岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012ᕬ㢄ゕシ❟࠾ࡼ㸫ᖳࢅᣲࡽ㏁ࡖ࡙ࠈᖳ᭮࡞シ❟ࡈࡿࡒᒷᡥ┫㆜Ꮥఌࡵ㸡௑ᖳ࡚ᖳ┘ࢅ㎼࠻ࡾࡆ࡛࠿࡚ࡀࡱࡊࡒ㸣シ❟ᙔิྞ࡚࠵ࡖࡒఌဤࡵẎᖳቌ࠻⤾ࡄ㸡ᖳ᭮⌟ᅹ࡚ࡢྞ࡛࡝ࡽ㸡ࡐࡡ࠹ࡔྞࡡఌဤ࠿⮣ᗃ⌟ሔ࡚᪝ࠍ┫㆜ࢅᐁ㊮ࡈࡿ࡙࠷ࡾ┫㆜⫃ࡡ᪁ࠍ࡚ࡌ㸣ᖳᅂษ⾔ࡊ࡙࠷ࡾᒷᡥ┫㆜Ꮥఌヽࡢ㸡ᮇヽ
࡚㏳ྒྒ࡛࡝ࡽ㸡᥎㍍ࡈࡿࡒㄵᩝࡢᮇ࡛࡝ࡽࡱࡊࡒ㸣ࡱࡒ㸡ᮇᖳ᭮᪝࡞ࡢࠔᝀ⩽ࡡ⏍࿤࡛⏍Ὡࢅᨥ࠻ࡾ᪝ᖏࢢ࢓ࠕࢅࢷ࣭࣏࡞㸡ᮇᏕఌิ࡛࡝ࡾ⮣ᗃ⌟ሔ࠾ࡼࡡᏕ⾙㞗ఌ㛏㸝␂ᒜ࡝ࢅᏄ
Ắ㸞ࡡୖ㸡➠ᅂᏕ⾙㞗ఌ࠿㛜തࡈࡿ㸡᮶᪝ᮇኬ㟀ⅇᚃࡡὩິࡷ⿍ⅇ⩽࡫ࡡࢢ࢓࡞㛭ࡌࡾሒ࿈࡛࡛ࡵ࡞┫㆜ࡡ⮣ᗃ▩࡞㛭ࡌࡾ◂✪࠿ᩐኣࡂⓆ⾪ࡈࡿࡱࡊࡒ㸣ᖳᅂ㛜തࡊ࡙࠷ࡾᏕ⾙㞗ఌࡡཤຊ⩽ࡢ㸡௑ᅂ࡚ᘇ࡬ྞ㸡Ⓠ⾪ࡈࡿࡒⁿ㢗ᩐࡢⁿ㢗࡛࡝ࡖ࡙࠷ࡱࡌ㸣ࠈࡆ࠹ࡊ࡙シ❟࠾ࡼ⌟ᅹࡱ࡚ࢅᣲࡽ㏁ࡽ㸡๪௧୕ࡡఌဤ࠿⮣ᗃ⌟ሔࡡ᪁ࠍ࡚࠵ࡾ࡛࠷࠹ࡆ࡛㸡ኣᩐࡡㄵᩝᢖ✇ࡷⁿ㢗Ⓠ⾪࠿࡝ࡈࡿ࡙࠷ࡾ࡛࠷࠹ࡆ࡛ࡢ㸡シ❟㉻᪠࡚࠵ࡾࠔᆀᇡࡡ┫㆜⫃⩽࠿භ࡞Ꮥ⾙Ⓩ࡝◂✪Ὡິ࠿࡚ࡀࡾሔࠕ࡛ࡊ࡙ᒷᡥ┫㆜Ꮥఌ࠿Ὡ⏕ࡈࡿ㸡Ꮥఌヽࢅ㌗㎾࡞វࡋ࡙࠷ࡒࡓ࠷
ࡒ࠵ࡼࢂࡿ࡚ࡢ࡝࠷࠾࡛㸡ᖳ㛣ᗚຸࢅᢰᙔࡈࡎ࡙࠷ࡒࡓ࠷ࡒ㌗࡛ࡊ࡙ኬንකᰜ࡞ᛦ࠹࡛࡛ࡵ࡞㸡ఌဤࡡⓑᵕ࡞ࡢ῕ࡂវㅨ⏞ࡊ୕ࡅࡱࡌ㸣ࠈᒷᡥ┫㆜Ꮥఌヽ➠ᕬ➠ྒࡡᕬ㢄ゕ࡚ࡢ㸡Ṃ⏛ฺ᪺⌦஥㛏࠿ࠔ⮣ᗃᐓ࡛◂✪⩽ࡡ☔࠾࡝㏻ᦘࡡ
ࡵ࡛භྜྷ◂✪ࢅඖᐁࡈࡎࡾࡆ࡛ࡡ㔔こᛮࠕ㸡➠ᕬ➠ྒࡡᕬ㢄ゕ࡚ࡢ㸡඾ᮿⓊྙᏄ⥽㞗ጟဤ㛏࠿ࠔ⮣ᗃ⌟ሔ࡚ࡲࡼࡿࡾ⣪ᬍࡼࡊ࠷ᢇ⾙ࡷᥴຐ஥ౚࢅᐂびⓏ㸡ฦᯊⓏ࡞エ㏑ࡊ㸡ࡻࡽኣࡂࡡẴࡘࡀࡷ␪ၡࢅᚋࡾࡆ࡛ࡡ㔔こᛮࠕࢅ㏑࡬࡙࠽ࡼࡿࡱࡊࡒ㸣ࠈᖳᗐࡻࡽ᩺ࡒ࡝⌦஥㸡┐஥㸡ビ㆗ဤࡡమโ࡛࡝ࡽࡱࡌ࠿㸡௑ᚃࡵ㸡ᒷᡥ┫㆜Ꮥఌ࠿ࡆࡿࡼ
ࡡࡆ࡛ࢅ᥆㐅ࡊ㸡භྜྷ◂✪࡚ᚋࡼࡿࡒ▩ずࢅ⮣ᗃ⌟ሔ࡚ࡡᐁ㊮࡞Ὡ⏕ࡌࡾࡆ࡛㸡ࡈࡼ࡝ࡾㄚ㢗ࢅභ࡞᥀✪ࡊ࡙࠷ࡂࡆ࡛࡚㸡ᒷᡥ┬ࡡ┫㆜࠿ࡱࡌࡱࡌὩẴࡘࡂࡒࡴࡡୌຐ࡛࡝ࡿࡣᖶ࠷࡚ࡌ㸣ࠈᖲᠺᖳ᭮ᒷᡥ┫㆜Ꮥఌ⌦஥ࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈ 㸦 ࠈ୔ࠈ὾ࠈዄ㒌Ꮔࠈ

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㸱ཋⴥ㸳㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜࡞ᑊࡌࡾ┫㆜ᖅࡡヾㆉ࡛ᐁ᪃≟Ἓ㸢⑋Ჯࡡ≁ᚡ࡞↌Ⅴࢅ࠵࡙࡙㸢ᑚᔪ⨶ἃᏄ㸞㸡ῳ㎮ᖶᯖ㸞㸡ᮄහ༐ᬏ㸞㸡༐⏛╤⨶㸞㸡▴ᕖࡲࡔᏄ㸞㸞ᒷᡥ┬❟ኬᏕ┫㆜Ꮥ㒂ࠈ㸞᪝ᮇಕ೸༈⒢ኬᏕಕ೸༈⒢Ꮥ㒂┫㆜Ꮥ⛁ࠈ㸞ඔᒷᡥ┬❟ኬᏕ┫㆜Ꮥ㒂こ᪠┘Ⓩ㸯⑋Ჯ࡞ໂຸࡌࡾ┫㆜ᖅࡡ㸡㧏㱃ᝀ⩽࡞ᑊࡌࡾ㏝㝌ᚃࡡ⏍Ὡࢅず㏳ࡊࡒ┫㆜ࡡࠔᚪこᛮࡡヾㆉࠕ࡛ࠔᐁ᪃≟Ἓࠕ㸡࠽ࡻࡦ⑋Ჯࡡ≁ᚡ࡞ࡻࡽࠔᚪこᛮࡡヾㆉࠕ࡛ࠔᐁ᪃≟Ἓࠕ࡞㐢࠷࠿࠵ࡾ࠾᪺ࡼ
࠾࡞ࡊ㸡㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜ࡡᙲ๪ࢅ᳠ゞࡌࡾ㸣᪁Ἢ㸯㧏㱃ᝀ⩽ࢅཱིࡽᕬࡂ⎌ሾࢅ⩻࠻㸡㧏㱃ᝀ⩽࡞ᑊࡌࡾ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜࡞ࡗ࠷࡙㡧┘ࢅషᠺࡊ㸡⑋㝌࡞ໂຸࡌࡾ┫㆜ᖅࢅᑊ㇗࡞⮤エᘟ㈹ၡ⣤ㄢᰕࢅ⾔ࡖࡒ㸣⤎ᯕ㸯ྞ㸝㸚㸞࠾ࡼ㏁ಘ࠿࠵ࡽ㸡㡧┘ධ࡙ࠔᚪこᛮࡡヾㆉࠕ࠿ࠔᐁ᪃≟Ἓࠕࡻࡽ᭯ណ࡞㧏࠾ࡖࡒ㸝㹥㸞㸣ࡱࡒ㸡⑋Ჯࡡ≁ᚡ࠿㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜ࡡ྘㡧┘ࡡ㐢࠷࡞㛭౿ࡊ࡙࠷ࡾ࠾ฦᯊࡊࡒ⤎ᯕ㸡ࢪࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃࡞࠽࠷࡙᭩ࡵኣࡂࡡ㡧┘࡚᭯ណᕣ࠿ヾࡴࡼࡿ㸡ḗ࠷࡚ᑍ௴⫃ဤࡡ㒼⨠࡞࠽࠷࡙ኣ࠾ࡖࡒ㸣㡧┘ࡢ࠘ᐓᗖ⫴ᬊ࣬ᐓ᪐ᶭ⬗ࡡビ౮࡛ᐓ᪐࣬ᝀ⩽ࡡᕵ᭻☔ヾ࠙࠘㏝㝌ㄢᩒ㸡௒㆜ಕ㝜ࡡึ᩷࠙ࡡ㸧ᅄᏄᵋ㏸࡚࠵ࡽ㸡ࡐࡿࡼࡡ㸧ᅄᏄ࡞࠽࠷࡙㸡ࢪࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃ࡡ᭯↋࡞ࡻࡾ᭯ណᕣ࠿᭩ࡵኣࡂヾࡴࡼࡿࡒ㸣⤎ㄵ㸯ࢪࢠ࣭ࣛࢼࣤࢡࢅᐁ᪃ࡊ㸡࠘ᐓᗖ⫴ᬊ࣬ᐓ᪐ᶭ⬗ࡡビ౮࡛ᐓ᪐࣬ᝀ⩽ࡡᕵ᭻☔ヾ࠙࠘㏝㝌ㄢ
ᩒ㸡௒㆜ಕ㝜ࡡึ࡛᩷࠙࠷࠹ഁ㟻࠾ࡼ┫㆜ࡌࡾࡆ࡛࡚㸡㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜ࡡちⅤ࠿ᙁ໩ࡈࡿࡾ࡛ྜྷ᫤࡞ᐓ᪐࡫ࡡ┫㆜ࡵඖᐁࡊ㸡┫㆜ࡡ㈹ྡྷ୕࡞ࡵࡗ࡝࠿ࡾ࡛⩻࠻ࡼࡿࡒ㸣࣭࣭࢞࣠ࢺ㸯㧏㱃ᝀ⩽ࠈヾㆉࠈᐁ᪃≟Ἓࠈ㏝㝌ᨥᥴࠈࢪࢠ࣭ࣛࢼࣤࢡ
ࠈ⡷ᅗ࡚ࡢ㸡㧏㱃⩽ᑍ㛓┫㆜ᖅ࡞ࡻࡾ᪡᭿࠾ࡼࡡ㏝㝌ࡢࡋࡴ࡞ࠈ⌟ᅹ㸡ථ㝌᭿㛣ࡡ▯⦨໩࡞ࡻࡽ㸡㏝㝌ᨥᥴࡡᚪこᛮᨥᥴ࡞ࡻࡖ࡙㸡ᅹ㝌᪝ᩐࡡ΅ᑛࡷ්ථ㝌㸡්ථ㝌ࡱ࡚㸞࠿㔔こちࡈࡿ 㸡⑋㝌㛣ࡡ㏻ᦘࡓࡄ࡚࡝ࡂ㸡ಕ೸࣬༈ࡡ᭿㛣࠿΅ᑛࡊࡒࡆ࡛࠿ሒ࿈ࡈࡿ࡙࠷ࡾ㸞㸞㸣ࡊ࠾ࡊ㸡⒢࣬⚗♬㛣࡝࡜ኣᵕ࡝⫃⛸ࡡ㛣࡞࠽࠷࡙㸡࠷࠾࡞ຝᯕ

᪝ᮇ࡚ࡡ⩹ெ┫㆜ࡡᑍ㛓┫㆜ᖅ㸝௧ୖ㸡ᑍ㛓┫㆜ᖅ࡛Ⓩ࡝㏻ᦘࢅᵋ⠇ࡊ㸡ᙁ໩ࡊ࡙࠷ࡂ࠾࠿ㄚ㢗࡛࡝ࡖ࡙࠷

ࡌࡾ㸞ࡢྞ࡛ᑛ࡝࠷࠹࠻࡞㸡ᡜᒌࡌࡾ᪃シࡡᆀᇡ࡞ࡾ㸣೩ࡽ࠿࠵ࡾ㸞ࡒࡴ㸡࡜ࡡ⑋㝌࡞ࡵᑍ㛓┫㆜ᖅࢅ㒼⨠ࡌࠈཉ⏍ຘ഼┤ࡡᝀ⩽ㄢᰕࡡᴣἛ㸞࡞ࡻࡾ࡛㸡㹷⑋㝌㹸ࡡࡾࡆ࡛ࡢ㸡ெဤ☔ಕࡷࢤࢪࢹ㟻࠾ࡼ⩻࠻࡙ࡵ㞬ࡊ࠷ࡡᝀ⩽ࡡᖲᆍᅹ㝌᪝ᩐࡢ㸡ᖲᠺ㸧ᖳ࠿᪝㸡ᖲᠺᖳ

࠿⌟≟࡚࠵ࡾ㸣᪝ᮇ࡞࠽ࡄࡾ◂✪ࡢ㸡ࠔ㏝㝌ᨥᥴࠕࠔ㧏࠿᪝㸡ᖲᠺᖳ࠿᪝࡚࠵ࡽ㸡ᖳࠍᅹ㝌᪝ᩐ࠿㱃⩽ࠕࢅ࣭࣭࢞࣠ࢺ࡛ࡌࡾ࡛㸡༈Ꮥ୯ኳ㞟ヽ࡚ࡡ᳠⣬▯⦨ࡊ࡙࠷ࡾ㸣ࡊ࠾ࡊ㸡ᖳ㱃㝭⣥ื࡞ࡲࡾ࡛㸡ṋ௧࡚ࡢ㸡ఌ㆗㘋ࢅ㝎ࡂ࡛௲㸡ࡈࡼ࡞┫㆜ᩝ⊡࡞⤘ࡾ୕ࡡ㧏㱃⩽ࡡᖲᆍᅹ㝌᪝ᩐࡵᖳࠍ▯⦨ࡊ࡙࠷ࡾࡵࡡࡡ

