dt-pub=20010201 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=平成11年度看護部教育･研修･活動状況 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=中村寿美江 kn-aut-sei=中村 kn-aut-mei=寿美江 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=看護部 en-keyword=看護部 kn-keyword=看護部 en-keyword=研修会 kn-keyword=研修会 en-keyword=活動 kn-keyword=活動 END start-ver=1.4 cd-journal=joma no-vol=71 cd-vols= no-issue= article-no= start-page=94 end-page=95 dt-received= dt-revised= dt-accepted= dt-pub-year=2001 dt-pub=20010201 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=運動器疾患入院状況 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=NakamuraSumie en-aut-sei=Nakamura en-aut-mei=Sumie kn-aut-name=中村寿美江 kn-aut-sei=中村 kn-aut-mei=寿美江 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=看護部 en-keyword=看護部 kn-keyword=看護部 en-keyword=入院状況 kn-keyword=入院状況 en-keyword=運動器疾患 kn-keyword=運動器疾患 END start-ver=1.4 cd-journal=joma no-vol=71 cd-vols= no-issue= article-no= start-page=84 end-page=88 dt-received= dt-revised= dt-accepted= dt-pub-year=2001 dt-pub=20010201 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Evaiuation of spa therapy by questionnaire. Characteristics of patients from distant areas. kn-title=アンケート調査による温泉療法の評価　－遠隔地からの入院患者を対象に－ en-subtitle= kn-subtitle= en-abstract=Clinical evaluation of spa therapy was examined in 80 patients with respiratory disease and with joint pain including lumber pain, who came from distant areas (outside Tottori prefecture) and were admitted at Misasa Hospital by questionnaire in relation to a motive of admission, effects of spa therapy, dose of medication, a motive of discharge. In many of these patients, the age was over 60 years and duration of their admission was from two to three months. Seventy-one- (88.7%) of the 80 patients were admitted at our hospital because they were not satisfactory for the treatment of asthma which they had before. The number of patients from Hiroshima, Osaka, Kyoto, and Hyogo, prefectures was larger than the number from other distant areas. The results of the questionnaire suggest that improvement of symptoms and reduction of drugs used are ecpected by spa therapy. kn-abstract=1999年4月～12月の9ケ月間の遠隔地からの入院患者80名（痔痛性疾患47例，呼吸器疾患33例）を対象に，岡大三朝分院に来院した動機，入院前の状態，温泉療法の効果，薬剤の変化，退院決定の動機等について退院前にアンケート調査を行い検討を加えた。対象症例の年齢は60才以上の高齢者力て多く，入院期間は1ケ月～2ケ月末満が多い傾向であった。入院前の状態では，今までの治療に不満，限界を感じて来院している症例が71例（88．7％）を占めていた。地域別では広島，大阪，京都，兵庫からの来院か多く，その他18都府県に及んでいた。アンケート結果では，疾患別による若干の傾向と，温泉療法に対する評価として症状の改善が見られ，また，使用薬剤の減量の可能性が示唆された。 en-copyright= kn-copyright= en-aut-name=NishimuraNobuko en-aut-sei=Nishimura en-aut-mei=Nobuko kn-aut-name=西村伸子 kn-aut-sei=西村 kn-aut-mei=伸子 aut-affil-num=1 ORCID= en-aut-name=TerasakiKayo en-aut-sei=Terasaki en-aut-mei=Kayo kn-aut-name=寺崎佳代 kn-aut-sei=寺崎 kn-aut-mei=佳代 aut-affil-num=2 ORCID= en-aut-name=YamamotoSadae en-aut-sei=Yamamoto en-aut-mei=Sadae kn-aut-name=山本貞枝 kn-aut-sei=山本 kn-aut-mei=貞枝 aut-affil-num=3 ORCID= en-aut-name=YoshioKeiko en-aut-sei=Yoshio en-aut-mei=Keiko kn-aut-name=吉尾慶子 kn-aut-sei=吉尾 kn-aut-mei=慶子 aut-affil-num=4 ORCID= en-aut-name=NakamuraSumie en-aut-sei=Nakamura en-aut-mei=Sumie kn-aut-name=中村寿美江 kn-aut-sei=中村 kn-aut-mei=寿美江 aut-affil-num=5 ORCID= en-aut-name=TanizakiYoshiro en-aut-sei=Tanizaki en-aut-mei=Yoshiro kn-aut-name=谷崎勝朗 kn-aut-sei=谷崎 kn-aut-mei=勝朗 aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部附属病院二勤分院看護部 affil-num=2 en-affil= kn-affil=岡山大学医学部附属病院二勤分院看護部 affil-num=3 en-affil= kn-affil=岡山大学医学部附属病院二勤分院看護部 affil-num=4 en-affil= kn-affil=岡山大学医学部附属病院二勤分院看護部 affil-num=5 en-affil= kn-affil=岡山大学医学部附属病院二勤分院看護部 affil-num=6 en-affil= kn-affil=岡山大学三朝分院内科 en-keyword=遠隔地 (distant area) kn-keyword=遠隔地 (distant area) en-keyword=温泉療法 (spa therapy) kn-keyword=温泉療法 (spa therapy) en-keyword=アンケート (questionaire) kn-keyword=アンケート (questionaire) en-keyword=呼吸器疾患 (respiratory disease) kn-keyword=呼吸器疾患 (respiratory disease) en-keyword=疼痛性疾患 (pain disease) kn-keyword=疼痛性疾患 (pain disease) END start-ver=1.4 cd-journal=joma no-vol=72 cd-vols= no-issue= article-no= start-page=86 end-page=90 dt-received= dt-revised= dt-accepted= dt-pub-year=2002 dt-pub=20020201 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=平成12年度看護部教育･研修･活動状況 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=中村寿美江 kn-aut-sei=中村 kn-aut-mei=寿美江 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=看護部 en-keyword=看護部 kn-keyword=看護部 en-keyword=研修会 kn-keyword=研修会 en-keyword=活動 kn-keyword=活動 END start-ver=1.4 cd-journal=joma no-vol=72 cd-vols= no-issue= article-no= start-page=84 end-page=85 dt-received= dt-revised= dt-accepted= dt-pub-year=2002 dt-pub=20020201 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=運動器疾患入院状況 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=中村寿美江 kn-aut-sei=中村 kn-aut-mei=寿美江 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=看護部 en-keyword=看護部 kn-keyword=看護部 en-keyword=入院状況 kn-keyword=入院状況 en-keyword=運動器疾患 kn-keyword=運動器疾患 END start-ver=1.4 cd-journal=joma no-vol=72 cd-vols= no-issue= article-no= start-page=80 end-page=83 dt-received= dt-revised= dt-accepted= dt-pub-year=2002 dt-pub=20020201 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=呼吸器疾患に対する温泉療法　－再入院症例を中心に－ en-subtitle= kn-subtitle= en-abstract= kn-abstract=2000年1月～12月までの1年間に当院へ入院した呼吸器疾患のうち,気管支喘息99例と肺気腫47例を対象に,年齢･入院期間･入院の理由･再入院率を疾患別･県内外別に比較検討を行った｡年齢では気管支喘息よりも肺気腫の方が,また県内外別では県外よりも県内の方が年齢層が高い傾向であった｡入院期間では気管支喘息･肺気腫とも60日未満の入院期間の症例が多く見られた｡入院の理由では気管支喘息･肺気腫とも県内症例においては急性増悪例が,また県外症例においては症状の改善を目的とした入院が多い傾向であり,再入院率は両 疾患とも県内症例に比べ県外症例の方がより高い傾向であった｡このことから,当院の再入院症例を中心にした呼吸器疾患に対する温泉療法の傾向として,県内症例の再入院の理由の多くは急性増悪であり,遠隔地からの入院症例では症状の改善を目的とした入院が主要な理由であった｡ en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=西村伸子 kn-aut-sei=西村 kn-aut-mei=伸子 aut-affil-num=1 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=寺崎佳代 kn-aut-sei=寺崎 kn-aut-mei=佳代 aut-affil-num=2 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=山本貞枝 kn-aut-sei=山本 kn-aut-mei=貞枝 aut-affil-num=3 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=吉尾慶子 kn-aut-sei=吉尾 kn-aut-mei=慶子 aut-affil-num=4 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=中村寿美江 kn-aut-sei=中村 kn-aut-mei=寿美江 aut-affil-num=5 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部付属病院三朝分院看護部 affil-num=2 en-affil= kn-affil=岡山大学医学部付属病院三朝分院看護部 affil-num=3 en-affil= kn-affil=岡山大学医学部付属病院三朝分院看護部 affil-num=4 en-affil= kn-affil=岡山大学医学部付属病院三朝分院看護部 affil-num=5 en-affil= kn-affil=岡山大学医学部付属病院三朝分院看護部 en-keyword=気管支喘息 (asthma) kn-keyword=気管支喘息 (asthma) en-keyword=肺気腫 (emphysema) kn-keyword=肺気腫 (emphysema) en-keyword=再入院 (readmission) kn-keyword=再入院 (readmission) en-keyword=急性増悪 (acute exacerbation) kn-keyword=急性増悪 (acute exacerbation) en-keyword=症状の改善 (improvement of symptoms) kn-keyword=症状の改善 (improvement of symptoms) END start-ver=1.4 cd-journal=joma no-vol=74 cd-vols= no-issue= article-no= start-page=68 end-page=72 dt-received= dt-revised= dt-accepted= dt-pub-year=2004 dt-pub=20040201 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=平成14年度看護部　教育･研修･活動状況 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=西村伸子 kn-aut-sei=西村 kn-aut-mei=伸子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部付属病院三朝医療センター看護部 END start-ver=1.4 cd-journal=joma no-vol=73 cd-vols= no-issue= article-no= start-page=106 end-page=110 dt-received= dt-revised= dt-accepted= dt-pub-year=2003 dt-pub=20030201 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=平成13年度看護部　教育･研修･活動状況 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=西村伸子 kn-aut-sei=西村 kn-aut-mei=伸子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部付属病院三朝医療センター看護部 END start-ver=1.4 cd-journal=joma no-vol=73 cd-vols= no-issue= article-no= start-page=102 end-page=105 dt-received= dt-revised= dt-accepted= dt-pub-year=2003 dt-pub=20030201 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=呼吸器疾患の温泉療法　－地域医療と遠隔医療の比較－ en-subtitle= kn-subtitle= en-abstract= kn-abstract=呼吸器疾患の温泉療法について,1999年～2001年の3年間に三朝医療センターに入院し,温泉療法を受けた気管支喘息と肺気腫症例を対象に,再入院率と症例数の変動,年齢,地域との関連について検討を加えた｡