ISSN 1349-0664

Ishikawa Journal of Nursing

石 川 看 護 雑 誌

石 川 看 護 雑 誌

Vol.5 ▪ 2008

Ishikawa Journal of Nursing

石川看護雑誌第５巻▪ 2008

第５巻▪ ２００８

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石川県立看護大学

Ishikawa Prefectural Nursing University

石川県立看護大学

2008/03/28 15:10:30

ISSN 1349-0664,-')*+
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Ishikawa Journal of Nursing
Volume 5 (March 2008)
Contents
Reports
Discharge Planning Activities at Hospitals in Ishikawa Prefecture!Issues and Current Status

1

Naoko MARUOKA, Yukiko HORANAI, Hiromi SATO, Mayumi BAN,
Kazuyo KAWASHIMA
Present status of nurses’ knowledge of prenatal death and its care environment

11

Masayo YONEDA, Noriko TABUCHI, Akemi SAKAI
Evaluation of Activities to Prevent Dementia by the Society of Volunteers for
Dementia Prevention in Cooperation
with the Society of the Physically Handicapped"From Changes Seen in the Latter Organization"

21

Junko HOSOKAWA, Yuka MATSUDAIRA, Noriko KANEKO,
Eiko AMATSU, Hiromi SATO, Katsuko KANAGAWA,
Mitsuyo MAEDA, Sigemi FUJITA
Development of Nursing Aid Skills for Patients with Eating Disorder and Dysphasia"Report No. 2 : From the Analysis of Nursing Aid, Which Enabled Oral Ingestion"

29

Hiromi SATO, Eiko AMATSU, Chizuko NAOI, Junko HOSOKAWA,
Mamiko ITO, Yuka MATSUDAIRA, Mitsuyo MAEDA, Hitomi KONYA,
Takako MIYAMOTO, Kimie ARAKI, Keiko TABATA, Chika TAKATA,
Sachi MOTOO, Chika MIYAMOTO
Study on Disaster Planning at Home"visit Nursing Station"Through Research on Damage and Response Actions at Home"visit Nursing

39

Station in Notohanto Earthquake"
Yukari MIZUSHIMA, Kazumi HAYASHIThe Current Status of Professional Care by Midwives in Ishikawa Prefecture

47

Saori SOYAMA, Masayo YONEDA, Emiko KINEFUCHIIA Trial Study to Clarify and Visualize the Cognition Mechanism in Nurses
Handling Difficult Cases

57

Yukiko MOROE, Mitsue FUJITA, Hiroko NAKADA, Kazuyo KAWASHIMA,
Yumi YAMAZAKI, Miyuki KAWAI
Development of Nursing Aid Skills for Patients with Eating Disorders and Dysphagia"Report No. 1 : Survey on the Actual Situation of Nursing Aid
for Oral Ingestion and Swallowing"69

Chizuko NAOI, Hiromi SATO, Eiko AMATSU, Junko HOSOKAWA,
Mamiko ITO, Yuka MATSUDAIRA, Michiyo MAEDA, Kozue MORIGAKI,
Hitomi KONYA, Takako MIYAMOTO, Kimie ARAKI, Keiko TABATA,
Chika TAKATA, Sachi MOTOO, Chika MIYAMOTO

iii

Factors Related to Social Skills for Nursing
Naoko IWAKI, Setsuko TSUKAHARA

75

Materials
Consideration of Disaster Preparedness at Ishikawa Prefectural Nursing University!Based on a Survey on Our University Staff Involved In the“Health Care Team Dispatched for Disaster Aid”

85

Kazumi HAYASHI, Yukari MIZUSHIMA
Local Residents’ Attitudes Toward Dementia Prevention, as Reflectedin the Proposed Slogans on the Subject

91

Yuka MATSUDAIRA, Junko HOSOKAWA, Noriko KANEKO,
Eiko AMATSU, Hiromi SATO, Katsuko KANAGAWA, Mamiko ITO,
Mitsuyo MAEDA
Trends in Psychiatric Health Welfare and Changes in Psychiatric Nursing Records
from the 1960 s to 2006

99

Ikue KIYOSUE, Nahoko TAKEMASAThe Actual Conditions of in-Service Training and Turnover of Newly Recruited
Nurses in Ishikawa Prefecture

109

Yumi YAMAZAKI, Kazuyo KAWASHIMA, Yukiko MOROE,
Tomoe HASHIMOTO, Maki FUTAGI, Kinue SAITOU, Junko KUROUJI

Field Action Reports
The Needs of Communities and the Roles of PHNs/CHNs Identified in
Baccalaureate Nursing Students’ Reports to Complete PHN/CHN Practicumin Stricken Area after Notohanto Earthquake

119

Sugako TAMURA, Siho SONE, Noriko KANEKO

Regulation

129

Instruction to Authors

130

The editor’s Note

133

iv

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D 9<B1NA-O"ñ 3 äE 2 E}âÐ
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1 Û~E£u²Få 2.0 uA-><"ëï⴫㧠ㅌ㒮⺞ᢛ⋴⼔Ꮷ߳ߩ⋧⺣࡮ଐ㗬ౝኈ 㨚 =14㧔ฬ㧕ౝ  ኈ
≮㙃႐ᚲߩᗧᕁ᳿ቯ߳ߩࠨࡐ࡯࠻
ㅌ㒮೨ࠞࡦࡈࠔ࡟ࡦࠬߩㅪ⛊⺞ᢛォ㒮వ⏕଻ߩߚ߼ߩᖱႎᬌ⚝⸰໧⋴⼔ߩᖱႎᬌ⚝⸰໧⋴⼔࡮੺⼔೑↪ߩߚ߼ߩࠨࡐ࡯࠻
⸰໧੺⼔ߩᖱႎᬌ⚝ᣣᏱ↢ᵴ↪ౕߩ⺞㆐ᣇᴺ
ක≮ᯏེ࡮ⴡ↢᧚ᢱ࡮⮎೷ߩ⺞㆐ᣇᴺ
૑ቛᡷୃ

㨚㧔㧑㧕
12㧔 85.7㧕
12㧔 85.7㧕
㧥 㧔 64.3㧕
㧤 㧔 44.4㧕
㧤 㧔 44.4㧕
㧣 㧔 50.0㧕㧣 㧔 50.0㧕㧣 㧔 50.0㧕㧡 㧔 35.7㧕                 㧔 ⶄ ᢙ ࿁ ╵ 㧕⴫㧡 ㅌ㒮⺞ᢛᯏ⢻ࠍᜂߞߡ޿ࠆㇱ㐷 㨚㧔 㧑 㧕

࡝ࡂࡆ࡝࠹࡯࡚ࠪࡦㇱ㐷ᐔ ᚑ 19 ᐕ ᐔ ᚑ 15 ᐕ ᬌ
ቯ
㨚 =4㧥
㨚 =57
40㧔 81.6㧕 43㧔 75.4㧕
27㧔 58.1㧕 17㧔 29.8㧕 㧖㧖
9㧔 18.4㧕
7㧔 12.3㧕
5㧔 10.2㧕
6㧔 10.5㧕

ᄖ᧪

4㧔 8.2㧕

7㧔 12.3㧕

੐ോㇱ㐷

2㧔 4.1㧕

4㧔 7.0㧕ㇱ  㐷∛᫟ක ≮ ⋧ ⺣ ቶ 㨯࿾ ၞ ㅪ ៤ ቶ

⸰໧⋴⼔ㇱ

ߘߩઁ
6㧔 12.4㧕
9㧔 15.8㧕㧖㧖㧦 㨜 㧨 0.01            㧔 ⶄ ᢙ ࿁ ╵ 㧕⴫㧢 ㅌ㒮⺞ᢛߦ㑐ࠊߞߡ޿ࠆ⡯ຬ   㨚 㧔 㧑 㧕∛᫟⋴⼔Ꮷ㐳   
කᏧ
∛᫟⋴⼔Ꮷ

ᐔ ᚑ 19 ᐕ
n=4㧥
40㧔 81.6㧕
36㧔 73.5㧕
29㧔 59.2㧕

MSW

26㧔 53.1㧕 18㧔 30.5㧕 㧖㧖⡯  ⒳ᐔ ᚑ 15 ᐕn=57
43㧔 75.4㧕
38㧔 66.7㧕
33㧔 57.9㧕

⸰໧⋴⼔Ꮷ

15㧔 30.6㧕 12㧔 21.1㧕

ℂ ቇ ≮ ᴺ ჻ 㨯૞ ᬺ ≮ ᴺ ჻

14㧔 28.6㧕 11㧔 19.3㧕

ᬌቯࠤࠕࡑࡀ࡯ࠫࡖ࡯ 
9㧔 18.4㧕 17㧔 29.8㧕ᄖ᧪⋴⼔Ꮷ㐳
6㧔 12.2㧕
6㧔 10.5㧕
੐ോ⡯ຬ
6㧔 12.2㧕
5㧔 8.8㧕ߘߩઁ
5㧔 10.2㧕 12㧔 21.1㧕
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'|⴫㧣 ㅌ㒮⺞ᢛㇱ㐷ࠍⷐᦸߔࠆℂ↱                         㨚㧔㧑㧕ᐔ ᚑ 15 ᐕᐔ ᚑ 19 ᐕℂ  ↱⋴ ⼔ ㇱ 㐳㨚 =24∛᫟⋴⼔Ꮷ㐳
㨚 㧩 98⋴⼔ㇱ㐳
㨚 = 26ᬌቯ̐ㅌ㒮ᓟߩ≮㙃႐ᚲߩᣧᦼ᳿ቯߩߚ߼ߦኾ㐷⊛⍮⼂߇ᔅⷐක≮࡮⑔␩ߦ♖ㅢߒߚ⡯ຬ߆ࠄߩᡰេ߇ᔅⷐ
ᖚ⠪࡮ኅᣖ߿⋴⼔⡯ຬ߇⋧⺣ߢ߈ࠆㇱ㐷߇ᔅⷐㅌ㒮ᓟߩ↢ᵴߦኒ⌕ߒߚᡰេ߇ᔅⷐ
ㅌ㒮ᜰዉߩᣧᦼ㐿ᆎ࿷㒮ᣣᢙߩ⍴❗ൻ∛∛ㅪ៤࡮∛⸻ㅪ៤ߩផㅴ
∛㒮ߣኅᣖ࡮࿾ၞߣߩㅪ៤ࠍᜂ߁⡯ຬ߇ᔅⷐ∛᫟ߢߪㅌ㒮⺞ᢛߩߚ߼ߩචಽߥᤨ㑆߇ߣࠇߥ޿
࿾ၞߩ⋴⼔⾗Ḯᖱႎߦ♖ㅢߒߚ⡯ຬ߆ࠄߩᡰេ߇ᔅⷐ

20㧔 83.3㧕
17㧔 70.8㧕
16㧔 66.7㧕
16㧔 66.7㧕
15㧔 62.5㧕
14㧔 58.3㧕
13㧔 54.2㧕
13㧔 54.2㧕
12㧔 50.0㧕
8 㧔 33.3㧕

67㧔 68.4㧕
65㧔 66.3㧕
59㧔 60.0㧕
60㧔 61.2㧕
69㧔 70.4㧕
48㧔 49.0㧕
37㧔 37.8㧕
51㧔 52.0㧕
63㧔 64.3㧕
54㧔 55.1㧕

14㧔 53.8㧕
11㧔 42.3㧕
19㧔 73.1㧕
13㧔 50.0㧕
14㧔 53.8㧕
㧙㧙
17㧔 65.4㧕
18㧔 69.2㧕
3㧔 11.5㧕㧖ᬌ ቯ ̐ 㧦 ᐔ ᚑ 19 ᐕ ߣ ᐔ ᚑ 15 ᐕ ߩ ⋴ ⼔ ㇱ 㐳 ߩ Ყ セ    㧖 㧦 㨜 㧨 0.05

㧔ⶄᢙ࿁╵㧕

⴫㧤 ࿾ၞߣߩᖱႎ੤឵ળߩታᣉ⁁ᴫ㧔n=67㧕                  㨚㧔㧑㧕⥄ᴦ૕ߩ⑔␩ᜂᒰ⠪㧖⸰໧⋴⼔ࠬ࠹࡯࡚ࠪࡦ㧖ォ㒮వߩ∛㒮ߩ⋴⼔Ꮷታᣉߩ᦭ήㅌ㒮⺞ᢛㇱ㐷

޽ࠅ

ߥߒ

޽ࠅ

ߥߒ

޽ࠅ

ߥߒ

⸳ ⟎ ޽ ࠅ 㧔 㨚 =18㧕⸳ ⟎ ߥ ߒ 㧔 㨚 =49㧕10㧔 55.6㧕
12㧔 24.5㧕

8㧔 44.4㧕
37㧔 75.5㧕

12㧔 66.7㧕
17㧔 34.7㧕

6㧔 33.3㧕
32㧔 65.3㧕

㧣 (38.9)
㧥 (18.4)

11㧔 61.1㧕
40㧔 81.6㧕

     ⸘㧖㧦 P㧨 0.05

22㧔 32.8㧕

45㧔 61.2㧕

29㧔 43.3㧕

38㧔 56.7㧕

16㧔 23.9㧕

51㧔 76.1㧕

⴫㧥 ㅌ㒮⺞ᢛߩᔅⷐᕈߩ್ᢿᤨᦼ࡮≮㙃వ࡮⋡⊛      㨚㧔%㧕
ᐔ ᚑ 19 ᐕᐔ ᚑ 15 ᐕ㨚 =249㨚 =212148㧔 59.4㧕
145㧔 58.2㧕
113㧔 45.4㧕
94㧔 37.8㧕
35㧔 14.1㧕

146㧔 68.9㧕
124㧔 58.5㧕
73㧔 34.4㧕
93㧔 43.9㧕
24㧔 11.3㧕

186㧔 74.7㧕
145㧔 58.2㧕
131㧔 52.6㧕
108㧔 43.4㧕
19㧔 7.6㧕

164㧔 77.4㧕
94㧔 44.3㧕
111㧔 52.4㧕
67㧔 31.6㧕
10㧔 4.7㧕

143㧔 57.4㧕
142㧔 57.0㧕
136㧔 54.6㧕
99㧔 39.8㧕
96㧔 38.6㧕
83㧔 33.3㧕
71㧔 28.5㧕
61㧔 24.5㧕
8㧔 3.2㧕

101㧔 47.6㧕
111㧔 52.4㧕
124㧔 58.5㧕
90㧔 42.5㧕
74㧔 34.9㧕
124㧔 58.5㧕
44㧔 20.8㧕
42㧔 19.8㧕
5㧔 2.4㧕㗄  ⋡

ᬌቯ㧨ㅌ㒮⺞ᢛߩᔅⷐᕈߩ್ᢿᤨᦼ㧪කᏧ߇ᖚ⠪࡮ኅᣖߦㅌ㒮ࠍવ߃ߚᤨ ౉㒮ᤨ ฃߌᜬߜ⋴⼔Ꮷ߇ᔅⷐߣ್ᢿߒߚᤨ ⋴⼔Ꮷ㐳߇ᖚ⠪ߩ⁁ᴫ߆ࠄㆡቱ್ᢿ
 ߘߩઁ

㧖
㧖

䋼ㅌ 㒮 ⺞ ᢛ ᓟ 䈱≮ 㙃 వ 䋾㩷 ⥄ቛ ක≮ᣉ⸳ ੺⼔଻ஜᣉ⸳ ⑔␩ᣉ⸳㧔․೎㙃⼔⠧ੱࡎ࡯ࡓ╬㧕
 ߘߩઁ

㧖㧖
㧖㧖

䋼ㅌ 㒮 ⺞ ᢛ 䈱⋡ ⊛ 䋾㩷 ォ㒮వߩ⏕଻ ೑↪ߔࠆࠨ࡯ࡆࠬߩ⺞ᢛ ኅᣖߩᗧᕁ᳿ቯ ኅᣖߩ੺⼔ജ⏕଻ ኅᣖ㑆⺞ᢛ ᖚ⠪ߩᗧᕁ᳿ቯ ኅᣖ߇ᔅⷐߥᛛⴚߩ⠌ᓧ ᖚ⠪⥄りߦᔅⷐߥᛛⴚߩ⠌ᓧ ߘߩઁ 㧖 㧦 㨜 㧨 0.05  㧖 㧖 㧦 p㧨 0.01㧖㧖㧖㧔ⶄᢙ࿁╵㧕

)5)

±´y  Ishikawa Journal of Nursing Vol.5, 2008

⴫ 10 ∛᫟ߦ߅ߌࠆㅌ㒮⺞ᢛᵴേߩታᣉ⁁ᴫ㨚㧔㧑㧕ᐔ ᚑ 1㧥 ᐕౝ  ኈ

ో૕㨚 =249ㅌ㒮ᤨߩ⋴⼔ࠨࡑ࡝࡯ߩ૞ᚑ
ォ㒮వ߿⸰໧⋴⼔ࠬ࠹࡯࡚ࠪࡦ߳ᒁ߈⛮߉ᖚ⠪࡮ኅᣖߩㅌ㒮ߦ㑐ߔࠆᗧᕁ⏕⹺㑐ଥ⡯⒳╬ߣߩㅪ⛊ᖚ⠪ߩㅌ㒮೨ᄖᴱ
ㅌ㒮⺞ᢛߦ㑐ߔࠆวหࠞࡦࡈࠔ࡟ࡦࠬ
ㅌ㒮⺞ᢛ⸘↹ߩ┙᩺ᖚ⠪࡮ኅᣖߩวหࠞࡦࡈࠔ࡟ࡦࠬෳടߩ⺞ᢛㅌ㒮೨ߩ≮㙃వ߳ߩ⸰໧
ㅌ㒮ᓟߩ≮㙃వ⸰໧ㅌ㒮⺞ᢛታᣉᓟߩ⹏ଔ

241㧔 96.8㧕
237㧔 95.2㧕
233㧔 93.6㧕
204㧔 81.9㧕
199㧔 79.9㧕
150㧔 60.2㧕
128㧔 51.4㧕
115㧔 46.2㧕
85㧔 34.1㧕
58㧔 23.3㧕
35㧔 14.1㧕

