JaLCDOI 10.18926/15208
Title Alternative Provision of information and health care in a maternity ward: More effective use of corridor notice boards
FullText URL 014_1_057_064.pdf
Author Ono, Kiyomi| Okuda, Hiroyuki| Matsui, Tamiko|
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。
Abstract Alternative 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. <On the Effective Use of Bulletin Boards> 1. Arrange display materials according to importance and urgency levels 2. Use font sizes and drawings as eye-catching means <On the Classification of the Type of Announcement> 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.
Keywords 情報提供 (information service) サービス (health care) 産科病棟 (maternity ward)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2003-12-25
Volume volume14
Issue issue1
Start Page 57
End Page 64
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307962
JaLCDOI 10.18926/15207
Title Alternative The grief process of patient's family over the death at hospital against the cancer
FullText URL 014_1_047_055.pdf
Author Akahata, Ayumi| Okano, Hatsue|
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。
Abstract Alternative 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.
Keywords 在宅ケア (Home care) 病状の悪化 (aggravated condition) 病院死 (death at hospital) 悲嘆反応 (grief process)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2003-12-25
Volume volume14
Issue issue1
Start Page 47
End Page 55
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307665
JaLCDOI 10.18926/15206
Title Alternative A study of patient's intake of meals provided by the hospital and its relevant factors using a self-administered questionnaire
FullText URL 014_1_037_045.pdf
Author Kataoka, Tetsuya| Sumiyoshi, Kazuko| Kawata, Chieko|
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。
Abstract Alternative 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.
Keywords 病院食の摂取量 (patient's intake of meals) 身体症状 (the symptoms in the patient) 食事の満足度 (satisfaction of patient food service) 給食サービスの評価 (evaluation of patient food service)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2003-12-25
Volume volume14
Issue issue1
Start Page 37
End Page 45
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307939
JaLCDOI 10.18926/15200
Title Alternative Home caregivers of the elderly: their motivation andpositive feedback in caregiving
FullText URL 014_2_141_155.pdf
Author Takahara, Mayumi| Hyodo, Yoshimi|
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。
Abstract Alternative 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.
Keywords 在宅介護者 (home caregivers) 高齢者 (the elderly) 介護継続理由 (motivation) 介護から得たもの (feedback in caregiving)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2004-03-31
Volume volume14
Issue issue2
Start Page 141
End Page 155
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307169
JaLCDOI 10.18926/15194
Title Alternative The significance of therapy in a private room to patientsin acute psychiatric wards
FullText URL 015_1_029_037.pdf
Author Toyota, Yukiko| Miki, Akiko| Yabushita, Yuichiro| Onitsuka, Yoshihiko|
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。
Abstract Alternative 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".
Keywords 精神疾患 (mentally ill) 患者 (patients) 個室 (private room) 精神科急性期病棟 (acute psychiatric ward)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2004-12-15
Volume volume15
Issue issue1
Start Page 29
End Page 37
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307586
JaLCDOI 10.18926/15193
Title Alternative Analysis of Problems in Family Nursing at Intensive Care Unit of O University Hospital
FullText URL 015_1_023_028.pdf
Author Watanabe, Kumi| Takeuchi, Kae| Okano, Hatsue|
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。
Abstract Alternative 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.
Keywords ICU (Intensive Care Unit) 家族看護 (Family Nursing) クリティカルケア (Critical care)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2004-12-15
Volume volume15
Issue issue1
Start Page 23
End Page 28
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307719
JaLCDOI 10.18926/15192
Title Alternative Stressors and Coping in Hemodialysis Patients
FullText URL 015_1_015_021.pdf
Author Hara, Akiko| Hayashi, Yuko|
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。
Abstract Alternative 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.
Keywords 血液透析患者 (Hemodialysis patients) ストレッサー (stressor) 対処 (coping)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2004-12-15
Volume volume15
Issue issue1
Start Page 15
End Page 21
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002308007
JaLCDOI 10.18926/15187
Title Alternative Investigation about the use of mental illness patients at visiting nursing stations in O prefecture
FullText URL 015_2_071_076.pdf
Author Watanabe, Kumi| Sumiyoshi, Kazuko| Morimoto, Michiko| Okano, Hatsue|
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。
Abstract Alternative 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.