その結果,喘息では遠隔地(鳥取県外)からの症例(平均56.8%)が.また肺気腫では鳥取県内からの入院症例(平均58.7%)が多い傾向が見られた｡再入院率は,喘息は30.1%,肺気腫が41.6%であり.喘息では遠隔地からの,また肺気腫では県内からの症例が増加する傾向であった｡再入院率の年齢別検討では,喘息では50歳以上,肺気腫では70歳以上の症例で再入院率が高い傾向であった｡平均入院期間は40日から60日間であり,初回入院より再入院症例の方が短期間であり,初回入院では喘息よりも肺気腫でより長い傾向であった｡ en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=西村伸子 kn-aut-sei=西村 kn-aut-mei=伸子 aut-affil-num=1 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=寺崎佳代 kn-aut-sei=寺崎 kn-aut-mei=佳代 aut-affil-num=2 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=山本貞枝 kn-aut-sei=山本 kn-aut-mei=貞枝 aut-affil-num=3 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=吉尾慶子 kn-aut-sei=吉尾 kn-aut-mei=慶子 aut-affil-num=4 ORCID= en-aut-name=TanizakiYoshiro en-aut-sei=Tanizaki en-aut-mei=Yoshiro kn-aut-name=谷崎勝朗 kn-aut-sei=谷崎 kn-aut-mei=勝朗 aut-affil-num=5 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部付属病院三朝医療センター看護部 affil-num=2 en-affil= kn-affil=岡山大学医学部付属病院三朝医療センター看護部 affil-num=3 en-affil= kn-affil=岡山大学医学部付属病院三朝医療センター看護部 affil-num=4 en-affil= kn-affil=岡山大学医学部付属病院三朝医療センター看護部 affil-num=5 en-affil= kn-affil=岡山大学医学部付属病院三朝医療センター内科 END start-ver=1.4 cd-journal=joma no-vol=75 cd-vols= no-issue= article-no= start-page=88 end-page=92 dt-received= dt-revised= dt-accepted= dt-pub-year=2004 dt-pub=20041201 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=平成15年度看護部教育･研修･活動状況 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=NishimuraNobuko en-aut-sei=Nishimura en-aut-mei=Nobuko kn-aut-name=西村伸子 kn-aut-sei=西村 kn-aut-mei=伸子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=看護部 END start-ver=1.4 cd-journal=joma no-vol=104 cd-vols= no-issue=1-2 article-no= start-page=97 end-page=106 dt-received= dt-revised= dt-accepted= dt-pub-year=1992 dt-pub=1992 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Attitude toward mental disorders : A comparative study of a attitude of nurses and attendants between Japan and Brazil kn-title=精神障害の対する態度―日本, ブラジルの看護婦, 看護士の態度の比較研究― en-subtitle= kn-subtitle= en-abstract= kn-abstract=Attitude of nureses and attendants toward mental disorders was studied by using question-naire in Japan and Brazil. By factor analysis, three factors, negative attitude toward mental disorders and misunder-standing, positive attitude toward mental disorders and mental health ideology were extracted. The score of negative attitude toward mental disorders and misunderstanding was high in Brazil. This was suspected to be caused by poor knowledge about mental disorders. The score of positive attitude toward mental disorders was similar in Japan and Brazil. The score of mental health ideology was high in Japan. Mental health ideology is important to improve the attitude toward mental disorders both Japan and Brazil. It is important to spread knowledge about mental disorders in Brazil. In Japan, it is important to increase the interest in mental disorders. en-copyright= kn-copyright= en-aut-name=TakenamiKatsuko en-aut-sei=Takenami en-aut-mei=Katsuko kn-aut-name=武南克子 kn-aut-sei=武南 kn-aut-mei=克子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部神経精神医学教室 en-keyword=精神障害に対する態度 kn-keyword=精神障害に対する態度 en-keyword=因子分析 kn-keyword=因子分析 en-keyword=精神保健的観念 kn-keyword=精神保健的観念 en-keyword=関心度 kn-keyword=関心度 END start-ver=1.4 cd-journal=joma no-vol=108 cd-vols= no-issue=7-8 article-no= start-page=281 end-page=285 dt-received= dt-revised= dt-accepted= dt-pub-year=1996 dt-pub=19960831 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Establishment of home care patient support system: Okayama Central Hospital experience kn-title=当院における新しい在宅ケア支援システムについて en-subtitle= kn-subtitle= en-abstract= kn-abstract=We established a system to serve aged and disabled people within their neighborhood area. This system consists of visiting nursing service and an institutional care unit, both of which were directed by a managing bureau called the “Life assistance bureau”. This bureau investigates the needs of patients, negotiates with the government, supervises members and is authorized to plan budget and personnel affairs. Activities in one representative case handled by this bureau are reported. en-copyright= kn-copyright= en-aut-name=TakaiKenichi en-aut-sei=Takai en-aut-mei=Kenichi kn-aut-name=高井研一 kn-aut-sei=高井 kn-aut-mei=研一 aut-affil-num=1 ORCID= en-aut-name=IkedaToshiko en-aut-sei=Ikeda en-aut-mei=Toshiko kn-aut-name=池田俊子 kn-aut-sei=池田 kn-aut-mei=俊子 aut-affil-num=2 ORCID= en-aut-name=MiyasatoMisa en-aut-sei=Miyasato en-aut-mei=Misa kn-aut-name=宮里美佐 kn-aut-sei=宮里 kn-aut-mei=美佐 aut-affil-num=3 ORCID= en-aut-name=YamaneYoko en-aut-sei=Yamane en-aut-mei=Yoko kn-aut-name=山根洋子 kn-aut-sei=山根 kn-aut-mei=洋子 aut-affil-num=4 ORCID= en-aut-name=KaneshigeTetzuzo en-aut-sei=Kaneshige en-aut-mei=Tetzuzo kn-aut-name=金重哲三 kn-aut-sei=金重 kn-aut-mei=哲三 aut-affil-num=5 ORCID= en-aut-name=KitanosakoHarumi en-aut-sei=Kitanosako en-aut-mei=Harumi kn-aut-name=北之迫晴美 kn-aut-sei=北之迫 kn-aut-mei=晴美 aut-affil-num=6 ORCID= en-aut-name=KanemasaYasuhiro en-aut-sei=Kanemasa en-aut-mei=Yasuhiro kn-aut-name=金政泰弘 kn-aut-sei=金政 kn-aut-mei=泰弘 aut-affil-num=7 ORCID= affil-num=1 en-affil= kn-affil=岡山中央病院内科 affil-num=2 en-affil= kn-affil=岡山中央病院在宅医療科 affil-num=3 en-affil= kn-affil=岡山中央病院在宅医療科 affil-num=4 en-affil= kn-affil=岡山中央病院作業療法室 affil-num=5 en-affil= kn-affil=岡山中央病院泌尿器科 affil-num=6 en-affil= kn-affil=訪問看護ステーション鴻仁 affil-num=7 en-affil= kn-affil=岡山県立大学保健福祉学部看護学科 en-keyword=在宅ケア kn-keyword=在宅ケア en-keyword=生活支援部 kn-keyword=生活支援部 en-keyword=訪問看護 kn-keyword=訪問看護 END start-ver=1.4 cd-journal=joma no-vol=108 cd-vols= no-issue=7-8 article-no= start-page=275 end-page=280 dt-received= dt-revised= dt-accepted= dt-pub-year=1996 dt-pub=19960831 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Co-operative team care for home care nursing kn-title=訪問看護におけるチームケアの取り組み en-subtitle= kn-subtitle= en-abstract= kn-abstract=The process of establishing a network between several professions involved in the home care nursing system is reported. This system gave satisfactory support to patients in their home. The frequency of visits by occupational therapists was 45%, 44% for case workers, 44% for visiting nurses from our hospital, 7% for pharmacists, and 3% for dieticians other than doctors and community nurses. For patients residing outside the Okayama Central Hospital areas, the frequency of visits by assistants was 13%, 7% for day care units, and 6% for public health nurses other than doctors and community nurses. Co-operative involvement in the care management of patients was beneficial to the home care nursing system because the needs of patients could be more easily met by members of different professions and opinions from different perspectives improved the quality of patient care. The quality of care management was evaluated and two cases are described. en-copyright= kn-copyright= en-aut-name=TakaiKenichi en-aut-sei=Takai en-aut-mei=Kenichi kn-aut-name=高井研一 kn-aut-sei=高井 kn-aut-mei=研一 aut-affil-num=1 ORCID= en-aut-name=OhtaSachiko en-aut-sei=Ohta en-aut-mei=Sachiko kn-aut-name=大田祥子 kn-aut-sei=大田 kn-aut-mei=祥子 aut-affil-num=2 ORCID= en-aut-name=IkedaToshiko en-aut-sei=Ikeda en-aut-mei=Toshiko kn-aut-name=池田俊子 kn-aut-sei=池田 kn-aut-mei=俊子 aut-affil-num=3 ORCID= en-aut-name=MiyasatoMisa en-aut-sei=Miyasato en-aut-mei=Misa kn-aut-name=宮里美佐 kn-aut-sei=宮里 kn-aut-mei=美佐 aut-affil-num=4 ORCID= en-aut-name=KaneshigeTetzuzo en-aut-sei=Kaneshige en-aut-mei=Tetzuzo kn-aut-name=金重哲三 kn-aut-sei=金重 kn-aut-mei=哲三 aut-affil-num=5 ORCID= en-aut-name=KawaiTakako en-aut-sei=Kawai en-aut-mei=Takako kn-aut-name=川合貴子 kn-aut-sei=川合 kn-aut-mei=貴子 aut-affil-num=6 ORCID= en-aut-name=HarutaYasumi en-aut-sei=Haruta en-aut-mei=Yasumi kn-aut-name=春田康美 kn-aut-sei=春田 kn-aut-mei=康美 aut-affil-num=7 ORCID= en-aut-name=KitanosakoHarumi en-aut-sei=Kitanosako en-aut-mei=Harumi