࡛௲࡚㸡ิฝࡢᖳ࡚࠵ࡖࡒ㸝ᖳ㸧᭮᪝㸞㸣௙ࡡᖳ௥࡛Ẓ㍉ࡌࡾ࡛⩄ࢅᢜ࠷࡙㛏ࡂ㸡ഭ⑋ฦ㢦ื࡞ᖳࠍ◂✪ࡢቌ࠻࡙࠷ࡾ࠿㸡ᑍ㛓┫㆜ᖅ࡞ࡻࡾ㏝㝌ᨥᥴࡲ࡙ࡵኬ㡧┘ࡡ࠹ࡔ㸡ࠔ╉ཀྵࡦ௛ᒌჹࡡ⑄ᝀࠕࢅ㝎ࡡຝᯕ࠿᳠チࡈࡿ࡙࠷࡙ࡵ㸡ᑍ㛓┫㆜ᖅ࠿ᑛ࡝࠷⌟≟ࡂධ࡙ࡡ㡧┘࡚㸡㧏㱃⩽ࡡᅹ㝌᪝ᩐ࠿᭩ࡵ㛏ࡂ࡝ࡖ࡙࡚ࡢ◂✪ࡡຝᯕ࡛ྜྷࡋࡻ࠹࡝ᐁ㊮࡞ࡢࡗ࡝࠿ࡽ࡞ࡂ࠷㸣࠷ࡾ㸣ࡱࡒ㸡ࢪࢠ࣭ࣛࢼࣤࢡ⚂ࡡຝᯕࡷ㏝㝌ᨥᥴࡡ௒ථ◂✪㸨

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012ࡡሒ࿈࠿ኣ࠷ࡵࡡࡡ㸡㏝㝌ᨥᥴ࡞࠽࠷࡙㸡⑋㝌ࡡぜᶅ㍍ࡊࡒᩝ᭡࡚ㄢᰕ༝ງࢅ౪㢏ࡊࡒ㸣◂✪࡫ࡡཤຊ࣬༝

ࡷᶭ⬗㸡ᆀᇡ≁ᛮ࡞ྙࢂࡎࡒᨥᥴࢨࢪࢷ࣑ࡡᵋ⠇࠿㔔ງࡡ᭯↋ࡢ㸡㏁ಘⴝ᭡࡞࡙௴ណ࡚ᅂ➽ࡊ࡙ࡵࡼࡖࡒ㸣㸞㸞ࡵ࠵ࡾࡒࡴ㸡⌟≟ࡡమโࢅ⩻៎ࡊ㸡⑋◂✪࡫ࡡཤຊ࣬༝ງ࠿ᚋࡼࡿࡾሔྙ࡞ࡢ㸡ㄢᰕ⚂ࡡ㒼Ჯࡡ≁ᚡ࡚㐢࠷࠿࠵ࡾ࠾ࡡ᳠ゞࡵྙࢂࡎ࡙⾔࠹ࡆ࡛ࡵᕱ㒂ᩐࢅᢍᥩࡌࡾࡒࡴ㸡༝ງ࡚ࡀࡾ┫㆜ᖅࡡெᩐࢅ㏁

ᚪこ࡚࠵ࡾ㸣ࡈࡼ࡞㸡ථ㝌୯ࡡ⑋㝌ࢪࢰࢴࣆ࡞ࡻࡾ᪝

ಘⴝ᭡࡞エථࡊ࡙ࡵࡼ࠷㸡㈹ၡ⣤ࢅ⑋㝌ࡇ࡛࡞ୌᣋ㒉

こ࡛ࡡሒ࿈

㸞

ᖏࢢ࢓࠿㸡㏝㝌ᚃࡡ⏍Ὡ࡞ᙫ㡢ࡊࡒ ࡆ࡛ࡷ㸡⥌ᣚ᭿㏞ࡊ㸡ᑊ㇗⩽࡫ࡡ㒼ᕱࢅ౪㢏ࡊࡒ㸣㸞࡞࠵ࡾᚃ᭿㧏㱃⩽࡫ࡡ⌦Ꮥ⒢Ἢࡡᚪこᛮ࠿ሒ࿈ ࡈࡿࠈᑊ㇗⩽ࡢ㸡◂✪༝ງ࠿ᚋࡼࡿࡒ⑋㝌ࡡ㸡㧏㱃ᝀ⩽࡙࠷ࡾࡻ࠹࡞㸡㧏㱃⩽ࡢථ㝌࡞ࡻࡾ㌗మ࡫ࡡᙫ㡢࠿௙ࡡ┫㆜ࢅᐁ㊮ࡊ࡙࠷ࡾ┫㆜ᖅྞ࡚࠵ࡾ㸣ࡡᖳ௥࡞Ẓ࡬࡙ኬࡀ࠷ࡒࡴ㸡㧏㱃ᝀ⩽ࡡ┫㆜ࢅ⤽⤾ࡌ㸣ㄢᰕහᐖ

ࡾ࡞ࡢ㸡᪝ࠍࡡ㛭ࢂࡽࡡちⅤ࠿㔔こ࡛࡝ࡾ㸣ࡊࡒ࠿ࡖ

ࠈ㈹ၡ⣤ࡡ㡧┘ࡢ㸡ᴃᮇࡼ㸞ࡡ㏝㝌ᨥᥴビ౮㡧┘ࢅཤ࡙㸡⑋Ჯ࡞ໂຸࡌࡾᑍ㛓┫㆜ᖅ௧አࡡ┫㆜ᖅ㸝௧ୖ㸡⩻࡞㸡㧏㱃ᝀ⩽ࢅཱིࡽᕬࡂ⎌ሾࡷ㌷㝌ࡡ≟Ἓࢅ⩻࠻㸡┫㆜ᖅ࡛ࡌࡾ㸞࠿㸡㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜◂✪⩽ࡼ࡚షᠺࡊࡒ㸣රమⓏ࡞ࡢ㸡┫㆜ࡡ୯ᚨ࡛࡝ࡾ

ࡡちⅤ࡚㸡࡜ࡡ⛤ᗐᚪこᛮࡡヾㆉࢅᣚࡔ࡝࠿ࡼ᪝ࠍࡡ

㧏㱃ᝀ⩽࡛㧏㱃ᝀ⩽ࢅᨥ࠻ࡾᐓ᪐࡞ࡗ࠷࡙⌦ゆࡌࡾࡆ┫㆜ࢅᐁ᪃ࡊ࡙࠷ࡾࡡ࠾㸡⌟≟ࢅ᪺ࡼ࠾࡞ࡌࡾࡆ࡛࠿࡛࠿㔔こ࡚࠵ࡽ㸡ࡐࡡ୦⩽ࡡ42/ࢅ㧏ࡴࡾࡒࡴ࡞ࡢ㸡ᚪこ࡚࠵ࡾ࡛⩻࠻ࡒ㸣ࡐࡡ࠹࠻࡚㸡⑋Ჯࡡ≁ᚡ࡞↌Ⅴ㧏㱃ᝀ⩽ࡡ㌗మⓏ࡝≁ᚡࡷ♣ఌⓏโᗐࢅྱࡴࡒ࿔ᅑࡡ

ࢅ࠵࡙࡝࠿ࡼฦᯊࡊ㸡㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳ࡊࡒ┫⎌ሾ࠿㛭౿ࡌࡾ࡛⩻࠻ࡒࡒࡴ㸡ࠔ㧏㱃ᝀ⩽࡛ᐓ᪐ࡡᛦ㆜ࡡᙲ๪ࢅ᳠ゞࡊࡒࡡ࡚ሒ࿈ࡌࡾ㸣࠷ࡷ࿔ᅑࡡ⎌ሾ࡞ࡗ࠷࡙ࠕ㸡ࠔን໩ࡊࡷࡌ࠷㧏㱃ᝀ⩽ࡡ≁ᚡ࡞ࡗ࠷࡙ࠕ㸡ࠔวࡿ┘ࡡ࡝࠷┫㆜ࢅᒈ㛜ࡌࡾࡒࡴ࡞

Ϩ㸣┘Ⓩ㔔こ࡚࠵ࡾ௒㆜ಕ㝜࡞ࡗ࠷࡙ࠕ࡛࠷࠹ちⅤ࠾ࡼ㸡┫㆜ࠈᮇ◂✪ࡡ┘Ⓩࡢ㸡⑋Ჯ࡞ໂຸࡌࡾ┫㆜ᖅࡡ㸡㧏㱃ᝀᖅࡡࠔᚪこᛮࡡヾㆉࠕ࡛ࠔᐁ᪃≟Ἓࠕ࠿ᢍᥩ࡚ࡀࡾ㡧┘⩽࡞ᑊࡌࡾ㏝㝌ᚃࡡ⏍Ὡࢅず㏳ࡊࡒ┫㆜ࡡࠔᚪこᛮࡡ࡛ࡊࡒ㸣୹࡝හᐖࡢ㸡ᑊ㇗⩽ࡡᇱᮇ᝗ሒ㸝ᛮื㸡ᖳ㱃㸡ヾㆉࠕ࡛ࠔᐁ᪃≟Ἓࠕ㸡࠽ࡻࡦ⑋Ჯࡡ≁ᚡ࡞ࡻࡽࠔᚪこ⤊㥺ᖳᩐ㸞࠽ࡻࡦ⫃ሔࡡᇱᮇ᝗ሒ㸝ࢪࢠ࣭ࣛࢼࣤࢡࡡ

ᛮࡡヾㆉࠕ࡛ࠔᐁ᪃≟Ἓࠕ࡞㐢࠷࠿࠵ࡾ࠾࡞ࡗ࠷࡙᪺ࡼ

᭯↋㸡㏝㝌ㄢᩒ࡞ᑍ௴ࡌࡾ⫃ဤࡡ᭯↋㸡⑋Ჯࡡᶭ⬗➴㸞㸡࠾࡞ࡊ㸡㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜ࡡᙲ๪ࢅ᳠㌷㝌᫤࡞⑋㝌㛣ࡡ㏻ᦘ࡚ᕝኰࡊ࡙࠷ࡾࡆ࡛㸡㌷㝌࡞㛭ゞࡌࡾࡆ࡛࡚࠵ࡾ㸣ࡊ࡙ၡ㢗࡞វࡋ࡙࠷ࡾࡆ࡛㸡㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳
ࡊࡒ┫㆜࡞ࡗ࠷࡙㡧┘㸡௙㝌࠾ࡼࡡ㌷ථ࡞ࡗ࠷࡙

ϩ㸣◂✪᪁Ἢࠈ

㡧┘㸡௙㝌࡫ࡡ㌷ฝ࡞ࡗ࠷࡙㡧┘࡚࠵ࡾ㸣㧏㱃ᝀ⩽㸣◂✪ࡡᯗ⤄ࡲ࡛⏕ㄊࡡᏽ⩇ࡡ┫㆜㸡௙㝌࠾ࡼࡡ㌷ථ࠽ࡻࡦ௙㝌࡫ࡡ㌷ฝ࡞ࡗ࠷࡙

ࠈᮇ◂✪࡚ࡢ㸡⑋Ჯࡡ≁ᚡࢅ㸡ࠔࢪࢠ࣭ࣛࢼࣤࢡࡡ᭯

ࡢ㸡㸦ࡗࡡ㈹ၡ㡧┘࡞ᑊࡊ࡙ࠔᚪこᛮࡡヾㆉࠕ࡛ࠔᐁ᪃

↋ࠕ㸡⑋Ჯࡡᶭ⬗࡛ࡊ࡙ࠔ㌷㝌ᙟᘟࠕ㸡㏝㝌ㄢᩒ࡞ࠔᑍ

≟Ἓࠕࡡ㸧ഁ㟻࠾ࡼ㈹ၡࡊᅂ➽ࢅịࡴࡒ㸣ࠔᚪこᛮࡡ௴ࡌࡾ⫃ဤࡡ᭯↋ࠕ࡛ᏽ⩇ࡊࡒ㸣ࡐࡡ࠹࠻࡚㸡⑋Ჯࡡヾㆉࠕࡢࠔ㸣ᚪこ࡚࠵ࡾࠕ࠾ࡼࠔ㸣ᚪこ࡝࠷ࠕ㸡ࠔᐁ᪃≟≁ᚡ࡞ࡻࡖ࡙㸡┫㆜ᖅࡡࠔᚪこᛮࡡヾㆉࠕ࡛ࠔᐁ᪃≟Ἓࠕࡢࠔ㸣⾔ࡖ࡙࠷ࡾࠕ࠾ࡼࠔ㸣⾔ࡖ࡙࠷࡝࠷ࠕࡱ࡚ࡡ㸡Ἓࠕࡡᕣ࠾ࡼ㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜ࡡ⌟≟ࡐࡿࡑࡿ㸩ṹ㝭ビ౮࡚ᅂ➽ࢅịࡴ㸡ࠔ㸣ᚪこ࡚࠵ࡾࠕ

ࢅᢍᥩࡊ㸡┫㆜ࡡᙲ๪ࢅ᳠ゞࡊ࡙࠷ࡂࡒࡴ㸡ᅒ㸦ࡡࡻࠔ㸣⾔ࡖ࡙࠷ࡾࠕࢅ㸩Ⅴ㸡ࠔ㸣ᚪこ࡝࠷ࠕ
ࠔ㸣⾔ࡖ࡙࠷

࠹࡝ᯗ⤄ࡲ࡛ࡊࡒ㸣࡝࠷ࠕࢅ㸦Ⅴ࡛ࡊ࡙྘ᅂ➽ࢅ㸦㹳㸩Ⅴ࡚ᚋⅤ໩ࡊࡒ㸣ࠈ௑ᅂࡡሒ࿈࡚ࡢ㸡㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜⑋Ჯࡡ≁ᚡࢪࢠ࣭ࣛࢼࣤࢡࡡ᭯↋㌷㝌ᙟᘟᑍ௴⫃ဤࡡ᭯↋



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㧏㱃ᝀ⩽ࡡ
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㡧┘࡞ࡗ࠷࡙↌Ⅴࢅ࠵࡙ࡒ㸣
┫㆜ࡡᙲ๪
ࢅ᳠ゞ