ㅌ㒮⺞ᢛㇱ㐷ߩ⸳⟎
޽ ࠅ
n=38

ߥ ߒ
㨚 =21138㧔 100㧕
8㧔 25.0㧕
37㧔 97.4㧕
34㧔 89.5㧕
30㧔 78.9㧕
32㧔 84.2㧕
25㧔 65.8㧕
23㧔 60.5㧕
12㧔 31.6㧕
5㧔 13.2㧕
5㧔 13.2㧕

203㧔 96.2㧕
32㧔 15.2㧕
196㧔 92.9㧕
170㧔 80.6㧕
169㧔 80.1㧕
118㧔 55.9㧕
103㧔 48.8㧕
91㧔 43.㧝 㧕
73㧔 34.6㧕
53㧔 25.1㧕
30㧔 14.2㧕

ᐔ ᚑ 15 ᐕ㨚 =212

ᬌ
ቯ
㧝

ᬌ
ቯ
㧞

196㧔 93.5㧕
197㧔 92.9㧕
195㧔 92.0㧕
172㧔 81.1㧕
179㧔 84.4㧕
94㧔 44.3㧕
105㧔 49.5㧕
65㧔 30.7㧕
79㧔 37.3㧕
63㧔 29.7㧕
49㧔 23.1㧕

㧖㧖

㧖㧖

㧖㧖

㧖㧖

ᬌ ቯ 㧝 㧦 ᐔ ᚑ 19 ᐕ 㧔 n=249㧕 ߣ ᐔ ᚑ 15 ᐕ 㧔 㨚 =212㧕 ࠍ ǿ 㧞 ᬌ ቯ ߒ ߚ ߽ ߩ                   㧔 ⶄ ᢙ ࿁ ╵ 㧕ᬌ ቯ 㧞 㧦 ᐔ ᚑ 19 ᐕ ߩ ㅌ 㒮 ⺞ ᢛ ㇱ 㐷 ⸳ ⟎ ߩ ޽ ࠅ ࡮ ߥ ߒ ࠍ ǿ 㧞 ᬌ ቯ ߒ ߚ ߽ ߩ㧖 㧦 p㧨 0.05  㧖 㧖 㧦 㨜 㧨 0.001

iÀ¯Bz8PÇUc_SbcZC(2ME'w#m·CÇUc_SbcZlFCÀ¯(4¶l7:%p<0.01&.
'»iÀ¯Bz8PÇUc_SbcZC(D!»iÀ¯y .OCÜ4ëD
ë?.<:%p<0.01&"G:!ÇUc_Sb
cZR7>/P@rÆ7: 109 à%72.7%&
D!s¹D×Å?.P@Æ1>/:"Ç
Uc_SbcZCl?D!Ò®f¨CrÆ
4.<:KCD!×Åy %ÁR{I&!h#y ftChí¥!h!m·!Ý
áy ?.<:"%,&×Åy Á4Î7>/:»iÀ¯yÈÌCn%Ö 11&³ÍC»iÀ¯y 4/P×iCy Á
38 à4Î7>/:»iÀ¯y ÈÌCn?Ò®f¨CrÆ4.<:ËåD!
'¸«¡@Cï~k(!
'»iÀ¯Bz8P³âÃ¾C⴫ 1㧝 ∛᫟⋴⼔Ꮷ㐳߇⹺⼂ߒߡ޿ߚㅌ㒮⺞ᢛ⋴⼔Ꮷዉ౉ߩലᨐ  㨚 =38(ฬ )ౝ  ኈ

࿁╵ᢙ㧔㧑㧕ઁ⡯⒳ߣߩㅪ៤ᒝൻ
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Discharge Planning Activities at Hospitals in Ishikawa Prefecture: Issues and Current Status
Naoko MARUOKA, Yukiko HORANAI, Hiromi SATO
Mayumi BAN, Kazuyo KAWASHIMA
Abstract
The purpose of this study was to clarify the current condition of discharge planning activities,
and issues related to discharge planning. The subjects included 104 Directors of Nursing, 380
Hospital Ward Head Nurses, and 27 Discharge Planning Nurses employed at hospitals in
Ishikawa Prefecture. Questionnaires on discharge planning activities were mailed to prospective
respondents. The results are outlined below.
Discharge planning departments were installed in 18 hospitals (26.9%), an increase from the 4
hospitals (6.6%) of 2005. The effect of the establishment of discharge planning departments, andthe assignment of discharge planning nurses was the reinforcement of cooperation among related
staff, and the enhancement of reporting to patients and families. Approximately half of the directors and head nurses in the remaining hospitals expressed a desire to establish a Discharge Planning Departments ; however, respondents cited manpower and budget concerns as obstacles. Discharge Planning Nurses gathered information for discharge planning, provided support to patients and families, and coordinated cooperation among related staff ; however, nurses reported
low participation in draft planning and evaluation. Few hospitals reported evaluating dischargeplanning activities by nurses. In the future, we believe that it is necessary to review dischargeplanning activity evaluation methods to reinforce the effectiveness of discharge planning.

Key words discharge planning, discharge planning nurse, discharge planning department, continued nursing care, cooperation) 10 )

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helpful interventions in the United States!Eng-@0SK¤ÆåIc]H?;VlE<I¦

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260!1980.

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Present status of nurses’ knowledge of prenatal death andits care environment
Masayo YONEDA, Noriko TABUCHI, Akemi SAKAI

Abstract
To clarify the present status of nurses’ knowledge of prenatal death and its care environment,
we performed a survey in nurses working in obstetric institutions dealing with deliveries in the
Hokuriku region, and analyzed the results obtained from 654 nurses.
More than 75% of the nurses had read books concerning care after perinatal death or listened
to or read experiences of people who lost their children during the prenatal period, but only 20%
each knew of the presence/activities of support groups and had attended lectures and seminars.
About 90% of the nurses considered that their knowledge was inadequate, and, particularly, many
nurses felt that their knowledge of concrete care methods was insufficient. Concerning the careenvironment, about 25% of the nurses replied that study meetings/conferences were held caremanuals were used, and about 10% replied that there is a care consultation system provided by
specialists.
These results suggest the necessity for programs allowing the continuous learning of concrete
contents conforming to practice in the Hokuriku region and the enrichment of study meetings/conferences and consultation systems by specialists in care environments.

Key words stillbirth, early neonatal death, care-givers, knowledge, care environment- 20 -

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et al. : Dementia prevention activities in an area
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tection of early probable Alzheimer’s disease.In
Scinto LFM and Daffner KRed. Early diagnosis of
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()$%&' Ishikawa Journal of Nursing Vol.5, 2008

Evaluation of Activities to Prevent Dementia by the Societyof Volunteers for Dementia Prevention in Cooperation
with the Society of the Physically Handicapped#From Changes Seen in the Latter Organization#
Junko HOSOKAWA, Yuka MATSUDAIRA, Noriko KANEKO, Eiko AMATSU
Hiromi SATO, Katsuko KANAGAWA, Mitsuyo MAEDA, Sigemi FUJITA
Abstract
The volunteers for dementia prevention, composed of local residents(hereafter volunteers)visitedthe Society for the Physically Handicapped!hereafter the Society of Rehabilitation"for a total of
3 courses!each course composed of 10 visits"per year and find changes in the members of the latter organization. The subjects were members of the Society of Rehabilitation who participated indementia prevention activities. We examined cognitive function before and after the participationof the dementia prevention activities and investigated changes in QOL.
The results : 1)Before and after the 3 courses, the FAB score according to the corresponding
paired t-test, was significantly higher after the completion of the activities : 2)Throughout theyear, the FAB score increased in more than half of those who participated in the activities ; 3)
When individual changes were examined in SF-36 and impressions, changes unique to individuals
were noted ; but on the whole, they were at the stage at which they are enjoying the act of participation and only a few felt that maintenance and improvement of one’s cognitive function was
the real life experience.

Key words dementia, prevention, physically handicapped people, volunteer# 28 #

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p 338-340!2004.

Development of Nursing Aid Skills for Patientswith Eating Disorder and Dysphasia&Report No. 2 : From the Analysis of Nursing Aid,
Which Enabled Oral Ingestion&
Hiromi SATO, Eiko AMATSU, Chizuko NAOI, Junko HOSOKAWA
Mamiko ITO, Yuka MATSUDAIRA, Mitsuyo MAEDA, Hitomi KONYA
Takako MIYAMOTO, Kimie ARAKI, Keiko TABATA, Chika TAKATA,
Sachi MOTOO, Chika MIYAMOTO
Abstract
We conducted nursing aid for recovery from eating disorder or dysphasia in 7 cases that demonstrated eating and swallowing difficulties, and analyzed the process of ongoing eating ability,
based on 10 aiding guidelines.
As a result, we implemented the following daily practices for all patients of the 7 cases as an
aid measures toward the improvement of general conditions,(1)Routine oral care to prevent aspiration pneumonia,(2)Care to maintain adequate balance of nutrient and water(3)Contriving bodily positions to enhance activeness(4)Care to support enhancement of motivation and initiative.
In providing aid for improvement of swallowing functions,(5)Vocal exercises and swallowing training to enhance swallowing function were conducted indaily care procedure, and while coordinating with ST, etc.,(6)All cases were studied to determine the best timing for starting oral ingestion.
(7)Aid to safely proceed direct swallowing was provided in 6 cases, and support was given on pattern of meals and for eating means without help.
(8)For supporting regaining oral eating, we worked on 1 case.
In aiding for team function enhancement, the following was suggested :(9)Providing family support and enhancing family function in 6 cases, and(10)In the team approach, holding study meetings as a nursing role, consulting with doctors andcare managers, providing information, and preparing a summary of continuous nursing careon eating and swallowing for other facilities.

Key words people with eating disorder and dysphasia, development of nursing aid skills,
coordinating in nursing, coordination with other communities, case analysis& 38 &

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&'"#$% Ishikawa Journal of Nursing Vol.5, 2008

Study on Disaster Planning at Home-visit Nursing Station!Through Research on Damage and Response Actionsat Home-visit Nursing Station in Notohanto Earthquake!
Yukari MIZUSHIMA, Kazumi HAYASHI
Abstract
A Survey was conducted on home-visit nursing station administrators in ten cities in Ishikawa
prefecture where the seismic intensity scale was measured five or more during the Notohanto
Earthquake. The aim is to gain an understanding of damages and response actions at the homevisit nursing stations in the Notohanto Earthquake.
Seven visiting nursing stations’ administrators responded to the survey. The result showed thatthe damage of buildings, equipments, and furniture at the seven home-visit nursing stations are
as follows ; two were partly damaged, one had damage to equipment and furniture, and four were
not damaged at all. When the earthquake occurred, four home-visit nursing stations’ administrators were at home. They checked in on home-visit nursing station, users’ homes, or made phone
calls to check the status, went to the office, confirmed safety of their staff, and checked damagesof their homes.
It was also found that the home-visit nursing station administrators carried out [Response Actions to Users], [Confirmation of Procedures at Disasters], [Preparation and Review of Contact
List], and [Preparation and Review of Support Manual] after the Notohanto Earthquake. The
critical factors for effective disaster planning were [Cooperation with Local Authorities], [Disaster
Planning at Home-Visit Nursing Stations], and [Response Actions to Users].

Key words Notohanto earthquake, home-visit nursing station, disaster planning! 46 !

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'(#$%& Ishikawa Journal of Nursing Vol.5, 2008

The Current Status of Professional Careby Midwives in Ishikawa Prefecture
Saori SOYAMA, Masayo YONEDA, Emiko KINEFUCHII
Abstract
The purpose of this study was to clarify the situation of professional care by midwives in
Ishikawa Prefecture so that their services may be rendered more effectively. A survey was conducted by mailing anonymous questionnaires from October through November 2005. Effective responses were collected from 37 institutions. The questions asked about the practice of 26 items ofprofessional-care that concerned midwives. The responses were compared and analyzed for eachtype of facility. The results showed : 1!Hospitals provide health counseling for each life stage, in
addition to maternity/newborn care and health guidance ; 2!Midwifery centers not only provide
the extensive care hospitals do : they also arrange such services as home visits and lectures, although they cannot sufficiently meet community health requests under certain conditions ; and3!Maternity clinics focus on delivery care and health guidance, and less frequently provide healthcounseling for each phase of a woman’s life. These findings suggest that the practice of professional care by midwives differs among the facilities. Specifically from the viewpoint of lifelong
health support for women, it is necessary to develop a system allowing midwives to practice beyond the boundaries of the facilities with which they are affiliated.

Key words Midwife, Professional care, Obstetrics and gynecology department, Midwifery center" 55 "

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߆ߣ‫ޟ‬૗ߥࠄ㘩ߴࠄࠇ߹ߔ߆㧫‫ߣޠ‬዆ߨߚߣߎࠈ㧘‫ߡ⷗ࠍ⿷ߩߎޟ‬㧘㘩᰼߇಴ࠆࠊߌߥ޿ߛࠈ߁‫߁޿ߣޠ‬㄰੐߇㄰ߞߡ߈ߚ㧚⋴⼔Ꮷߪ‫޽ޟ‬޽㧘޿ߣߒ޿㧚⥄ಽߪ੹߹ߢ૗ࠍߺߡ޿ߚߩߛࠈ߁㧚ᒰὼߛ㧚ߢ߽ߎߩ߹߹ߢߪ޿ߌߥ޿‫ߣޠ‬ᕁ޿㧘ᶡߋߺߥ߇ࠄ‫ߣޠߨߛ߁ߘޟ‬ᖚ⠪ߩᚻࠍីߞߚ㧚ߔࠆߣᖚ⠪ߪ‫੹ޟ‬ᣣߩ࡝ࡂࡆ࡝㧘߭ߤ߆ߞߚ㧚ߎࠎߥ߆ࠄߛߢ߿ߞߡ޿ߌࠆߩ߆࡮࡮࡮‫ߚ߃⸷ߣޠ‬㧚⋴⼔Ꮷߪ㧘‫⥄ޟ‬ାࠍ
ᄬߞߡߒ߹ߞߚߩߛࠈ߁߆‫ ߣޠ‬ᔨߒ‫ߩߎޟ‬వ㧘߿ߞߡ޿ߌࠆ߆ᔃ㈩ߥߩߢߔߨ‫ߣޠ‬㄰ߔߣ㧘ᖚ⠪ߪ‫ߛ߁ߘޟ‬㧚ߥࠎߢߎࠎߥߎߣߦߥ
ߞߚߩߛࠈ߁㧚੐᡿ߦߢ߽޽ߞߚߩ߆㧫‫ߚ߃╵ߣޠ‬㧚‫⚊ޟ‬ᓧߢ߈ߥ޿߹߹ߦㆊߏߒߡ޿ߚߩ߆㧫ߎߩ߹߹ߢߪ޿ߌߥ޿‫ߣޠ‬ᕁߞߚ⋴⼔Ꮷߪ㧘‫ߡߞ߹⹣߇▤ⴊߪ⿷ߩߚߥ޽ޟ‬ᩕ㙃߇චಽߦⴕ߈ࠊߚࠄߥ޿∛᳇㧚⿷ో૕߇⣣ࠅᆎ߼ߡ޿ߚ㧚᡼ߞߡ߅ߌ߫ోりߦᐢ߇ߞߡ޿ߚ‫ߣޠ‬⺑᣿ߒߚ㧚ߐࠄߦ㧘‫ޟ‬ಾᢿߒߚߩߪක≮⠪߇๮ࠍᢇ߁ߚ߼ߩㆬᛯ㧚ࠊ߆ߞߡ᰼ߒ޿‫ߣޠ‬ᕁ޿㧘‫ࠍ⿷ߩߎޟ‬ಾߞߚߩߪ๮ࠍഥߌࠆߚ߼㧚޽ߥߚߪߎߩ⿷ߣᒁ߈឵߃ߦ๮ࠍഥߌࠄࠇߚ㧚⑳ߚߜߪ޽ߥߚߦ↢߈ߡ޿ߡ᰼ߒ޿‫ߚߌ⛯ߣޠ‬㧚ߔࠆߣᖚ⠪ߪ㤩ߞߚ߹߹㧘߫ߞ㧘ߣ㘩੐↪ߩࠛࡊࡠࡦࠍ⋡ߦ᛼ߒᒰߡߚ㧚‫ޟ‬ᖚ⠪߇ᵅ޿ߡ޿ࠆ‫ޠ‬㧘ߣ್ᢿߒߚ⋴⼔Ꮷߪ㧘ᗵᖱ߇ੂࠇߚ߹߹ߩᖚ⠪ࠍ߭ߣࠅߦߪߢ߈ߥ޿ߣᕁ޿㧘቟ᭉߥᆫ൓ߦߣߣߩ߃ࡊ࡜ࠗࡌ࡯࠻ࠞ࡯࠹ࡦࠍᒁ޿ߡߒ߫ࠄߊᚻࠍីߞߡ޿ߚ㧚⠉ㅳ㧘⋴⼔Ꮷ߇⸰ࠇࠆߣ㧘ᖚ⠪ߪᚻࠍ᜼ߍߡ᜿ᜦߐࠇߚ㧚వㅳᧃ߆ࠄߪᓢ‫ߦޘ‬㘩੐៨ข㊂ߪჇ߃㧘ߘߩᣣߩᦺ㘩ߪో㊂៨ขߣࠞ࡞࠹ߢ
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ߡ޿ࠆ

࿁ᓳㆊ⒟ࠍᅹߍߡ޿ࠆ↢ᵴߩ޽ࠅᣇ߇⷗ㆊߏߖߥ޿Ბ㓏߹ߢ⛯޿ߡ޿ࠆߣ್ᢿߒߡ޿ࠆ

ᖚ⠪ߩ෻ᔕߣ⥄りߩ⋴⼔Ꮷߣߒߡߩ⚻㛎⍮ࠍ㑐ㅪߠߌߡ⠨߃ߡ޿ࠆઁ⡯⒳߆ࠄߎߩᖚ⠪ߩ࿁ᓳߦᔅⷐߥ⋴⼔ߩኾ㐷ᕈࠍᦼᓙߐ
ࠇߡ޿ࠆߎߣࠍᗐ⿠ߒߡ޿ࠆ
ᖚ⠪ߩ㘩ߦ㑐ߔࠆࡊ࡜ࠬߩᗵ
ᖱࠍ੍᷹ߐߖࠆ੐ታࠍᗐ⿠ߒ
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ᔕࠍᗐ⿠ߒߡ޿ࠆ
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Ԛ⥄Ꮖߩ⋴⼔૕㛎ࠍࡊ࡜ࠬߩ᧚
ᢱߦ↢߆ߘ߁ߣߒߡ޿ࠆ