kn-aut-name=北之迫晴美 kn-aut-sei=北之迫 kn-aut-mei=晴美 aut-affil-num=8 ORCID= en-aut-name=TakahashiKayo en-aut-sei=Takahashi en-aut-mei=Kayo kn-aut-name=高橋香代 kn-aut-sei=高橋 kn-aut-mei=香代 aut-affil-num=9 ORCID= affil-num=1 en-affil= kn-affil=岡山中央病院内科 affil-num=2 en-affil= kn-affil=岡山中央病院内科 affil-num=3 en-affil= kn-affil=岡山中央病院在宅医療科 affil-num=4 en-affil= kn-affil=岡山中央病院在宅医療科 affil-num=5 en-affil= kn-affil=岡山中央病院泌尿器科 affil-num=6 en-affil= kn-affil=訪問看護ステーション鴻仁 affil-num=7 en-affil= kn-affil=訪問看護ステーション鴻仁 affil-num=8 en-affil= kn-affil=訪問看護ステーション鴻仁 affil-num=9 en-affil= kn-affil=岡山大学教育学部養護教諭養成課程 en-keyword=在宅医療 kn-keyword=在宅医療 en-keyword=チームケア kn-keyword=チームケア en-keyword=ケアマネジメント kn-keyword=ケアマネジメント en-keyword=訪問看護 kn-keyword=訪問看護 END start-ver=1.4 cd-journal=joma no-vol=111 cd-vols= no-issue=1-2 article-no= start-page=11 end-page=26 dt-received= dt-revised= dt-accepted= dt-pub-year=1999 dt-pub=19990228 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Bacteriological and molecular epidemiological investigation on nosocomial infection caused by Methicillin-resistant Staphylococcus aureus and its pervention kn-title=MRSA 院内感染の細菌学的・分子疫学的調査と感染予防対策 en-subtitle= kn-subtitle= en-abstract= kn-abstract=The colonization of methicillin-resistant Staphylococcus aureus (MRSA) was investigated in a private hospital three times for one year in an attempt to prevent the MRSA transmission. Total 22 MRSA strains were isolated. The pulse field gel electrophoresis (PFGE) was performed to investigate the route of transmission (infection way) in addition to characterize their bacteriological properties. Since the PFGE profiles were identical or very similar between the strain isolated from a patient and those from several nurses' hands and clothing cared for patient, the standard precautions including handwashing and gown technique have been performed. No transmission of MRSA through medical staff has been investigated in this hospital aftreward. Therefore, it was confirmed that the epidemiological investigation and its educational direction contribute to prevent the nosocomical infection of MRSA. en-copyright= kn-copyright= en-aut-name=SendaYoshiko en-aut-sei=Senda en-aut-mei=Yoshiko kn-aut-name=千田好子 kn-aut-sei=千田 kn-aut-mei=好子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部細菌学講座 en-keyword=MRSA kn-keyword=MRSA en-keyword=院内感染対策 kn-keyword=院内感染対策 en-keyword=PFGE法 kn-keyword=PFGE法 END start-ver=1.4 cd-journal=joma no-vol=111 cd-vols= no-issue=3-8 article-no= start-page=85 end-page=93 dt-received= dt-revised= dt-accepted= dt-pub-year=1999 dt-pub=19990831 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Present status and problems of visiting nurse station kn-title=病院基盤の訪問看護ステーションの問題点 ―患者67名からの検討― en-subtitle= kn-subtitle= en-abstract= kn-abstract=We investigated the curent status of home nursing in our instiution, and visiting nurses' station "chime", to clarify current problems and possible improvements in home care service. A large number of the subjects were aged, and had various diseases usually involving cerebrovascular disorder. Patients requiring medical treatment comprised less than half, and it was considered that support was strong in the current home nursing siuation, particulrly. We examined the age status of persons who looked after the patients, and tce burden on women who provided care. Furthemore, problems with the prenent visit nursing syntem were evaluated by an anonymous questionnaire survey of patients and their attendants. Many of the subjects were worried or troubled about what to do about exacerbation or sudden chages of he patients' condition, the health of the caretakers, and the tight schedule of the caretakers'　life. Based on the results of this questionnaire, we would like to improve the cooperation among members the visting nurse staff including doctors, and physiotherapists so that each of them may better play their roles and provide more appropriate nursing based on the wishes and needs of indvidual patients patients and their caretakers rather than those of the uniform service. en-copyright= kn-copyright= en-aut-name=MimuraYukari en-aut-sei=Mimura en-aut-mei=Yukari kn-aut-name=三村由香里 kn-aut-sei=三村 kn-aut-mei=由香里 aut-affil-num=1 ORCID= en-aut-name=MakinoHirofumi en-aut-sei=Makino en-aut-mei=Hirofumi kn-aut-name=槇野博史 kn-aut-sei=槇野 kn-aut-mei=博史 aut-affil-num=2 ORCID= en-aut-name=OkaYouko en-aut-sei=Oka en-aut-mei=Youko kn-aut-name=岡庸子 kn-aut-sei=岡 kn-aut-mei=庸子 aut-affil-num=3 ORCID= en-aut-name=WatanabeKimiko en-aut-sei=Watanabe en-aut-mei=Kimiko kn-aut-name=渡辺君子 kn-aut-sei=渡辺 kn-aut-mei=君子 aut-affil-num=4 ORCID= en-aut-name=KanamiHifumi en-aut-sei=Kanami en-aut-mei=Hifumi kn-aut-name=金見一ニ三 kn-aut-sei=金見 kn-aut-mei=一ニ三 aut-affil-num=5 ORCID= en-aut-name=MoriwakiKazuhiko en-aut-sei=Moriwaki en-aut-mei=Kazuhiko kn-aut-name=森脇和彦 kn-aut-sei=森脇 kn-aut-mei=和彦 aut-affil-num=6 ORCID= en-aut-name=KatayamaEriko en-aut-sei=Katayama en-aut-mei=Eriko kn-aut-name=片山江里子 kn-aut-sei=片山 kn-aut-mei=江里子 aut-affil-num=7 ORCID= en-aut-name=FujiwaraHiromichi en-aut-sei=Fujiwara en-aut-mei=Hiromichi kn-aut-name=藤原弘道 kn-aut-sei=藤原 kn-aut-mei=弘道 aut-affil-num=8 ORCID= en-aut-name=SadakaneTakazi en-aut-sei=Sadakane en-aut-mei=Takazi kn-aut-name=定金卓爾 kn-aut-sei=定金 kn-aut-mei=卓爾 aut-affil-num=9 ORCID= en-aut-name=SatouYoshiyuki en-aut-sei=Satou en-aut-mei=Yoshiyuki kn-aut-name=佐藤能之 kn-aut-sei=佐藤 kn-aut-mei=能之 aut-affil-num=10 ORCID= en-aut-name=HayashiIppei en-aut-sei=Hayashi en-aut-mei=Ippei kn-aut-name=林逸平 kn-aut-sei=林 kn-aut-mei=逸平 aut-affil-num=11 ORCID= en-aut-name=SatouKamehiro en-aut-sei=Satou en-aut-mei=Kamehiro kn-aut-name=佐藤亀弘 kn-aut-sei=佐藤 kn-aut-mei=亀弘 aut-affil-num=12 ORCID= en-aut-name=OguraToshio en-aut-sei=Ogura en-aut-mei=Toshio kn-aut-name=小倉俊郎 kn-aut-sei=小倉 kn-aut-mei=俊郎 aut-affil-num=13 ORCID= affil-num=1 en-affil= kn-affil=岡山大学内科学第三講座 affil-num=2 en-affil= kn-affil=岡山大学内科学第三講座 affil-num=3 en-affil= kn-affil=明芳会訪問介護ステーション　 affil-num=4 en-affil= kn-affil=明芳会訪問介護ステーション　 affil-num=5 en-affil= kn-affil=明芳会佐藤病院 affil-num=6 en-affil= kn-affil=明芳会佐藤病院 affil-num=7 en-affil= kn-affil=明芳会佐藤病院 affil-num=8 en-affil= kn-affil=明芳会佐藤病院 affil-num=9 en-affil= kn-affil=明芳会佐藤病院 affil-num=10 en-affil= kn-affil=明芳会佐藤病院 affil-num=11 en-affil= kn-affil=明芳会佐藤病院 affil-num=12 en-affil= kn-affil=明芳会佐藤病院 affil-num=13 en-affil= kn-affil=岡山大学保健管理センター en-keyword=在宅医療 kn-keyword=在宅医療 en-keyword=訪問看護 kn-keyword=訪問看護 en-keyword=脳血管障害 kn-keyword=脳血管障害 en-keyword=痴呆 kn-keyword=痴呆 en-keyword=ADL (activing of daily living) kn-keyword=ADL (activing of daily living) END start-ver=1.4 cd-journal=joma no-vol=114 cd-vols= no-issue=3 article-no= start-page=289 end-page=296 dt-received= dt-revised= dt-accepted= dt-pub-year=2003 dt-pub=20030131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Effect of phospholipase A(2) on proliferation of the primary cultured biliary epithelial cells from the extra-hepatic bile duct to rats using D-valine containing medium kn-title=D-バリン培地法により選択的に初代培養したラット胆管上皮細胞に対する Phospholipase A(2) の細胞増殖促進効果の解析 en-subtitle= kn-subtitle= en-abstract= kn-abstract=We hypothesized that a high level of phospholipase A(2) (PLA(2)) in bile juice works as a growth factor of biliary epithelial cells and causes hyperplastic change of the bile duct in pancreaticobiliary maljunction. in order to examine this hypothesis, we established a primary culture system of biliary epithelial cells from the extra-hepatic bile duct of rats. We successfully excluded fibroblasts from the epithelial cells using D-valine-containing medium and the single-cell cloning method. The established cells exhibited the characteristic features of rat bile duct epithelial cells. They were stained with anti-cytokeratin antibody, a marker protein of epithelial cells, were positive with PAS stain, and possessed the architectures of