㸣ฦᯊ᪁Ἢ
ࠈ㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜㡧┘࡞ࡗ࠷࡙㸡ᐁ᪃ᵋᠺᴣᛍࡡጂᙔᛮࢅࡲࡾࡒࡴ㸡ᅄᏄฦᯊἪࢅ⾔ࡖࡒ㸣ᅒࠈᮇ◂✪ࡡᯗ⤄ࡲࡈࡼ࡞㸡හⓏᩒྙᛮࡡ☔ヾࡡࡒࡴ࡞㸡㡧┘ධమ࡛ᅄ㸣ㄢᰕ᪁Ἢ࠽ࡻࡦᑊ㇗⩽Ꮔฦᯊ࡞ࡻࡽᚋࡼࡿࡒ྘ᅄᏄࡡ&URQEDFKࡡȘ౿ᩐࢅịࠈ㸶┬හࡡ⑋㝌ࡡ࠹ࡔ㸡ᑚඡࡡᑍ㛓⑋㝌ࢅ㝎ࡂ⑋㝌ࡴࡒ㸣㸧⩄㛣ࡡẒ㍉ࡢ㸡0DQQ:KLWQH\ࡡ8᳠ᏽࢅ⏕࠷ࡒ㸣ࡡ┫㆜㒂㸝┫㆜⛁㸞ࢅ✾ཾ࡞㸡◂✪┘Ⓩ࡛᪁Ἢ➴ࢅエ᭯ណỀ‵ࡢ㸪㸚ᮅ‫ࡊ࡛‮‬㸡ฦᯊ࡞ࡢ㸡⤣゛ࢮࣆࢹ6366㸩

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012

IRU:LQGRZV-ࢅ౐⏕ࡊࡒ㸣⾪ࠈᑊ㇗⩽࠿ໂຸࡌࡾ⫃ሔࡡᴣこࠈࠈࠈࠈࠈࠈ㡧ࠈࠈ┘ࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈெᩐ㸝㸚㸞㏝㝌ㄢᩒ࡞ࡗ࠷࡙ࡡࢪࢠ࣭ࣛࢼࣤࢡ
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ࠈ↋ᅂ➽࠽ࡻࡦ↋ຝᅂ➽㸣ㄢᰕ᭿㛣
ࠈㄢᰕ᭿㛣ࡢ㸡ᖲᠺᖳ㸭᭮㹳㸮࡚᭮࠵ࡾ㸣㸣೒⌦Ⓩ㒼៎ࠈ೒⌦Ⓩ㒼៎࡛ࡊ࡙㸡◂✪༝ງࢅ౪㢏ࡌࡾ㝷࡞㸡ᩝ᭡㏝㝌ㄢᩒ㒂㛓ࡱࡒࡢ㏝㝌ㄢᩒ࡞ᑍ௴ࡌࡾ⫃ဤࠈ࠵ࡽ㸝࠷ࡾ㸞ࠈ࡝ࡊ㸝࠷࡝࠷㸞ࠈ↋ᅂ➽࠽ࡻࡦ↋ຝᅂ➽࡚◂✪ࡡ㉻᪠ࢅఎ࠻㸡㈹ၡ⣤࡫ࡡᅂ➽ࡢ⮤⏜ណᛦ࡚࠵ࡽᅂ➽ࡊ࡝ࡂ࡙ࡵ୘ฺ─ࢅ⿍ࡼ࡝࠷ࡆ࡛㸡↋エྞ࡚࠵㌷㝌ࡡᙟᘟ
ࠈ᛬ᛮ᭿ࡡ἖⒢࠿⤂஡ࡊះᛮ᭿἖⒢ࡡᚪこ࡝ࠈᝀ⩽ࡡུࡄථࡿ
ࠈ᛬ᛮ᭿἖⒢࠿⤂஡ࡊᅂᚗ࡞ྡྷࡄ࡙ࡡ㌷ฝࠈ㧏ᗐ࡝༈⒢࠿ᚪこ࡝ᝀ⩽ࡡ᛬ᛮ᭿⑋㝌࡫ࡡࠈ㌷ฝࠈ㧏ᗐ࡝༈⒢࠿ᚪこ࡝ᝀ⩽ࡡུࡄථࡿ
ࠈࡐࡡ௙ࠈ↋ᅂ➽࠽ࡻࡦ↋ຝᅂ➽ࡽ༌ྞᛮࢅಕᣚࡌࡾࡆ࡛㸡┘Ⓩ௧አ࡞ࢸ࣭ࢰࢅ౐⏕ࡊ࡝࠷ࡆ࡛㸡ࢸ࣭ࢰࡢཚ㔔࡞ಕ⟮ࡊ◂✪⤂஡ᚃ࡞ࡢ◒Იࡌࡾࡆ࡛ࢅ᪺エࡊࡒ㸣ㄢᰕ⏕⣤ࡢ㸡಴ืᑌ➼࡞ࡻࡾ↋エྞࡡ㏁ಘ࡛ࡊ㸡㏁ಘࢅࡵࡖ࡙◂✪࡫ࡡྜྷណ࡛ࡊࡒ㸣࡝࠽㸡◂✪⩽࠿ᡜᒌࡌࡾᶭ㛭ࡡ೒⌦ᐼᰕጟဤఌࡡᢆヾ
ࢅᚋࡒ㸣

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1 㸡ᩐೋࡢெᩐ㸡㸝ࠈ㸞හࡢᅂ➽ᩐ࡞༥ࡴࡾ๪ྙϪ㸣⤎ᯕ㸣ᅂ཭⋙࡛ᑊ㇗⩽ࡡᴣこ㸣ᑊ㇗⩽࠿ໂຸࡌࡾ⫃ሔࡡᴣこࠈ㏳ࡡ㏁ಘ࠿࠵ࡽ㸡ᅂ཭⋙ࡢ㸚ࡓࡖࡒ㸣ࠈᑊ㇗⩽࠿ໂຸࡌࡾ⫃ሔࡡᴣこࡢ⾪㸧ࡡ㏳ࡽ࡚࠵ࡾ㸣ࠈᑊ㇗⩽ࡡᒌᛮࡢ⾪㸦ࡡ㏳ࡽ࡚㸡⏠ᛮྞ㸝㸚㸞㸡㧏㱃ᝀ⩽ࡡථ㝌᫤࡞㸡㏝㝌ㄢᩒ࡞ࡗ࠷࡙ࡡࢪࢠ࣭ࣛࢼ

ዥᛮྞ㸝㸚㸞㸡↋ᅂ➽ྞ㸝㸚㸞㸡ᖳ㱃ࡢ㸡ࣤࢡ㸝௧ୖ㸡ࢪࢠ࣭ࣛࢼࣤࢡ࡛ࡌࡾ㸞ࢅ⾔ࡖ࡙࠷ࡾ࡛

ṋ㹳ṋ࡚ᖲᆍṋ㸝ᵾ‵೩ᕣs㸞࡚࠵ࡖࡒ㸣ᅂ➽ࡊࡒெࡢྞ㸝㸚㸞㸡ࢪࢠ࣭ࣛࢼࣤࢡࢅ⾔ࡖ┫㆜⫃ࡡ⤊㥺ᖳᩐࡢ㸡㸩ࣧ᭮࠾ࡼᖳ㸨࡚ࣧ᭮ᖲᆍ⣑࡙࠷࡝࠷࡛ᅂ➽ࡊࡒெࡢྞ㸝㸚㸞㸡↋ᅂ➽࠽ࡻᖳ㸝ࣧ᭮㸞㸝ᵾ‵೩ᕣs㸞࡚࠵ࡖࡒ㸣ࡦ↋ຝᅂ➽ྞ㸝㸚㸞࡚࠵ࡖࡒ㸣⑋㝌࡞㏝㝌ㄢᩒ㒂㛓ࡱࡒࡢ㏝㝌ㄢᩒ࡞ᑍ௴ࡌࡾ⫃ဤ㸝௧ୖ㸡ᑍ௴⫃ဤ࡛⾪ࠈᑊ㇗⩽ࡡᴣこࠈࠈࠈ㡧ࠈ┘ࠈࠈࠈࠈࠈࠈࠈࠈࠈெᩐ㸝㸚㸞
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ḗ࠷࡚ࠔ᛬ᛮ᭿἖⒢࠿⤂஡ࡊᅂᚗ࡞ྡྷࡄ࡙ࡡ㌷ฝࠕ㸡ࠔ㧏ᗐ࡝༈⒢࠿ᚪこ࡝ᝀ⩽ࡡ᛬ᛮ᭿⑋㝌࡫ࡡ㌷ฝࠕ㸡ࠔ㧏ᗐ࡝༈⒢࠿ᚪこ࡝ᝀ⩽ࡡུࡄථࡿࠕࡓࡖࡒ㸣ࡐࡡ௙ࡡහᐖࡢ㸡
ࠔ⥾࿰ࢢ࢓࡞㛭ࡌࡾࡆ࡛ࠕ㸡ࠔࣛࣀࣄࣛࢷ࣭
㸣㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜࡞ࡗ࠷࡙ࠈ㸞྘㡧┘ࡡᚋⅤࠈ㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜㡧┘࡞ࡗ࠷࡙㸡྘㡧┘ࡡᖲᆍⅤࡢ⾪ࡡ㏳ࡽ࡚࠵ࡾ㸣ࠔᐁ᪃≟Ἓࠕࡡᖲ
ᆍⅤ࠿㧏࠷㡨࡞㸡㈹ၡ㡧┘ࢅ୩࡬᭨࠻ࡒ㸣ࠔᚪこᛮࡡヾㆉࠕࡡᖲᆍⅤࡢ㸡㡧┘ධ࡙௧୕࡛㧏࠾ࡖࡒ㸣ࠔᐁ᪃≟ἛࠕࡡᖲᆍⅤࡢ㸡㹳࡛ࡣࡼࡗࡀ࠿࠵
ࡽ㸡ࠖᐓ᪐ᵋᠺࡡᢍᥩࠗࠖᐓ᪐ࡡ௒㆜ງࡡᢍᥩࠗ
ࠖᐓ᪐ࡡࡆࡿ࠾ࡼࡡ⒢㣬࡞㛭ࡌࡾᕵ᭻ࡡ☔ヾ࡛ࠗ࠷ࡖࡒᐓ᪐࡞ࡗ࠷࡙ࡡ⌦ゆࡷᢍᥩ࡞㛭ࡌࡾහᐖ࠿㸡௙

1 㸡ᩐೋࡢெᩐ㸡㸝ࠈ㸞හࡢᅂ➽ᩐ࡞༥ࡴࡾ๪ྙ

ࡡ㡧┘࡛Ẓ࡬ࡾ࡛ࠔᚪこᛮࡡヾㆉࠕࠔᐁ᪃≟Ἓࠕ࡛ࡵ

㸪

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012⾪ࠈ㧏㱃ᝀ⩽ࡡ┫㆜㡧┘ࡡᖲᆍⅤ㸯ࠔᚪこᛮࡡヾㆉࠕ࡛ࠔᐁ᪃≟Ἓࠕࠈ㡧┘␊ྒ

ࠈࠈࠈࠈࠈࠈࠈࠈ㡧ࠈࠈࠈࠈ┘

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
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
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

ᐓ᪐ᵋᠺࡡᢍᥩᐓ᪐ࡡ௒㆜ງࡡᢍᥩ
ᐓ᪐ࡡࡆࡿ࠾ࡼࡡ⒢㣬࡞㛭ࡌࡾᕵ᭻ࡡ☔ヾᝀ⩽࠿࡜ࡡࡻ࠹࡝⏍Ὡࢅ᭻ࢆ࡚࠷ࡾࡡ࠾ࡡ☔ヾ௒㆜ಕ㝜࠿ᚪこ࡛ࡈࡿࡾ᫤ࡡ⏞ㄫ࡫ࡡ㛭ࢂࡽ࣭࢞ࣂ࣭ࢮࣤ࠿ᶭ⬗ࡌࡾࡻ࠹࡝഼ࡀ࠾ࡄ
ᝀ⩽ࡡࡆࡿ࠾ࡼࡡ⒢㣬࡞㛭ࡌࡾᛦ࠷ࡡ☔ヾ௒㆜ಕ㝜ࡡᚪこᛮ࡞ࡗ࠷࡙ࡡ࢓ࢬࢪ࣒ࣤࢹ
ථ㝌୯࡞$'/࠿࡜ࡡࡻ࠹࡞ን໩ࡊ࡙࠷ࡂ࠾ࡡ஢ῼ
⤊ῥງࡡᢍᥩ
ථ㝌᪡᭿ࡡ㏝㝌ㄢᩒࡡᚪこᛮࡡ࢓ࢬࢪ࣒ࣤࢹ
ථ㝌᪡᭿ࡡᅂᚗᚃࡡ⒢㣬ሔᡜࡡ࢓ࢬࢪ࣒ࣤࢹ
ᐓᒁࡡᵋ㏸ࡷపᏩ⎌ሾࡡᢍᥩ



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Sೋ㸯0DQQ:KLWQH\ࡡ8᳠ᏽ㸰 㸡S㸱୯ኳೋ㸝ᖲᆍೋ㸞ᚪこᛮࡡヾㆉᐁ᪃≟Ἓ                                                    

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㹥ೋ

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







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⾪ࠈ⑋Ჯࡡ≁ᚡ࡞ࡻࡾ㧏㱃ᝀ⩽ࡡ┫㆜㡧┘ࡡᚋⅤ㸝ᚪこᛮࡡヾㆉ㸞ࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈᖲᆍsᵾ‵೩ᕣ㸝Ⅴ㸞㡧┘␊ྒࢪࢠ࣭ࣛࢼࣤࢡᐁ᪃㡧ࠈࠈ┘᭯↋㸝㹣㸲㸞 㸝㹣㸲㸞㹥ೋ㏝㝌ㄢᩒ࡞ᑍ௴ࡌࡾ⫃ဤࡡ㒼⨠᭯↋㸝㹣㸲㸞 㸝㹣㸲㸞

