JaLCDOI 10.18926/15288
Title Alternative Nursing students' images of the elderly before and after a two-week nursing practice
FullText URL 008_1_085_090.pdf
Author Watanabe, Kumi| Kondo, Masuko| Ohta, Niwa| Ikeda, Toshiko| Maeda, Makiko| Ohta, Takeo|
Abstract 2週間の特別養護老人ホームの実習前及び実習後の学生の老人イメージを20項目の尺度を用いて調査した。その結果,以下のことが明らかになった。 1. 実習後のイメージの平均得点は,「ユーモアのない」から「ユーモアのある」へ,「生気のない」から「生気のある」へと好ましい方向へ上昇し,一方「経験に富む」,「穏やかな」,「現実的な」は好ましくない方向へ変化した。 2. 3分の1以上の学生が実習後に特にイメージが変化した項目として「ユーモアのない/ユーモアのある」の項目をあげた。 3. 老人像は全体として「暇な」,「弱い」,「孤独な」という否定的な老人イメージと「経験に富む」,「暖かい」という肯定的イメージで捉えられており,このイメージは実習前後で共通していた。実習前後では全体として老人像に大きな変化はなかったものの,実習によって,より活動的な老人イメージを抱き,より現実的に老人をとらえていることが明らかになり,A園での老人看護学実習は教育上意義のある実習であると評価した。
Abstract Alternative This study investigated how nursing students perceived the elderly living in a nursing home for the elderly. Testing was done both before and after they experienced a two-week nursing practice at the nursing home. Three findings were obtained. (1) The students regarded the elderly not only as more humorous and vital but also less experienced, peaceful, and realistic before than after experiencing the practice. (2) Over a third of the students named humorous/not humorous as an item for which they experienced a marked change in image of the elderly. (3) The students generally regarded the elderly as being experienced, warm, bored, weak, and lonely. The findings indicate that the nursing practice provided the students with an opportunity to form better and realistic images of the elderly.
Keywords 老人 (elderly) イメージ (images) 看護学生 (nursing students) 看護実習 (nursing practice) 看護教育 (nursing education)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-09-10
Volume volume8
Issue issue1
Start Page 85
End Page 90
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307362
JaLCDOI 10.18926/15248
Title Alternative Analysis of six cases of renal transplant recipients havingcomplaints about transplanted kidney and medical care.
FullText URL 009_1_001_007.pdf
Author Nakanishi, Yoshiko| Hayashi, Yuko| Kanao, Naomi| Watanabe, Kumi| Hoshina, Eiko|
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。
Abstract Alternative 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.
Keywords QOL (quality of life) 腎移植者 (renal transplant recipient) 健康状態 (health) サポート (social support) 看護的アプローチ (nursing approach)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1998-09-30
Volume volume9
Issue issue1
Start Page 1
End Page 7
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307915
JaLCDOI 10.18926/15273
Title Alternative 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
FullText URL 009_1_033_039.pdf
Author Watanabe, Kumi| Nakanishi, Yoshiko| Ikeda, Toshiko| Takata, Setuko| Kondo, Masuko| Ohta, Niwa| Inoshita, Hikari|
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。
Abstract Alternative 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.