ԛᖚ⠪ߩஜᐽߥㇱಽߦ⌕⋡ߒߡ޿ࠆԜ⃻⽎ߦㄭ޿࡟ࡌ࡞ߢ໧㗴ࠍߣࠄ߃⸃᳿ߒࠃ߁ߣߒߡ޿ࠆ

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Ԙ ᖚ⠪ࠍోੱ⊛ߦߣࠄ߃㧘ᔃߣり૕ߣ␠ળ㑐ଥࠍߟߥ߇ࠅߢߣ
ࠄ߃ߡ޿ࠆԙ ⴫⃻ߣ⹺⼂ࠍߟߥ߇ࠅߢߣࠄ߃ߡ޿ࠆԚ ⚿ᨐߛߌߢߥߊㆊ⒟ߦᵈ⋡ߒߡ޿ࠆԘ ߘࠇߙࠇߩࠠ࡯ࡢ࡯࠼ࠍߣࠄ
߃㧘㑐ㅪߪߺ߃ߡ޿ࠆԘ ⥄ಽߩ૏⟎߆ࠄ⋧ᚻߩᕁ޿ࠍᗐ
௝ߒߡ޿ࠆԙ ⋴⼔ߩ⋡⊛߆ࠄㅺ⣕ߒߡ໧㗴ࠍ⃻⽎࡟ࡌ࡞ߢߣࠄ߃ߡ޿ࠆԚ ኅᣖߩஜᐽߥㇱಽߦ㑐ᔃ߇ะ޿ߡ޿ߥ޿ԛ ⋴⼔Ꮷߣߒߡߩ⚻㛎߇⋴⼔ߔࠆ਄ߢࡑࠗ࠽ࠬߦ௛޿ߡ޿ࠆԘ ∛᳇ࠍ‫↢ޟ‬ᵴㆊ⒟ߩ⚿ᨐߢ޽ࠅ㧘࿁ᓳㆊ⒟ߢ޽ࠆ‫߃ࠄߣߣޠ‬㧘り૕ߩౝㇱ᭴ㅧࠍឬ޿ߡ޿ࠆԙ ᖚ⠪߇૕㛎ߒߡ޿ࠆ਎⇇ࠍ⋧ᚻߩ૏⟎ߢᗐ௝ߒ㧘┙႐ᄌ឵ߒߡ޿ࠆԚ ⋴⼔ߩ⋡⊛ߩ߽ߣߦ໧㗴ߩ᭴ㅧࠍ⷗ߡߣࠅ㧘ᜬߡࠆജ㧘ஜᐽߥㇱಽߦ௛߈߆ߌߡ⸃᳿ߒࠃ
߁ߣߒߡ޿ࠆԛ ⥄Ꮖߩߎࠇ߹ߢߩ૕㛎ࠍᗐ⿠ߒߡ⋴⼔ߩേᯏઃߌߦߒߡ޿
ࠆԘ ᗵᖱߦߪ⌕⋡ߢ߈ߕ㧘┙႐ᄌ឵ߢ߈ߡ޿ߥ޿ԙ ኅᣖ߇૕㛎ߒߡ޿ࠆ਎⇇ࠍ⋧ᚻߩ૏⟎ߢᗐ௝ߒߡ޿ࠆԚ ⃻⽎ߦㄭ޿࡟ࡌ࡞ߢ໧㗴ࠍߣࠄ߃ߡ⸃᳿ߒࠃ߁ߣߒߡ޿ࠆԛ ⥄Ꮖߩ⋴⼔૕㛎߇⋴⼔ࠍߔࠆ਄ߢߩࡑࠗ࠽ࠬߩ᧚ᢱߣߥߞߡ޿ࠆԜ ∛᳇ߩᗧ๧ࠍකቇࡕ࠺࡞ߢߣࠄ߃ߡ޿ࠆԝ ⋴⼔Ꮷߩឬߊ⋴⼔ߣ⃻⽎ߣߩਇ৻⥌ߦࠃߞߡ໧޿߇↢߹ࠇߡ޿ࠆԘ ㇱಽߦ⌕⋡ߒ㧘ઁߩ੐ታߣ㑐ㅪߠߌࠄࠇߕߦ޿ࠆԙ ኅᣖߩ⴫⃻ߦߩߺ⌕⋡ߒߡઁߩ੐ታߣ㑐ㅪߠߌߕߦ್ᢿߒࠃ߁
ߣߒߡ޿ࠆԚ ᖚ⠪ߩ⴫⃻ߣ⹺⼂ࠍߟߥ߇ࠅߢ
ߣࠄࠇߡ޿ࠆԛ ⴫⃻ߦߩߺ⌕⋡ߒ㧘ᖚ⠪ࠍㇱಽ⊛ߦߣࠄ߃ߡ޿ࠆԘ ⥄Ꮖߩ⋴⼔Ꮷߣߒߡߩ⽿છ߇໧޿ࠍ↢ߺ㧘⋴⼔ߩേᯏઃߌߦߥߞߡ޿ࠆԙ ⋴⼔ߩ⋡⊛߆ࠄㅺ⣕ߒߡ໧㗴ࠍ⃻⽎࡟ࡌ࡞ߢߣࠄ߃ߡ޿ࠆԚ ኅᣖߩஜᐽߥㇱಽߦ㑐ᔃ߇ะ޿ߡ޿ߥ޿Ԙ ⥄Ꮖߩ⋴⼔Ꮷߣߒߡߩ⽿છ߇໧޿ࠍ↢ߺ㧘⋴⼔ߩേᯏઃߌߦߥߞߡ޿ࠆԛ ⋴⼔Ꮷߣߒߡߩ⚻㛎߇⋴⼔ߔࠆ਄ߢࡑࠗ࠽ࠬߦ௛޿ߡ޿ࠆԙ ⴫⃻ߣ⹺⼂ࠍߟߥ߇ࠅߢߣࠄ߃
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ߤ߁್ᢿߒߚ߆㧘್ᢿㆊ⒟ߩᩮ᜚ߣߒߚౝኈ
‫ ߚߞ߿߁ߤޟ‬ᖚ⠪ߐࠎߪᛥ೙ߦߣߡ߽ࠬ࠻࡟ࠬࠍᗵߓߡ޿ࠆ߇‫߁ߤޔ‬㑐ࠊߞߚࠄࠃ޿ߩ߆㧫ࠄᱫߨࠆߩ߆  ઍ↵ᕈળ␠ຬ‫ޕ‬㜞ᰴ⣖ᯏ⢻㓚ኂߪૐ㉄⚛⣖∝ߦࠃࠆਇนㅒߥ⣖⚦⢩ߩᄌൻߦࠃࠆ߽ߩ㧚߹ߛ⧯޿ߩߦ߆ࠊ޿ߘ߁ߛߌߤ
ߥ‫ޠ‬⣖ߩᯏ⢻ߪ৻ᐲ߿ࠄࠇߡߒ߹ߞߚࠄ߽߁ߛ߼
‫ޟ‬૗߆♖␹⊛ ‫ޠ޿ߚ߈ⴕߦ޿⾈ࠦࡃ࠲ޟ‬‫ࠄ߆ߎߎޟ‬಴ߒߡ᰼ߒ޿‫߃⸷߁޿ߣޠ‬㧚ߒ߆ߒ‫⥄ޔ‬ಽߩ∛ቶߦᚯߞߡߊࠆߎߣ߇ߢ߈ߥ޿‫ޕ‬એ೨ߦㄆ޿‫ޠ‬‫ޟ‬૗ߩήᢿߢ㔌㒮ߒߡ⼊ኤߦ଻⼔ߐࠇߚ‫ߚ߹ޕ‬૗߇޽ߞߚࠄᄢᄌߛ
ߚ߼ߦ↢߈ߡ
޿ࠆߩ߆ࠊ߆
ࠄߥ޿‫ޠ‬ ౉㒮ᤨ߆ࠄᱠⴕߦߪ߰ࠄߟ߈߇޽ࠅ‫ࠍ⁁⃻߿⁁∛ޔ‬ℂ⸃ߒߡ߅ࠄߕォୟ࡝ࠬࠢ㜞޿‫ޕ‬ኅᣖ߆ࠄᛥ೙ߩหᗧᦠࠍᓧߡ޿ࠆ‫ޕ‬㘩੐៨ข㊂߇
ߛࠎߛࠎߣᷫ
ዋ‫ޕ‬ㅌ㒮೨ߩ㧝ࡩ᦬ߪ㧜㨪㧟
ഀ⒟ᐲߩ៨ข ߎ߁޿߁ᖚ⠪ߐࠎ߇ᄙߊߡ⋡߇ዯ߆ߥ޿‫ޕ‬ᣉ㍤߽߿߻ߥߒ ࠽࡯ࠬ࠮ࡦ࠲࡯ߦㄭ޿୘ቶߢᣉ㍤‫ޕ‬૕ᐙࡌ࡞࠻ࠍⵝ⌕ߒ቟㕒ࠍଦߒߡ޿ࠆ

 ᣉ㍤߇ᒰߚࠅ೨ߦߥߞߡ޿ࠆ⥄ಽߚߜ‫ޕ‬ ߎࠇߞߡᖚ⠪ࠍ▤ℂߒߡ޿ࠆ㧫⋴⼔ߞߡ૗ߛࠈ߁㧫 ‫ߎߎޟ‬ቇᩞߛࠈ㧫‫ޠ‬‫ߦ✜৻ޟ‬ㆆ߮ߦⴕߎ߁‫ޠ‬ ⥄ಽߚߜ⋴⼔Ꮷࠍห⚖↢߆૗߆ߣᕁߞߡ޿ࠆ ⃻⁁ࠍᱜߒߊ⹺⼂ߒߡ߽ࠄࠊߥߊߡߪ‫ߩੱᧄޕ‬㑆㆑ߞߚ⹺⼂ߪߘߩߟߤ⸓ᱜ ‫ ߪߚߥ޽ޟ‬ᚽߓ߾ߥ޿‫⚿ޔ‬ᇕߒߡ޿ߡ߅ሶߐࠎ߽޿ࠆ‫ߣޠ‬૗࿁⸒ߞߡ߽ೋ߼ߡ⡞ߊࠃ߁ߦࡆ࠶ࠢ࡝ߒߚ⴫ᖱࠍߔࠆ ߊࠅ㄰ߒหߓߎߣࠍ⺑᣿ߒߡ޿ࠆ߇Ფ࿁หߓ෻ᔕ ࠬ࠲࠶ࡈߦᛴ߈ߟߎ߁ߣߔࠆ㧚࠮ࠢࡂ࡜ߛ ‫ޟ‬ᅢ߈ߥੱ߇޿ࠆࠎߛ‫ޠ‬‫ޟ‬ㇱደߦઁੱ㧔ᆄ㧕߇޿ࠆ‫ޔߦߩࠆ޿߽ࠎ߾ߜ⿒ޠ‬ᅏߐࠎ߇ᧄᒰߦ߆ࠊ޿ߘ߁㧚( 63 (

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ߤ߁್ᢿߒߚ߆㧘್ᢿㆊ⒟ߩᩮ᜚ߣߒߚౝኈ
್ᢿᩮ᜚ߩ․ᓽᗧ๧ᖚ⠪ߐࠎߪᛥ೙ߦߣߡ߽ࠬ࠻࡟ࠬࠍᗵߓߡ޿ࠆ‫߁ߤ߽ߢޔ‬㑐ࠊߞߚࠄࠃ޿ߩ߆㧫  ઍ↵ᕈળ␠ຬ‫ޕ‬㜞ᰴ⣖ᯏ⢻㓚ኂߪૐ㉄⚛⣖∝ߦࠃࠆਇนㅒߥ⣖ ⊒㆐Ბ㓏㧘ஜᐽ㓚ኂߣߎࠇ߹ߢ Ԙ ߘࠇߙࠇߩࠠ࡯ࡢ࡯࠼ࠍߣ
ߩ⚻ㆊ㧘↢ᵴㆊ⒟ߩ․ᓽࠍ␜ߔࠄ߃㧘㑐ㅪߪߺ߃ߡ޿ࠆ
⚦⢩ߩᄌൻߦࠃࠆ߽ߩ㧚߹ߛ⧯޿ߩߦ߆ࠊ޿ߘ߁ߛߌߤ⣖ߩᯏ⢻ߪ੐ታࠍߣࠄ߃‫ޔ‬㑐ㅪߠߌߡ޿ࠆ
৻ᐲ߿ࠄࠇߡߒ߹ߞߚࠄ߽߁ߛ߼ ‫ޟ‬ᅢ߈ߥੱ߇޿ࠆࠎߛ‫ޠ‬‫ޟ‬ㇱደߦઁੱ㧔ᆄ㧕߇޿ࠆ‫߽ࠎ߾ߜ⿒ޠ‬޿ࠆߩߦ‫ޔ‬ᅏߐࠎ߇ᧄᒰߦ߆ࠊ޿ߘ߁㧚 ‫ߎߎޟ‬ቇᩞߛࠈ㧫‫ޠ‬‫ߦ✜৻ޟ‬ㆆ߮ߦⴕߎ߁‫ޠ‬ ⥄ಽߚߜ⋴⼔Ꮷࠍห⚖↢߆૗߆ߣᕁߞߡ޿ࠆ ⃻⁁ࠍᱜߒߊ⹺⼂ߒߡ߽ࠄࠊߥߊߡߪ‫ߩੱᧄޕ‬㑆㆑ߞߚ⹺⼂ߪߘᖚ⠪ߩ⸒േߦ⌕⋡ߒ‫ߦ⼂⹺ޔ‬㑐ᔃ߇෸ࠎߢ޿ࠆ߇‫ߩ⼂⹺ޔ‬ㇱಽ㧔⹺⍮㧕ߦߒ߆㑐ᔃ߇ነߖࠄࠇ
ߡ޿ߥ޿ԙ⴫⃻ߣ⹺⼂ࠍߟߥ߇ࠅߢߣ
ࠄ߃ߡ޿ࠆ߇㧘⹺⼂ߩ৻ㇱಽ㧔⹺⍮㧕ߦߒ߆㑐ᔃ߇ነߖࠄ
ࠇߡ޿ߥ޿

ᖚ⠪ߩ⴫⃻ࠍ⥄ಽߩ૏⟎ߢߣࠄ߃ਇᔟߦᕁߞߡ޿ࠆ㧚ᖚ⠪߇૕㛎ߒߡ޿ࠆ਎⇇ࠍ⋧ᚻߩ૏⟎ߢᗐ௝ߢ߈ߕ‫ߩߘޔ‬ᗵᖱߦ߽㑐ᔃ߇෸ࠎߢ޿ߥ޿㧚Ԛᗵᖱߦߪ⌕⋡ߢ߈ߕ㧘┙႐ᄌ឵ߢ߈ߡ޿ߥ޿

ᖚ⠪ߩ⁁ᴫࠍ⷗ߡ޿ࠆኅᣖߩ┙႐ߦ┙ߞߡㄆ޿ᗵᖱࠍᗐ௝ߒߡ
޿ࠆԛኅᣖ߇૕㛎ߒߡ޿ࠆ਎⇇ࠍ⋧ᚻߩ૏⟎ߢᗐ௝ߒߡ޿ࠆ

⋴⼔ⴕὑߩ⋡⊛߇‫ޟ‬㔌㒮㒐ᱛ‫ޠ‬‫ޟ‬ォୟ㒐ᱛ‫ࠆ޿ߡߞߥߦޠ‬㧚Ԝ⃻⽎ߦㄭ޿࡟ࡌ࡞ߢ໧㗴ࠍߣࠄ߃ߡ⸃᳿ߒࠃ߁ߣߒߡ
޿ࠆߩߟߤ⸓ᱜ ‫  ߪߚߥ޽ޟ‬ᚽߓ߾ߥ޿‫⚿ޔ‬ᇕߒߡ޿ߡ߅ሶߐࠎ߽޿ࠆ‫ߣޠ‬૗࿁⸒ߞߡ߽ೋ߼ߡ⡞ߊࠃ߁ߦࡆ࠶ࠢ࡝ߒߚ⴫ᖱࠍߔࠆ ߊࠅ㄰ߒหߓߎߣࠍ⺑᣿ߒߡ޿ࠆ߇Ფ࿁หߓ෻ᔕ ‫  ߪߚߥ޽ޟ‬ᚽߓ߾ߥ޿‫⚿ޔ‬ᇕߒߡ޿ߡ߅ሶߐࠎ߽޿ࠆ‫ߣޠ‬૗࿁⸒ߞߡ߽ೋ߼ߡ⡞ߊࠃ߁ߦࡆ࠶ࠢ࡝ߒߚ⴫ᖱࠍߔࠆ ࠬ࠲࠶ࡈߦᛴ߈ߟߎ߁ߣߔࠆ㧚࠮ࠢࡂ࡜ߛ ‫ޟ‬ᅢ߈ߥੱ߇޿ࠆࠎߛ‫ޠ‬‫ޟ‬ㇱደߦઁੱ㧔ᆄ㧕߇޿ࠆ‫߽ࠎ߾ߜ⿒ޠ‬޿ࠆߩߦ‫ޔ‬ᅏߐࠎ߇ᧄᒰߦ߆ࠊ޿ߘ߁㧚  ઍ↵ᕈળ␠ຬ‫ޕ‬㜞ᰴ⣖ᯏ⢻㓚ኂߪૐ㉄⚛⣖∝ߦࠃࠆਇนㅒߥ⣖⚦⢩ߩᄌൻߦࠃࠆ߽ߩ㧚߹ߛ⧯޿ߩߦ߆ࠊ޿ߘ߁ߛߌߤ⣖ߩᯏ⢻ߪ৻ᐲ߿ࠄࠇߡߒ߹ߞߚࠄ߽߁ߛ߼ ‫ޟ‬ᅢ߈ߥੱ߇޿ࠆࠎߛ‫ޠ‬‫ޟ‬ㇱደߦઁੱ㧔ᆄ㧕߇޿ࠆ‫߽ࠎ߾ߜ⿒ޠ‬޿ࠆߩߦ‫ޔ‬ᅏߐࠎ߇ᧄᒰߦ߆ࠊ޿ߘ߁㧚 ࠽࡯ࠬ࠮ࡦ࠲࡯ߦㄭ޿୘ቶߢᣉ㍤‫ޕ‬૕ᐙࡌ࡞࠻ࠍⵝ⌕ߒ቟㕒ࠍଦߒߡ޿ࠆ ⃻⁁ࠍᱜߒߊ⹺⼂ߒߡ߽ࠄࠊߥߊߡߪ‫ߩੱᧄޕ‬㑆㆑ߞߚ⹺⼂ߪߘߩߟߤ⸓ᱜ