microvilli, tonofilament fibers and desmosomes. The effect of PLA(2) on proliferation of these cells was then examined. We clearly demonstrated that PLA(2) at nano-molar concentration (50nM, 100nM), that is, equivalent to the level of PLA(2) in the bile juice of pancreaticobiliary maljunction cases, caused a significant enhancement of epithelial cell proliferation. en-copyright= kn-copyright= en-aut-name=OguraKaoru en-aut-sei=Ogura en-aut-mei=Kaoru kn-aut-name=小倉薫 kn-aut-sei=小倉 kn-aut-mei=薫 aut-affil-num=1 ORCID= en-aut-name=WatanabeYasuhiro en-aut-sei=Watanabe en-aut-mei=Yasuhiro kn-aut-name=渡辺泰宏 kn-aut-sei=渡辺 kn-aut-mei=泰宏 aut-affil-num=2 ORCID= en-aut-name=HiramineChiharu en-aut-sei=Hiramine en-aut-mei=Chiharu kn-aut-name=平峯千春 kn-aut-sei=平峯 kn-aut-mei=千春 aut-affil-num=3 ORCID= en-aut-name=NakagawaToshitaka en-aut-sei=Nakagawa en-aut-mei=Toshitaka kn-aut-name=中川利孝 kn-aut-sei=中川 kn-aut-mei=利孝 aut-affil-num=4 ORCID= en-aut-name=TokiAkira en-aut-sei=Toki en-aut-mei=Akira kn-aut-name=土岐彰 kn-aut-sei=土岐 kn-aut-mei=彰 aut-affil-num=5 ORCID= en-aut-name=TokudaMasaaki en-aut-sei=Tokuda en-aut-mei=Masaaki kn-aut-name=徳田雅明 kn-aut-sei=徳田 kn-aut-mei=雅明 aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=香川医科大学小児外科学 affil-num=2 en-affil= kn-affil=香川医科大学小児外科学 affil-num=3 en-affil= kn-affil=香川医科大学基礎看護学 affil-num=4 en-affil= kn-affil=香川医科大学附属実験実習機器センター affil-num=5 en-affil= kn-affil=香川医科大学小児外科学 affil-num=6 en-affil= kn-affil=香川医科大学生理学 en-keyword=膵・胆管合流異常 kn-keyword=膵・胆管合流異常 en-keyword=胆管上皮細胞 kn-keyword=胆管上皮細胞 en-keyword=D－バリン kn-keyword=D－バリン en-keyword=Phospholipase A(2) kn-keyword=Phospholipase A(2) en-keyword=細胞増殖 kn-keyword=細胞増殖 END start-ver=1.4 cd-journal=joma no-vol=119 cd-vols= no-issue=2 article-no= start-page=177 end-page=180 dt-received= dt-revised= dt-accepted= dt-pub-year=2007 dt-pub=20070903 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=II The role of nurses in an outpatient cancer chemotherapy center kn-title=II 外来化学療法における看護師の役割 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=NishimotoHitomi en-aut-sei=Nishimoto en-aut-mei=Hitomi kn-aut-name=西本仁美 kn-aut-sei=西本 kn-aut-mei=仁美 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部・歯学部附属病院 看護部 en-keyword=外来化学療法室 kn-keyword=外来化学療法室 en-keyword=看護師の役割 kn-keyword=看護師の役割 en-keyword=チーム医療 kn-keyword=チーム医療 END start-ver=1.4 cd-journal=joma no-vol=119 cd-vols= no-issue=2 article-no= start-page=153 end-page=163 dt-received= dt-revised= dt-accepted= dt-pub-year=2007 dt-pub=20070903 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Structural analysis of the factors pertaining to attitudes toward and consciousness of organ donation : Comparison between Japanese and Americans kn-title=臓器提供における態度と意識に関わる諸因子の構造解析 ―日米間の比較を通して en-subtitle= kn-subtitle= en-abstract= kn-abstract=The purpose of this study is to analyze the background factors relating to opinions on organ donation through factorial and structural comparisons between Japanese and Americans. The data were obtained from responses to a questionnaire (371 Japanese and 41 Americans). The main findings are as follows: 1. Most of the factors, ‘a will for organ donation depending on a recipient’, ‘view of remains’, ‘understanding of brain death’ and so on showed significant differences between Japanese and Americans. 2. Japanese had a better understanding of brain death. On the other hand, the ratio of Americans who were willing to donate an organ was higher than that of Japanese. 3. It was revealed that “the approval of organ donation for the third person, not only for one's family” had an impact for having donor card showing the approval for organ donation. Furthermore, as underlying factors generating differences on organ transplant opinions, differences were found among Japanese between “approval of organ transplant” and the attitude assuming that oneself or a member of one's family was the person concerned with organ transplantation. There were also differences between Japanese and Americans on ideas about a view for life and death such as soul existence or view of remains. The argument for transplantation in Japan should consider these structural differences. en-copyright= kn-copyright= en-aut-name=IkeguchiGosen T. en-aut-sei=Ikeguchi en-aut-mei=Gosen T. kn-aut-name=池口豪泉 kn-aut-sei=池口 kn-aut-mei=豪泉 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学大学院医歯薬学総合研究科 法医学 en-keyword=臓器提供 (organ donation) kn-keyword=臓器提供 (organ donation) en-keyword=遺体観 (view of remains) kn-keyword=遺体観 (view of remains) en-keyword=家族 (family) kn-keyword=家族 (family) en-keyword=米国人 (American) kn-keyword=米国人 (American) en-keyword=意識調査 (questionnaire survey) kn-keyword=意識調査 (questionnaire survey) END start-ver=1.4 cd-journal=joma no-vol=119 cd-vols= no-issue=2 article-no= start-page=141 end-page=146 dt-received= dt-revised= dt-accepted= dt-pub-year=2007 dt-pub=20070903 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Accidents in dental treatment: A questionnaire investigation kn-title=歯科医師の就業状況と診療偶発事故 en-subtitle= kn-subtitle= en-abstract= kn-abstract=The relationship between the operational situation of dental treatment and accidents experienced was investigated through questionnaires sent to members of the Kagawa Dental Association. Responses were received from 261 dentists (53% response rate), of whom 113 (43%) had experienced accidents during dental examinations and/or treatment during the past one year. Dentists with a particularly high risk of having accidents were predominantly young males who possessed many medical chairs at their clinic and who daily examined many patients. Those dentists who worked together with two or more colleagues had a lower risk of accidents. These factors should be considered when trying to take preventive measures against accidents during medical examinations and treatment. en-copyright= kn-copyright= en-aut-name=OnoHiroshi en-aut-sei=Ono en-aut-mei=Hiroshi kn-aut-name=小野廣 kn-aut-sei=小野 kn-aut-mei=廣 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部医学科 en-keyword=歯科診療 (dental treatment) kn-keyword=歯科診療 (dental treatment) en-keyword=偶発事故 (accident) kn-keyword=偶発事故 (accident) en-keyword=質問紙調査 (questionnaires) kn-keyword=質問紙調査 (questionnaires) END start-ver=1.4 cd-journal=joma no-vol=5 cd-vols= no-issue= article-no= start-page=47 end-page=52 dt-received= dt-revised= dt-accepted= dt-pub-year=1995 dt-pub=19950131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The ideas about nursing course of senior high school teachers. kn-title=進路指導を行う高校教師がもつ今後の看護課程についての認識 en-subtitle= kn-subtitle= en-abstract=Currently, improvement of nursing curriculum has been done in Japan, including the establishment of a four year course at universitiy, responding to the social needs for man-power for high quality nursing. A questionnaire survey by mail was done in 1993, to get ideas about the nursing course of high school teachers giving advice to students wishing to go on to university or college. Thirty three high school teachers out of a total of 76 schools in Okayama prefecture responded. The results were as follows; 1, Seventeen teachers (51.5%) answered that the increase of a four year course at university would be an incentive to students. Twelve teachers (36.4%) said that it might increase the number of students choosing the course. And also 12 teachers (36.4%) thought that they could recommend this course to students more easily than before. 2, They pointed out the harsh working conditions as the reason for a shortage of nursing manpower. 3, Their reasons why they recommend the nursing course to students were firstly the specialty and secondly devotion to people. kn-abstract=近年、4年制大学の増設をはじめとした看護課程における教育の変革が進められつつある。これは質の高い看護の人材を必要とする社会のニーズに応えたものである。著者らはこれらの看護課程に対する意見を、岡山県下の高校で進路指導をしている教師に尋ね、郵送による質問紙法を用いて33名の回答を得た。その結果、以下のことが分かった。1. 51.5％の教師は、看護大学が増えると進学希望者の関心は呼ぶとしており、36.4％は、学生数の一定の増加があるだろうとしている。