㌷㝌ᙟᘟ
㹥ೋ

᛬ᛮ᭿⑋Ჯ ះᛮ᭿⑋Ჯ
㸝㹣㸲㸞 㸝㹣㸲㸞㹥ೋ ථ㝌᪡᭿ࡡ㏝㝌ㄢᩒࡡᚪ こᛮࡡ࢓ࢬࢪ࣒ࣤࢹ

s s

  s s

  s s ථ㝌᪡᭿ࡡᅂᚗᚃࡡ⒢㣬
 ሔᡜࡡ࢓ࢬࢪ࣒ࣤࢹ

s s

  s s

s s

s s

s s  ථ㝌୯࡞$'/࠿࡜ࡡࡻ࠹
s s  ࡞ን໩ࡊ࡙࠷ࡂ࠾ࡡ஢ῼ ௒㆜ಕ㝜ࡡᚪこᛮ࡞ࡗ࠷ ࡙ࡡ࢓ࢬࢪ࣒ࣤࢹ

s s

  s s

s s ௒㆜ಕ㝜࠿ᚪこ࡛ࡈࡿࡾ ᫤ࡡ⏞ㄫ࡫ࡡ㛭ࢂࡽs s

  s s

s s  ᝀ⩽࠿࡜ࡡࡻ࠹࡝⏍Ὡࢅ ᭻ࢆ࡚࠷ࡾࡡ࠾ࡡ☔ヾs s

s s

s s ᝀ⩽ࡡࡆࡿ࠾ࡼࡡ⒢㣬࡞ 㛭ࡌࡾᛦ࠷ࡡ☔ヾs s

s s

s s

 ᐓ᪐ᵋᠺࡡᢍᥩ

s s   s s

s s  ᐓ᪐ࡡ௒㆜ງࡡᢍᥩ

s s

  s s

s s  ᐓᒁࡡᵋ㏸ࡷపᏩ⎌ሾࡡ ᢍᥩ

s s

  s s

s s  ᐓ᪐ࡡࡆࡿ࠾ࡼࡡ⒢㣬࡞ 㛭ࡌࡾᕵ᭻ࡡ☔ヾs s

s s

s s  ⤊ῥງࡡᢍᥩ

s s

s s

s s ࣭࢞ࣂ࣭ࢮࣤ࠿ᶭ⬗ࡌࡾ ࡻ࠹࡝഼ࡀ࠾ࡄ

s s

s s

s s ࠈࠈೋ㸯0DQQ:KLWQH\ࡡ8᳠ᏽ㸰 㸡S㸱
S


ࠈ





ࠈ

࡞Ⅴᩐ࠿㧏ࡂ㸡ࠖᝀ⩽࠿࡜ࡡࡻ࠹࡝⏍Ὡࢅ᭻ࢆ࡚࠷ࡾࡢ㸡ࠔᚪこᛮࡡヾㆉࠕࠔᐁ᪃≟Ἓࠕ࡛ࡵ࡞᭩ࡵ఩࠾ࡖࡒ㸣࠾ࡡ☔ヾࠗࠖᝀ⩽ࡡࡆࡿ࠾ࡼࡡ⒢㣬࡞㛭ࡌࡾᛦ࠷ࡡ

ࠈḗ࡞㸡㡧┘ࡐࡿࡑࡿࢅࠔᚪこᛮࡡヾㆉࠕ࡛ࠔᐁ᪃≟☔ヾ࡛ࠗ࠷ࡖࡒᝀ⩽ᮇெࡡᕵ᭻ࡷᛦ࠷ࡡ☔ヾ࡞㛭ࡌࡾἛࠕࡇ࡛࡞㸡ࢪࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃ࡡ᭯↋㸡ᑍ௴⫃ဤහᐖࡻࡽࡵ㔔こちࡈࡿ࡙࠷ࡾലྡྷ࠿ヾࡴࡼࡿࡒ㸣㡧ࡡ㒼⨠ࡡ᭯↋㸡㌷㝌ᙟᘟࡡ㐢࠷࡞࠽࠷࡙ฦᕱ࡞ᕣ࠿࠵

┘ධ࡙࡞࠽࠷࡙㸡ࠔᚪこᛮࡡヾㆉࠕ࠿ࠔᐁ᪃≟Ἓࠕࡻࡽࡵ

ࡾ࠾㸡0DQQ:KLWQH\ࡡ8᳠ᏽࢅ⾔ࡖࡒ㸝⾪㸩㸡⾪㸪㸞㸣᭯ណ࡞㧏࠾ࡖࡒ㸝S㸱㸞㸣ࡱࡒ㸡ࠖථ㝌᪡᭿ࡡ㏝㝌ࠈࠔᚪこᛮࡡヾㆉࠕ࡚ࡢ㸡ࠖථ㝌᪡᭿ࡡ㏝㝌ㄢᩒࡡᚪㄢᩒࡡᚪこᛮࡡ࢓ࢬࢪ࣒ࣤࢹࠗ
ࠖථ㝌᪡᭿ࡡᅂᚗᚃ

こᛮࡡ࢓ࢬࢪ࣒ࣤࢹࠗ
ࠖථ㝌᪡᭿ࡡᅂᚗᚃࡡ⒢㣬ሔ

ࡡ⒢㣬ሔᡜࡡ࢓ࢬࢪ࣒ࣤࢹࠗࡡ㸧㡧┘ࡢ㸡ࠔᐁ᪃≟Ἓࠕ

ᡜࡡ࢓ࢬࢪ࣒ࣤࢹࠗࠖ௒㆜ಕ㝜ࡡᚪこᛮ࡞ࡗ࠷࡙ࡡ

ࡡᖲᆍⅤ࠿఩ࡂ㸡ࠖᐓᒁࡡᵋ㏸ࡷపᏩ⎌ሾࡡᢍᥩࠗ

࢓ࢬࢪ࣒ࣤࢹࠗࠖ௒㆜ಕ㝜࠿ᚪこ࡛ࡈࡿࡾ᫤ࡡ⏞ㄫ㸫

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012⾪ࠈ⑋Ჯࡡ≁ᚡ࡞ࡻࡾ㧏㱃ᝀ⩽ࡡ┫㆜㡧┘ࡡᚋⅤ㸝ᐁ᪃≟Ἓ㸞ࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈᖲᆍsᵾ‵೩ᕣ㸝Ⅴ㸞ࠈ㡧┘␊ྒࢪࢠ࣭ࣛࢼࣤࢡᐁ᪃㡧ࠈࠈ┘᭯↋㸝㹣㸲㸞 㸝㹣㸲㸞㹥ೋ㏝㝌ㄢᩒ࡞ᑍ௴ࡌࡾ⫃ဤࡡ㒼⨠᭯↋㸝㹣㸲㸞 㸝㹣㸲㸞

㌷㝌ᙟᘟ
㹥ೋ

᛬ᛮ᭿⑋Ჯ ះᛮ᭿⑋Ჯ
㸝㹣㸲㸞 㸝㹣㸲㸞㹥ೋ ථ㝌᪡᭿ࡡ㏝㝌ㄢᩒࡡᚪ こᛮࡡ࢓ࢬࢪ࣒ࣤࢹ

s s

  s s

  s s  ථ㝌᪡᭿ࡡᅂᚗᚃࡡ⒢㣬
 ሔᡜࡡ࢓ࢬࢪ࣒ࣤࢹ

s s

  s s

  s s  ථ㝌୯࡞$'/࠿࡜ࡡࡻ࠹
s s ࡞ን໩ࡊ࡙࠷ࡂ࠾ࡡ஢ῼ

  s s

  s s ௒㆜ಕ㝜ࡡᚪこᛮ࡞ࡗ࠷ ࡙ࡡ࢓ࢬࢪ࣒ࣤࢹ

s s

  s s

s s ௒㆜ಕ㝜࠿ᚪこ࡛ࡈࡿࡾ ᫤ࡡ⏞ㄫ࡫ࡡ㛭ࢂࡽs s

  s s

s s ᝀ⩽࠿࡜ࡡࡻ࠹࡝⏍Ὡࢅ ᭻ࢆ࡚࠷ࡾࡡ࠾ࡡ☔ヾs s

  s s

 

s s ᝀ⩽ࡡࡆࡿ࠾ࡼࡡ⒢㣬࡞ 㛭ࡌࡾᛦ࠷ࡡ☔ヾs s

  s s

 

s s ᐓ᪐ᵋᠺࡡᢍᥩ

s s

  s s

s s ᐓ᪐ࡡ௒㆜ງࡡᢍᥩ

s s   s s

s s

 ᐓᒁࡡᵋ㏸ࡷపᏩ⎌ሾࡡ ᢍᥩ

s s

  s s

 

s s  ᐓ᪐ࡡࡆࡿ࠾ࡼࡡ⒢㣬࡞ 㛭ࡌࡾᕵ᭻ࡡ☔ヾs s   s s

s s

 ⤊ῥງࡡᢍᥩ

s s   s s

s s  ࣭࢞ࣂ࣭ࢮࣤ࠿ᶭ⬗ࡌࡾ ࡻ࠹࡝഼ࡀ࠾ࡄ

s s   s s

s s Sೋ㸯0DQQ:KLWQH\ࡡ8᳠ᏽ㸰 㸡S㸱
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ࠈ

࡫ࡡ㛭ࢂࡽࠗ
ࠖᐓ᪐ᵋᠺࡡᢍᥩࠗ
ࠖᐓ᪐ࡡ௒㆜ງࡡ࣒ࣤࢹࠗࠖ௒㆜ಕ㝜࠿ᚪこ࡛ࡈࡿࡾ᫤ࡡ⏞ㄫ࡫ࡡ㛭ᢍᥩࠗࠖᐓᒁࡡᵋ㏸ࡷపᏩ⎌ሾࡡᢍᥩࠗࡡ㸬㡧┘࡞ࢂࡽࠗࡡ㸧㡧┘࡞࠽࠷࡙㸡ះᛮ᭿⑋Ჯ࡞ໂຸࡌࡾ┫㆜࠽࠷࡙㸡ࢪࢠ࣭ࣛࢼࣤࢡࢅᐁ᪃ࡊ࡙࠷ࡾ⑋Ჯ࡞ໂຸࡌ

ᖅ㸝௧ୖ㸡ះᛮ᭿⑋Ჯ┫㆜ᖅ࡛ࡌࡾ㸞ࡡ᪁࠿᭯ណ࡞㧏ࡾ┫㆜ᖅ㸝௧ୖ㸡ࢪࢠ࣭ࣛࢼࣤࢡᐁ᪃┫㆜ᖅ࡛ࡌࡾ㸞࠾ࡖࡒ㸝S㸱㸞㸣ࡡ᪁࠿᭯ណ࡞㧏࠾ࡖࡒ㸝S㸱㸞㸣ࡱࡒ㸡ࠖථ㝌᪡᭿

ࠈ㸞ಘ㢏ᛮ࣬ᵋᠺᴣᛍጂᙔᛮ

ࡡ㏝㝌ㄢᩒࡡᚪこᛮࡡ࢓ࢬࢪ࣒ࣤࢹࠗࡡࡲ㸡ᑍ௴⫃ဤࠈ㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜࡞ࡗ࠷࡙ࡡ㈹ၡ㡧࠿㒼⨠ࡈࡿ࡙࠷ࡾ⑋㝌࡞ໂຸࡌࡾ┫㆜ᖅ㸝௧ୖ㸡ᑍ௴┘ࡡಘ㢏ᛮ࣬ጂᙔᛮ࡞ࡗ࠷࡙᳠ゞࡊࡒ㸝⾪㸫㸡⾪㸬㸞㸣ಘ⫃ဤ┫㆜ᖅ࡛ࡌࡾ㸞ࡡ᪁࠿᭯ណ࡞㧏࠾ࡖࡒ㸝S㸱㸞㸣㢏ᛮࡢ㸡&URQEDFKࡡȘ౿ᩐࢅịࡴࡒ㸣ࠔᚪこᛮࡡヾㆉࠕ㌷㝌ᙟᘟ࡞ࡗ࠷࡙ࡢ㸡㈹ၡ㡧┘ࡡහᐖ࠾ࡼ᛬ᛮ᭿⑋Ჯ

࡞ࡗ࠷࡙ࡢ㸡ࠔᐁ᪃≟Ἓࠕ࡞ࡗ࠷࡙ࡢ࡚࠵ࡽ㸡࡛ះᛮ᭿⑋Ჯࡡ㸧⩄࡞ฦࡄ࡙ฦᯊࡊࡒ࠿㸡㡧┘ධ࡙ಘ㢏ᛮࡢヾࡴࡼࡿࡒ㸣ጂᙔᛮ࡞ࡗ࠷࡙ࡢ㸡ᵋᠺᴣᛍࡡ

࡞࠽࠷࡙᭯ណᕣ࠿ヾࡴࡼࡿ࡝࠾ࡖࡒ㸣ጂᙔᛮࢅࡲࡾࡒࡴ࡞ᅄᏄฦᯊࢅ⾔ࡖࡒ㸣ᅄᏄฦᯊ࡞࠽

ࠈࠔᐁ᪃≟Ἓࠕ࡚ࡢ㸡㡧┘ධ࡙࡞࠽࠷࡙㸡ࢪࢠ࣭ࣛࡄࡾ᳠ᏽ࡞ࡗ࠷࡙ࡢ㸡ࢦࣤࣈ࡛ࣜᅄᏄฦᯊࡡ㐲ྙᛮࢅࢼࣤࢡᐁ᪃┫㆜ᖅࡡ᪁࠿᭯ណ࡞㧏࠾ࡖࡒ㸝S㸱㸞㸣ᅒࡾ஥๑᳠ᏽ࡛ࡊ࡙㸡.DLVHU0H\HU2ONLQ㸝.02㸞ࡡᵾࡱࡒ㸡ࠖථ㝌᪡᭿ࡡ㏝㝌ㄢᩒࡡᚪこᛮࡡ࢓ࢬࢪ࣒ࣤ

ᮇጂᙔᛮῼᗐ࠽ࡻࡦ%DUWOHWWࡡ⌣㟻ᛮ᳠ᏽࡡᐁ᪃࠿᥆

ࢹࠗࠖථ㝌᪡᭿ࡡᅂᚗᚃࡡ⒢㣬ሔᡜࡡ࢓ࢬࢪ࣒ࣤࢹࠗ

ዜࡈࡿ㸡.02ࡢ㸡ࠔᚪこᛮࡡヾㆉࠕࠔᐁ᪃≟Ἓࠕ࡛ࡵ࡞

ࠖථ㝌୯࡞$'/࠿࡜ࡡࡻ࠹࡞ን໩ࡊ࡙࠷ࡂ࠾ࡡ஢ῼࠗ

࡚࠵ࡖࡒ㸣ࡱࡒ㸡%DUWOHWWࡡ⌣㟻ᛮ᳠ᏽ⤎ᯕࡢ㸡ࠖᝀ⩽࠿࡜ࡡࡻ࠹࡝⏍Ὡࢅ᭻ࢆ࡚࠷ࡾ࠾ࡡ☔ヾࠗࠖࠔᚪこᛮࡡヾㆉࠕࠔᐁ᪃≟Ἓࠕ࡛ࡵ࡞S࡛࡝ࡾࡒࡴ㸡ᝀ⩽ࡡࡆࡿ࠾ࡼࡡ⒢㣬࡞㛭ࡌࡾᛦ࠷ࡡ☔ヾࠗࠖᐓᒁ

ᅄᏄฦᯊࡡ㐲⏕ࡢጂᙔ࡛ึ᩷ࡊࡒ㸣ฦᯊࡢ㸡୹ᅄᏄἪ

ࡡᵋ㏸ࡷపᏩ⎌ሾࡡᢍᥩࠗࡡ㸫㡧┘࡞࠽࠷࡙㸡ᑍ௴⫃࡞ࡻࡾᅄᏄฦᯊࣈ࣏ࣞࢴࢠࢪᅂ㌷ࢅ⾔࠷㸡ࡐࡡ⤎ᯕ㸡ဤ┫㆜ᖅࡡ᪁࠿᭯ណ࡞㧏࠾ࡖࡒ㸝S㸱㸞㸣㌷㝌ᙟᘟᅄᏄㇿⲬࡡ఩࠷㡧┘ࡷ々ᩐࡡᅄᏄ࡞ᅄᏄㇿⲬࡡ㧏࠷㡧࡞ࡗ࠷࡙ࡢ㸡ࠖ௒㆜ಕ㝜ࡡᚪこᛮ࡞ࡗ࠷࡙ࡡ࢓ࢬࢪ