⋴⼔ⴕὑߩ⋡⊛߇‫ࠍ⁁⃻ޟ‬ᱜߒߊ⹺⼂ߒߡ߽ࠄ߁‫޿ߡߞߥߦޠ‬ࠆ㧚 ߊࠅ㄰ߒหߓߎߣࠍ⺑᣿ߒߡ޿ࠆ߇Ფ࿁หߓ෻ᔕ ‫ޠ޿ߚ߈ⴕߦ޿⾈ࠦࡃ࠲ޟ‬‫ࠄ߆ߎߎޟ‬಴ߒߡ᰼ߒ޿‫߃⸷߁޿ߣޠ‬㧚ߒ߆ߒ‫⥄ޔ‬ಽߩ∛ቶߦᚯߞߡߊࠆߎߣ߇ߢ߈ߥ޿‫ޕ‬એ೨ήᢿߢ㔌㒮ߒߡ⼊ኤߦ଻⼔ߐࠇߚ‫ߚ߹ޕ‬૗߇޽ߞߚࠄᄢᄌߛ ౉㒮ᤨ߆ࠄᱠⴕߦߪ߰ࠄߟ߈߇޽ࠅ‫ࠍ⁁⃻߿⁁∛ޔ‬ℂ⸃ߒߡ߅ࠄߕ

ᖚ⠪ߩ⴫⃻߆ࠄㆊ෰ߦ⚻㛎ߒߚ㘃ૃߩෂ㒾ߥ⁁ᴫࠍᗐ⿠ߒߡ್
ᢿߒࠃ߁ߣߒߡ޿ࠆ㧚੺౉ߩᩮ᜚ߣߒߡኅᣖߩ್ᢿࠍᗐ⿠ߒߡ
޿ࠆ㧚ઁᖚ⠪߳ߩࠤࠕߣ߽㑐ㅪߐߖߡ್ᢿߒߡ޿ࠆ㧚ԝ⥄Ꮖߩ⋴⼔૕㛎߇⋴⼔ࠍߔࠆ਄ߢߩࡑࠗ࠽ࠬߩ᧚ᢱߣ
ߥߞߡ޿ࠆ

∛᳇ࠍ‫⚿ޟ‬ᨐ‫ߩߡߒߣޠ‬஥㕙ߛߌࠍߣࠄ߃‫ޔ‬ஜᐽߥㇱಽ߿࿁ᓳ
ㆊ⒟߇ࠗࡔ࡯ࠫߢ߈ߕߦ޿ࠆ

Ԟ∛᳇ߩᗧ๧ࠍකቇࡕ࠺࡞ߢ
ߣࠄ߃ߡ޿ࠆ

⥄ಽߚߜߩࠤࠕߩ⚿ᨐߣߒߡᖚ
⠪߇ᶖ⠻ߒߡ޿ࠆߎߣࠍ⷗ߡߣ
ࠅ‫⥄ޔ‬ಽߚߜߩࠤࠕ߇⋴⼔ߢ޽ࠆ߆‫߁޿ߣޔ‬໧޿߇↢߹ࠇߡ޿ࠆԟ⋴⼔Ꮷߩឬߊ⋴⼔ߣ⃻⽎ߣߩਇ৻⥌ߦࠃߞߡ໧޿߇↢߹ࠇߡ޿ࠆ

ォୟ࡝ࠬࠢ㜞޿‫ޕ‬ኅᣖ߆ࠄᛥ೙ߩหᗧᦠࠍᓧߡ޿ࠆ‫ޕ‬ ߎ߁޿߁ᖚ⠪ߐࠎ߇ᄙߊߡ⋡߇ዯ߆ߥ޿‫ޕ‬ᣉ㍤߽߿߻ߥߒ  ઍ↵ᕈળ␠ຬ‫ޕ‬㜞ᰴ⣖ᯏ⢻㓚ኂߪૐ㉄⚛⣖∝ߦࠃࠆਇนㅒߥ⣖⚦⢩ߩᄌൻߦࠃࠆ߽ߩ㧚߹ߛ⧯޿ߩߦ߆ࠊ޿ߘ߁ߛߌߤ⣖ߩᯏ⢻ߪ৻ᐲ߿ࠄࠇߡߒ߹ߞߚࠄ߽߁ߛ߼
 ᣉ㍤߇ᒰߚࠅ೨ߦߥߞߡ޿ࠆ⥄ಽߚߜ‫ޕ‬ ߎࠇߞߡᖚ⠪ࠍ▤ℂߒߡ޿ࠆ㧫⋴⼔ߞߡ૗ߛࠈ߁㧫& 64 &

&'"#$% Ishikawa Journal of Nursing Vol.5, 2008⴫㧤 ಽᨆߩⷞὐߣ್ᢿၮḰ߅ࠃ߮ⷞⷡൻߩᣇᴺ
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ⷞⷡൻߩᣇᴺ㧝㧕ߘࠇߙࠇߩࠠ࡯ࡢ࡯࠼ࠍߣࠄ߃‫ޔ‬㑐ㅪ߇ߺ߃ߡ޿ࠆ‫ޕ‬ᔃ࡮り૕࡮␠ળ㑐ଥ߇ታ✢㧞㧕੐ታߪߣࠄ߃ࠄࠇߡ޿ࠆ߇㑐ㅪ߇ߺ߃ߡ޿ߥ޿‫ޕ‬ᔃ࡮り૕࡮␠ળ㑐ଥ߇ὐ✢㧟㧕੐ታࠍㇱಽ⊛ߦߺߡ޿ࠆ‫ޕ‬੐ታߩߥ޿▎ᚲߪ✢ߥߒ㧞㧚⴫⃻ߣ⹺⼂ࠍߟߥ߇ࠅߢߣࠄ߃ߡ޿ࠆ߆

㧝㧕⴫⃻ߦ⌕⋡ߒ‫ߦ⼂⹺ࠆߥߣߣ߽ߩߘޔ‬㑐ᔃࠍነߖߡ޿ࠆ

ᔃߣ⴫⃻߇ታ✢㧞㧕⴫⃻ߦ⌕⋡ߔࠆ߇‫ߪߦ⼂⹺ࠆߥߣߣ߽ߩߘޔ‬㑐ᔃ߇෸ࠎߢ޿
ߥ޿ᔃ߇ὐ✢‫߇⃻⴫ޔ‬ታ✢㧟㧚⚿ᨐߛߌߢߥߊㆊ⒟ߦᵈ⋡ߒߡ޿ࠆ߆

㧝㧕ㆊ෰࡮⃻࿷࡮ᧂ᧪ߩ↢ᵴㆊ⒟ߣஜᐽߩ⁁ᘒࠍㅪ⛯ߒߚ߽ߩߣ
ߒߡߣࠄ߃ߡ޿ࠆ

↢ᵴㆊ⒟߇ታ✢㧞㧕ㆊ෰ߣ⃻࿷ߩ੐ታ߇޽ߞߡ߽㑐ㅪ߇⷗߃ߡ޿ߥ޿

↢ᵴㆊ⒟߇ὐ✢㧟㧕⃻࿷ߩ੐ታߦߩߺ⌕⋡ߒ‫↢ߩߢ߹ࠇߎޔ‬ᵴㆊ⒟ߩ޽ࠅᣇࠍ⍮ࠆߚ߼ߩᖱႎ߇ߥ޿

↢ᵴㆊ⒟ߩ✢ߥߒ㧝㧕⃻⽎ߩᗧ๧ࠍ‫∛ޟ‬᳇ߪ↢ᵴㆊ⒟ߩ⚿ᨐߢ޽ࠅ‫ޔ‬࿁ᓳㆊ⒟ߢ޽
ࠆ‫ⷞ߁޿ߣޠ‬ὐߢߣࠄ߃ߡ޿ࠆ

ᱜ౞㍙㧞㧕⃻⽎ߩᗧ๧ࠍකቇࡕ࠺࡞ߥߤ⋴⼔ቇએᄖߩቇ໧૕♽ߩⷞὐߢߣࠄ߃ߡ޿ࠆ

౞㍙ߩゲᕈ߇ߕࠇࠆ

㧡㧚ᖚ⠪߇૕㛎ߒߡ޿ࠆ਎⇇ࠍ⋧ᚻߩ૏⟎ߢᗐ௝ߒ┙႐ᄌ឵ߒߡ޿ࠆ߆

㧝㧕ᖚ⠪߇૕㛎ߒߡ޿ࠆ਎⇇ࠍ⋧ᚻߩ૏⟎ߢᗐ௝ߒߡ޿ࠆ

ᱜ౞㍙㧞㧕ᖚ⠪߇૕㛎ߒߡ޿ࠆ਎⇇ࠍ⥄ಽߩ૏⟎ߢᗐ௝ߒߡ޿ࠆ

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aoy Ishikawa Journal of Nursing Vol.5, 2008

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A Trial Study to Clarify and Visualize the Cognition Mechanism
in Nurses Handling Difficult Cases
Yukiko MOROE, Mitsue FUJITA, Hiroko NAKADA,
Kazuyo KAWASHIMA, Yumi YAMAZAKI, Miyuki KAWAI
Abstract
The purpose of this study was to clarify the cognitive mechanism and develop a method for thevisualization of two nursing processes : one by which nurses handling what they perceived as difficult patients in terms of nursing care were able to realize involvement with patients ; and another by which nurses with such patients were unable to realize involvement with patients. This
study examined four cases : one case in which nurses were able to realize involvement with thepatient, and in which the patient showed a positive change ; and three cases in which nurses perceived difficulties and were unable to realize involvement with the patients concerned. Fournurses were asked to consider their cases and were interviewed on their clinical judgments during
the process of these cases. According to qualitative analysis of the interview content, two categories, seven viewpoints and 16 analytical criteria for analysis of the cognitive mechanism of nursing care processes were clarified. Furthermore, I created a tentative method for the visualizationof the mechanism based on this result. I will develop this method as a self-evaluation tool by examining more cases.

Key words

nursing process, difficulty case, nurse’s cognition, visualization, self-evaluation tool

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Development of Nursing Aid Skills for Patientswith Eating Disorders and Dysphagia*Report No. 1 : Survey on the Actual Situationof Nursing Aid for Oral Ingestion and Swallowing*
Chizuko NAOI, Hiromi SATO, Eiko AMATSU, Junko HOSOKAWA,
Mamiko ITO, Yuka MATSUDAIRA, Michiyo MAEDA, Kozue MORIGAKI,
Hitomi KONYA,Takako MIYAMOTO, Kimie ARAKI, Keiko TABATA,
Chika TAKATA, Sachi MOTOO, Chika MIYAMOTO
Abstract
A commission was formed by nursing professionals who are engaged in nursing care for patientswith eating disorder and dysphagia to study the nursing practice for these patients. In the current study, we conducted a survey on nursing care directed to eating and deglutition disorders at
334 wards of 93 hospitals in one prefecture, with a purpose of obtaining data to develop a nursing
aid system for people having eating disorders and dysphagia. The effective response rate of thequestionnaires was 51.2%, with 109 responses from acute phase wards and 62 from chronic phasewards. In examining eating and swallowing capabilities, those wards that cared for more than 10
patients with Gr 1 (difficult or unable to swallow, not adaptable to swallowing training) numbered24, among which 23 were chronic phase wards. The patients who were treated with a nasal feeding tube numbered 2.4 in the acute phase ward and 13.2 in the chronic phase ward. While 40.4%of the wards were equipped with a manual for eating and dysphagia, 72.5% of them have notbeen utilized in practice. These results show that there is a need for improving nursing skills concerned with each stage of ingestion and swallowing ; and nursing seminars to educate nurses
based on the assessment of deglutition function are required.

Key words eating disorder,dysphasia, nursing aid* 74 *

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jw} Ishikawa Journal of Nursing Vol.5, 2008$!$ J6I),;<,5&+./"9>+'(/@8D102#73AFGE,?4&+'jwsv¬(hoiROY)@(¯x¦ROY)?¸\z5/=<"(ROY)(·g«ROY)CE¸\zEGJMB4=<"(hoiROY)?!{Iy0§¤N9<D
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(ROY)§¤5y4=<"CP Dy0FA(hoiROY)§¤5y4=<"²N(jwC38L c£ROY)_[¥@9!©º²Njwsv¬#S$QXYPV$U#NP#CP#WTYD|@9<⴫㧝 ᄖ⊛ߥ୘ੱ⊛⚻㛎೎‫␠ࠆߌ߅ߦ⼔⋴ޟ‬ળ⊛ࠬࠠ࡞‫ޠ‬ਅ૏ዤᐲᓧὐߩᲧセ㧔ᐔဋ୯㧔ᮡḰ஍Ꮕ㧕㧕nᖚ⠪ዅ㊀౒ᗵࠬࠠ࡞

⴫಴ⴕേࠬࠠ࡞

り૕ធ⸅ࠬࠠ࡞

⺑᣿⏕⹺ࠬࠠ࡞

ᣢᇕ

71

3.01㧔0.04㧕

3.32㧔0.37㧕

2.59㧔0.40㧕

3.40㧔0.40㧕

ᧂᇕ

130

㧲୯
ሶଏ᦭

54

ή

147

㧲୯

2.94㧔0.40㧕

3.19㧔0.39㧕

2.58㧔0.54㧕

3.42㧔0.42㧕

1.30 n.s.

5.40 *

0.01 n.s.

0.15 n.s.

3.02㧔0.36㧕

3.33㧔0.36㧕

2.63㧔0.66㧕

3.40㧔0.41㧕

2.95㧔0.40㧕

3.21㧔0.39㧕

2.56㧔0.55㧕

3.42㧔0.41㧕

1.03 n.s.

3.90 *

0.05 n.s.

0.16 n.s.

หዬ126

3.01㧔0.41㧕

3.26㧔0.40㧕

2.61㧔0.61㧕

3.43㧔0.39㧕৻ੱ75

2.90㧔0.40㧕

3.20㧔0.37㧕

2.54㧔0.52㧕

3.38㧔0.44㧕

㧲୯

3.63 n.s.

1.42 n.s.

1.13 n.s.

1.83 n.s.

౉㒮᦭ 124

3.00㧔0.40㧕

3.26㧔0.40㧕

2.62㧔0.60㧕

3.42㧔0.42㧕

77

2.91㧔0.41㧕

3.21㧔0.37㧕

2.52㧔0.55㧕

3.40㧔0.39㧕

2.39 n.s.

0.40 n.s.

1.35 n.s.

0.07 n.s.

ή㧲୯*㧦p㧨0.05, n.s.㧦not significant* 78 *

ehLUY[ Ishikawa Journal of Nursing Vol.5, 2008

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⴫ 2 ∛㒮ౝ⚻㛎೎‫␠ࠆߌ߅ߦ⼔⋴ޟ‬ળ⊛ࠬࠠ࡞‫ޠ‬ਅ૏ዤᐲᓧὐߩᲧセ㧔ᐔဋ୯㧔ᮡḰ஍Ꮕ㧕㧕nᖚ⠪ዅ㊀౒ᗵࠬࠠ࡞

⴫಴ⴕേࠬࠠ࡞

Σ.5 ᐕᧂḩ86

2.88䋨0.38䋩

3.16䋨0.38䋩

Τ.5㨪9 ᐕ43

2.90䋨0.45䋩

3.14䋨0.36䋩⚻㛎ߩ⒳㘃
⋴⼔⚻㛎ᐕᢙ

*り૕ធ⸅ࠬࠠ࡞

*⺑᣿⏕⹺ࠬࠠ࡞

2.59䋨0.52䋩

3.40䋨0.40䋩

2.38䋨0.65䋩

3.36䋨0.45䋩

Υ.10㨪14 ᐕ

15

3.23䋨0.47䋩

3.53䋨0.36䋩

2.56䋨0.51䋩

3.60䋨0.40䋩

Φ.15 ᐕએ਄

56

3.09䋨0.35䋩

3.35䋨0.38䋩

2.71䋨0.60䋩

3.44䋨0.39䋩

5.34 **

6.72 **

2.59 n.s.

1.42 n.s.

㧲୯Υ㧪Τ,Σ㧦Φ㧪Σᄙ㊀ᲧセΥ㧪Τ,Σ㧦Φ㧪Τ,Σ

⡯૏

⋴⼔Ꮷ㐳

8

3.08䋨0.37㧕

3.47䋨㪇.32㧕

2.63(0.67㧕

3.38(0.46㧕

Τ. ೽⋴⼔Ꮷ㐳

29

3.17䋨0.42㧕

3.36䋨㪇.40㧕

2.74(0.57㧕

3.50(0.36㧕

Υ.

164

Σ.

ኾ㐷

2.97䋨0.41㧕

3.21䋨㪇.38㧕

2.55(0.58㧕

3.40(0.42㧕

㧲୯

4.66*

3.17*

1.40 n.s.

0.73 n.s.

ᄙ㊀Ყセ

Τ㧪Υ
2.65(0.56㧕

3.51(0.39㧕

⋴⼔Ꮷ

ᄖ⑼♽

111

ౝ⑼♽

90

㧲୯
⎇ୃ

᦭

73

ή

125

㧲୯

3.04(0.41㧕

3.30(0.39㧕

*

2.89(0.40㧕

3.16(0.38㧕

2.49(0.59㧕

3.30(0.41㧕

6.68**

6.41*

3.81 n.s.