Keywords 老人 (the elderly) 生きがい (Ikigai) 生活信条 (belief) 生活行動 (behavioral pattern)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1998-09-30
Volume volume9
Issue issue1
Start Page 33
End Page 39
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307183
JaLCDOI 10.18926/11815
Title Alternative The research on the problems of health care and living of the aged (Pursuing the cases of home treatment given to the elderly patients for one year after their discharge)
FullText URL 007_2_181_188.pdf
Author Nakanishi, Yoshiko| Kondo, Masuko| Ohta, Niwa| Inoshita, Hikari| Ikeda, Toshiko| Watanabe, Kumi| Sato, Yoshie| Takata, Setuko| Kojima, Misako|
Abstract 退院後の生活に目を向けた適切な退院指導がなされることは、高齢患者が安心して在宅療養を送る上で、重要な意味を持つ。そこで病院から在宅療養に移行した70歳以上の高齢者の抱える問題を4回に渡って1年間調査し、これまでに退院時、3ヵ月後、6ヵ月後の調査結果を報告した。本稿では1年を通じて回答のあった53名について健康と生活上の問題の変化を分析し、考察した。在宅療養に移行した高齢者の健康状態と生活上の問題は、ほぼ一致して退院後6ヵ月から1年後までに変化を認め、特に日常生活上の問題は著しく増加した。その原因として病状の悪化との関連が考えられた。また、高齢者の問題についての意識は、研究者の専門的な問題意識に比べて低かった。従って入院中に退院後の生活を予測することには限界があり、今後は退院指導の充実と伴に在宅サービスとの連携が重要であることを認めた。
Abstract Alternative We planned to make emerge the problems felt by the elderly patients of 70 years and over given home treatment. As a means of our research, four times a year we sent a questinnaire to the aged who had been discharged. After collecting the answers of the questionnaires, we decided to focus on the 53 elderly patients who answered all four questionnaires, and then tried to make their problems emerge. The contents of the questionnaires were about their health care in a year and how their daily life changed. We can see that the condition of the elderly patients under home treatment and their living problems have changed almost without exceptions six months to a year after their discharge. Especially the number of the problems in their daily life increased remarkably. These results might be considered to be caused by the aggravation of their diseases. In addition, the elderly patients are not as conscious of their own problems as a specialist with a critical mind. Therefore, there is a limit to estimating the change in lifestyle of a discharged patient while they remain hospitalized. We consider it essential to get full discharge-care closely connected with home service for elderly patients.
Keywords 高齢者 (the aged) 在宅療養 (home treatment) 退院指導 (discharge-care) 健康問題 (health) 日常生活 (daily-life problems)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-01-31
Volume volume7
Issue issue2
Start Page 181
End Page 188
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313372
JaLCDOI 10.18926/11809
Title Alternative The effective nursing educational plan for the elderly at hospital discharge. - through the questionnaires for the nurses and the elderly patients -
FullText URL 007_2_159_164.pdf
Author Ikeda, Toshiko| Nakanishi, Yoshiko| Kondo, Masuko| Ohta, Niwa| Inoshita, Hikari| Sato, Yoshie| Watanabe, Kumi| Kato, Kumiko| Takata, Setuko|
Abstract 近年の急速な高齢化社会にともない複数の疾病や種々の障害をもちながら自宅で療養する高齢者が増加してきている。このような状況でいったん入院療養した高齢者が自宅へ帰り生活をしていくにはかなりの困難が予測される。高齢者が退院し自宅での生活にスムーズに適応できるか否かは看護婦の退院指導の良否に関わってくる。そこで指導側の看護婦の指導計画や指導方法、内容について調査すると共に受け手の患者の指導希望内容との比較を行い有効な退院指導のあり方を検討した。患者の心配事や援助や相談の希望内容と看護婦の重要とする指導内容はほぼ同様の内容であった。その内容は日常生活に関すること、病気や健康に関することが多かった。看護婦の退院指導の計画でカンファレンスをしている看護婦はしていない看護婦に比べ指導内容の経済的なこと、趣味や生きがいに関する事、生活環境、家族の協力に関することを重要とすると回答したものが有意に多かった。
Abstract Alternative The elderly with chronic disease or handicaps who receive nursing home care is currently increasing. They may have some difficulties in their daily life after hospital discharge. The proper nursing educational plan may determine their post-hospital life without anxiety. The purpose of this study is to find out the effective nursing educational plan for them. Therefore, we investigated the contents of the nursing educational plan for their hospital discharge and what elderly patients need in their post-hospital life. As a result, both contents were similar. Those were about their daily life, disease, health. And there were significantly defferences between well-discussed plan and no discussed plan in the items of economy, hobbies, purpose of life, home environment, family cooperation. Results from this study suggest that more detailed discussion among nurses at hospital discharge is necessary to determine the individual nursing educational plan of elderly patients in their post-hospital life.
Keywords 高齢者 (The elderly) 退院指導 (discharge) 自宅療養 (nursing home care) nursing educational plan
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-01-31
Volume volume7
Issue issue2
Start Page 159
End Page 164
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313478