また、36.4％は教師の立場から看護課程への進学を勧めやすくなると考えている。2. 高校の教師は看護婦不足の理由として労働条件の厳しさを指摘している。3. 高校教師は進路として看護課程を勧める理由を仕事の専門性と奉仕性を多くあげていた。これらは、高等教育化と看護職のイメージの改善の両方が必要であることを示唆している。 en-copyright= kn-copyright= en-aut-name=TakabatakeHarumi en-aut-sei=Takabatake en-aut-mei=Harumi kn-aut-name=高畑晴美 kn-aut-sei=高畑 kn-aut-mei=晴美 aut-affil-num=1 ORCID= en-aut-name=MaedaMakiko en-aut-sei=Maeda en-aut-mei=Makiko kn-aut-name=前田真紀子 kn-aut-sei=前田 kn-aut-mei=真紀子 aut-affil-num=2 ORCID= en-aut-name=OhtaTakeo en-aut-sei=Ohta en-aut-mei=Takeo kn-aut-name=太田武夫 kn-aut-sei=太田 kn-aut-mei=武夫 aut-affil-num=3 ORCID= en-aut-name=KitajimaKouichi en-aut-sei=Kitajima en-aut-mei=Kouichi kn-aut-name=喜多嶋康一 kn-aut-sei=喜多嶋 kn-aut-mei=康一 aut-affil-num=4 ORCID= en-aut-name=KondoMasuko en-aut-sei=Kondo en-aut-mei=Masuko kn-aut-name=近藤益子 kn-aut-sei=近藤 kn-aut-mei=益子 aut-affil-num=5 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=4 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=5 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=看護婦イメージ kn-keyword=看護婦イメージ en-keyword=看護教育 (Nursing education) kn-keyword=看護教育 (Nursing education) en-keyword=高校教師 (Teachers of senior high school) kn-keyword=高校教師 (Teachers of senior high school) en-keyword=Nursing carriculum kn-keyword=Nursing carriculum END start-ver=1.4 cd-journal=joma no-vol=5 cd-vols= no-issue= article-no= start-page=37 end-page=45 dt-received= dt-revised= dt-accepted= dt-pub-year=1995 dt-pub=19950131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Images of nurses by senior high school students wishing to go on to the nursing course kn-title=看護課程志望高校生の看護職に対するイメージに関する研究 en-subtitle= kn-subtitle= en-abstract=A qusetionnaire survey was done by senior high school students wishing to go on to the nursing course in Okayama Prefecture, to know what images of nurses they had, what course for nursing education they wished to best for and what they would like nursing profession to be. Results of analysing data obtained from 222 students were as follows; 1. They had favorable images of nurses in high rates, although they also recognized the harsh working conditions. Those images were thought to be derived from the preciousness of nursing, devotion to people, and advantage of the license. But recognition of specialty of nursing indicated by items such as knowledge, judgement, skill and continuing education was low. 2. Necessity of continuing education was recognized by students wishing to go on to university or junior college better than students of vocational school of registered and assistant nurses. 3. Images of nurses were different by their choice of profession such as clinical nurses, public health nurses and midwives which they would like to be in the future. kn-abstract=本研究では、看護課程志望の高校生が看護職に対してどのようなイメージを持っているのか、看護教育機関の希望や将来の看護職種の希望は看護職に対するイメージと関係があるのかを明らかにしたいと考えた。岡山県下の全ての高校に在学中の看護課程志望高校生に対して、質問紙調査をおこなった。222名から回答が得られ、分析を行った結果、以下のことが明らかになった。1）看護課程志望高校生は看護職に対して非常に良いイメージを持っており、同時に労働条件の厳しさも理解していた。その良いイメージとは、看護職の持つ尊さや献身性に由来する自負心と、資格のもつ現実的利点であった。しかし、看護職の専門性を表す、高度な知識・判断・技術、生涯教育の必要性の認識は低かった。2）短大・大学を志望する高校生は、看護学校・准看護学校志望者に比べ、看護職は生涯教育を必要とするとイメージしていた。3）看護婦、保健婦、助産婦のどの職種を希望するかによって、看護職に対するイメージに違いがあった。 en-copyright= kn-copyright= en-aut-name=MaedaMakiko en-aut-sei=Maeda en-aut-mei=Makiko kn-aut-name=前田真紀子 kn-aut-sei=前田 kn-aut-mei=真紀子 aut-affil-num=1 ORCID= en-aut-name=TakabatakeHarumi en-aut-sei=Takabatake en-aut-mei=Harumi kn-aut-name=高畑晴美 kn-aut-sei=高畑 kn-aut-mei=晴美 aut-affil-num=2 ORCID= en-aut-name=KondoMasuko en-aut-sei=Kondo en-aut-mei=Masuko kn-aut-name=近藤益子 kn-aut-sei=近藤 kn-aut-mei=益子 aut-affil-num=3 ORCID= en-aut-name=OhtaTakeo en-aut-sei=Ohta en-aut-mei=Takeo kn-aut-name=太田武夫 kn-aut-sei=太田 kn-aut-mei=武夫 aut-affil-num=4 ORCID= en-aut-name=KitajimaKoichi en-aut-sei=Kitajima en-aut-mei=Koichi kn-aut-name=喜多嶋康一 kn-aut-sei=喜多嶋 kn-aut-mei=康一 aut-affil-num=5 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=4 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=5 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=看護職に対するイメージ (images of nurses) kn-keyword=看護職に対するイメージ (images of nurses) en-keyword=高校生 (senior high school students) kn-keyword=高校生 (senior high school students) en-keyword=看護課程 (nursing course) kn-keyword=看護課程 (nursing course) en-keyword=看護職種 (nursing profession) kn-keyword=看護職種 (nursing profession) END start-ver=1.4 cd-journal=joma no-vol=5 cd-vols= no-issue= article-no= start-page=29 end-page=35 dt-received= dt-revised= dt-accepted= dt-pub-year=1995 dt-pub=19950131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Self-evaluation ability of nursing college students on basic nursing care technics kn-title=学生の基礎看護技術自己評価についての一考察 ―2回の実技試験の結果より― en-subtitle= kn-subtitle= en-abstract=We studied about self-evaluation ability of the nursing collge students based on two times test on basic nursing care technics. The self-evalution of the students was approximately one point higher than the evaluation of their instractors in the both tests. In the second test, the seif-evaluation of the students coincided in the higher rate with the evaluation of their instructors than in the first test. One-third of the students over-estimated their own basic nursing skills. The item of the evaluation in the high coincidente rate suggests that the evaluation was clear. On the other hand, most of the item of the evaluation in the low rate of coincidence rate sugests that the view point of the evaluation was needed more considerration. kn-abstract=我々は、基礎看護技術の2回の実技試験の結果より、学生の自己評価能力について検討した。1. 2回の実技試験共、学生の自己評価点は教官評価より、約1点高かった。2. 2回目の実技試験の方が、自己評価と教官評価の一致率の高い者が有意に多かった。3. 3分の1の学生が、2回の試験共過大評価の方が多かった。4. 高い一致率を示した評価項目の多くは、評価の視点が明確な動作のものであった。5. 低い一致率を示した評価項目の多くは、評価の視点が判断を必要とするものであった。 en-copyright= kn-copyright= en-aut-name=OhiNobuko en-aut-sei=Ohi en-aut-mei=Nobuko kn-aut-name=大井伸子 kn-aut-sei=大井 kn-aut-mei=伸子 aut-affil-num=1 ORCID= en-aut-name=KondouMasuko en-aut-sei=Kondou en-aut-mei=Masuko kn-aut-name=近藤益子 kn-aut-sei=近藤 kn-aut-mei=益子 aut-affil-num=2 ORCID= en-aut-name=IkedaToshiko en-aut-sei=Ikeda en-aut-mei=Toshiko kn-aut-name=池田敏子 kn-aut-sei=池田 kn-aut-mei=敏子 aut-affil-num=3 ORCID= en-aut-name=TokunagaJunko en-aut-sei=Tokunaga en-aut-mei=Junko kn-aut-name=徳永順子 kn-aut-sei=徳永 kn-aut-mei=順子 aut-affil-num=4 ORCID= en-aut-name=NakanishiYoshiko en-aut-sei=Nakanishi en-aut-mei=Yoshiko kn-aut-name=中西代志子 kn-aut-sei=中西 kn-aut-mei=代志子 aut-affil-num=5 ORCID= en-aut-name=MaedaMakiko en-aut-sei=Maeda en-aut-mei=Makiko kn-aut-name=前田真紀子 kn-aut-sei=前田 kn-aut-mei=真紀子 aut-affil-num=6 ORCID= en-aut-name=TakabatakeHarumi en-aut-sei=Takabatake en-aut-mei=Harumi kn-aut-name=高畑晴美 kn-aut-sei=高畑 kn-aut-mei=晴美 aut-affil-num=7 ORCID= en-aut-name=TakataSetuko en-aut-sei=Takata en-aut-mei=Setuko kn-aut-name=高田節子 kn-aut-sei=高田 kn-aut-mei=節子 aut-affil-num=8 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=4 en-affil= kn-affil=岡山大学医学部附属病院 affil-num=5 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=6 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=7 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=8 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=自己評価 (self-evaluation) kn-keyword=自己評価 (self-evaluation) en-keyword=基礎看護技術 (basic nursing care) kn-keyword=基礎看護技術 (basic nursing care) en-keyword=実技試験 kn-keyword=実技試験 en-keyword=nursing college student kn-keyword=nursing college student END start-ver=1.4 cd-journal=joma no-vol=5 cd-vols= no-issue= article-no= start-page=23 end-page=27 dt-received= dt-revised= dt-accepted= dt-pub-year=1995 dt-pub=19950131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Probrems and needs on elderly patients after discharge from hospital - Analysis from the interview records of their patients - kn-title=高齢者の自宅退院における問題点及びニーズの分析 ―退院時の実態調査から― en-subtitle= kn-subtitle= en-abstract=The population of the aged people with the chronic disease is increasing. It produces demands for the home health care. We focused on the home health care for the aged above 70 and interviewed with a questionnaire to them who were ready to discharge. We also have been investigating every three months how problems and needs were changing after discharge. In this paper, we report on results of this interview and discuss problems and needs they have to provide our better nursing care for them. kn-abstract=高齢者人口の増加に伴い慢性疾患をもつ老人が増え在宅医療の必要性が叫ばれているが、一旦入院すると症状が軽快しても自宅への退院は困難とする事例が多い。