┘ࢅ㝎࠷࡙㸡ࠔᚪこᛮࡡヾㆉࠕࠔᐁ᪃≟Ἓࠕ࡛ࡵ࡞㸧ࡗ㸬

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012⾪ࠈ㧏㱃ᝀ⩽ࡡ┫㆜ࡡࠔᚪこᛮࡡヾㆉࠕ࡞㛭ࡌࡾ㡧┘ࡡᅄᏄฦᯊ⤎ᯕ ࠈ➠ᅄᏄ㸝㡧┘㸞࠘ᐓᗖ⫴ᬊ࣬ᐓ᪐ᶭ⬗ࡡビ౮࡛ᐓ᪐࣬ᝀ⩽ࡡᕵ᭻☔ヾ࠙Ș㸲 ᐓ᪐ࡡࡆࡿ࠾ࡼࡡ⒢㣬࡞㛭ࡌࡾᕵ᭻ࡡ☔ヾ ᐓ᪐ᵋᠺࡡᢍᥩ ᐓ᪐ࡡ௒㆜ງࡡᢍᥩ ࣭࢞ࣂ࣭ࢮࣤ࠿ᶭ⬗ࡌࡾࡻ࠹࡝഼ࡀ࠾ࡄ ⤊ῥງࡡᢍᥩ 
ᐓᒁࡡᵋ㏸ࡷపᏩ⎌ሾࡡᢍᥩ ᝀ⩽ࡡࡆࡿ࠾ࡼࡡ⒢㣬࡞㛭ࡌࡾᛦ࠷ࡡ☔ヾ➠ᅄᏄ㸝㡧┘㸞࠘㏝㝌ㄢᩒࠉ௒㆜ಕ㝜ࡡึ᩷࠙Ș㸲 ථ㝌᪡᭿ࡡ㏝㝌ㄢᩒࡡᚪこᛮࡡ࢓ࢬࢪ࣒ࣤࢹ ථ㝌᪡᭿ࡡᅂᚗᚃࡡ⒢㣬ሔᡜࡡ࢓ࢬࢪ࣒ࣤࢹ ௒㆜ಕ㝜ࡡᚪこᛮ࡞ࡗ࠷࡙ࡡ࢓ࢬࢪ࣒ࣤࢹ ௒㆜ಕ㝜࠿ᚪこ࡛ึ᩷ࡈࡿࡾ᫤ࡡ⏞ㄫ࡫ࡡ㛭ࢂࡽ㝎አࡊࡒ㡧┘ ᝀ⩽࠿࡜ࡡࡻ࠹࡝⏍Ὡࢅ᭻ࢆ࡚࠷ࡾࡡ࠾ࡡ☔ヾ ථ㝌୯࡞$'/࠿࡜ࡡࡻ࠹࡞ን໩ࡊ࡙࠷ࡂ࠾ࡡ஢ῼ

ᅄᏄㇿⲬ㔖
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ᅂ㌷ᚃࡡㇿⲬ㔖ᖲ᪁࿰ᐞ୙⋙㸝㸚㸞⣴✒ᐞ୙⋙㸝㸚㸞ᖲᆍೋ

1㸲㸡ᅄᏄ᢫ฝἪ㸯୹ᅄᏄἪࠈᅂ㌷Ἢ㸯.DLVHUࡡḿぜ໩ࢅఔ࠹ࣈ࣏ࣞࢴࢠࢪἪ

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⾪ࠈ㧏㱃ᝀ⩽ࡡ┫㆜ࡡࠔᐁ᪃≟Ἓࠕ࡞㛭ࡌࡾ㡧┘ࡡᅄᏄฦᯊ⤎ᯕ
㡧┘␊ྒ

㡧ࠈࠈ┘

➠ᅄᏄ㸝㡧┘㸞࠘ᐓᗖ⫴ᬊ࣬ᐓ᪐ᶭ⬗ࡡビ౮࡛ᐓ᪐࣬ᝀ⩽ࡡᕵ᭻☔ヾ࠙Ș㸲 ᐓ᪐ࡡࡆࡿ࠾ࡼࡡ⒢㣬࡞㛭ࡌࡾᕵ᭻ࡡ☔ヾ ᐓ᪐ᵋᠺࡡᢍᥩ ᐓ᪐ࡡ௒㆜ງࡡᢍᥩ ⤊ῥງࡡᢍᥩ ࣭࢞ࣂ࣭ࢮࣤ࠿ᶭ⬗ࡌࡾࡻ࠹࡝഼ࡀ࠾ࡄ ᝀ⩽࠿࡜ࡡࡻ࠹࡝⏍Ὡࢅ᭻ࢆ࡚࠷ࡾࡡ࠾ࡡ☔ヾ ᝀ⩽ࡡࡆࡿ࠾ࡼࡡ⒢㣬࡞㛭ࡌࡾᛦ࠷ࡡ☔ヾ 
ᐓᒁࡡᵋ㏸ࡷపᏩ⎌ሾࡡᢍᥩ
➠ᅄᏄ㸝㡧┘㸞࠘㏝㝌ㄢᩒࠉ௒㆜ಕ㝜ࡡึ᩷࠙Ș㸲 ථ㝌᪡᭿ࡡᅂᚗᚃࡡ⒢㣬ሔᡜࡡ࢓ࢬࢪ࣒ࣤࢹ ථ㝌᪡᭿ࡡ㏝㝌ㄢᩒࡡᚪこᛮࡡ࢓ࢬࢪ࣒ࣤࢹ ௒㆜ಕ㝜ࡡᚪこᛮ࡞ࡗ࠷࡙ࡡ࢓ࢬࢪ࣒ࣤࢹ ථ㝌୯࡞$'/࠿࡜ࡡࡻ࠹࡞ን໩ࡊ࡙࠷ࡂ࠾ࡡ஢ῼ
㝎አࡊࡒ㡧┘ ௒㆜ಕ㝜࠿ᚪこ࡛ึ᩷ࡈࡿࡾ᫤ࡡ⏞ㄫ࡫ࡡ㛭ࢂࡽ
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1㸲㸡ᅄᏄ᢫ฝἪ㸯୹ᅄᏄἪࠈᅂ㌷Ἢ㸯.DLVHUࡡḿぜ໩ࢅఔ࠹ࣈ࣏ࣞࢴࢠࢪἪ

ࡡᅄᏄ࠿᢫ฝࡈࡿࡒ㸣ࠔᚪこᛮࡡヾㆉࠕࡡ➠㸦ᅄᏄࡢ㸡㏝㝌ㄢᩒࡡᚪこᛮࡡ࢓ࢬࢪ࣒ࣤࢹࠗ
ࠖථ㝌᪡᭿ࡡᅂ

ࠖᐓ᪐ࡡࡆࡿ࠾ࡼࡡ⒢㣬࡞㛭ࡌࡾᕵ᭻ࡡ☔ヾࠗࠖᚗᚃࡡ⒢㣬ሔᡜࡡ࢓ࢬࢪ࣒ࣤࢹࠗࠖ௒㆜ಕ㝜ࡡᚪこᐓ᪐ᵋᠺࡡᢍᥩࠗ
ࠖᐓ᪐ࡡ௒㆜ງࡡᢍᥩࠗ
ࠖ࣭࢞

ᛮ࡞ࡗ࠷࡙ࡡ࢓ࢬࢪ࣒ࣤࢹࠗࠖ௒㆜ಕ㝜࠿ᚪこ࡛ึࣂ࣭ࢮࣤ࠿ᶭ⬗ࡌࡾࡻ࠹࡝഼ࡀ࠾ࡄࠗ
ࠖ⤊ῥງࡡᢍ

᩷ࡈࡿࡾ᫤ࡡ⏞ㄫ࡫ࡡ㛭ࢂࡽࠗࡡ㸩㡧┘࠾ࡼᵋᠺࡈࡿ

ᥩࠗࠖᐓᒁࡡᵋ㏸ࡷపᏩ⎌ሾࡡᢍᥩࠗ
ࠖᝀ⩽ࡡࡆ

ࡾࡆ࡛࠾ࡼ㸡
࠘㏝㝌ㄢᩒ㸡௒㆜ಕ㝜ࡡึ࡛᩷࠙ゆ㔐ࡊࡿ࠾ࡼࡡ⒢㣬࡞㛭ࡌࡾᛦ࠷ࠗࡡ㸬㡧┘࠾ࡼᵋᠺࡈࡿࡾ

ࡒ㸣ࠔᐁ᪃≟Ἓࠕࡡ➠㸦ᅄᏄࡢ㸡ࠖᐓ᪐ࡡࡆࡿ࠾ࡼࡡ

ࡆ࡛࠾ࡼ㸡࠘ᐓᗖ⫴ᬊ࣬ᐓ᪐ᶭ⬗ࡡビ౮࡛ᐓ᪐࣬ᝀ⩽⒢㣬࡞㛭ࡌࡾᕵ᭻ࡡ☔ヾࠗࠖᐓ᪐ᵋᠺࡡᢍᥩࠗ
ࠖᐓࡡᕵ᭻☔ヾ࡛࠙ゆ㔐ࡊࡒ㸣➠㸧ᅄᏄࡢ㸡ࠖථ㝌᪡᭿ࡡ᪐ࡡ௒㆜ງࡡᢍᥩࠗ
ࠖ⤊ῥງࡡᢍᥩࠗ
ࠖ࣭࢞ࣂ࣭

㸭

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012⾪ࠈ⑋Ჯࡡ≁ᚡ࡞ࡻࡾᅄᏄฦᯊ⤎ᯕࡡᚋⅤ㸯ࠔᚪこᛮࡡヾㆉࠕ࡛ࠔᐁ᪃≟Ἓࠕࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈᖲᆍsᵾ‵೩ᕣ㸝Ⅴ㸞ࠈࢪࢠ࣭ࣛࢼࣤࢡᐁ᪃㡧ࠈࠈ┘᭯↋㸝㹣㸲㸞 㸝㹣㸲㸞ᚪこᛮࡡヾㆉ
࠘ᐓᗖ⫴ᬊ࣬ᐓ᪐ᶭ⬗ࡡビ౮s s
ࠈࠈ࡛ᐓ᪐࣬ᝀ⩽ࡡᕵ᭻☔ヾ࠙࠘㏝㝌ㄢᩒ㸡௒㆜ಕ㝜ࡡึ᩷࠙s sᐁ᪃≟Ἓ࠘ᐓᗖ⫴ᬊ࣬ᐓ᪐ᶭ⬗ࡡビ౮s s
ࠈࠈ࡛ᐓ᪐࣬ᝀ⩽ࡡᕵ᭻☔ヾ࠙

㹥ೋ



㏝㝌ㄢᩒ࡞ᑍ௴ࡌࡾ⫃ဤࡡ㒼⨠᭯↋㸝㹣㸲㸞 㸝㹣㸲㸞

㌷㝌ᙟᘟ
㹥ೋ

᛬ᛮ᭿⑋Ჯ ះᛮ᭿⑋Ჯ
㸝㹣㸲㸞 㸝㹣㸲㸞㹥ೋs s

s s

  s s

s s

  s s

  s s ࠘㏝㝌ㄢᩒ㸡௒㆜ಕ㝜ࡡึ᩷࠙s s   s s

  s s



Sೋ㸯0DQQ:KLWQH\ࡡ8᳠ᏽ㸰 㸡S㸱ࢮࣤ࠿ᶭ⬗ࡌࡾࡻ࠹࡝഼ࡀ࠾ࡄࠗ
ࠖᝀ⩽࠿࡜ࡡࡻ࠹

㒼⨠ࡈࡿ࡙࠷࡝࠷⑋㝌࡞ໂຸࡌࡾ┫㆜ᖅ㸝௧ୖ㸡ᑍ௴࡝⏍Ὡࢅ᭻ࢆ࡚࠷ࡾࡡ࠾ࡡ☔ヾࠗࠖᝀ⩽ࡡࡆࡿ࠾ࡼ

⫃ဤ୘ᅹ┫㆜ᖅ࡛ࡌࡾ㸞ࡡᐁ᪃ࡻࡽࡵ᭯ណ࡞㧏࠾ࡖࡒ㸣

ࡡ⒢㣬࡞㛭ࡌࡾᛦ࠷ࡡ☔ヾࠗࠖᐓᒁࡡᵋ㏸ࡷపᏩ⎌ࠈ㌷㝌ᙟᘟࡡ㐢࠷࡚ࡢ㸡ࠔᚪこᛮࡡヾㆉࠕࠔᐁ᪃≟Ἓࠕ

ሾࡡᢍᥩࠗࡡ㸭㡧┘࠾ࡼᵋᠺࡈࡿࡾࡆ࡛࠾ࡼ㸡࠘ᐓᗖ࡛ࡵ࡞᭯ណᕣࢅヾࡴ࡝࠾ࡖࡒ㸣⫴ᬊ࣬ᐓ᪐ᶭ⬗ࡡビ౮࡛ᐓ᪐࣬ᝀ⩽ࡡᕵ᭻☔ヾ࡛࠙ゆ㔐ࡊࡒ㸣➠㸧ᅄᏄࡢ㸡ࠖථ㝌᪡᭿ࡡᅂᚗᚃࡡ⒢㣬ሔϫ㸣⩻ᐳᡜࡡ࢓ࢬࢪ࣒ࣤࢹࠗ
ࠖථ㝌᪡᭿ࡡ㏝㝌ㄢᩒࡡᚪこᛮ㸣㧏㱃ᝀ⩽࡞ᑊࡌࡾ㏝㝌ᚃࡡ⏍Ὡࢅず㏳ࡊࡒ┫㆜ࡡࡡ࢓ࢬࢪ࣒ࣤࢹࠗࠖ௒㆜ಕ㝜ࡡᚪこᛮ࡞ࡗ࠷࡙ࡡ࢓ࠈࠔᚪこᛮࡡヾㆉࠕ࡛ࠔᐁ᪃≟Ἓࠕࢬࢪ࣒ࣤࢹࠗ
ࠖථ㝌୯࡞$'/࠿࡜ࡡࡻ࠹࡞ን໩ࡊ࡙࠷

ࠈ㧏㱃ᝀ⩽࡞ᑊࡌࡾ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜㡧┘ධ࡙ࡂ࠾ࡡ஢ῼࠗࡡ㸩㡧┘࠾ࡼᵋᠺࡈࡿࡾࡆ࡛࠾ࡼ㸡
࠘㏝㝌

࡞࠽࠷࡙㸡
ࠔᚪこᛮࡡヾㆉࠕ࠿ࠔᐁ᪃≟Ἓࠕࡻࡽࡵ᭯ណ

ㄢᩒ㸡௒㆜ಕ㝜ࡡึ࡛᩷࠙ゆ㔐ࡊࡒ㸣࡞㧏࠾ࡖࡒࡆ࡛࠾ࡼ㸡ࠔᚪこᛮࡡヾㆉࠕࡢ㧏࠷࠿㸡᪝ࠈ㸞ᅄᏄฦᯊ⤎ᯕ࡞ࡻࡾ྘⩄ࡡᚋⅤࠍࡡ┫㆜࡚ᐁ㊮ࡊࡀࡿ࡙࠷࡝࠷⌟≟࠿࠵ࡾ࡛⩻࠻ࡼࡿࠈᅄᏄฦᯊࡡ⤎ᯕࢅࡨࡱ࠻㸡ࢪࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃ࡡ

ࡾ㸣ࡱࡒ㸡྘㡧┘ࡡࠔᚪこᛮࡡヾㆉࠕ࡛ࠔᐁ᪃≟Ἓࠕࡡ᭯↋㸡ᑍ௴⫃ဤࡡ㒼⨠ࡡ᭯↋㸡㌷㝌ᙟᘟࡡ㐢࠷࡞࠽࠷

ᖲᆍⅤࢅẒ㍉ࡌࡾ࡛㸡ᴣࡠྜྷࡋࡻ࠹࡝ᚋⅤ㡨న࡛࡝ࡾ࡙ฦᕱ࡞ᕣ࠿࠵ࡾ࠾㸡0DQQ:KLWQH\ࡡ8᳠ᏽࢅ⾔ࡖࡒ࠿㸡㡧┘ࡡ୯࡚㸡ᚋⅤ㡨న࠿ኬࡀࡂ␏࡝ࡾ㡧┘ࡡ㸦

㸝⾪㸭㸞㸣

ࡗ࡞㸡
ࠖථ㝌᪡᭿ࡡᅂᚗᚃࡡ⒢㣬ሔᡜࡡ࢓ࢬࢪ࣒ࣤ

ࠈࢪࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃ࡡ᭯↋࡚ࡢ㸡ࠔᚪこᛮࡡヾㆉࠕࢹࠗ࠿࠵ࡖࡒ㸣ࡆࡿࡢ㸡ࠔᚪこᛮࡡヾㆉࠕࡢࡊ࡙࠷ࡾ

࡞࠽࠷࡙࠘㏝㝌ㄢᩒ㸡௒㆜ಕ㝜ࡡึ࡚᩷࠙᭯ណᕣ㸝S㸱

ࡵࡡࡡࠔᐁ᪃≟Ἓࠕ࠿఩࠷㸣඙⾔◂✪࡚ࡵ㸡㏝㝌࡞ࡳ㸞ࢅヾࡴ㸡ࢪࢠ࣭ࣛࢼࣤࢡᐁ᪃┫㆜ᖅࡡヾㆉ࠿㸡ࡄ࡙ࡡᨥᥴࢅ᪡᭿࡞㛜ጙࡌࡾࡆ࡛࡚㸡ථ㝌ࡡ㛏᭿໩ࢅࢪࢠ࣭ࣛࢼࣤࢡࢅᐁ᪃ࡊ࡙࠷࡝࠷⑋Ჯ࡞ໂຸࡌࡾ┫㆜㜭ࡃࡆ࡛࠿ሒ࿈㸞ࡈࡿࡒࡽ㸡ᝀ⩽⫴ᬊࡵ々㞟࡚࠵ࡾࡆᖅ㸝௧ୖ㸡ࢪࢠ࣭ࣛࢼࣤࢡᮅᐁ᪃┫㆜ᖅ࡛ࡌࡾ㸞ࡡヾ࡛࠾ࡼ㸡々㞟࡝ㄢᩒහᐖ࠿ᚪこ࡛࡝ࡖ࡙ᨥᥴ࡞᫤㛣ࢅㆉࡻࡽࡵ᭯ណ࡞㧏࠾ࡖࡒ㸣ࠔᐁ᪃≟Ἓࠕ࡚ࡢ㸡࠘ᐓᗖ⫴こࡌࡾࡒࡴ㸡᪡᭿࠾ࡼᑊ㇗⩽ࡡ≁ᏽ࡛ᨥᥴࡡᚪこᛮ㸞ᬊ࣬ᐓ᪐ᶭ⬗ࡡビ౮࡛ᐓ᪐࣬ᝀ⩽ࡡᕵ᭻☔ヾ࡛࠙࠘㏝

࠿㏑࡬ࡼࡿ࡙࠷ࡾ㸣ࡱࡒ㸡㏝㝌ᨥᥴ࡞ᑊࡊ࡙ࣀ࢕ࣛࢪ

㝌ㄢᩒ㸡௒㆜ಕ㝜ࡡึ᩷࠙ࡡ࡜ࡔࡼ࡞ࡵ᭯ណᕣ㸝S㸱

ࢠᝀ⩽࡚࠵ࡾ࡛ヾㆉࡊࡒ᫤Ⅴ࡚㸡ิࡴ࡙✒ᴗⓏ࡝ᨥᥴ

㸞ࢅヾࡴ㸡ࢪࢠ࣭ࣛࢼࣤࢡᐁ᪃┫㆜ᖅࡡᐁ᪃࠿㸡࠿㛜ጙࡈࡿ࡙ࡵ㸡ᨥᥴ㛜ጙࡡࢰ࢕࣐ࣤࢡࢅ㏠ࡌ㸞ࡆ࡛ࢪࢠ࣭ࣛࢼࣤࢡᮅᐁ᪃┫㆜ᖅࡡᐁ᪃ࡻࡽࡵ᭯ណ࡞㧏࠾ࡵ㏑࡬ࡼࡿ࡙࠷ࡾ㸣ࠖථ㝌᪡᭿ࡡᅂᚗᚃࡡ⒢㣬ሔᡜࡖࡒ㸣ࡡ࢓ࢬࢪ࣒ࣤࢹࠗࡡࠔᚪこᛮࡡヾㆉࠕࡢࡊ࡙࠷ࡾࡵࡡ

ࠈᑍ௴⫃ဤࡡ㒼⨠ࡡ᭯↋࡚ࡢ㸡ࠔᚪこᛮࡡヾㆉࠕ࡞ࡢࡡࠔᐁ᪃≟Ἓࠕ࠿఩࠷ࡆ࡛࠾ࡼ㸡┫㆜ᖅࡢ㸡ථ㝌᭿㛣᭯ណᕣ࠿ヾࡴࡼࡿ࡝࠾ࡖࡒ㸣ࠔᐁ᪃≟Ἓࠕ࡚ࡢ㸡࠘ᐓᗖ࠿▯⦨ࡊ࡙࠷ࡾ⌟ᅹ㸡㏝㝌ᨥᥴ࠿᪡᭿࠾ࡼᐁ᪃ࡈࡿࡾ

⫴ᬊ࣬ᐓ᪐ᶭ⬗ࡡビ౮࡛ᐓ᪐࣬ᝀ⩽ࡡᕵ᭻☔ヾ࡛࠙࠘㏝ࡆ࡛ࡡ࣒ࣛࢴࢹࡷᚪこᛮࢅ⌦ゆࡊ࡙࠷ࡾ࡛ྜྷ᫤࡞㸡ᅂ㝌ㄢᩒ㸡௒㆜ಕ㝜ࡡึ᩷࠙ࡡ࡜ࡔࡼ࡞ࡵ᭯ណᕣ㸝S㸱ᚗᚃࡡ⒢㣬ሔᡜࡡ࢓ࢬࢪ࣒ࣤࢹࡡᚪこᛮࡵ⌦ゆࡊ࡙࠷㸞ࢅヾࡴ㸡ᑍ௴⫃ဤ┫㆜ᖅࡡᐁ᪃࠿㸡ᑍ௴⫃ဤ࠿ࡾ⌟≟࡚࠵ࡾ㸣ࡱࡒ㸡々ᩐࡡ⑄ᝀࢅᢢ࠻ࡾࡆ࡛࠿ኣ࠷

㸮

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㧏㱃ᝀ⩽ࡢ㸡$'/ࡡን໩ࡡ஢ῼ࠿㞬ࡊࡂ㸡ಞḿ࠿ᚪこࡼࡿࡾ㸣࡝ࡆ࡛ࡵኣࡂ㸡᪝ࠍࡡኣᚹ࡝┫㆜ࡡ୯࡚㸡᪡᭿࠾ࡼ㏝ࠈ㸞ᅄᏄฦᯊ⤎ᯕ࡞ࡻࡾᅄᏄ࡞ࡗ࠷࡙㝌ᚃࢅずᤛ࠻ࡒ┫㆜ࢅ⾔࠹ࡆ࡛࠿ᅏ㞬࡝≟Ἓ࡞࠵ࡾࡆ

ࠈᅄᏄฦᯊ࡞ࡻࡖ࡙ฦ㢦ࡈࡿࡒ࠘ᐓᗖ⫴ᬊ࣬ᐓ᪐ᶭ⬗࡛࠿⩻࠻ࡼࡿࡾ㸣ࡊ࠾ࡊ㸡㏝㝌ᨥᥴ㛜ጙࡡࢰ࢕࣐ࣤࢡ

ࡡビ౮࡛ᐓ᪐࣬ᝀ⩽ࡡᕵ᭻☔ヾ࡚࠙ࡢ㸡ࠔᚪこᛮࡡヾ

ࢅ㏠ࡈ࡝࠷ࡒࡴ࡞ࡵ㸡᪡᭿࡞࢓ࢬࢪ࣒ࣤࢹࢅ⾔࠷㸡ಞㆉࠕ࡞࠽࠷࡙㸡ࢪࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃ࡡ᭯↋ࡷᑍ௴⫃ḿࡊ࡝࠿ࡼ┫㆜ࡌࡾᚪこ࠿࠵ࡾࡒࡴ㸡ᑍ௴⫃ဤ࠿㒼⨠ဤࡡ㒼⨠ࡡ᭯↋㸡㌷㝌ᙟᘟࡡ㐢࠷࡚㡧┘࡞᭯ណᕣ࠿ヾࡈࡿ࡙࠷ࡾሔྙ࡞ࡢ㸡᪡᭿࡞㏻⤙ࢅཱིࡖ࡙㏻ᦘࢅᐠ࡞

ࡴࡼࡿ࡝࠾ࡖࡒ࠿㸡ࠔᐁ᪃≟Ἓࠕ࡚ࡢࢪࢠ࣭ࣛࢼࣤࢡ

ࡊ࡝࠿ࡼ㸡㧏㱃ᝀ⩽ࡡ≟ឺࢅ⑋Ჯ┫㆜ᖅ࡛භ᭯ࡌࡾᚪᐁ᪃┫㆜ᖅ㸡ᑍ௴⫃ဤ┫㆜ᖅࡡ᪁࠿᭯ណ࡞㧏࠷㸣ࡆࡿこ࠿࠵ࡾ㸣ࡱࡒ㸡ᑍ௴⫃ဤ࠿㒼⨠ࡈࡿ࡙࠷࡝࠷ሔྙ࡞

ࡼࡡࡆ࡛࠾ࡼ㸡⑋Ჯࡡ≁ᚡ࡞㛭ࢂࡼࡍ㸡࡜ࡡ┫㆜ᖅࡵࡢ㸡ථ㏝㝌ࡡㄢᩒࢅ᪝ࠍᐁ㊮ࡊ࡙࠷ࡾ┫㆜ᖅ㛏࡛༝ງࠔᚪこᛮࡡヾㆉࠕࢅ㧏ࡂᣚࡖ࡙࠷ࡾ࡛⩻࠻ࡾࡆ࡛࠿࡚ࡌࡾᚪこ࠿࠵ࡾ࡛⩻࠻ࡾ㸣ࡀࡾ㸣ࡱࡒ㸡⑋Ჯࡡ≁ᚡ࡞㛭౿ࡊ࡙࠷࡝࠷ࡒࡴ㸡㧏㱃㸣⑋Ჯࡡ≁ᚡ࡞ࡻࡾࠔᚪこᛮࡡヾㆉࠕ࡛ࠔᐁ᪃≟Ἓࠕᝀ⩽࡞ྡྷࡀྙ࠹┫㆜ᖅୌெୌெࡡጶເ࠿ཬ᫆ࡈࡿ࡙࠽

ࠈࡡ㐢࠷ࡽ㸡㧏㱃໩ࡡຊ㏷ࡷ௒㆜࡞࠽ࡄࡾㅎၡ㢗ࢅᨼវ࡞ࡗ࠾

ࠈ㸞㧏㱃ᝀ⩽࡞ᑊࡌࡾ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜㡧┘ࡲ㸡ᚪこᛮࢅヾㆉࡊ࡝࠿ࡼ┫㆜ࡊ࡙࠷ࡾ࡛ࡵゕ࠻ࡾ㸣ࠈࠈࠈ࡞ࡗ࠷࡙

ཬࡊ࡙ࠔᐁ᪃≟Ἓࠕ࡛࡝ࡾ࡛㸡ᖲᆍⅤࡢࠔᚪこᛮࡡヾࠈࠔᚪこᛮࡡヾㆉࠕࡢ㸡ࠖථ㝌᪡᭿ࡡ㏝㝌ㄢᩒࡡᚪこㆉࠕࡻࡽࡵ఩ࡂ࡝ࡽ㸡ࢪࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃ࡷᑍ௴⫃ᛮࡡ࢓ࢬࢪ࣒ࣤࢹࠗ
ࠖථ㝌᪡᭿ࡡᅂᚗᚃࡡ⒢㣬ሔᡜဤࡡ㒼⨠ࡡ᭯↋࡞ࡻࡖ࡙᭯ណᕣ࠿ヾࡴࡼࡿ࡙࠷ࡾ㸣ࡆࡡ࢓ࢬࢪ࣒ࣤࢹࠗࠖ௒㆜ಕ㝜ࡡᚪこᛮ࡞ࡗ࠷࡙ࡡ࢓

ࡿࡢ㸡⾪㸪࡞♟ࡊ࡙࠷ࡾࡻ࠹࡞㸡ࠖᝀ⩽ࡡࡆࡿ࠾ࡼ

ࢬࢪ࣒ࣤࢹࠗࠖ௒㆜ಕ㝜࠿ᚪこ࡛ࡈࡿࡾ᫤ࡡ⏞ㄫ࡫

ࡡ⒢㣬࡞㛭ࡌࡾᛦ࠷ࡡ☔ヾࠗ࡞࠽࠷࡙ࠔᐁ᪃≟Ἓࠕ࠿ࡡ㛭ࢂࡽࠗࠖᐓ᪐ᵋᠺࡡᢍᥩࠗ
ࠖᐓ᪐ࡡ௒㆜ງࡡᢍ఩࠷ࡆ࡛࠿࠵ࡅࡼࡿࡾ㸣ࡆࡡ⤎ᯕࡢ㸡㏝㝌ㄢᩒ࡞࠽࠷

ᥩࠗࠖᐓᒁࡡᵋ㏸ࡷపᏩ⎌ሾࡡᢍᥩࠗࡡ㸬㡧┘࡚㸡࡙㸡୯ᚨ࡞Ꮛᅹࡌࡾ㧏㱃ᝀ⩽࡞┘ࢅྡྷࡄ࡙⌦ゆࡌࡾᚪࢪࢠ࣭ࣛࢼࣤࢡᮅᐁ᪃┫㆜ᖅ࡛Ẓ㍉ࡊ࡙㸡ࢪࢠ࣭ࣛࢼ

こᛮࢅ♟ြࡊ࡙࠽ࡽ㸡ࢪࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃ࡷᑍ௴⫃ࣤࢡᐁ᪃┫㆜ᖅࡡ᪁࠿ヾㆉ࠿᭯ណ࡞㧏࠾ࡖࡒ㸣ࡊ࠾ဤ࠿㒼⨠ࡈࡿ࡙࠷ࡾࡆ࡛ࡢ㸡┫㆜ᖅࡡࠔᚪこᛮࡡヾㆉࠕࡊ㸡ᑍ௴⫃ဤࡡ㒼⨠ࡡ᭯↋࡚᭯ណᕣ࠿ヾࡴࡼࡿࡒࡡࡢ