12.81**

3.05䋨0.36䋩

3.24䋨0.37䋩

2.67䋨0.63䋩

3.40䋨0.40䋩

2.92䋨0.43䋩

3.23䋨0.40䋩

2.54䋨0.55䋩

3.42䋨0.42䋩

4.55*

0.01 n.s.

2.26 n.s.

0.09 n.s.
㧦R㧨 n.s.㧦not significant

㧦R㧨

n=201

⴫  ୘ੱߩౝ⊛⚻㛎߅ࠃ߮୘ੱߩ․ᕈߣ‫␠ࠆߌ߅ߦ⼔⋴ޟ‬ળ⊛ࠬࠠ࡞‫ޠ‬ਅ૏ዤᐲߩ⋧㑐ଥᢙᐔဋ୯㧔ᮡḰ஍Ꮕ㧕

0.227**

0.222**

0.095

0.061

࠰࡯ࠪࡖ࡞ࠨࡐ࡯࠻ 27.78㧔6.67㧕

0.137

0.148**

0.130

0.027

ࡕ࠺࡞ߩሽ࿷

16.88㧔2.57㧕

0.075

0.189**

0.194**

0.113

㧺㧼22.04㧔2.53㧕

0.157*

0.196**

0.174*

0.120

㧯㧼

20.97㧔2.55㧕

0.157*

0.038

0.111

0.051

⋴⼔⚻㛎ᐕᢙ

9.87㧔7.68㧕

ᖚ⠪ዅ㊀౒ᗵࠬࠠ࡞ ⴫಴ⴕേࠬࠠ࡞ り૕ធ⸅ࠬࠠ࡞ ⺑᣿⏕⹺ࠬࠠ࡞**㧦p㧨0.01, *㧦p㧨0.05

⴫ 4 ⋴⼔ߦ߅ߌࠆ␠ળ⊛ࠬࠠ࡞‫ޠ‬ਅ૏ዤᐲߣ⻉ⷐ࿃ߩ㊀࿁Ꮻಽᨆ⚿ᨐ⁛┙ᄌᢙ⋴⼔⚻㛎ᐕᢙ

n=201

ᖚ⠪ዅ㊀౒ᗵࠬࠠ࡞

⴫಴ⴕേࠬࠠ࡞

り૕ធ⸅ࠬࠠ࡞

0.270**

0.281**

0.158*

0.182**

0.215**

0.195**

0.210**

0.228**

0.127

0.087

⺑᣿⏕⹺ࠬࠠ࡞

࠰࡯ࠪࡖ࡞ࠨࡐ࡯࠻
㧺㧼㧯㧼ࡕ࠺࡞ߩሽ࿷
㧾㧞

0.087**㧦p㧨0.01& 79 &*㧦p㧨0.05

ᢙ୯ߪᮡḰ஍࿁Ꮻଥᢙ

$*¹ÍÔ Ishikawa Journal of Nursing Vol.5, 2008

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&'"#$% Ishikawa Journal of Nursing Vol.5, 2008

Factors Related to Social Skills for Nursing
Naoko IWAKI, Setsuko TSUKAHARA
Abstract
Based on the view that social skills are learned through experience, we assessed various factorsthat may be related to social skills for nursing and the relationship with personal, in-hospital andinternal experiences, as well as personal characteristics was examined, using 4 of the lower skillsof “the social skills for nursing” . As a result, it was found that the years of health care experience, the nursing experience with perioperative patients, the presence of a familiar care modeland voluntary participation in training are related to having various social skills, while the implication of individual experience was minimal. The results suggest that “the social skills for nursing” are strongly related to one’s experience in a hospital. It was indicated that the acquisition of“empathy” is a factor in improving one’s social skill because “ Nurturing Parent ” of the egogramthat was used as the concept close to empathy is related to the social skills for nursing.

Key words social skills for nursing , learning/experience factor, a personality trait,
patient-nurse relations! 84 !

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Consideration of Disaster Preparedness
at Ishikawa Prefectural Nursing University*Based on a Survey on Our University Staff Involved
In the “Health Care Team Dispatched for Disaster Aid”
Kazumi HAYASHI, Yukari MIZUSHIMA
Abstract
The purpose of this study is to examine the preparedness of this university in times of disasters,
based on the experience of a health care team that was dispatched on the occasion of the Noto
Peninsula Earthquake.
As for the preparation for dispatching a health care team, it should be noted that many members already had their supplies, personal items and clothes in order and ready for an emergency
on short notice. Those in charge of coordinating the actions had played an adjustment role for successful emergency actions. Still, many faced personal difficulties in participating in the relief actions ; but many were happy to have participated and want to be included in the group again.
When questioned on the preparedness of the university in dispatching a health care team, manystated that the preparation is “insufficient” or they were “not sure” about it. However, they recognized the need for being prepared.

Key words Notohanto earthquake, health care team dispatched for disaster aid,disaster preparedness, preparation by a nursing university* 89 *

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‫ޟ‬㗡ࠍ૶߁ߎߣ⥄૕‫ޠ‬‫ޟ‬ቇ⠌≮ᴺ‫ޠ‬߁࠙ࠜ࡯ࠠࡦࠣ ⛯ߌࠆߎߣߢ ෹߇ߢ߈ 㧔㧕‫ޠࠆߔࠍࡓ࡯ࠥޟ‬‫ޟ‬࿁ᗐߔࠆ‫ޠ‬߃⛗ᚻ⚕ߦ ଢࠅㅍࠆ߽ ੍㒐߆ߥ ‫ޟ‬ળ⹤ߔࠆ‫ޠ‬‫ޠ߻⺒ޟ‬‫ޟ‬㖸ᭉᵴേ‫ޠ‬߆߆ߕㆆ߮ ߚߔ߭ߊ਻਻ߪ ੍㒐ߩ৻ᱠ ‫ޟ‬ᣏⴕߔࠆ‫ޠ‬‫ޟ‬᛬ࠅ⚕ࠍߔࠆ‫ޠ‬ߌ⸘↹߇ ⣖ࠍ㎊߃ࠆ ᭉߒ޿ᣏⴕ ‫ޠࠆߔࠍࡦࠦ࠰ࡄޟ‬‫⛗ޟ‬ᚻ⚕ࠍߔࠆ‫ޠ‬ߨኢࠆ೨ߦ ߘߩᣣߩ಴᧪੐ ᕁ޿಴ߘ߁ ߡቯᐕࠍ ߻߆߃ࠆ೨ߦ ⿰๧૞ࠅ ߽߽߁޿߿ߣ ⸒ࠊߕߦ࡝ࡂࡆ࡝ 㧝㧚㧞㧚㧟 ࠅᢱℂߔࠆ ᚻ㗅ࠍ⠨߃ࠆߎߣ߇ ᄢಾߛ P㧔㧕‫ޟ‬ᢱℂߔࠆ‫ޠ‬‫ޟ‬ኅ੐ࠍߔࠆ‫ޠ‬‫ޟ‬࿦⧓ࠍߔࠆ‫ޠ‬‫ޟ‬⠌ሼࠍߔࠆ‫ޠ‬‫ޟ‬ᚻ⧓ࠍߔࠆ‫ޠ‬‫⿰ޟ‬๧ࠍ߽ߟߎߣ⥄૕‫ޠ‬ᮡ⺆ౝኈ㧔ᛮ☴㧕 ౉ㆬ૞ຠ

๟࿐ߩᡰ߃࡮੤ᵹߦ

‫ޟ‬੤ᵹߔࠆ‫ޠ‬‫ޟ‬࿾ၞߢഥߌว߁‫ޠ‬ߥᖠ߹ߕߦ ࿾ၞߩੱߣ ᚻࠍߟߥߏ߁ 㑐ߔࠆߎߣ‫ޟ‬ኅᣖߩሽ࿷‫ޠ‬‫ޟ‬෹㆐ߩሽ࿷‫ޠ‬ߦ⹺⍮∝ ኅᣖߺࠎߥߩ ᕁ޿߿ࠅ 㧔㧕‫ࠕࠖ࠹ࡦ࡜ࡏޟ‬ᵴേ‫ޠ‬‫ޟ‬ᕜࠍߔࠆ‫ޠ‬ߪ⹤ߔࠃࠅ ⡞޿ߡ޽ߍࠃ߁ ⠧޿ߩᄞ ߻ήℂߖߕߦ ⥄ಽߦวߞߚ ࡏ࡜ࡦ࠹ࠖࠕ ࠊベߩਛ߳ ౉ࠇߡ޽ߍߚ޿ ߅ᐕነࠅ ᳇ߩᜬߜᣇߦ㑐ߔࠆ‫ޟ‬⍮ᕺࠍ޿߆ߔ‫ޠ‬‫ޟ‬ᅢᄸᔃࠍ߽ߟ‫ޠ‬޿޿ߟ߹ߢ߽ ᙘ߃ߡ޿ߚ޿ ቊߩ㗻 ߎߣ‫ޟ‬⠧޿ᣇ‫ޠ‬‫ޟ‬ᢛኈߔࠆ‫ޠ‬ߎᅢᄸᔃ ᣣ‫ޘ‬ᔓࠇߕߦ ⠧޿ᔓࠇ 㧔㧕‫ޟ‬ᖠߺ࡮ਇ቟ࠍ߽ߚߥ޿‫ޠ‬߭৻ߟߢ߽ ᓎഀ⷗ߟߌߡ ࠴ࡖ࡟ࡦࠫࠍ㧍 ‫ޠߟ߽ࠍࠅߣࠁޟ‬‫ޟ‬ᴤᢿߒߥ޿‫ޠ‬ࠁࠁߞߚࠅߩࠎ߮ࠅ ᭉߒߊߒ߹޿߆޿ ⹺⍮∝ߩℂ⸃ߦ㑐ߔࠆ‫⹺ޟ‬⍮∝ߩੱ߳ߩኻᔕ‫ޠ‬ߒปࠄߥ޿ߢ ఝߒ޿⸒⪲߇ ⦟⮎ߢߔ ߎߣ‫⹺ޟ‬⍮∝ࠍቇ⠌ߔࠆ‫ޠ‬ߦ⹺⍮∝ ੱߩ∛ߣ ⍮ࠆߎࠊߐ

㧔㧕‫⹺ޟ‬⍮∝ߩ∝⁁‫ޠ‬ࠇㅪ⛊Ꮽᦠ޿ߚߎߣ߹ߢᔓࠇߡࠆ

↢ᵴࠍᢛ߃ࠆߎߣ

‫ޟ‬ᄖ಴ߔࠆ‫ޠ‬ߘᄖߦ಴ࠃ߁ 㗡ߦೝỗࠍ ਈ߃ࠆߴߒ

㧔㧕‫ޟ‬ォୟߒߥ޿‫ޠ‬ߟᏱᣣ㗃᳇ࠍઃߌߡⴕߌ⿷⸵ࠍ

‫౉ࠅߊߞࠁޟ‬ᶎߔࠆ‫ޠ‬ߧߧࠆ߼ߩḡࠁߞߊࠅߟ߆ߞߡஜᐽଦㅴ

‫ޟ‬ᩕ㙃ߩ޽ࠆ㘩੐ࠍߣࠆ‫ޠ‬ߩ⣖⚦⢩ ర᳇ߦߐߖࠆ ޿ࠊߒ࡮ߐ߫㧔㕍㝼㧕

╉߁ߎߣ

ࠊ

╉߁ߎߣ ࠬ࠻࡟ࠬᷫࠄߒ ⣖߽ర᳇ߦ

㧔㧕ࠊࠊߞߪߞߪ ╉߃߫ర᳇ ḝ޿ߡߊࠆ

⷗ᒰ⼂ߦ㑐ߔࠆߎߣ

‫ޟ‬ቄ▵ࠍᗵߓࠆ‫ޠ‬߈ቄ▵ߏߣ ⒖ࠅࠁߊ⦡ ᳇ߠߊᐸ

㧔㧕‫ޟ‬ᣣᤨ࡮੍ቯࠍ⏕⹺ߔࠆ‫ޠ‬߈੹ᣣߪ૗ᣣ ᦺ৻⇟ߦߔࠆ઀੐

ක≮ߦ㑐ߔࠆߎߣ

‫⹺ޟ‬⍮∝ߩᣧᦼ⊒⷗‫ޠ‬ߜᵈᗧᯏ⢻ ߢ߈ߥߊߥߞߚࠄ ᬌ⸻ࠍ 㧔㧕‫⹺ޟ‬⍮∝ߩᣧᦼฃ⸻‫ޠ‬ߧ♰ẃߌߩ ๧߇ᄌࠊࠇ߫ ᔃ㈩ߛ੺⼔ߦ㑐ߔࠆߎߣ

ߦ⹺⍮∝ ਎⹤ࠍߔࠆߩ߽ ᚒߩߚ߼

㧔㧕ࠃ੍ᗐએ਄ ੺⼔߇ᄢᄌ ᖚ⠪ߣኅᣖ ାઔߦ㑐ߔࠆߎߣ

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&'"#$% Ishikawa Journal of Nursing Vol.5, 2008

Local Residents’ Attitudes Toward Dementia Prevention,
as Reflected in the Proposed Slogans on the Subject
Yuka MATSUDAIRA, Junko HOSOKAWA, Noriko KANEKO, Eiko AMATSU,
Hiromi SATO, Katsuko KANAGAWA, Mamiko ITO, Mitsuyo MAEDA
Abstract
In an attempt to prepare a “Dementia Prevention Karuta Game” to encourage a general understanding of dementia prevention, we asked the general public of Prefecture A to submit effective
slogans on the subject. Subsequently, a survey was conducted to elucidate the perception that the
responding residents hold on dementia prevention and examined the issues that we face in our future activities toward public education. Our target, under the qualification requirements that respondents resided in Prefecture A from November through December 2006, was to test 233 slogans from 54 respondents. The request to submit slogan appeared in local newspapers, local bulletins, and on our university homepage. After categorizing the slogans by content, the concept of dementia prevention were divided into the following 10 categories : [Acting while consciously making full use of one’s brain and body], [Support by people around you and interaction with them],[State of mind], [Understanding dementia], [Adjustment of one’s life], [See humorous side of one’s
life and have occasional laugh], [Disorientation], [Medical care], [Caring] and [Religion]. The survey indicated that one’s behavior to prevent the onset or progression of dementia and the attitude
to understand the disease and support the patients already affected were the frequently cited topics, while details related to the aspects of medical care or examination were scarce. Encouraging
the public to seek medical care was indicated to be our future issue.

Key words dementia, prevention, local residents! 97 !

-0ÁÓÜ Ishikawa Journal of Nursing Vol.5, 2008

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()$%&' Ishikawa Journal of Nursing Vol.5, 2008

Trends in Psychiatric Health Welfare and Changes
in Psychiatric Nursing Records from the 1960 s to 2006
Ikue KIYOSUE, Nahoko TAKEMASA
Abstract
The purpose of this study is to clarify the change in psychiatry nursing records associated withthe changing trends in mental health welfare. Among 140 articles that are included in the collection of papers!CD#ROM edition"edited by the Japanese Psychiatric Nursing Association between
1958 and 2006 and that contained the terms, “nursing records” or “nursing plans,” in their subtitles or keywords, 79 were stratified by 4 periods according to the revisions of related laws ; thenthe characteristics of the psychiatric nursing records for each period were compiled. Nursing records were originally intended for the nurse to gather patients’ information ; but, while a greater
emphasis began to be placed on patient#centred medical care and early discharge from the hospital, the record is undergoing a transformation so that the entire therapy team!including the patient and his family"can share information and the goal of treatment. In the future, a nursing record that clearly indicates methods for post#discharge assistance and continued care-including apath also acting as a means for information display and informed consent-is expected to be usedwidely.

Key words psychiatric nursing records, mental health welfare, clinical pass, informed consent# 108 #

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)*%&'( Ishikawa Journal of Nursing Vol.5, 2008

The Actual Conditions of in-Service Training and Turnoverof Newly Recruited Nurses in Ishikawa Prefecture
Yumi YAMAZAKI, Kazuyo KAWASHIMA,
Yukiko MOROE, Tomoe HASHIMOTO, Maki FUTAGI,
Kinue SAITOU, Junko KUROUJI
Abstract
The purpose of this study was to clarify the actual conditions of in#service training and turnover of newly recruited nurses in Ishikawa Prefecture. A total of 1,319 questionnaires were distributed and 687 valid responses were obtained, 247 of which were analyzed. The analyzed responses were from nurses who were employed in April 2006 and had nursing experience of 7months or less. The results were as follows : 1. Among the newly recruited nurses, 6.1$!11.8% of
those at hospitals with 1 to 199 beds"received no new employee training ; 2. New employee training focused mainly on knowledge and techniques ; 3. At least 90% of the new#employee training
participants reported that the training was beneficial ; however, at least 40% of the participants
reported that they had wanted to cover other topics ; 4. Almost 80% of the nurses felt that basic
nursing education is in need of further development ; and 5. At least 80% of the nurses reported
having work#related problems or considered leaving the job, due mainly to reasons attributable
to mental and lifestyle issues.