そこで、高齢者の在宅医療がスムーズに行われるための退院指導のあり方、継続看護の方向性を得るために患者が自宅退院を迎える時どのような問題を持ち、どのような援助を希望しているかを質問紙を用い面接調査した。70歳以上の患者が自宅へ退院する時の心配なこと、医療従事者に相談したいことは1、健康面で病気のこと、2、日常生活面で食事のことが多かった。退院後、困る事では1、健康面の事が多く、次いで2、日常生活面、3、精神面の順であった。援助の希望では1、日常生活面が最も多く次いで2、健康面、3、精神面であった。このような心配事、ニーズが退院後どのように変化しているのか調査中である。 en-copyright= kn-copyright= en-aut-name=IkedaToshiko en-aut-sei=Ikeda en-aut-mei=Toshiko kn-aut-name=池田敏子 kn-aut-sei=池田 kn-aut-mei=敏子 aut-affil-num=1 ORCID= en-aut-name=NakanishiYoshiko en-aut-sei=Nakanishi en-aut-mei=Yoshiko kn-aut-name=中西代志子 kn-aut-sei=中西 kn-aut-mei=代志子 aut-affil-num=2 ORCID= en-aut-name=TakataSetuko en-aut-sei=Takata en-aut-mei=Setuko kn-aut-name=高田節子 kn-aut-sei=高田 kn-aut-mei=節子 aut-affil-num=3 ORCID= en-aut-name=KondoMasuko en-aut-sei=Kondo en-aut-mei=Masuko kn-aut-name=近藤益子 kn-aut-sei=近藤 kn-aut-mei=益子 aut-affil-num=4 ORCID= en-aut-name=OhtaNiwa en-aut-sei=Ohta en-aut-mei=Niwa kn-aut-name=太田にわ kn-aut-sei=太田 kn-aut-mei=にわ aut-affil-num=5 ORCID= en-aut-name=InoshitaHikari en-aut-sei=Inoshita en-aut-mei=Hikari kn-aut-name=猪下光 kn-aut-sei=猪下 kn-aut-mei=光 aut-affil-num=6 ORCID= en-aut-name=KojimaMishako en-aut-sei=Kojima en-aut-mei=Mishako kn-aut-name=小島操子 kn-aut-sei=小島 kn-aut-mei=操子 aut-affil-num=7 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=4 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=5 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=6 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=7 en-affil= kn-affil=聖路加看護大学看護学部 en-keyword=高齢者 kn-keyword=高齢者 en-keyword=退院指導 kn-keyword=退院指導 en-keyword=在宅看護 kn-keyword=在宅看護 en-keyword=退院時心配事 kn-keyword=退院時心配事 en-keyword=退院時ニーズ kn-keyword=退院時ニーズ END start-ver=1.4 cd-journal=joma no-vol=5 cd-vols= no-issue= article-no= start-page=17 end-page=21 dt-received= dt-revised= dt-accepted= dt-pub-year=1995 dt-pub=19950131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Research of the problems on the elderly patients at discharge from the hospital concerning their health and daily life at home kn-title=高齢者の自宅退院時における健康及び日常生活上の問題 en-subtitle= kn-subtitle= en-abstract=Now there are few researehes into the guidance which be done for the elderly patients at the time of leaving the hospital and into the ways of their home nursing care. Therefore, we did interview the elderly patients in order to make it clear what problems they have about their health and their life. In the three national university hospitals in Chugoku District and Shikoku District and one general hospial, we focussed on the 78 patients more than seventy years old who were allowed to leave the hospital. The purpose of our research is to know body condition and the situation of the patients leaving the hospital, activities of their daily life, the situation of their family and their consciousness and care about their health. After having done this research we conclude as follows, (1) 23.1 percent of all the patients need continuing nursing care from the viewpoint of their body condition after leaving the hospital. (2) 20.5 percent of all the patients need help from their family or others to support themselves at home. (3) 57.7 percent of all the patients have worries and 50 percent of them have a wish to consult with the doctors or the nurses and to be guided by them. (4) 42.3 percent of people who take care of patients have their own job and suffer from poor health. (5) 73.1 percent of all the patients who leaves the hospital were given some health care before entering the hospital and 84.7 percent of them seem to lead a life worth living. kn-abstract=高齢者の退院指導及び在宅看護の在り方を検討した研究は少ない。そこで、高齢者の自宅院時に持つ健康上及び生活上の問題を明らかにすることを目的に、面接調査を行った。対象は、中・四国の3国立大学付属病院と1総合病院で退院許可のあった70歳以上の患者78名とした。調査内容は、退院時の患者の身体状態・日常生活動作・退院時の患者の状況・家族の状況・健康に対する意識や取り組みについてとした。その結果、(1)高齢の自宅退院患者の23.1％は、身体状態上継続看護が必要であった。(2)退院患者の20.5％が、退院後生活を自立する為に介助が必要であるとしていた。(3)退院患者の57.7％は心配事を持ち、50％は相談・指導を希望していた。(4)患者の世話人の42.3％は職業を持ち、27.3％は健康を害していた。(5)退院患者の73.1％は何らかの健康管理がなされ、84.7％は生きがいを持っていた。 en-copyright= kn-copyright= en-aut-name=NakanishiYoshiko en-aut-sei=Nakanishi en-aut-mei=Yoshiko kn-aut-name=中西代志子 kn-aut-sei=中西 kn-aut-mei=代志子 aut-affil-num=1 ORCID= en-aut-name=TakataSetuko en-aut-sei=Takata en-aut-mei=Setuko kn-aut-name=高田節子 kn-aut-sei=高田 kn-aut-mei=節子 aut-affil-num=2 ORCID= en-aut-name=KondoMasuko en-aut-sei=Kondo en-aut-mei=Masuko kn-aut-name=近藤益子 kn-aut-sei=近藤 kn-aut-mei=益子 aut-affil-num=3 ORCID= en-aut-name=OtaNiwa en-aut-sei=Ota en-aut-mei=Niwa kn-aut-name=太田にわ kn-aut-sei=太田 kn-aut-mei=にわ aut-affil-num=4 ORCID= en-aut-name=InoshitaHikari en-aut-sei=Inoshita en-aut-mei=Hikari kn-aut-name=猪下光 kn-aut-sei=猪下 kn-aut-mei=光 aut-affil-num=5 ORCID= en-aut-name=IkedaToshiko en-aut-sei=Ikeda en-aut-mei=Toshiko kn-aut-name=池田敏子 kn-aut-sei=池田 kn-aut-mei=敏子 aut-affil-num=6 ORCID= en-aut-name=KojimaMisako en-aut-sei=Kojima en-aut-mei=Misako kn-aut-name=小島操子 kn-aut-sei=小島 kn-aut-mei=操子 aut-affil-num=7 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=4 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=5 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=6 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=7 en-affil= kn-affil=聖路加看護大学看護学部 en-keyword=高齢者 (the aged people home nursing care) kn-keyword=高齢者 (the aged people home nursing care) en-keyword=継続看護 (continuing nursing care) kn-keyword=継続看護 (continuing nursing care) en-keyword=生活の自立 (self-support for living) kn-keyword=生活の自立 (self-support for living) en-keyword=退院時指導 kn-keyword=退院時指導 en-keyword=在宅看護 kn-keyword=在宅看護 en-keyword=consciousness about health kn-keyword=consciousness about health END start-ver=1.4 cd-journal=joma no-vol=5 cd-vols= no-issue= article-no= start-page=9 end-page=15 dt-received= dt-revised= dt-accepted= dt-pub-year=1995 dt-pub=19950131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=A Study of community nursing Practice of basic nursing educaition curriculum - Analysis of practice repord by student nurses - kn-title=看護基礎教育における地域看護実習の検討 ―実習記録による分析― en-subtitle= kn-subtitle= en-abstract=Practice reports at the health center for 1 week written by 152 student nurses were analysed to know wether they achieved their goal of the course for community nursing or not. More than 80% students attended at home visits, mass health examination, common workshops for mentally disordered persons and health counsclling. Practice for understanding peoples'lives and health problems in the community were well achieved in practice at the common workshop, group guidance and home visit. They understood about health care and servicesin the community through home visits. Their comprehension of role of the community nursing was not so sufficient as expected for mark of curriculum. kn-abstract=地域看護実習は、地域における看護の役割を理解することを主なねらいとして、保健所で実習を行っているが、保健所実習が地域看護実習の目標を達成しているかは否かを、学生の実習記録を分析し検討した。80％以上の学生が体験している実習内容は、家庭訪問、集団検診、共同作業所、健康相談等である。実習目標の記載状況は「実習項目別実習記録」及び実習全体のまとめ「総括」の記載内容から抽出し分析した。目標記載率70％以上であった実習項目は、実習目標①（地域の人々の生活及び健康問題の理解）は共同作業所、グループ指導、家庭訪問であり、目標②（保健サービスの実態の理解）では家庭訪問であった。また「総括」では目標②の記載率が高く、目標③（地域の看護活動の実態を学ぶ）の記載率67％と予測に反して高くなかった。今後地域看護、継続看護に関する講義のあり方を含めて、地域看護実習の位置づけを再検討する必要がある。 