࠿ࠔᐁ᪃≟Ἓࠕ࡞ንࢂࡾこᅄ࡞࡝ࡾ࡛⩻࠻ࡼࡿࡾ㸣ࠖථ㝌᪡᭿ࡡ㏝㝌ㄢᩒࡡᚪこᛮࡡ࢓ࢬࢪ࣒ࣤࢹࠗࡡ

ࠈᅄᏄฦᯊ࡞ࡻࡖ࡙ฦ㢦ࡈࡿࡒ࠘㏝㝌ㄢᩒ㸡௒㆜ಕ㝜㸦㡧┘ࡡࡲ࡚㸡ᑍ௴⫃ဤ┫㆜ᖅࡡ᪁࠿ࠔᚪこᛮࡡヾㆉࠕࡡึ࡚᩷࠙ࡢ㸡ࠔᚪこᛮࡡヾㆉࠕ࡞࠽࠷࡙㸡ࢪࢠ࣭ࣛ࠿᭯ណ࡞㧏࠾ࡖࡒ㸣ࡱࡒ㸡㌷㝌ᙟᘟࡡ㐢࠷࡚ࡢ㸡ධ࡙ࢼࣤࢡࢅᐁ᪃ࡊ࡙࠷ࡾ᪁࠿㧏࠷࠿㸡ᑍ௴⫃ဤࡡ㒼⨠ࡷࡡ㡧┘࡚᭯ណᕣ࠿ヾࡴࡼࡿ࡝࠾ࡖࡒ㸣ࡌ࡝ࢂࡔ㸡᭩ࡵ㌷㝌ᙟᘟࡡ㐢࠷࡞࠽࠷࡙㡧┘࡞᭯ណᕣ࠿ヾࡴࡼࡿ࡝࠾

ኣࡂࡡ㡧┘࡚᭯ណᕣ࠿ヾࡴࡼࡿࡒࡡࡢ㸡ࢪࢠ࣭ࣛࢼࣤ

ࡖࡒ㸣ୌ᪁㸡
ࠔᐁ᪃≟Ἓࠕ࡚ࡢ㸡ࢪࢠ࣭ࣛࢼࣤࢡࢅᐁ

ࢡࡡᐁ᪃ࡡ᭯↋࡞ࡻࡾࡵࡡ࡚࠵ࡖࡒ㸣ࡆࡿࡼࡢ㸡ࢪࢠ᪃㸡ᑍ௴⫃ဤ࠿㒼⨠ࡈࡿ࡙࠷ࡾ᪁࠿᭯ណ࡞㧏࠷㸣࠘㏝㸞࣭ࣛࢼࣤࢡ⚂ࡡ᭯ຝᛮ ࡷ㸡ࢪࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃࡞

㝌ㄢᩒ㸡௒㆜ಕ㝜ࡡึ࡚᩷࠙ࡵ㸡඙࡞㏑࡬ࡒࡻ࠹࡞㸡㸞ࡻࡾ┫㆜ᖅ࡫ࡡᩅ⫩ຝᯕ ࠿㏑࡬ࡼࡿ࡙࠷ࡾࡆ࡛࠾ࡼࠔᚪこᛮࡡヾㆉࠕࢅ㧏ࡂᣚࡖ࡙࠷ࡾ࡛⩻࠻ࡾࡆ࡛࠿࡚

ࡵ㸡ࢪࢠ࣭ࣛࢼࣤࢡࢅᐁ᪃ࡌࡾࡆ࡛ࡢ㸡᪝ࠍࡡ┫㆜ࡡࡀࡾࡵࡡࡡ㸡
ࠔᐁ᪃≟Ἓࠕ࡛࡝ࡾ࡛㸡ࢪࢠ࣭ࣛࢼࣤࢡ㈹ࢅ୕ࡅࡾࡆ࡛࡞ࡵࡗ࡝࠿ࡽ㸡ᐁ᪃ࡌࡾࡆ࡛ࡡណ࿝ࡢ

ࡡᐁ᪃ࡷᑍ௴⫃ဤࡡ㒼⨠ࡡ᭯↋࡞ࡻࡖ࡙᭯ណᕣ࠿ヾࡴኬࡀ࠷࡛ゕ࠻ࡾ㸣ࡼࡿ࡙࠷ࡾ㸣ࡊ࠾ࡊ㸡ࠔᚪこᛮࡡヾㆉࠕ࡚㸡ࢪࢠ࣭ࣛࠈࠔᐁ᪃≟Ἓࠕ࡚ࡢ㸡ධ࡙ࡡ㡧┘࡚ࢪࢠ࣭ࣛࢼࣤࢡᐁ

ࢼࣤࢡࡡᐁ᪃࡞࠽࠷࡙㡧┘࡞᭯ណᕣ࠿ヾࡴࡼࡿࡒࡆ࡛᪃┫㆜ᖅࡡ᪁࠿᭯ណ࡞ࠔᐁ᪃≟Ἓࠕ࠿㧏࠾ࡖࡒ㸣ᑍ௴ࡢ㸡࠘ᐓᗖ⫴ᬊ࣬ᐓ᪐ᶭ⬗ࡡビ౮࡛ᐓ᪐࣬ᝀ⩽ࡡᕵ᭻⫃ဤࡡ㒼⨠ࡡ᭯↋࡞࠽࠷࡙㡧┘࡞᭯ណᕣ࠿ヾࡴࡼࡿࡒ☔ヾ࡛࠙␏࡝ࡾ㒂ฦ࡚࠵ࡾ㸣࠘㏝㝌ㄢᩒ㸡௒㆜ಕ㝜ࡡࡡࡢ㸫㡧┘࡚㸡ᑍ௴⫃ဤ┫㆜ᖅࡡ᪁࠿᭯ណ࡞ࠔᐁ᪃≟ึ᩷࠙ࡢ㸡㏝㝌ㄢᩒࡷ௒㆜ಕ㝜࡛࠷ࡖࡒ㧏㱃ᝀ⩽ࢅཱིἛࠕ࠿㧏࠾ࡖࡒ㸣ࡱࡒ㸡㌷㝌ᙟᘟࡡ㐢࠷࡞࠽࠷࡙㡧┘㸞ࡽࡱࡂ♣ఌⓏഁ㟻࡞ࡗ࠷࡙࡚࠵ࡽ㸡ఔࡼ ࡢ㸡⑋Ჯ┫࡞᭯ណᕣ࠿ヾࡴࡼࡿࡒࡡࡢ㸡௒㆜ಕ㝜࡞㛭ࡌࡾ㸧㡧┘㆜ᖅ㛏ࡡヾㆉ࡛ࡊ࡙㸡┫㆜ᖅࡡ♣ఌ㈠″ࡷ௒㆜ಕ㝜➴࡚࠵ࡽ㸡ះᛮ᭿⑋Ჯ┫㆜ᖅࡡ᪁࠿᭯ណ࡞㧏࠾ࡖࡒ㸣ࡆࡡ▩ㆉ୘㊂࠿࠵ࡖࡒࡆ࡛ࢅሒ࿈ࡊ࡙࠷ࡾ࠿㸡ᮇ◂✪࡚ࡆ࡚ࡵ㸡ࢪࢠ࣭ࣛࢼࣤࢡࢅᐁ᪃ࡌࡾࡆ࡛࡛ྜྷ᫤࡞ᑍ௴

ࡢ㸡┫㆜ᖅࡢࢪࢠ࣭ࣛࢼࣤࢡࢅᐁ᪃ࡌࡾࡆ࡛࡚㸡㧏㱃⫃ဤ࠿࠷ࡾࡆ࡛ࡢ㸡┫㆜ᖅ࡫ࡡᩅ⫩ຝᯕ࠿࠵ࡾ࡛⩻࠻ᝀ⩽ࡡ඙ࡡ⏍Ὡࢅず㏳ࡊࡒ㛭ࢂࡽࢅࡊ㸡♣ఌⓏഁ㟻࡞

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012ࡵ࢓ࣤࢷࢻࢅᗀࡂᣚ࡙ࡒ࡛⩻࠻ࡼࡿࡾ㸣ࡊ㸡ࢪࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃࡞ࡗ࠷࡙ࡢ㸡ᝀ⩽ࡡ≟Ἓࢅࠈ௧୕ࡡࡻ࠹࡞㸡㡧┘Ẏ࡞᳠ゞࡊࡒ⤎ᯕ࡛ᅄᏄฦᯊ

ᢍᥩࡊ࡙࠷ࡾ⑋Ჯ┫㆜ᖅ࠿⾔࠹ࡡ࠿ࡨࡈࢂࡊ࠷࡛ࡡず࡞ࡻࡾ㸧ᅄᏄ࡚᳠ゞࡊࡒ⤎ᯕࡡ࠷ࡍࡿ࡞࠽࠷࡙ࡵ㸡ࢪゆ㸞ࡵ࠵ࡽ㸡ࢪࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃ࡢ㸡┫㆜ࡡୌ㒂࡛ࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃ࡡ᭯↋㸡ᑍ௴⫃ဤࡡ㒼⨠ࡡ᭯↋㸡ࡊ࡙⑋Ჯ༟న࡚ᐁ㊮ྊ⬗ࡓ࡛⩻࠻ࡼࡿࡾ㸣ࡈࡼ࡞㸡ࢪ㌷㝌ᙟᘟࡡ㐢࠷࡛࠷࠹⑋Ჯࡡ≁ᚡ࡚ࡢ㸡ࢪࢠ࣭ࣛࢼࣤ

ࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃࡞ࡗ࠷࡙ࡢ㸡㮎ずࡼ㸞࠿㧏㱃ᝀ⩽ࢡࡡᐁ᪃ࡡ᭯↋࡞࠽࠷࡙᭩ࡵኣࡂࡡ㡧┘࡚᭯ណᕣ࠿ヾ

࡞ᑊࡌࡾ㏝㝌ᨥᥴࢪࢠ࣭ࣛࢼࣤࢡ⚂ࢅ㛜Ⓠࡊࡒ࡝࠾ࡴࡼࡿࡒ㸣ࢪࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃࡞ࡻࡽᅹ㝌᪝ᩐ࠿▯࡚㸡㧏㱃ᝀ⩽࡫㏝㝌ᨥᥴࢅࡌࡾ㝷㸡ᐓ᪐௒㆜మโࢅビ㸞⦨ࡊࡒ ࡛ࡡሒ࿈ࡵ࠵ࡾࡒࡴ㸡ᖳࠍᅹ㝌᪝ᩐ࠿▯⦨ࡊ౮ࡌࡾᚪこᛮ࠿࠵ࡽ㸡ࢪࢠ࣭ࣛࢼࣤࢡ㡧┘࡛ࡊ࡙ࡵ㔔࡙࠷ࡾ୯㸡㧏㱃ᝀ⩽ࡡᅹ㝌᪝ᩐ࠿㛏࠷ࡆ࡛࡫ࡡゆỬࡡこ୘ྊḖ࡚࠵ࡾ࡛ሒ࿈ࡈࡿ࡙࠷ࡾ㸣ᅹᏩ࡞࠽࠷࡙ࡢ㸡⣊ཾ࡞࡝ࡾྊ⬗ᛮࡵ࠵ࡾ㸣ࢪࢠ࣭ࣛࢼࣤࢡࢅᐁ᪃ࡌࡾᐓ᪐ࡡ௒㆜ງ࠿㧏㱃⩽ࡡᅹᏩ⏍Ὡࢅ⤽⤾ࡌࡾ㔔こ࡝こࡆ࡛࡚㸡㧏㱃ᝀ⩽ࢅ┫ࡾちⅤ࠿ᙁ໩ࡈࡿࡾ࡛ྜྷ᫤࡞ᐓ

ᅄ࡚࠵ࡽ㸡௒㆜ງࡡ఩ୖ㸞࠿ၡ㢗ちࡈࡿ࡙࠷ࡾ࠾ࡼࡆ

᪐࡫ࡡ┫㆜ࡵඖᐁࡊ㸡┞ᑊⓏ࡞┫㆜ᖅࡡ┫㆜ࡡ㈹ྡྷ୕

ࡐ㸡ちⅤࢅ࠵࡙࡙⏍Ὡࡡㄢᩒࢅࡌࡾࡆ࡛࠿ኬว࡚࠵

࡞ࡵࡗ࡝࠿ࡾ࡛⩻࠻ࡼࡿࡾ㸣ࡾ㸣ࡱࡒ㸡ᮟᮿࡼ㸞ࡢ㸡ථ㝌᫤ࡡࢪࢠ࣭ࣛࢼࣤࢡࡡࡲ

㸣㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜ࡡᙲ๪࡚ࡢ㸡㏝㝌ᨥᥴࡡᚪこ࡝ᑊ㇗⩽ࢅ≁ᏽࡊࡀࡿࡍ㸡ࡐࡡࠈ⑋Ჯ࡞ໂຸࡌࡾ┫㆜ᖅࡡ㧏㱃ᝀ⩽࡞ᑊࡌࡾ㏝㝌ᚃࡡཋᅄ࡛ࡊ࡙㸡ᅹ㝌᪝ᩐ࠿▯࠷ࡒࡴ᝗ሒࡡཱིࡽࡆ࡯ࡊ࠿