Key words newly recruited nurses, in#service training,turnover,research on the actual condition# 118 #

ëîªºÂ Ishikawa Journal of Nursing Vol.5, 2008

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઒⸳૑ቛᵴേ㐿ᆎᦼ䋨㪌㪆㪈䌾㪌㪆㪊㪈䋩઒⸳૑ቛ䈱⸳⟎⁁ᴫ╬䋨౉ዬ㐿ᆎᣣ䋩䇼㪘 Ꮢ ↸ 䇽 㪋 䉦 ᚲ 㪉 㪌 㪇 ᚭ䇼 㪘㪸 ࿾ ඙ 䇽 㪛 ↸ 㪉㪇 ᚭ䋨㪋㪆㪉㪏䋩㪃 㪜 ↸ 㪌㪇 ᚭ䋨㪌㪆㪊䋩䇼 㪘㪹 ࿾ ඙ 䇽 㪝 ↸ 㪊㪇 ᚭ䋨 㪋㪆㪉㪏 䋩 㪃 㪞 ↸ 䋱 㪌㪇 ᚭ䋨㪋㪆㪊㪇䋩䇼 㪙 Ꮢ ↸ 䇽 㪈 䈎 ᚲ 㪋㪌 ᚭ㩿㪋㪆㪊㪇㪀

䊐䉢䊷䉵䋳䋨䋲䈎᦬䉁䈪䋩䊶ⵍἴᤨ଻ஜᵴേ䈮㑐䈜䉎ᖱႎ෼㓸䊶⸘↹૞ᚑᡰេ䊶⾗ᢱ૞ᚑ䈚䋬⋵䊶Ꮢวห䈱ᧄㇱળ⼏䈮಴Ꮸ䊶ⵍἴᏒ↸଻ஜᏧ䈱ᖱႎ੤឵ળ䊶⎇ୃળ䈱ડ↹䋬ታᣉ䊶ᗵᨴ∝੍㒐ᵴേ䊶ᜂᒰ䉬䊷䉴䈻䈱ኻᔕ䊶䈖䈖䉐䈱䉬䉝䈏ᔅⷐ䈭ੱ䈻䈱ኻᔕ䊶⋵ౝᄖᵷ㆜଻ஜᏧ╬䈱㈩⟎╬䈱⺞ᢛ䊶઒⸳૑ቛ ౉ዬ⠪ 䊶ⵍἴ⠪ஜ ᐽ⁁ᴫ ⺞ᩏ੐ᬺ ታᣉ 䈮 ะ䈔䈩䈱⺞ᢛ䈫ⵍἴ⠪ᡰេ㽲ⷐⷰኤ⠪䈻䈱⛮⛯⸰໧㩿࿷ቛ䊶ㆱ㔍ᚲ䈎䉌䈱⛮⛯㪀䊶ⷐេ⼔⠪䈱Ꮻቛ䈮ะ䈔䈢ᡰេ⋧⺣䊶઒⸳䈱ోᚭ⸰໧
䊶઒⸳䈮䈍䈔 䉎↢ ᵴេഥຬ 䈱㈩ ⟎㪑౉ዬ⠪ 䈱቟ุ ⏕ ⹺䊶⷗቞䉍䈱ታᣉ䊶⥄ᴦ⚵❱䈱✬ᚑ㽳઒⸳౉ዬᓟ䈱ⷐេ⼔⠪૑ቛᡷୃ╬䈱ᡰេ㽴઒⸳౉ዬ⠪䈱ᔃ䈱໧㗴䈻䈱⛮⛯ᡰេ㪑䇸ⵍἴ⠪䈖䈖䉐䈱ஜᐽ⋧⺣䇹䈱ታᣉ㩿㪉 ࿁㪆᦬ ኾ㐷ක䈱ᵷ㆜䊶䈖䈖䉐䈱䉬䉝䊊䉡䉴䈮଻ஜᏧᏱ㚢㪀 ଻ஜᏧ䉕Ᏹ㚢䈚䈩ᔃり䈱ஜᐽ⋧⺣䈱ታᣉ䊶ἴኂᓳ⥝ᡰេቶ䈱㐿⸳䈫⋧⺣૕೙䈱ᢛ஻㽵଻ஜᏧ䈮䉋䉎ᐔᏱᬺോ䈱㐿ᆎ㩿㪌 ᦬ਛᣨ㪀䊶ㆱ㔍ᚲ㪑㪍 䉦ᚲ 㪈㪏㪐 ੱ 䋨㪋㪆㪈㪌 㪈㪏䋺䋰䋰ᤨὐ䋩㪃 㪋 䉦ᚲ 㪈㪍㪈 ੱ䋨㪋㪆㪉㪉 㪈㪏䋺䋰䋰ᤨὐ䋩䊶ᢇ⼔ᚲቢోᑄᱛ㩿㪢 ౏᳃㙚 㪋㪆㪈㪊㪃㪡 ౏᳃㙚 㪋㪆㪈㪎㪃 㪣 ࿖᳃ኋ⥢㪋㪆㪉㪎㪀䊶 ઒ ⸳ ૑ ቛ ↳ 䈚 ㄟ 䉂 㐿 ᆎ 㩿 㪋 㪆 㪈 㪊 䌾 㪀 䋬 ౉ ዬ 㐿 ᆎ 㩿 㪋 㪆 㪊㪇 䌾 㪀 㪑 䉮 䊚 䊠 䊆
䊁䉞䈮㈩ᘦ䈚䈢౉ዬ⸳ቯ㽲ㆱ㔍ᚲ䈪 䈱ㆇ േ㊂䈱ૐਅ 䈮䉋䉎䋬㜞㦂⠪ 䈱ᔃり䈱 䊧䊔䊦ૐਅ㩿↵ᕈ㪀㽳૑ቛ䈱ౣᑪ╬䈮ኻ䈜䉎ਇ቟䈱Ⴧᄢ㽴㔡ἴᓟ䈱䍛䍢䍸䍛㓚ኂ䈱ኻᔕ㩿ᄢੱ䊶ሶ䈬䉅䈱ᔃ䈱໧㗴㪀㽵⡯ຬ䈱ᔃり䈱∋ഭ䇼⋵ᐡਥ▤⺖଻ஜᏧ䇽䊶⋵ౝ䈱ⵍἴᏒ↸䊶଻ஜᚲ䈱⁁ᴫ⏕⹺㩿㔚⹤෸䈶⃻࿾䈪㪀䊶ⵍἴ଻ஜ ᚲ䈻 䈱 ᡰេ૕ ೙ᢛ ஻㩿ઁ ଻ஜᚲ ଻ஜ Ꮷ䈱 ౗ോ⊒ ઎䈍䉋䈶ઁ଻ஜᚲ଻ஜᏧ䈱ᵷ㆜㪀䊶ஜᐽ▤ℂ䉼䊷䊛䊶ක≮ᢇ⼔䉼䊷䊛䊶䈖䈖䉐䈱䉬䉝䉼䊷䊛䈱ᵷ㆜⺞ᢛ㩿ஜᐽផㅴ⺖䊶ක≮ኻ╷⺖䊶㓚ኂ଻ஜ⑔␩⺖㪀䇼੤ㅢ䇽⢻⊓᦭ᢱ㆏〝ో✢㐿ㅢ㩿㪌 㪆 㪉 䌾 㪀㚂⋧ⷞኤ㩿㪋㪆㪈㪊㪀ㆱ㔍ᚲ䊶࿷ቛ↢ᵴ⏕ቯ㸢઒⸳૑ቛᵴേ㐿ᆎ䋨㪋㪆㪐䌾㪌㪆㪊䋩㪋㪆㪉㪋 ⃻ ࿾ ἴ ኂ ኻ ╷ ᧄ ㇱ 䉕 ᠗ ෼䋨วหળ⼏⸃ ᢔ䋩Ꮢ↸ᓳᣥ䊶ᓳ⥝ᧄㇱ╬䈱⸳⟎㪈 Ꮢ 㪉 ↸㩿㪋㪆㪉㪌䌾㪀ἴኂᓳ⥝ᡰេᧄㇱ⸳⟎ 㪈 Ꮢ㩿㪋㪆㪉㪌䌾㪀
ㆱ㔍ᚲ䈲 㪌㪆㪊 䈪 䈜䈼䈩㐽 ㎮䊐䉢䊷䉵䋵䋨䋵䊱᦬⋡એ㒠䋩㽲ⵍἴ࿾ၞ䈱ஜᐽ⋧⺣䈱ታᣉ䊶઒⸳䈎䉌⥄ቛ䈮ᚯ䉎䈢䉄䈱ᡰេ㽳઒⸳䈮䈍䈔䉎䊚䊆䊂䉟䉰䊷䊎䉴╬䈱ᬌ⸛㩿㐽䈛䈖䉅䉍੍㒐㪀䊶઒⸳౉ዬ⠪䈱੤ᵹᡰេ䊶઒⸳䈱඙㐳䊶↢ᵴេഥຬ䈱ㅪ⛊ળ䈱㐿ᆎ㽴ἴኂᤨ䈱Ꮢ⒢╬ᷫ఺↳⺧ฃઃ㐿ᆎ㩿ోუ䊶ඨუ㪀䊶࿷ቛ䊶઒⸳૑ቛ䈱ඨუ䊶ోუ਎Ꮺ䈱ஜᐽ⺞ᩏ䇼 ᧄ ቇ࿾ ၞ⋴ ⼔ ታ ⠌ 䇽㪈 ⃰ 㪌 㪆㪈㪉䌾㪍㪆㪈㩿䈉䈤⥃࿾䈮 㪏 ᣣ㑆㪀㪉 ⃰ 㪍㪆㪋 䌾㪍㪆㪉㪉㩿䈉䈤⥃࿾䈮 㪐 ᣣ㑆㪀㪊 ⃰ 㪍㪆㪉 㪌䌾㪎㪆㪈㪊㩿䈉䈤⥃࿾䈮 㪐 ᣣ㑆㪀䊶઒⸳૑ቛ౉ዬ⠪䊶ⵍἴ⠪ஜᐽ⁁ᴫ⺞ᩏ੐ᬺታᣉ
䊶⺞ᩏታᣉᓟ䈱੐଀ᬌ⸛ળ䉇⎇ୃળ䈱ડ↹䊶ታᣉ䊶⺞ᩏᓟ䈱ⷐᡰេ⠪䈻䈱ኻᔕ㸢Ꮢ↸䈫ද⼏䊶୘೎䉬䉝䈪䈱⸰໧䋬䈖䈖䉐䈱ஜᐽ⋧⺣䈻䈱⚫੺䊶ኻᔕ䊶䉬䉝䊊䉡䉴䈪䈱䈖䈖䉐䈱⋧⺣ᬺോᡰេ䊶 ᡰ េ ᯏ 㑐 䉇 ᄢ ቇ ╬ 䈎 䉌 䈱 䉟 䊮 䉺 䊎 䊠䊷 䉇 ᵴ േ ႎ ๔ 䈭 䈬 䈱 ද ജଐ 㗬䈻 䈱ኻ ᔕ䈫 ଻ ஜ ᵴേ 䈱䉁 䈫 䉄㽲 ઒ ⸳ ૑ ቛ 䈪 䈱 ૑ Ⅳ Ⴚ 䈎 䉌 䈒 䉎 ໧ 㗴 㩿⁜ 䈘 䋬 䊒 䊤䉟 䊋 䉲 䊷 䊶 ᷷ ᐲ 㪀䈫ஜᐽ㕙䈻 䈱ᓇ㗀㽳઒⸳૑ቛ䈪䈱㜞㦂⠪䈱㐽䈛䈖䉅䉍䋬╭ജૐਅ䋬♖␹㕙䈱໧㗴㽴↢ᵴౣᑪ╬䈮䈎䈎䉒䉎ਇ቟䉇䋬૑ቛᓳᣥ╬䈮䉋䉎∋ഭ઒⸳૑ቛ⏕ቯ䊶䉮䊚䊠䊆䊁䉞ᒻᚑᦼ䋨㪟㪈㪐㪅㪍㪅㪈䌾㪏㪅㪊㪈䋩䋨㪟㪈㪐㪅㪐㪅㪈䌾 䋩઒⸳૑ቛ 䈱⸳ ⟎ ⁁ᴫ╬઒ ⸳ ૑ ቛ 䈱 ⸳ ⟎ ⁁ ᴫ ╬ 䋨 㪐㪆㪈㪏หᏀ㪈 㪍 㪑㪇 㪇 ⃻ ࿷ 䋩䇼㪘 Ꮢ ↸ 䇽 䋴 䉦 ᚲ 㪉 㪌 㪇 ᚭ䇼㪘㪸 ࿾඙䇽㪛 ↸ 㪉 㪇 ᚭ䌛ᒁᷰ䋺㪈㪐 ᚭ䋨 㪈 㪏 ਎ Ꮺ 㪊 㪏 ੱ 䋩 䌝 㪃 㪜 ↸ 㪌 㪇 ᚭ䌛 ᒁᷰ 㪑㪋 㪐 ᚭ 䋨 㪋 㪏 ਎ Ꮺ 㪐 㪎 ੱ 䋩 䌝䇼 㪘 㪹 ࿾ ඙ 䇽 㪝 ↸ 㪊 㪇 ᚭ 䌛 ᒁ ᷰ 㪑㪊 㪇 ᚭ䋨㪊㪇 ਎Ꮺ 㪍㪋 ੱ䋩䌝㪃 㪞 ↸ 㪈㪌㪇 ᚭ䌛ᒁᷰ䋺㪈㪋㪎 ᚭ䋨㪈㪋㪌 ਎Ꮺ 㪊㪊㪎 ੱ䋩䌝䇼 㪙 Ꮢ ↸ 䇽 㪈 䈎 ᚲ 㪋 㪌 ᚭ䌛 ᒁᷰ㪑 㪋 㪉 ᚭ䋨㪋㪈 ਎Ꮺ 㪏㪊 ੱ䋩䌝䊐䉢䊷䉵䋴䋨䋲䈎᦬એ㒠䋩(*1)ᤨᦼߪᢥ₂ 5)ߣ઒⸳૑ቛ⒖േᣣ╬ߩⵍἴ࿾ߩ⁁ᴫߦࠃࠅ╩⠪߇್ᢿ⸳ቯ㧚(*2)ᢥ₂ 㪍㪄㪐䋩䈮䉋䉍╩⠪૞ᚑ䋮ઁ䈱㗄⋡䈲ᢥ₂ 㪈㪇㪄㪈㪈䋩䈮䉋䉍╩⠪૞ᚑ䋮(*3) A Ꮢ↸ߣ B Ꮢ↸ࠍ฽߻ 2 Ꮢ 2 ↸ࠍ▤ロߔࠆ଻ஜᚲ㧚C Ꮢ↸ߪ೎ߩ⋵଻ஜᚲߩ▤ロ㧚(*4)Ԙ㨪ԝߪߎߩ⴫ߩ‫ޟ‬ஜᐽ↢ᵴ਄ߩ࠾࡯࠭‫ߩޠ‬Ԙ㨪ԝߩౝኈߦኻᔕߐߖߚ㧚䊶ㆱ㔍ᚲ䈮଻ஜᏧ╬䈱㈩⟎㩿㪊㪆㪉㪍䌾㪋㪆㪉㪐㪀䊶䈖䈖䉐䈱䉬䉝䉼䊷䊛䈱ᵷ㆜㩿ᄢੱ䊶ሶ䈬䉅㪀䊶Ꮌ࿁⸻≮㐿ᆎ㩿ㆱ㔍ᚲ䋫࿷ቛ㪀㽲ㆱ㔍ᚲ䈪⇣േ 䉇ឃᴭ䈭䈬䈮੺ ഥ䈏ᔅⷐ䈭 㜞㦂 ⠪䈱ᛠី䊶 ㆱ㔍ᚲ 䈱 ⅣႺ ᢛ ஻㩿 ኢ㘩 ಽ㔌䊶 ᱠ ⴕㅢ 〝䈱 ⸳ቯ䊶 ᫹ ሶ╬䈱⸳⟎䊶ᱠⴕེ䈱⸳⟎䊶ᣣ↪ຠ䈱㈩஻╬㪀㽳ਥᴦක䈪䈱᦯⮎ᚻ㈩䊶ㆱ㔍ᚲ䈮 㪘㪜㪛 ㈩⟎䊶㜞㦂⠪䈱⣕᳓੍㒐䈱䈢䉄䈱᳓ಽ⵬⛎䈱൘ᅑ㽴ㆱ㔍ᚲ䈮䈍䈔䉎シᐲ⹺⍮∝䈱ᣇ䈱ኻᔕ㽵਄䊶ਅ᳓㆏ㆤᢿ䈮઻䈉ᗵᨴ∝䈱੍㒐㩿ᚻᵞ䈇㪀䊶ᗵᨴ∝੍㒐䈱䈢䉄䈱ᚻᵞ䈇䋬䈉䈏䈇╬䈱ബⴕ䊶ක⮎ຠ䈱ᚻ㈩䋬䍑䍈䍷䍨䍽䍛㈩Ꮣ䋬ㆱ㔍ᚲౝ䈱ᷡ᝹㽶䉬䉝䈱ᔅⷐ䈭੃ᐜఽ䈱ᛠី䊶 䉣䉮䊉 䊚䊷∝୥⟲ ੍㒐䈱䈢䉄䈱 ㆇ േ㸢ゞਛᴱ⠪䈱 ⏕⹺䈫䊌䊮䊐䊧䉾䊃䈱㈩Ꮣ
㽷࿷ቛ੺⼔࿎㔍⠪䈱ᣉ⸳ኻᔕ㸢੺⼔ᣉ⸳䈱䊂䉟䉰䊷䊎䉴䋬౉ᶎ䉰䊷䊎䉴 㐿ᆎ䋮㓚ኂ⠪䈱 ౉ᶎ䉰䊷䊎䉴䈱 㐿ᆎ㩿㓞↸䈱り㓚ᣉ⸳㪀䊶 ⡬ ⷡ 㓚 ኂ ⠪ 䈮ኻ 䈜 䉎ᚻ ⹤ ㅢ ⸶ ⠪ 䈫 䈱 ห ⴕ ⸰ ໧ 㸢 䊆 䊷 䉵ᛠី䈫ᖱႎឭଏ