en-copyright= kn-copyright= en-aut-name=OnoTsuruko en-aut-sei=Ono en-aut-mei=Tsuruko kn-aut-name=小野ツルコ kn-aut-sei=小野 kn-aut-mei=ツルコ aut-affil-num=1 ORCID= en-aut-name=OhtaTakeo en-aut-sei=Ohta en-aut-mei=Takeo kn-aut-name=太田武夫 kn-aut-sei=太田 kn-aut-mei=武夫 aut-affil-num=2 ORCID= en-aut-name=MaedaMakiko en-aut-sei=Maeda en-aut-mei=Makiko kn-aut-name=前田真紀子 kn-aut-sei=前田 kn-aut-mei=真紀子 aut-affil-num=3 ORCID= en-aut-name=TakabatakeHarumi en-aut-sei=Takabatake en-aut-mei=Harumi kn-aut-name=高畑晴美 kn-aut-sei=高畑 kn-aut-mei=晴美 aut-affil-num=4 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=4 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=地域看護実習 (community nursing practice) kn-keyword=地域看護実習 (community nursing practice) en-keyword=保健所実習 (practice at public health center) kn-keyword=保健所実習 (practice at public health center) en-keyword=実習目標 (goal of the course for community nursing) kn-keyword=実習目標 (goal of the course for community nursing) en-keyword=看護基礎教育課程 (basic narsing education curriculum) kn-keyword=看護基礎教育課程 (basic narsing education curriculum) END start-ver=1.4 cd-journal=joma no-vol=4 cd-vols= no-issue= article-no= start-page=121 end-page=124 dt-received= dt-revised= dt-accepted= dt-pub-year=1994 dt-pub=19940131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=An Experiment of the discovery study system in basic nursing technique in intramural practice -Help of eating and excreting- kn-title=基礎看護技術学内実習における発見学習方式の試み　―食事・排泄の援助― en-subtitle= kn-subtitle= en-abstract= kn-abstract=The content of nursing education and the effective ways of studying nursing have been investigated by teachers of nursing. Therefore, in the lesson of "Basic Nursing Technique" did we examine the educational way in which the students' will to study nursing can be heightened and the students are able to work independently and creatively. we focused on the educational way which adopted the discovery study system in the lessons of "Help of Eating" and "Help of Excreting". From the viewpoint of the students' intention to study and their work, the effect of this educational way was researched according to their self-appreciation. As a result, the following four points were made clear by the introduction of the discovery study system. (1) The students could cooperate more easily in studying nursing. (2) The students' interest in nursing was heightened more than before. (3) The students could enhance their will to study nursing and work independently. (4) The items of "Sense of Purpose" and "Ingenuity" were less evaluaoed than the other items. en-copyright= kn-copyright= en-aut-name=NakanishiYoshiko en-aut-sei=Nakanishi en-aut-mei=Yoshiko kn-aut-name=中西代志子 kn-aut-sei=中西 kn-aut-mei=代志子 aut-affil-num=1 ORCID= en-aut-name=KondoMasuko en-aut-sei=Kondo en-aut-mei=Masuko kn-aut-name=近藤益子 kn-aut-sei=近藤 kn-aut-mei=益子 aut-affil-num=2 ORCID= en-aut-name=IkedaToshiko en-aut-sei=Ikeda en-aut-mei=Toshiko kn-aut-name=池田敏子 kn-aut-sei=池田 kn-aut-mei=敏子 aut-affil-num=3 ORCID= en-aut-name=TokunagaJunko en-aut-sei=Tokunaga en-aut-mei=Junko kn-aut-name=徳永順子 kn-aut-sei=徳永 kn-aut-mei=順子 aut-affil-num=4 ORCID= en-aut-name=OiNobuko en-aut-sei=Oi en-aut-mei=Nobuko kn-aut-name=大井伸子 kn-aut-sei=大井 kn-aut-mei=伸子 aut-affil-num=5 ORCID= en-aut-name=MaedaMakiko en-aut-sei=Maeda en-aut-mei=Makiko kn-aut-name=前田真紀子 kn-aut-sei=前田 kn-aut-mei=真紀子 aut-affil-num=6 ORCID= en-aut-name=TakataSetuko en-aut-sei=Takata en-aut-mei=Setuko kn-aut-name=高田節子 kn-aut-sei=高田 kn-aut-mei=節子 aut-affil-num=7 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=4 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=5 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=6 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=7 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=発見学習 kn-keyword=発見学習 en-keyword=食事の援助 kn-keyword=食事の援助 en-keyword=排泄の援助 kn-keyword=排泄の援助 en-keyword=体験学習 kn-keyword=体験学習 en-keyword=教育効果 kn-keyword=教育効果 END start-ver=1.4 cd-journal=joma no-vol=4 cd-vols= no-issue= article-no= start-page=117 end-page=120 dt-received= dt-revised= dt-accepted= dt-pub-year=1994 dt-pub=19940131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The effects of psychiatric practicing on a prejudiced idea against mental patients. kn-title=精神科実習における看護学生の偏見への影響 en-subtitle= kn-subtitle= en-abstract= kn-abstract=We investigated a prejudiced idea of nursing students against mental patients before and after psychiatric practicing. On investigation we found the following facts. 1 Before psychiatric practicing, 84.1 percent of nursing students had a prejudice against mental patients. Those students thought that mental patients were fearful and could not communicate with students. 2 Afer psychiatric practicing, 48.8 percent of nursing students put prejudices. 3 After psychiatric practicing nursing students undersand that mental patients are the same as people in general. en-copyright= kn-copyright= en-aut-name=TokunagaJunko en-aut-sei=Tokunaga en-aut-mei=Junko kn-aut-name=徳永順子 kn-aut-sei=徳永 kn-aut-mei=順子 aut-affil-num=1 ORCID= en-aut-name=IkedaToshiko en-aut-sei=Ikeda en-aut-mei=Toshiko kn-aut-name=池田敏子 kn-aut-sei=池田 kn-aut-mei=敏子 aut-affil-num=2 ORCID= en-aut-name=NakanishiYoshiko en-aut-sei=Nakanishi en-aut-mei=Yoshiko kn-aut-name=中西代志子 kn-aut-sei=中西 kn-aut-mei=代志子 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=精神科実習 kn-keyword=精神科実習 en-keyword=看護学生 kn-keyword=看護学生 en-keyword=偏見 kn-keyword=偏見 END start-ver=1.4 cd-journal=joma no-vol=4 cd-vols= no-issue= article-no= start-page=111 end-page=115 dt-received= dt-revised= dt-accepted= dt-pub-year=1994 dt-pub=19940131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The anxiety which students have during the demonstration. kn-title=基礎看護技術における採血実習の不安 ―採血時・被採血時の不安反応の比較― en-subtitle= kn-subtitle= en-abstract= kn-abstract=We researched the anxiety which students had during the demonstration of taking blood samples. We assesed the anxiety of both the role of nurse and the role of patient. And we concluded as follows; 1 Students have this anxiety of both roles. However, the anxiety is greater when they take blood samples. 2 There is no correlation in their anxiety between the role of nurse and the role of patient. 3 The student who feels less uneasy can more effectively perform this procedure. en-copyright= kn-copyright= en-aut-name=IkedaToshiko en-aut-sei=Ikeda en-aut-mei=Toshiko kn-aut-name=池田敏子 kn-aut-sei=池田 kn-aut-mei=敏子 aut-affil-num=1 ORCID= en-aut-name=TokunagaJunko en-aut-sei=Tokunaga en-aut-mei=Junko kn-aut-name=徳永順子 kn-aut-sei=徳永 kn-aut-mei=順子 aut-affil-num=2 ORCID= en-aut-name=NakanishiYoshiko en-aut-sei=Nakanishi en-aut-mei=Yoshiko kn-aut-name=中西代志子 kn-aut-sei=中西 kn-aut-mei=代志子 aut-affil-num=3 ORCID= en-aut-name=KondoMasuko en-aut-sei=Kondo en-aut-mei=Masuko kn-aut-name=近藤益子 kn-aut-sei=近藤 kn-aut-mei=益子 aut-affil-num=4 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=4 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=看護技術 kn-keyword=看護技術 en-keyword=採血 kn-keyword=採血 en-keyword=実習 kn-keyword=実習 en-keyword=不安 kn-keyword=不安 en-keyword=満足度 kn-keyword=満足度 END start-ver=1.4 cd-journal=joma no-vol=4 cd-vols= no-issue= article-no= start-page=105 end-page=110 dt-received= dt-revised= dt-accepted= dt-pub-year=1994 dt-pub=19940131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Daily VMA (vanillyl mandelic acid) variation in urine in relation of fatigue sensation, stress and life stile of nurses on night shift. kn-title=看護婦の疲労感・ストレス・生活時間と尿中Vanillyl mandelic acid (VMA)の動態 en-subtitle= kn-subtitle= en-abstract= kn-abstract=Daily VMA variation in urine in relation of fatigue sensation, stress and life stile of nurses on night shift. To evaluate exhaustion objectively in hospital nurses, daily variation of urinaly VMA (vanillyl mandelic acid) excretion was measured in hospital nurses working in daytime and nighttime and it's correlation with the data from Psychological Stress Response Scale (PSRS) test, the burn-out scale, quality and quantity of sleep and daily life stile recorded throughout 24 hours were studied. VMA level in urine showed circadian