Keywords 社会資源 (Social resource) 訪問看護 (Visiting nursing station) 精神疾患 (Mental illness) 実態調査 (Survey)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2005-03-31
Volume volume15
Issue issue2
Start Page 71
End Page 76
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307215
JaLCDOI 10.18926/15184
Title Alternative Age dependent changes of menstrual pain of the women
FullText URL 016_1_057_066.pdf
Author Ikeda, Tomoko| Okuda, Hiroyuki|
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。
Abstract Alternative 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.
Keywords 月経 (Menstruation) 月経痛 (Menstrual pain) リプロダクティブステージ (Reproductive stage)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2005-12-25
Volume volume16
Issue issue1
Start Page 57
End Page 66
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002308006
JaLCDOI 10.18926/15183
Title Alternative Influence of instructional posters on cleanness of the hands after hand washing
FullText URL 016_1_049_055.pdf
Author Matsushima, Taku| Akasaka, Maria| Ando, Hitomi| Inoue, Miwa| Mitsumata, Yuki| Senda, Yoshiko|
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。
Abstract Alternative 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.
Keywords 手指衛生 (hand hygiene) 手洗い消毒 (antiseptic handwash) ポスター (poster)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2005-12-25
Volume volume16
Issue issue1
Start Page 49
End Page 55
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307297
JaLCDOI 10.18926/15181
Title Alternative Caring of the Gynecological Cancer Patients for Their Families And Nursing Support
FullText URL 016_1_031_038.pdf
Author Koshizuka, Kimie| Kanda, Kiyoko| Fujino, Fumiyo|
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。
Abstract Alternative 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.
Keywords 女性生殖器がん (gynecological cancer patients) 家族看護 (family nursing) がん看護 (cancer nursing) 質的研究 (qualitative research)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2005-12-25
Volume volume16
Issue issue1
Start Page 31
End Page 38
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307286
JaLCDOI 10.18926/15180
Title Alternative Perimenstrual symptoms and it's management - Assessment with Menstrual Distress Questionnaire -
FullText URL 016_1_021_030.pdf
Author Goto, Yuka| Okuda, Hiroyuki|
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。
Abstract Alternative 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.
Keywords Menstrual Distress Questionnaire 月経周辺期 (perimenstrual) 月経前症候群 (premenstrual) 月経随伴症状 (menstrual symptom)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2005-12-25
Volume volume16
Issue issue1
Start Page 21
End Page 30
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307941
JaLCDOI 10.18926/15172
Title Alternative Influence of caregivers meeting on caregivers life - The active caregivers change and interaction with past caregivers -
FullText URL 016_2_067_078.pdf
Author Kato, Hisae| Hyodo, Yoshimi|
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。
Abstract Alternative 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.
Keywords 介護者の会 (Caregivers meeting (Self help group)) 現役介護者 (active caregivers) 介護終了者 (past caregivers) 認知症高齢者 (dementia elderly person) 参加継続理由 (participation continuance reason)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2006-03-31
Volume volume16
Issue issue2
Start Page 67
End Page 78
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307900
JaLCDOI 10.18926/15171
Title Alternative Spirituality of a Postgraduate Student With Cancer
FullText URL 017_1_033_037.pdf
Author Okano, Hatsue|
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。
Abstract Alternative 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.
Keywords 在宅看護 (Home Care) 終末期 (Terminal Stage) スピリチュアリティ (Spirituality)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2007-03-15
Volume volume17
Issue issue1
Start Page 33
End Page 37
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307227
JaLCDOI 10.18926/15170
Title Alternative Tendency of long stay patients on a psychiatric ward : Analysis based on medical and nursing records
FullText URL 017_1_027_031.pdf
Author Watanabe, Kumi| Ito, Miki| Kunikata, Hiroko| Yamamoto, Reiko| Kimura, Yukiko| Arimura, Eriko| Takeda, Shizue| Takeoka, Chiharu| Umezu, Nobuko|
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。
Abstract Alternative 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.
Keywords 在院日数 (length of hospitalization) 入院治療 (treatment at hospital) 精神科病棟 (psychiatric care unit) 長期入院 (long-term hospitalization)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2007-03-15
Volume volume17
Issue issue1
Start Page 27
End Page 31
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307788
JaLCDOI 10.18926/15169
Title Alternative Stress factors in nursing students
FullText URL 017_1_017_026.pdf
Author Kobayashi, Tamie| Hyodo, Yoshimi|
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。
Abstract Alternative 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.