䊶ᢇ⼔ᧄㇱ䉕 㪘㪹 ᡰᚲஜᐽ⑔␩⺖ౝ⸳ ⟎ 㩿㪉 㪋 ᤨ 㑆 ૕ ೙ 㪀䊶ᢇ⼔ᚲ䊶ㆱ㔍ᚲ䈮䈍䈔䉎ஜᐽ▤ℂ䉼
䊷䊛䈱଻ஜᏧᵷ㆜ⷐ⺧㸢⋵䈮 㪈㪉 䉼䊷䊛䊶ක≮ᯏ㑐䈱⸻≮⁁ᴫ䈱ᛠី㪑⠉ᣣ䈎䉌৻ㇱ⸻≮㐿ᆎ㽲࿷ቛⷐ੺⼔㜞㦂⠪䈱੺⼔ᣉ⸳䈱ቯຬ⿥೑↪䈱ⷐ⺧㩿⋵䊶Ꮢ㪀㸢✕ᕆᤨ䈱ᣉ⸳೑↪ 㪎㪏 ੱ䊶ㅘᨆ⠪䈱ක≮ᯏ㑐䈻䈱៝ㅍ⏕⹺䈫ᡰេ㩿 ᢇ⼔ ⃰ 䈱ᢇ ᕆゞ ೑↪㪀㽳ⷐេ⼔⠪䈱቟ ุ ⏕ ⹺ 㩿 㜞 㦂 ⠪䊶䈵 䈫䉍 ᥵ 䉌 䈚 㪑 ᳃↢ᆔຬ䋬੺⼔⹺ቯ⠪ 㪑 䉬 䉝䊙䊈㪀䊶࿷ቛⷐេ⼔⠪㩿଻ஜ䊶⑔␩䊶੺⼔଻㒾㑐ଥ㪀䈱ᛠី䊙䉾䊒䈨䈒䉍㸢଻ஜᏧ䈮䉋䉎ోᢙᛠី⸰໧
㽴ᄛㆃ䈒䋬㪤 ࿾඙䊎䊆䊷䊦䊊䉡䉴䈮 㪍㪇ੱㆱ㔍䈫䈱ᖱႎฃ䈔䉎䋮䊶ᣂ↢ఽ䋬੃ఽ䋬ᘟᕈ∔ᖚఽ䈱ㆱ㔍ᚲ䈱ฃ䈔౉䉏⺞ᢛ䊶ㆱ㔍ᚲ↢ᵴ↪ຠ䊶‛⾗╬䈱⏕଻⃻࿾⋵଻ஜᚲ㩿㪁㪊㪀Ꮢ↸㩿㪘 Ꮢ↸䈱
䈉䈤䋬䉅䈦
䈫䉅ⵍኂ
䈏↟ᄢ䈪
䈅䈦䈢࿾
඙ᜂᒰᯏ
㑐㪀 㩿㪁㪋㪀

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ቇ↢䈮䉋䉎⸥ㅀ଀㩷ฃ䈔䈢ⵍኂ䊶ᓇ㗀䈲᭽䇱䈪ⵍἴ૑᳃䈮䈲ᄙ᭽䈭䊆䊷䉵䈏ሽ࿷䈜䉎㩷 㩿㪍㪀㩷䊶઒⸳૑ቛ౉ዬ⠪䈲䋬ฃ䈔䈢ⵍኂ䈱ᄢ䈐䈘䉇⃻ታ䈱ฃኈㆊ⒟䈱Ბ㓏䋬ᐕ㦂䉇⃻∛ᱧ䈮䉋䈦䈩䋬䊆䊷䉵䈏ᄙ᭽䈪䈅䉎䋮㩷䊶⥄ቛ፣უ䈱ᖤ䈚䉂䈎䉌࿁ᓳ䈪䈐䈝䈮⪭⢙䈚䈩䈇䉎ੱ䋬ኅ䉕ᑪ䈩䉎⾗㊄䈏䈭䈒઒⸳䈏⚳ੌ䈜䉎 㪉 ᐕᓟ䈮ਇ቟䉕ᗵ䈛䈩䈇䉎㜞㦂⠪න⁛਎Ꮺ䋬࿾㔡䈱ᕟᔺ䈮䉋䉍ᵴേ䈜䉎䈖䈫䈮ᛶ᛫䉕ᗵ䈛䈩䈇䉎ੱ䋬↢ᵴ႐ᚲ䈏ᄌൻ䈚䋬ᘠ䉏䈭䈇↢ᵴ䈮䉴䊃䊧䉴䉕ᛴ䈋䈩䈇䉎ੱ䋬ᖤ䈚䉂䈎䉌࿁ᓳ䈚೨ะ䈐䈭↢ᵴ䉕ㅍ䉌䉏䈩䈇䉎ੱ䈭䈬᭽䇱䈭ฃኈᲑ㓏䈏䈅䈦䈢䋮㩷࿾ၞ䈮䈲ⵍኂ䈱Ὺ∥䈏ᧂ䈣䈮ᱷ䈦䈩䈇䉎䋨䋵䋩㩷䊶ኅ䈏፣䉏䈩䈇䉎ᚲ䉅䈅䉏䈳䋬㆏䈏፣䉏䈩䈇䉎䈫䈖䉐䉅䈅䉍䋬ᄢ䈐䈭ⵍኂ䉕ฃ䈔䈩Ꮢ↸⥄૕䈱ᓳ⥝䉅ᄢ䈐䈭⺖㗴䈮䈭䉎䋮㩷䊶૑䉄䈭䈒䈭䈦䈢ኅ䈏䈠䈱䉁䉁ᱷ䉍䋬䊎䊆䊷䊦䉲䊷䊃䈪ⷒ䉒䉏䋬࿾㔡䈱Ὺ∥䈏ᱷ䈘䉏ᓳ⥝䈮䈲ᤨ㑆䈏䈎䈎䉍䈠䈉䈣䋮㩷
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ቇ↢䈮䉋䉎⸥ㅀ଀㩷䊶઒⸳౉ዬ䈮઻䈉↢ᵴⅣႺ䈱ᄌൻ䈮ኻ䈚䈩౉ዬ⠪䈱↢ᵴ⁁ᴫ䉕ᛠី䈚䋬ᡰេౝኈ䈮䈧䈇䈩⠨䈋䉎䋮㩷䊶ኻ⽎⠪䈱ᣇ䈏࿾ၞ䈪ᦸ䉃↢ᵴ䈏ㅍ䉌䉏䉎䉋䈉䈮䊆䊷䉵䉕ᛠី䈚䈩ᡰេ䈚䈩䈇䈒䋮㩷䊶઒⸳䈎䉌಴䈢ᓟ䈱↢ᵴ䈮䈧䈇䈩ᧄੱ䊶ኅᣖ䈮䈫䈦䈩⦟䈇ᣇᴺ䉕৻✜䈮⠨䈋ᡰេ䈚䈩䈇䈒䋮㩷䈖䈖䉐䈱ᡰេ㩿㪍㪀㩷 䊶᣿䉎䈘䉇䋬ర᳇䈭⴫ᖱ䈱ⵣ䈮䈲䋬ㄆ䈇⃻ታ䉇䈬䈉䈚䈢䉌䈇䈇䈱䈎䉒䈎䉌䈭䈇ਇ቟䈭䈬䉅䈅䉍䋬⸒⪲䉇⴫ᖱ䈣䈔䈪䈭䈒⷗䈋䈭䈇ᔃ䈱ㇱಽ䉕ᡰេ䈚䈩䈇䈒䋮㩷䊶ⵍἴ⠪䈮ஜᐽ⁁ᘒ䉇࿎䈦䈩䈇䉎䈖䈫䈏䈭䈇䈎╬䈱⹤䉕⡞䈒䈖䈫䈮䉋䉍ਇ቟䈱シᷫ䉕࿑䉎䋮㩷䊶࿾㔡䈱ᕟᔺ䉇↢ᵴ႐ᚲ䈱ᄌൻ䋬ᘠ䉏䈭䈇↢ᵴ䈎䉌䈒䉎䉴䊃䊧䉴䉇๟䉍䈮⍮䉍ว䈇䈏䈇䈭䈇ਇ቟䈫♖␹∝⁁䈻䈱ᓇ㗀䉕⏕⹺䈚䋬េഥ䈱ᔅⷐᕈ䉇⒟ᐲ䉕ᛠី䈚䋬቟ᔃ䈚䈩↢ᵴ䈪䈐䉎䉋䈉ኻᔕ䈜䉎䋮㩷ቅ┙੍㒐㩿㪊㪀㩷
䊶㜞㦂⠪න⁛਎Ꮺ䈭䈬䋬࿾ၞ䈪ቅ┙䈜䉎䈖䈫䈏䈭䈇䉋䈉ᡰេ䈚䈩䈇䈒ᔅⷐ䈏䈅䉎䋮㩷䊶઒⸳૑ቛ౉ዬ⠪䈱ਛ䈮䈲䋬↢ᵴⅣႺ䈏ᄌൻ䈚䋬ⷫ䈚䈒䈚䈩䈇䈢ੱ䈫㔌䉏䈩䈚䉁䈉䍗䍎䍛䉅䈅䉍䋬㓞ੱ䈫䈱੤ᵹ䈱᦭ή䋬㗬䉏䉎ੱ䈏䈇䉎䈎䈬䈉䈎䈱ᛠី䈏㊀ⷐ䈪䋬䈘䉌䈮૑᳃䈱㑆䈮౉䉍䋬ᣂ䈚䈇࿾ၞ੤ᵹ䉕ଦㅴ䈘䈞䈩䈇䈒䋮㩷੺⼔੍㒐㩿㪉㪀㩷
䊶઒⸳䈮౉ዬ䈚䈢ⵍἴ⠪䈱ᔃり䈱⁁ᘒ䉕ᛠី䈚䈩ᔅⷐ䈭ᡰេ䉕ⴕ䈇䋬੺⼔䈏ᔅⷐ䈮䈭䉎⁁ᘒ䉕㒐䈑䋬⃻࿷䈱⁁ᘒ䉕⛽ᜬ䈪䈐䉎䉋䈉ᡰេ䈚䈩䈇䉎䋮㩷䊶࿾㔡䈮䉋䉎ኅ䈱⁁ᘒ䈪ᵴേ䈱䈚䈮䈒䈘䋬ォୟ䈱ᕟ䉏䈏䈅䉎䋮ኅ䉕ୃᓳ䈜䉎䉁䈪䈮ォୟ䈚䈭䈇䉋䈉䋬቟ో䈮⒖േ
䈪䈐䉎ᣇᴺ䉕ᧄੱ䈫⠨䈋䋬ឭ᩺䈚䈩䈇䈒䋮㩷∔∛੍㒐㩿㪋㪀㩷
䊶∔ᖚ䈱▤ℂ䋨ㅢ㒮䊶᦯⮎䈭䈬䋩䈏䈪䈐䈩䈇䉎䈎䈬䈉䈎⏕⹺䈚䋬ක≮ᯏ㑐䈫ㅪ៤䉕䈫䉍䉰䊘䊷䊃૕೙䉕ᢛ䈋䈩䈇䈒䋮㩷䊶ஜᐽ໧㗴䉕ᛴ䈋䈢ੱ䈣䈔䈪䈭䈒䋬ஜᐽ໧㗴䉕ᛴ䈋䉎ᕟ䉏䈱䈅䉎ੱ䈮䉅Ⓧᭂ⊛䈮௛䈐䈎䈔䋬ᧂὼ䈮㒐䈓䋮㩷≮㙃↢ᵴᡰេ㩿㪉㪀㩷 䊶ᘟᕈ∔ᖚ䋬ㅢ㒮≮㙃ਛ䈱૑᳃䉕ᡰេ䈚䋬♖␹㓚ኂ⠪䈻䈱㔡ἴᓟ䈱䊐䉤䊨䊷䉕䈚䋬↢ᵴᡰេ䈜䉎䋮㩷㧖 ౝߩᢙሼߪ㧘㘃ૃౝኈࠍ⸥ㅀߒߚቇ↢ߩታᢙ⴫ ቇ↢߇ቇࠎߛ଻ஜᜰዉᛛⴚߩ⸥ㅀ଀

䊶⾰໧␿䈮䉋䉍ᖱႎ䉕㓸䉄䉎䈖䈫䈪ⷐᡰេ䈱ኻ⽎䈫䈭䉎䈎䈬䈉䈎䈱್ᢿ䉕ⴕ䈉䋮㩷䊶ஜᐽ⋧⺣䈪䈲䋬ⴊ࿶䉕᷹ቯ䈚䈭䈏䉌䋬り૕䈱⺞ሶ䈲䈬䈉䈎㪖ஜᐽ䈮ኻ䈜䉎ਇ቟䉇↢ᵴ䈮࿎㔍䈲䈭䈇䈎䉕⡞䈐⸥㍳䈚䋬૑᳃䈱ᕁ䈇䉕ฃ䈔ᱛ䉄䉎䋮㩷
䊶੍ᗐ䉕┙䈩䈩䋬⹤䈚䉕⡞䈒䈖䈫䉅ᄢಾ䈣䈏䋬ᔅⷐએ਄䈮వ౉ⷰ䉕ᜬ䈢䈝䈮䋬⋧ᚻ䈏⹤䈜⸒⪲䉕䈠䈱䉁䉁ฃ䈔䈇䉏ᕁ䈇䉕௑⡬䊶౒᦭䈜䉎䈖䈫䈏䋬䉋䉍ᄢಾ䈣䋮㩷䊶ஜᐽᢎ⢒䈪䈲䋬৻ᣇ⊛䈮䈭䉌䈭䈇䉋䈉䈮ታᣉ䈚䋬઒⸳䈪䈱↢ᵴ䈱੐䉅⠨䈋䈩䋬䉋䉍↢ᵴ䈮ኒធ䈪◲න䈭ᣇᴺ䉕ឭ᩺䈜䉎䋮㩷䊶ኅᐸ⸰໧䈪䈲䋬࿷ቛ䈚䈩䈇䉎ኅᣖ䈮䉅㕙⺣䈜䉎䉋䈉䈮䈚䋬ᧄੱ䈱⴫ᖱ䋬⹤䈜ౝኈ䈎䉌䈠䈱ੱ䈱ᖱႎ䉕㓸䉄䉎䈖䈫䈏㊀ⷐ䈪䈅䉎䋮㩷䊶ᧄੱ䈱ᗵ䈛䈩䈇䉎ਇ቟䉕ᧄੱ䈱⸒⪲䈪⹤䈚䈩䉅䉌䈉䈖䈫䈪䋬⃻࿷䈱↢ᵴ䈱ฃ䈔౉䉏䈫᳇ᜬ䈤䈱ᢛℂ䉕ଦ䈜䋮㩷䊶ⵍἴ⠪䈱䉶䊦䊐䉬䉝⢻ജ䈏㜞䉁䉎䉋䈉䈮䋬ᚻ䉕䈎䈔䈜䈑䉎䈱䈪䈲䈭䈒䋬ᔅⷐ䈭ᡰេ䉕್ᢿ䈚ឭଏ䈜䉎䋮㩷䊶ⵍኂ䈱ᄢ䈐䈘䋬࿁ᓳㆊ⒟䉇䉴䊏䊷䊄䉅䋬ੱ䈮䉋䈦䈩ᄢ䈐䈒㆑䈉䋮䈠䉏䈡䉏䈱ੱ䈮ว䉒䈞䈢ᡰេ䉕䈜䉎䋮㩷㩿㪈㪉㪀㧖 ౝߩᢙሼߪ㧘㘃ૃౝኈࠍ⸥ㅀߒߚቇ↢ߩታᢙ+ 124 +