rhythmic movement, higher in daytime and lower in nighttime. During night shift, VMA in urine in nighttime showed slightly higher level than during day shift but in the subsequent daytime after night shift, VMA level was stillkeeping normal circadian rhythm, resuling flatness of daily fluctuation of VMA level. Dissatisfaction of sleep during daily fluctation of VMA level. Dissatisfaction of sleep during daytime was noticed. Correlation between VMA level in urine and sense of tiredness, stresses or burn-out scale were not carfied in this study because of shortage of samples but working conditions might affect biologicalresponse of exhaustion. en-copyright= kn-copyright= en-aut-name=InoshitaHikari en-aut-sei=Inoshita en-aut-mei=Hikari kn-aut-name=猪下光 kn-aut-sei=猪下 kn-aut-mei=光 aut-affil-num=1 ORCID= en-aut-name=OuchiTakeshi en-aut-sei=Ouchi en-aut-mei=Takeshi kn-aut-name=大内武 kn-aut-sei=大内 kn-aut-mei=武 aut-affil-num=2 ORCID= en-aut-name=NinomiyaTsuneo en-aut-sei=Ninomiya en-aut-mei=Tsuneo kn-aut-name=二宮恒夫 kn-aut-sei=二宮 kn-aut-mei=恒夫 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=徳島大学医療技術短期大学部看護学科 affil-num=3 en-affil= kn-affil=徳島大学医療技術短期大学部看護学科 en-keyword=VMAの変動 kn-keyword=VMAの変動 en-keyword=三交替性疲労感 kn-keyword=三交替性疲労感 en-keyword=ストレス kn-keyword=ストレス en-keyword=生活時間 kn-keyword=生活時間 END start-ver=1.4 cd-journal=joma no-vol=4 cd-vols= no-issue= article-no= start-page=99 end-page=103 dt-received= dt-revised= dt-accepted= dt-pub-year=1994 dt-pub=19940131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Sutdies on Galvanic skin responce (GSR) in relation to psychological condition test for the students. kn-title=大学生の心理的傾向と皮膚電気反射 (Galvanic Skin Responce) -State Anxiety Inventory (STAI) ・ Self-rating Deprersion Scale (SDS)との関係- en-subtitle= kn-subtitle= en-abstract= kn-abstract=Psychological anxiety trend was studied by Galvanic skin responce (GSR) 60 students, 7 of male and 53 of female, in School of Health Sciences Tokushima University, and the results were compared with the data from State Anxiety Inventory (STAI) test and Self-rating Depression Scale (SDS) test. Compared GSR with STAI, initial responses of GSR showed postive relation to state anxiety in STAI test ; while compared GSR with SDS, both of spontaneous and initial responses showed reversed correlation. Although spontaneous and initial responce in GSR were more remarkably augmented in the female students than male students, these trends might not be caused only by sex difference because the test environment was not same in two groups. Based on these data, GSR is considered to represent objective indicator of psychological anxiety. However further basic data accumulations are needed in regard to some factors affecting the data such as sex of examiners or examinees and test environment. en-copyright= kn-copyright= en-aut-name=InoshitaHikari en-aut-sei=Inoshita en-aut-mei=Hikari kn-aut-name=猪下光 kn-aut-sei=猪下 kn-aut-mei=光 aut-affil-num=1 ORCID= en-aut-name=OgataMichiko en-aut-sei=Ogata en-aut-mei=Michiko kn-aut-name=尾方美智子 kn-aut-sei=尾方 kn-aut-mei=美智子 aut-affil-num=2 ORCID= en-aut-name=TokunagaAyumi en-aut-sei=Tokunaga en-aut-mei=Ayumi kn-aut-name=徳永亜由美 kn-aut-sei=徳永 kn-aut-mei=亜由美 aut-affil-num=3 ORCID= en-aut-name=BandoMika en-aut-sei=Bando en-aut-mei=Mika kn-aut-name=坂東美香 kn-aut-sei=坂東 kn-aut-mei=美香 aut-affil-num=4 ORCID= en-aut-name=YamadaYoko en-aut-sei=Yamada en-aut-mei=Yoko kn-aut-name=山田葉子 kn-aut-sei=山田 kn-aut-mei=葉子 aut-affil-num=5 ORCID= en-aut-name=MarumotoKazumi en-aut-sei=Marumoto en-aut-mei=Kazumi kn-aut-name=丸元和美 kn-aut-sei=丸元 kn-aut-mei=和美 aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=徳島大学医療技術短期大学部看護学科 affil-num=3 en-affil= kn-affil=元徳島大学医療技術短期大学部看護学科学生 affil-num=4 en-affil= kn-affil=元徳島大学医療技術短期大学部看護学科学生 affil-num=5 en-affil= kn-affil=元徳島大学医療技術短期大学部看護学科学生 affil-num=6 en-affil= kn-affil=元徳島大学医療技術短期大学部看護学科学生 en-keyword=皮膚電気反射(GSR) kn-keyword=皮膚電気反射(GSR) en-keyword=大学生 kn-keyword=大学生 en-keyword=心理状態 kn-keyword=心理状態 en-keyword=不安尺度 kn-keyword=不安尺度 en-keyword=抑うつ尺度 kn-keyword=抑うつ尺度 END start-ver=1.4 cd-journal=joma no-vol=4 cd-vols= no-issue= article-no= start-page=89 end-page=97 dt-received= dt-revised= dt-accepted= dt-pub-year=1994 dt-pub=19940131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=A practice for nursing students to understand a patient through his book of struggling against disabilities due to cervical injury kn-title=障害者の闘病記の読書を通じての看護学生の患者理解 en-subtitle= kn-subtitle= en-abstract= kn-abstract=Thirty-nine nursing students in their third year were required to read a book written by a male patient struggling against disabilities due to cervical injury for nine years in the hospital and to report their impressions during their clinical practice. The contents of their reports were classified to four categories, that is understanding, helping care, nursing attitude for the patients and problems for the students themselves. The most frequent descriptions were made about understanding the patients, especially about his affliction caused by psychological feeling of his handicaps. The subsequent frequent descriptions were concerning the care of the patients such as importance to improve his residual function and necessity of team work care for the purpose. Doscriptions about nursing attitude were followed. This method was helpful for understanding the situation of a patient and for practicing nursing processes to respond to the patient's needs. en-copyright= kn-copyright= en-aut-name=OhtaNiwa en-aut-sei=Ohta en-aut-mei=Niwa kn-aut-name=太田にわ kn-aut-sei=太田 kn-aut-mei=にわ aut-affil-num=1 ORCID= en-aut-name=FurumaiTerue en-aut-sei=Furumai en-aut-mei=Terue kn-aut-name=古米照恵 kn-aut-sei=古米 kn-aut-mei=照恵 aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学医学部附属病院 en-keyword=身体障害 kn-keyword=身体障害 en-keyword=闘病記 kn-keyword=闘病記 en-keyword=患者理解 kn-keyword=患者理解 END start-ver=1.4 cd-journal=joma no-vol=4 cd-vols= no-issue= article-no= start-page=83 end-page=87 dt-received= dt-revised= dt-accepted= dt-pub-year=1994 dt-pub=19940131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=A new scale for student nurses to rate image of the elderly kn-title=看護学生の老人イメージ調査のための尺度項目の構成 en-subtitle= kn-subtitle= en-abstract= kn-abstract=Our prior scale for student nurses to rate image of the elderly is inadequate both in number of items used and in exaustiveness of possible images they have. This study attempts to construct a new rating scale by decreasing the number of the previous items and by incorporrating pertinent novel items. A new scale reported here consisits of 20 items, with 15 items being determined through a factor analysisi of the previous 38 items and 5 items being selected after a survey of relevant studies. en-copyright= kn-copyright= en-aut-name=KondoMasuko en-aut-sei=Kondo en-aut-mei=Masuko kn-aut-name=近藤益子 kn-aut-sei=近藤 kn-aut-mei=益子 aut-affil-num=1 ORCID= en-aut-name=OhtaNiwa en-aut-sei=Ohta en-aut-mei=Niwa kn-aut-name=太田にわ kn-aut-sei=太田 kn-aut-mei=にわ aut-affil-num=2 ORCID= en-aut-name=IkedaToshiko en-aut-sei=Ikeda en-aut-mei=Toshiko kn-aut-name=池田敏子 kn-aut-sei=池田 kn-aut-mei=敏子 aut-affil-num=3 ORCID= en-aut-name=MaedaMakiko en-aut-sei=Maeda en-aut-mei=Makiko kn-aut-name=前田真紀子 kn-aut-sei=前田 kn-aut-mei=真紀子 aut-affil-num=4 ORCID= en-aut-name=NagataHiroshi en-aut-sei=Nagata en-aut-mei=Hiroshi kn-aut-name=永田博 kn-aut-sei=永田 kn-aut-mei=博 aut-affil-num=5 ORCID= en-aut-name=OhtaTakeo en-aut-sei=Ohta en-aut-mei=Takeo kn-aut-name=太田武夫 kn-aut-sei=太田 kn-aut-mei=武夫 aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=4 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=5 en-affil= kn-affil=岡山大学医療技術短期大学部一般教育 affil-num=6 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=老人看護 kn-keyword=老人看護 en-keyword=学生実習 kn-keyword=学生実習 en-keyword=老人イメージ尺度 kn-keyword=老人イメージ尺度 en-keyword=因子分析 kn-keyword=因子分析 END