Keywords 看護学生 (student nurse) ストレッサー (stressor) ストレス反応 (stress reaction) ソーシャルサポート (social support)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2007-03-15
Volume volume17
Issue issue1
Start Page 17
End Page 26
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307307
JaLCDOI 10.18926/15166
FullText URL Mem_Fac_Eng_OU_31_1_19.pdf
Author Totsuji, Hiroo| Kishimoto, Tokunari| Totsuji, Chieko|
Abstract As a model of dusty plasmas in external fields, Yuka.wa system in a one-dimensional external field is analyzed by molecular dynamics simulations and theoretical approaches. It is shown that particles form clear thin layers (sheets) at low temperatures and the number of layers changes discretely with characteristic parameters of the system, accompanying the rearrangements of whole system from nearly equipartitioned layers to also nearly equipartitioned layers. The number, positions and populations of layers are obtained as functions of characteristic parameters. The shell (sheet) model which has been successful for confined one-component plasmas is extended to this system and results of numerical experiments are reproduced to a good accuracy. The effect of cohesive energy in each layer is of essential importance to reproduce discrete changes in the number of sheets.
Publication Title Memoirs of the Faculty of Engineering, Okayama University
Published Date 1996-12-27
Volume volume31
Issue issue1
Start Page 19
End Page 33
ISSN 0475-0071
language 英語
File Version publisher
NAID 120002307616
JaLCDOI 10.18926/15165
Title Alternative A Review of the Effects of Laughter on Physical and Mental Health
FullText URL 017_1_001_008.pdf
Author Miyake, Yu| Yokoyama, Yoshie|
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。
Abstract Alternative 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.
Keywords 笑い (Laughter) ユーモア (Humor) 健康 (Health)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2007-03-15
Volume volume17
Issue issue1
Start Page 1
End Page 8
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307499
JaLCDOI 10.18926/15164
FullText URL Mem_Fac_Eng_OU_35_41.pdf
Author Kuroboshi, Manabu| Tanaka, Muneaki| Kishimoto, Suguru| Goto, Kentaro| Tanaka, Hideo|
Abstract In 360 females, Bone mineral density (BMD) in lumbar vertebrae (L2-L4) was assessed by quantitative computed tomography (QCT), and the values obtained were compared with the frequency of vertebral transformation or fracture as assessed by lateral scan image (scanogram) by X-ray CT. A correlation was observed between the frequency of vertebral transformation (or fracture) and lumbar BMD values : BMD under 125 mg/cm(3) was observed over 90% of women with vertebral transformation, and BMD under 70mg/cm(3) was found about 50% of them. These results suggest that decrease in BMD in lumbar vertebrae leads to vertebral transformation or fracture. Thus, measurement of BMD by QCT would be very useful in predicting vertebral transformation or fractures.
Publication Title Memoirs of the Faculty of Engineering, Okayama University
Published Date 2001-03-27
Volume volume35
Issue issue1-2
Start Page 41
End Page 46
ISSN 0475-0071
language 英語
File Version publisher
NAID 120002307948
JaLCDOI 10.18926/15158
Title Alternative Changes of bone mineral densities in women and prevention and treatment of osteoporosis
FullText URL 065_082_086.pdf
Author Kobayashi, Yasuaki| Nakagiri, Yoshiyasu| Ishida, Makoto| Nakai, Mutsuro| Akiyama, Tsuneo|
Abstract 当科では3年ほど前よりQCT法を用いて骨塩量測定を行い,骨粗鬆症の管理治療を行っている。264名の測定値について分析をしたところ,40歳頃から60歳にかけて急速に低下すること,肥満度が増すにつれ骨塩量も増加する傾向がみられた。また,閉経前に卵巣を両側摘出した場合ホルモン補充療法を行っているが,卵巣を温存した場合と差がでなかった。治療に結合型エストロゲンを用いた群の12カ月後の骨塩量の増加率は,任用しなかった群にくらべ有意の差があった。
Abstract Alternative Bone mineral density (BMD) was measured in 264 females by QCT. BMD was rapidly decreased between 40's and 60's. There was a tendency for BMD increase in proportion to obesity. HRT was made without bilateral ovaries at operation, then there were no differencis between removal of ovaries and preserve of ovaries. The increase rate of BMD treated by conjugated-estrogens was higher than that of no treated BMD (p<0.05).
Keywords 骨塩量 (Bone mineral density) 骨粗鬆症 (osteoporosis) ホルモン補充療法 (HRT)
Publication Title 岡大三朝分院研究報告
Published Date 1994-09
Volume volume65
Start Page 82
End Page 86
ISSN 0918-7839
language 日本語
File Version publisher
NAID 120002307221