&'"#$% Ishikawa Journal of Nursing Vol.5, 2008⴫ ቇ↢߇⠨ኤߒߚⵍἴ࿾ߢߩ଻ஜᏧߩ࿾ၞ଻ஜᵴേߩ⸥ㅀ଀

ቇ↢䈮䉋䉎⸥ㅀ଀㩷૑᳃䈏ᔅⷐᤨりㄭ䈮⋧⺣䈪䈐䉎䉰䊷䊎䉴䉕ഃ䉎㩿㪐㪀㩷㩷 䊶଻ஜᏧ䈏಴ะ䈇䈩ⵍἴ⠪䈱ᡰេ䈱ᔅⷐᕈ䉕ᛠី䈜䉎䈖䈫䉅ᄢಾ䈣䈏䋬૑᳃䈏⥄䉌⋧⺣䈪䈐䉎ⅣႺ䉕ᢛ䈋䉎䋮㩷䊶ᔃ䈱䉬䉝䊊䉡䉴䈮଻ஜᏧ䈏Ᏹ㚢䈚䋬ᘟᕈ∔ᖚ㩿․䈮㜞ⴊ࿶㪀䉕ᛴ䈋䉎ੱ䈏䋬ਇ⌁䈣䈦䈢ᣣ䋬૛㔡䈱䈅䈦䈢ᣣ䋬૗䈫ή䈒⺞ሶ䈏ᖡ䈇䈫⥄ⷡ䈚䈢ᤨ䈮᧪䉎䈖䈫䈏ᄙ䈒䋬⥄ಽ䈱૕䈏ᔃ㈩䈮䈭䈦䈢ᤨ䋬りㄭ䈮⋧⺣䈪䈐䉎䈖䈫䈏૑᳃䈱቟ᔃ䈻䈫䈧䈭䈏䈦䈩䈇䉎䋮㩷䊶䈇䈧䈪䉅⋧⺣䈚䈢䈇䈫䈐䈲㆙ᘦ䈭䈒⸒䈦䈩᰼䈚䈇䈖䈫䋬䈇䈧䈪䉅දജ䈜䉎䈫䈇䈉䈖䈫䉕ℂ⸃䈚䈩䉅䉌䈉䈖䈫䉕૑᳃䈮વ䈋䈩䈇䈒䋮㩷ᔅⷐ䈭␠ળ⾗Ḯ䈱೑↪䉕൘䉄䋬㑐ଥ⡯⒳䈫ㅪ⛊䊶⺞ᢛ䈜䉎㩿㪏㪀㩷㩷 䊶ⷐ੺⼔㜞㦂⠪䉅䋬੺⼔⠪䉅㜞㦂⠪䈪䈅䉍䋬ኻ⽎䈮ᔅⷐ䈭␠ળ⾗Ḯ䈱೑↪䉕൘䉄䋬ㅪ⛊䊶⺞ᢛ䈜䉎䋮㩷䊶୘䇱䈱⁁ᴫ䈮ᔕ䈛䈩䋬䈬䈱䉰䊷䊎䉴䉇䈬䈱⾗Ḯ䈮䈧䈭䈕䈩䈇䈒䈎䋬䉁䈢䈇䈎䈮⥄ഥജ䉕㜞䉄䉌䉏䉎䉋䈉ᡰេ䈚䈩䈇䈒䈎䉕⠨䈋䉎䋮㩷䊶Ꮢ↸䈱଻ஜᏧ䈎䉌䈱ᖱႎ䉕෼㓸䈚䈩ᢛℂ䈚䋬ἴኂኻ╷ᧄㇱ䊶ක≮ᯏ㑐䈮ᖱႎឭଏ䋬ᔅⷐ䈭ᡰេ䈱ⷐᦸ䉕વ䈋䉎䋮㩷଻ஜᏧ䉅ᔃ䈱⥄Ꮖ▤ℂ䈜䉎㩿㪌㪀㩷㩷 䊶⃻࿾䈱଻ஜᏧ⥄り䉅ⵍἴ⠪䈪䈅䉍䋬ᔃℂ⊛䊶り૕⊛⽶ᜂ䈲ᄢ䈐䈒䋬⥄り䈱ᔃ䈱䉬䉝䉅ታᣉ䈚䈭䈏䉌㐳ᦼ⊛䈮૑᳃䉕ᡰ䈋䉎䋮㩷䊶⎇ୃળ䊶⻠Ṷળ䉇ീᒝળ䈱ડ↹䊶⺞ᢛ䊶ታᣉ䈚䋬Ꮢ↸䈱଻ஜᏧ䈱ෳട䉕ଦ䈜䋮㩷ἴኂᤨ䈱࿾ၞ଻ஜᵴേ䈪ⵍἴ⠪䈱ஜᐽ䉇↢ᵴ䈱⏕଻䋬ⷐេ⼔⠪䈱቟ุ⏕⹺䈭䈬ᄙ䈒䈱ᬺോ䉕䈖䈭䈜㩷 㩿㪋㪀㩷㩷 䊶ἴኂ⋥ᓟ䈮䈲䋬ⵍἴ⠪䈱ஜᐽ䉇↢ᵴ䈱⏕଻䋬ㆱ㔍ᚲ䈱⸳⟎䈭䈬䈱ኻᔕ䋬ⷐេ⼔⠪䈱቟ุ⏕⹺䋬䊗䊤䊮䊁䉞䉝䉇㑐ଥ⠪䈱⺞ᢛ䈭䈬䋬ᄙ䈒䈱ᬺോ䉕䈖䈭䈜䈖䈫䈏㊀ⷐ䈭ᓎഀ䈪䈅䉎䋮㩷䊶㔡ἴᤨ䋬଻ஜᏧ䈱ᓎഀ䈲䋬䈲䈛䉄䈲ⷐ੺⼔⠪䋬৻ੱ᥵䉌䈚䈱㜞㦂⠪䈭䈬䈱቟ุ⏕⹺䉕ⴕ䈇䋬ฃ≮䊶᦯⮎䊶੺⼔䉰䊷䊎䉴䉕⛮⛯䈪䈐䉎䉋䈉䈮䋬ㆱ㔍ᚲ䈱Ꮌ࿁䋬࿷ቛ䈮䈇䉎ᣇ䈱⸰໧䈭䈬䋬૑᳃䈱⁁ᘒ䈱ᛠី䉕ⴕ䉒䈭䈔䉏䈳䈭䉌䈭䈇䋮㩷ஜᐽ⺞ᩏኅᐸ⸰໧䈮䉋䉍૑᳃䈱䊆䊷䉵䉕ᛠី䈜䉎㩿㪐㪀㩷㩷 䊶ኅᐸ⸰໧䈚䋬⺞ᩏ␿䉕䉅䈫䈮䋬ో૕⊛䈮᳇䈮䈭䈦䈩䈇䉎੐䈲䈭䈇䈎䋬ਇ⺞䈲䈭䈇䈎䋬ᔃ㈩੐䈲䈭䈇䈎䉕⏕䈎䉄䈩䈇䈒䋮㕙ធ䈮䉋䈦䈩ⵍἴ⠪䈱ჿ䉕⋥ធ⡞䈐䋬♖␹⊛䈭ᡰេ䉇⁁ᴫ䈮ᔕ䈛䈩ᖱႎឭଏ䉕ⴕ䈉䋮㩷䊶⚿ᨐ䉕Ꮢ↸䈱଻ஜᏧ䈮ႎ๔䈚䋬ஜᐽ໧㗴䈏䈅䉎ੱ䉇䋬䉅䈦䈫⹦䈚䈒ᛠី䈜䉎ᔅⷐᕈ䈏䈅䉎ੱ䈮ኻᔕ䈚䈩䉅䉌䈋䉎䉋䈉䈮䈜䉎䋮㩷䊶ἴኂᓟ䋬૑᳃䈏੹䈬䈱䉰䉟䉪䊦䈮䈇䉎䈱䈎䋬૗䈏ᔅⷐ䈎䈫వ䇱䈻䈱㑐䉒䉍䉕䈚䈩䈇䈒䈖䈫䈪䋬ᣧᦼ䈮⊒⷗䈚ኻᔕ䈜䉎䋮㩷଻ஜᚲ䊶Ꮢ↸଻ஜᏧ䋬㑐ଥ⡯⒳䋬૑᳃䊗䊤䊮䊁䉞䉝䈫ㅪ៤䈚࿾ၞ䉰䊘䊷䊃૕೙䉕䈧䈒䉎㩿㪐㪀㩷㩷 䊶ἴኂᤨ䈱଻ஜᏧ䈱ᵴേ䈲䋬Ꮢ↸䈱଻ஜᏧ䈲䋬࿾ၞ૑᳃䈮⋥ធ⸰໧䈻ⴕ䈒䈭䈬䈱ᵴേ䈏ᄙ䈒䋬଻ஜᚲ଻ஜᏧ䈲ᖱႎ䉕෼㓸䊶વ㆐䈚䈢䉍䋬䉴䉺䉾䊐㈩⟎䉇ᜰ઎䉕ⴕ䈉䈭䈬䋬⺞ᢛ䈜䉎ᵴേ䈏ਥ䈪䈅䉎䋮㩷䊶૑᳃ห჻䈪㑐ᔃ䉕ᜬ䈤䋬ഥ䈔ว䈇ബ䉁䈚ว䈉䈭䈬䋬䉮䊚䊠䊆䉬䊷䉲䊢䊮䉕ข䉎䈖䈫䈪䉴䊃䊧䉴⊒ᢔ䈮䉅䈧䈭䈏䉎䋮ᐔᏱᤨ䈮䉅✕ᕆᤨ䈮䉅૑᳃ห჻䈱䊈䉾䊃䊪䊷䉪䈨䈒䉍䉕䈜䉎䈖䈫䈏ᄢಾ䈪䈅䉍䋬ห᭽䈮ᄙ⡯⒳䈱ㅪ៤䊶⺞ᢛ䉅ᐔᏱᤨ䈎䉌ኒ䈮䈚䈩䈍䈒䋮㩷䊶઒⸳૑ቛ䈪↢ᵴ䈚䈩䈇䉎૑᳃ห჻䈱੤ᵹ䈏ᷓ䉄䉌䉏䉎䉋䈉䋬㓞ㄭᚲ䈫䈱ੱ㑆㑐ଥ䈱᭴▽䊶䉮䊚䊠䊆䊁䉞䈱ᒻᚑ䉕ଦㅴ䈜䉎䋮㩷䊶✕ᕆᤨ䈮ක≮⊛䈭ኻᔕ䈏ᔅⷐ䈭∔ᖚ䉕ᜬ䈧⁛ዬ㜞㦂⠪䈭䈬䋬↢ᵴេഥຬ䉇䊗䊤䊮䊁䉞䉝䈱ᣇ䈢䈤䈫ㅪ៤䈚䋬઒⸳૑ቛ䈱๟䉍䈮ᔅ䈝⺕䈎䈏䈇䉎䈫䈇䈉․ᕈ䉕ᵴ䈎䈚䋬࿾ၞ䉰䊘䊷䊃૕೙䈨䈒䉍䉕䈚䈩䈇䈒䋮㩷᳃↢ᆔຬ䊶䊗䊤䊮䊁䉞䉝䈭䈬䈱૑᳃䊥䊷䉻䊷䈱䉅䈧ജ䉕ᒁ䈐಴䈜㩿㪈㪇㪀㩷㩷 䊶ஜᐽ⋧⺣䈪䈲䋬䊗䊤䊮䊁䉞䉝䉫䊦䊷䊒䈫ㅪ៤䈚䋬଻ஜᏧ䈣䈔䈪ⴕ䈉䉋䉍䉅ᄙ᭽䈭ડ↹䉕䈜䉎䈖䈫䈏䈪䈐䉎䉋䈉䈮䈜䉎䋮㩷䊶઒⸳䈪䈱䊗䊤䊮䊁䉞䉝䋬↢ᵴេഥຬ䈫䈱ㅪ៤䉕䈚䈩౉ዬ⠪䈱↢ᵴ䈮䈧䈇䈩ᛠី䈚䋬໧㗴䈏䈅䈦䈢㓙䈮䈲ᡰេ䉇⸰໧䉕ⴕ䈉䋮㩷䊶䉫䊦䊷䊒ᡰេ䈱଻ஜᏧ䈱ᆫ൓䈫䈚䈩䋬ᓟᣇ䈎䉌⷗቞䉎䈖䈫䈪૑᳃䈱䉅䈦䈩䈇䉎ജ䉕଻䈤䋬ᒁ䈐಴䈜䈖䈫䈏䈪䈐䉎䋮㩷䊶᳃↢ᆔຬ䉇࿾඙䈱䊥䊷䉻䊷䈮૑᳃䈱቟ุ⏕⹺䉕ଐ㗬䈜䉎╬䈚䈩䋬ㄦㅦ䈮ᖱႎ෼㓸䈜䉎䈖䈫䈏䈪䈐䈢䋮㩷㑐ଥᯏ㑐䊶⡯⒳㑆䈱䉮䊷䊂䉞䊈䊷䊃䈜䉎㩿㪈㪈㪀㩷㩷 䊶Ꮢ↸䊶૑᳃䋬㑐ଥᯏ㑐䈏䈉䉁䈒ㅪ៤䈪䈐䉎䉋䈉䈮㑐ଥᯏ㑐䊶⡯⒳㑆䈱䉮䊷䊂䉞䊈䊷䊃䉕䈜䉎䋮㩷䊶䈅䉌䉉䉎㑐ଥ⠪䈎䉌ᖱႎ෼㓸䉕䈚䋬䈠䈱ᖱႎ䉕ᢛℂ䈚䈩䋬⺞ᢛ䉕ⴕ䈉䋮㩷䊶ἴኂ䈫䈇䈉․೎䈭੐ᘒ䈱ᤨ䈮䋬䈠䉏䈡䉏䈏ㅪ៤䈚䈩ല₸䉋䈒ᓳᣥ䈪䈐䉎䉋䈉⺞ᢛ䈜䉎଻ஜᏧ䈱ᓎഀ䈏ᄢಾ䈣䈫ᕁ䈦䈢䋮㔡ἴ䈱㓙䈮䈲૗䈪䉅䈚䉁䈜䈪䈲䈭䈒䋬੹૗䈏ᔅⷐ䈭䈱䈎䉕⥄ಽ䈪⠨䈋ⴕേ䈪䈐䉎ක≮ᓥ੐⠪䈏᳞䉄䉌䉏䈩䈇䉎䋮㩷ઁ࿾ၞ䈎䉌䈱ක≮⡯䊶䊗䊤䊮䊁䉞䉝䈱ᔕេ䉕ฃ䈔౉䉏䉎㩿㪏㪀㩷㩷 䊶⋵䉇⋴⼔දળ╬䈮଻ஜᏧᵷ㆜䉕ⷐ⺧䈚䋬䊗䊤䊮䊁䉞䉝䉇ᄖㇱ䈎䉌䈱ᔕេ䉕⺞ᢛ䈚䋬ㅪ៤䋬㑐ଥ䈨䈒䉍䋬ᓎഀಽᜂ䈜䉎䋮㩷䊶࿾㔡ἴኂᡰេ䈮䈧䈇䈩䈲⺞ᢛᓎ䈭䉌䈪䈲䈱⧰ഭ䈏䈅䉍䋬ᵷ㆜䈜䉎஥䊶䈘䉏䉎஥䈱ᡷༀὐ䈏䈅䉎䋮ᵷ㆜䉴䉺䉾䊐䈲䋬⃻࿾଻ஜᏧ䉅ⵍἴ⠪䈪䈅䉎䈫䈇䈉䈖䈫䉕ᔨ㗡䈮⟎䈐䋬૑᳃䈱䉂䈪䈭䈒䋬⃻࿾଻ஜᏧ䉅ᡰេ䈱ኻ⽎䈪䈅䉎䈫⹺⼂䈚䈩ⴕേ䈜䉎ᔅⷐ䈏䈅䉎䋮ㅢᏱᬺോ䉕ౣ㐿䈜䉎㩿㪋㪀㩷㩷 䊶ἴኂᓟ 㪊 䈎᦬ᒙ⚻ㆊ䈚䈢⃻࿷䈪䈲䋬ㅢᏱ䈱ᬺോ䉕䈖䈭䈜䈫౒䈮䋬઒⸳౉ዬ⠪䉇↢ᵴេഥຬ䋬࿾ၞ૑᳃䈱ᣇ䇱䈫ᖱႎ౒᦭䋬ㅪ៤䈚䈭䈏䉌ᔃり䈱ஜᐽ䉇↢ᵴ䈱េഥ䉕ⴕ䈦䈩䈇䈒ᔅⷐ䈏䈅䉎䋮㩷䊶଻ஜ੐ᬺ䈏ታᣉ䈪䈐䈭䈒䈭䈦䈩䈚䉁䈉䈖䈫䉅䈅䉍䋬䈏䉖ᬌ⸻䊶੃ᐜఽஜ⸻䈭䈬䉕ฃ⸻䈪䈐䈭䈎䈦䈢૑᳃䈮ኻᔕ䈚䈩䈇䈒䋮㩷ᐔᏱᤨ䈎䉌䈱࿾ၞ଻ஜᵴേ䉕Ⓧ䉂㊀䈰䉎㩿㪍㪀㩷㩷 䊶ᣣᏱ䈎䉌ⷐេ⠪䉕ᛠី䈚䋬଻ஜᏧ䈏㑐䉒䈦䈩䈇䈢⠪䋬ฃ⸻䉕䈚䈩䈇䈢⠪䋬ஜᐽ㓚ኂ䈏䈅䈦䈢⠪䈮ኻ䈚䈩䋬㔚⹤䉇⸰໧䉕ⴕ䈇⃻࿷䈱⁁ᴫ䉕⏕⹺䈜䉎䋮⏕⹺䈱⚿ᨐ䋬⸰໧ᜰዉ䈭䈬ᔅⷐ䈭䊐䉤䊨䊷䉕ⴕ䈦䈩䈇䈒䋮㩷䊶᥉Ბ䈎䉌ⷐ੺⼔⠪䈱⸰໧ᤨ䈱⸥㍳䉕䈚䈦䈎䉍䈫ᱷ䈜䈭䈬䋬ἴኂ⊒↢ᤨ䈮ኻᔕ䈚䉇䈜䈇૕೙䈨䈒䉍䉕䈚䈩䈍䈒ᔅⷐ䈏䈅䉎䋮㩷䊶᳃↢ᆔຬ╬䈫ㅪ៤䈚䋬䉮䊚䊠䊆䊁䉞䈱䈧䈭䈏䉍䉕ᒝ䈒䈚䈩䈍䈒䋮㩷䊶૑᳃䈻䈱ᓇ㗀䉕ᛠី䈜䉎䈢䉄䈮䈲䋬ⵍἴ䈜䉎೨䈱૑᳃䈱․ᕈ䉇࿾ၞ䈱․ᕈ䉅䉋䈒ᛠី䈚䈩䈍䈒䋮㩷✕ᕆ੐ᘒ䈱஻䈋䉕䈜䉎㩿㪊㪀㩷㩷 䊶ᐔᏱᤨ䈎䉌ἴኂᤨ䈱ኻᔕ䈮䈧䈇䈩䋬㑐ଥ⠪䈮ኻ䈜䉎⎇ୃળ䊶⸠✵䉕ⴕ䈉䋮䊶ἴኂ⊒↢ᤨ䈱ኻᔕ䊙䊆䊠䉝䊦䉕䈧䈒䉎䋮㩷㧖 ౝߩᢙሼߪ㧘㘃ૃౝኈࠍ⸥ㅀߒߚቇ↢ߩታᢙ! 125 !

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The Needs of Communities and the Roles of PHNs/CHNs
Identified in Baccalaureate Nursing Students’ Reports
to Complete PHN/CHN Practicum in Stricken Area
after Notohanto Earthquake
Sugako TAMURA, Siho SONE, Noriko KANEKO
Abstract
The article defines the needs of communities and the roles of public health nurses/community
health nurses (PHNs/CHNs) by exploring baccalaureate nursing students’ reports in order to develop teaching-learning strategies for public health nursing/community health nursing (PHN/
CHN) practicum in stricken area after Notohanto earthquake.
The following paragraphs were extracted from 14 students’ reports : the needs of the individuals, families, and aggregates ; nursing care ; nursing skills, PHN/CHN practices.
The students defined that the population in stricken area after earthquake have a hard life.
They mentioned the following roles of PHNs/CHNs : promoting available public health services
for aggregates ; collaborates with community partners to determining the delivery of publichealth services ; developing community to support each other.
It is recommended that the faculty has to plan and teach the practicum for students benefit
from being exposed to multiple models of PHN/CHN practices, needs of diverse communities instricken area after earthquake.

Key words Notohanto earthquake, public health nursing/community health nursing (PHN/CHN)
practicum, needs of communities, roles of public health nurses/community healthnurses (PHNs/CHNs)) 128 )

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Home page: http://www.ishikawa-nu.ac.jp/
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Ishikawa Journal of Nursing
Volume 5

ISSN 1349-0664

March 2008
Edited by Committee of Research, Ishikawa Prefectural
Nursing University
Published by Ishikawa Prefectural Nursing University
Tsu 7-1, Nakanuma, Kahoku City, Ishikawa 929-1212,
Japan
Printed by Noto Printing co., ltd.
!2008 Ishikawa Prefectural Nursing University.
All rights reserved.

ISSN 1349-0664

Ishikawa Journal of Nursing

石 川 看 護 雑 誌

石 川 看 護 雑 誌

Vol.5 ▪ 2008

Ishikawa Journal of Nursing

石川看護雑誌第５巻▪ 2008

第５巻▪ ２００８

表紙.indd 1

石川県立看護大学

Ishikawa Prefectural Nursing University

石川県立看護大学

2008/03/28 15:10:30