⏍Ὡࢅず㏳ࡊࡒ┫㆜ࡡࠔᚪこᛮࡡヾㆉࠕࡢ㧏࠷࠿㸡࠵ࡖࡒྊ⬗ᛮࢅᣞᦤࡊ࡙࠷ࡾ㸣ࡆࡿࡼࡡࡆ࡛࠾ࡼࡵ㸡ࠔᐁ᪃≟Ἓࠕࡢ఩ࡂ㸡᪝ࠍࡡ┫㆜࡚ᐁ㊮ࡊࡀࡿ࡙࠷࡝

ᬉṹ㛭ࢂࡖ࡙࠷ࡾ᫤㛣࠿㛏ࡂᚨ㌗≟ឺࡡን໩ࢅ┘ࡡᙔ࠷⌟≟ࡡྊ⬗ᛮࢅ㏑࡬ࡒ࠿㸡⑋Ჯ┫㆜ᖅࡡᯕࡒࡌᙲ๪

ࡒࡽ࡞ࡊ࡙࠷ࡾ⑋Ჯ┫㆜ᖅ࠿㸡᪝ࠍࡡ㧏㱃ᝀ⩽ࡡ≟ឺࡢࡱࡌࡱࡌኬࡀ࠷࡛⩻࠻ࡾ㸣࡝ࡏ࡝ࡼ㸡⑋Ჯ࡚ᬉṹ࠾ࢅ࢓ࢬࢪ࣒ࣤࢹࡊ࡝࠿ࡼ㛭ࢂࡾࡆ࡛ࡡ㔔こᛮ࠿ኬࡀ࠷

ࡼ㧏㱃ᝀ⩽࡞㛭ࢂࡖ࡙࠷ࡾ┫㆜ᖅࡡびᐳ࡛࢓ࢬࢪ࣒ࣤ

ࡵࡡ࡛⩻࠻ࡾ㸣ࢹࡢ㸡㏝㝌᫤᭿ࢅ㏠ࡈ࡝࠷ࡒࡴ࡞ࡵ㸡㏝㝌ᨥᥴ࠿⾪㟻ࠈ㧏㱃ᝀ⩽ࡡ≁ᚡ࡛ࡊ࡙㸡$'/࠿఩ୖࡊࡷࡌࡂᅂᚗࡊ

໩ࡌࡾ௧๑㸡ࡌ࡝ࢂࡔ⑋Ჯ࡞ථ㝌ࡊࡒ᫤Ⅴ࠾ࡼ࢓ࢬࢪ

࡞ࡂ࠷≁ᚡ࠿࠵ࡽ㸡἖⒢ࢅ⤂࠻ࡒṹ㝭࡚ථ㝌๑ࡡ⏍Ὡ࣒ࣤࢹࡡちⅤࢅᣚࡖ࡙㛭ࢂࡾᚪこᛮ࠿࠵ࡾ࠾ࡼ࡚࠵

ࢪࢰ࢕࡛ࣜ␏࡝ࡾࡆ࡛࠿ኣࡂずࡼࡿࡾ㸣ࡐࡡࡒࡴ㸡ථ㸞ࡾ㸣ᖲ℡ࡼ ࠿㸡಴ࠍࡡ┫㆜ᖅࡡ⏍ὩࡡちⅤ࠾ࡼࡡ࢓㝌᪡᭿࠾ࡼ㏝㝌ᚃࡡ⏍ὩࢅරమⓏ࡞ず㏳ࡊ࡝࠿ࡼ᪝ࠍ

ࢬࢪ࣒ࣤࢹ⬗ງࡡᕣࢅ⿭࠹ࡒࡴ࡞㸡㏝㝌ㄢᩒ┫㆜ᖅ࡛ࡡ┫㆜ࢅᐁ㊮ࡌࡾࡆ࡛㸡ࡈࡼ࡞㸡አᮮ㏳㝌୯ࡡ஢ᏽථ

ྙྜྷ࡚࢓ࢬࢪ࣒ࣤࢹࢅ⾔࠹ᚪこᛮࢅ㏑࡬࡙࠷ࡒࡽ㸡ᑍ㝌࡚࠵ࡿࡣ㸡አᮮ┫㆜ᖅ࡞ࡻࡾୌḗࢪࢠ࣭ࣛࢼࣤࢡࢅ

㛓㒂⨣࠿᪝ᖏⓏ࡞㏝㝌ᨥᥴὩິࢅ⑋Ჯ┫㆜ᖅ࡛ୌ⥬࡞⾔࠷㸡ࡐࡿ࡞⤾࠷࡙⑋Ჯ┫㆜ᖅ࠿ࢪࢠ࣭ࣛࢼࣤࢡࢅᐁ

⾔࠹ࡆ࡛࡚㸡⑋Ჯ┫㆜ᖅࡡ㏝㝌ᨥᥴ࡞㛭ࡌࡾ⬗ງྡྷ୕᪃ࡌࡾࡆ࡛࡚㸡㏝㝌ᨥᥴࡡᚪこ࡝ᝀ⩽࠿⁻ࡿࡾࡆ࡛ࢅ

㸞ࡡྊ⬗ᛮ ࠿♟ြࡈࡿ࡙࠷ࡾࡻ࠹࡞㸡㏝㝌ㄢᩒ࡞ᑍ௴

ᑛ࡝ࡂࡌࡾࡆ࡛࠿㸡௑ᚃࡡㄚ㢗࡛⩻࠻ࡼࡿࡒ㸣ࡡ┫㆜ᖅ࠿࠷ࡾࡆ࡛ࡢ㸡ࡻࡽᗀ࠷ちⅤ࡚ࡡᥴຐ࠿᭿ᙽ

ࠈᅄᏄฦᯊࡡ⤎ᯕ࠾ࡼ㸡㸧ᅄᏄ࠘ᐓᗖ⫴ᬊ࣬ᐓ᪐ᶭ⬗࡚ࡀࡾ㸣ࡊ࠾ࡊ㸡ᑍ௴⫃ဤࡡ☔ಕ࡛⤊ῥⓏ࡝ᢰಕ࠿ㄚ

ࡡビ౮࡛ᐓ᪐࣬ᝀ⩽ࡡᕵ᭻☔ヾ࠙࠘㏝㝌ㄢᩒ㸡௒㆜ಕ㢗࡛࡝ࡾࡒࡴ㸡ࡐࡡᙲ๪ࡡୌ㒂ࢅ㸡ᗀ࠷ちⅤ࡚࡛ࡼ࠻㝜ࡡึ᩷࠙࡞ฦ㢦ࡈࡿࡒ㸣࠘ᐓᗖ⫴ᬊ࣬ᐓ᪐ᶭ⬗ࡡビࡾࡆ࡛࠿ྊ⬗࡝┫㆜ᖅ㛏࡝࡜࡞༝ງࢅ௭ࡃࡆ࡛ࡢ㸡┫౮࡛ᐓ᪐࣬ᝀ⩽ࡡᕵ᭻☔ヾ࠙ࡢ㧏㱃ᝀ⩽ࡡᚨ㌗ࡷ⏍Ὡ

㆜ᖅ಴ࠍெࡡ࢓ࢬࢪ࣒ࣤࢹ⬗ງྡྷ୕ࡡࡒࡴ࡞ࡵ㸡㧏㱃࠽ࡻࡦᐓ᪐࡞ࡗ࠷࡙㸡࠘㏝㝌ㄢᩒ㸡௒㆜ಕ㝜ࡡึ᩷࠙ᝀ⩽ࡡ┫㆜࡞࡛ࡖ࡙ࡵ㔔こ࡚࠵ࡾ㸣≁࡞㧏㱃ᝀ⩽ࡢ㸡ࡢ㧏㱃ᝀ⩽ࢅ࡛ࡽࡱࡂ♣ఌⓏഁ㟻࡞ࡗ࠷࡙ࡡഁ㟻࡚࠵ᑛࡊࡡὩິโ㝀࡚ᐖ᪾࡞$'/࠿఩ୖࡌࡾࡒࡴ㸡㧏㱃ᝀࡾ㸣ࠔᚪこᛮࡡヾㆉࠕࡡࡲ࡝ࡼࡍࠔᐁ᪃≟Ἓࠕ࡞࠽࠷

⩽ࡡን໩ࢅථ㝌᫤࠾ࡼ᪝ࠍ⌦ゆࡊ࡙࠷ࡾ⑋Ჯ┫㆜ᖅࡷ࡙ࡵ㸡᛬ᛮ᭿⑋Ჯ㸡ះᛮ᭿⑋Ჯ࡞㛭ࢂࡼࡍ᭯ណᕣࢅヾ┫㆜ᖅ㛏ࡡᙲ๪ࡢኬࡀ࠷㸣ࡱࡒ㸡ᑍ௴⫃ဤࡡ㒼⨠࡞ࡗࡴ࡝࠾ࡖࡒࡆ࡛ࡢ㸡㧏㱃ᝀ⩽࡛ᐓ᪐࡞ࡗ࠷࡙ࡡ⌦ゆࡢ࠷࡙ࡢ㸡ᑍ௴⫃ဤࡡ☔ಕ࡛⤊ῥⓏ࡝ᢰಕ࠿ㄚ㢗࡛࡝ࡾࡈࡿ࡙࠷ࡾࡊ㸡㏝㝌ᚃࡡ⏍Ὡࢅず㏳ࡊ࡙࠷ࡾ࠾ࡼࡆ

࠿㸡ධᅗㄢᰕ࡞ࡻࡾ࡛㸡ᑍ㛓㒂⨣ࢅ᭯ࡊ࡙࠷ࡾ⑋㝌ࡡࡐ㸡㏝㝌ㄢᩒࡷ௒㆜ಕ㝜ࡡึ᩷ࡵᐁ᪃ࡈࡿ࡙࠷ࡾ࡛⩻㸞㸞

㸣ࡆࡿࡼࡡࡆ࡛࠾ࡼ㸡⑋ᗃᩐࡡ࠻ࡼࡿࡾ㸣ୌ᪁㸡ࢪࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃࡛ᑍ௴⫃ဤࡡᑛ࡝࠷⑋㝌࡚ࡢ㸡ᑍ௴⫃ဤࡡ☔ಕ࠿㞬ࡊ࠷ࡆ࡛ࡵ⩻࠻㒼⨠ࡡ᭯↋࡞᭯ណᕣ࠿ヾࡴࡼࡿࡒࡆ࡛ࡢ㸡ࢪࢠ࣭ࣛࢼ

ࡼࡿࡾ㸣௑ᅂࡡ⤎ᯕࢅず࡙ࡵ㸡ࢪࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃

ࣤࢡࡡᐁ᪃࡛ᑍ௴⫃ဤ࠿㒼⨠ࡈࡿ࡙࠷ࡾណ࿝࠿㧏ࡱࡾࡷᑍ௴⫃ဤࡡ㒼⨠ࡢ⣑༖ᩐ࡞࡛࡜ࡱࡖ࡙࠷ࡾ㸣ࡊ࠾࡛ゕ࠻ࡾ㸣ຊ࠻࡙㸡࠘ᐓᗖ⫴ᬊ࣬ᐓ᪐ᶭ⬗ࡡビ౮࡛ᐓ᪁࠿⑋ᗃᩐ࠿ኣ࠷



岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012᪐࣬ᝀ⩽ࡡᕵ᭻☔ヾ࠙࠘㏝㝌ㄢᩒ㸡௒㆜ಕ㝜ࡡึ᩷࠙⩻࠻ࡾࡆ࡛࠿࡚ࡀࡾ㸣࡛࠷࠹㸧ࡗࡡちⅤ࡚᭯ណᕣ࠿ヾࡴࡼࡿࡒࡆ࡛㸡㏝㝌ㄢࠈ⑋Ჯࡡ≁ᚡࢅずࡾ࡛㸡ࢪࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃࡞㛭ࡊᩒຊ⟤࡞ࢪࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃ࡷᑍ௴⫃ဤࡡ㒼⨠࠿⟤

࡙ධᅗⓏ࡝ᐁឺࡢ᪺ࡼ࠾࡛࡝ࡖ࡙࠷࡝࠷࠿㸡ὕහࡼ㸞ᏽこ௲࡛࡝ࡖ࡙࠷ࡾࡆ࡛࠾ࡼ㸡㏝㝌ㄢᩒ࡞࠽ࡄࡾࡗ

ࡡ◂✪࡚ࡢ㸡ࢪࢠ࣭ࣛࢼࣤࢡࢨࢪࢷ࣑࠿ࠔ࠵ࡾࠕ࡛ᅂ

ࡡഁ㟻ࡡ㔔こᛮࡵቌࡌ㸣ࡊ࠾ࡊ㸡㧏㱃ᝀ⩽ࡡᚨ㌗ࡷ⏍➽ࡊࡒࡡࡢ㸚࡚࠵ࡖࡒ㸣ᮇ◂✪࡚ࡢ㸡ࢪࢠ࣭ࣛࢼ

Ὡ࠽ࡻࡦᐓ᪐࡞ࡗ࠷࡙ࡢ㸡⑋Ჯ഼࡚ࡂ┫㆜ᖅ࠿᭩ࡵ⌦ࣤࢡࢅᐁ᪃ࡊ࡙࠷ࡾ࡛ᅂ➽ࡊࡒࡡࡢ㸚࡚࠵ࡽ㸡඙ゆࡊ࡙࠷ࡾ࡛⩻࠻ࡼࡿࡾࡒࡴ㸡ུࡄᣚࡔ㧏㱃ᝀ⩽ࡡ┫⾔◂✪࡛Ẓ㍉ࡌࡾ࡛఩࠷㸣ࡊ࠾ࡊ㸡඙⾔◂✪ࡢ㸡࠵ࡾ㆜࡞ࡢ㸡ࡆࡡ㸧ࡗࡡഁ㟻ࢅࡻࡽណㆉࡊ࡝࠿ࡼࡡ┫㆜࠿ᆀᇡ࡞≁ᏽࡈࡿ࡙࠷࡙ẍᩐ࠿ᑛ࡝ࡂ㸡ኣࡂࡡ⑋㝌ࡡᐁ㸞㔔こ࡛⩻࠻ࡼࡿࡾ㸣⨶ࢿㆺࡼ ࡢ㸡ᮇெ࡛ᐓ᪐ࡡᚨ㒼ឺ࠿ཬ᫆ࡈࡿ࡙࠷ࡾࢂࡄ࡚ࡢ࡝࠷㸣ࢪࢠ࣭ࣛࢼࣤࢡࢅ

හᐖ࡞┞㐢࠿࠵ࡾࡆ࡛࠾ࡼ㸡ᮇெ࡛ᐓ᪐ࢅୌమ࡛ࡲ࡝

ᐁ᪃ࡌࡾࡆ࡛࡞ࡻࡽ㸡㝌አ㏻ᦘ࡝࡜㏝㝌ᨥᥴ࠿ᚪこ࡝ࡊ࡙ࡊࡱ࠹ലྡྷ࠿࠵ࡾ࠿㸡୦⩽ࡐࡿࡑࡿ࡫ࡡᚨ㒼࡫ࡡᝀ⩽ࡡᢍᥩࡷᑍ㛓㒂⨣࡛ࡡ㏻ᦘࢅ᪡᭿࠾ࡼᅒࡾࡆ࡛࠿

ᑊᚺࡡᚪこᛮࢅ㏑࡬࡙࠷ࡾ㸣ᮇ◂✪࡚ࡵ㸡ᐓ᪐ࡡࡆࡿ

ྊ⬗࡛࠷࠹ຝᯕࡵሒ࿈㸞㸞ࡈࡿ࡙࠷ࡾࡆ࡛࠾ࡼ㸡ࢪࢠ

࠾ࡼࡡ⒢㣬࡞㛭ࡌࡾᕵ᭻ࡡ☔ヾ࠿㸡ᝀ⩽ࡡࡆࡿ࠾ࡼࡡ

࣭ࣛࢼࣤࢡࡡᐁ᪃࠿ἴཀྵࡌࡾࡆ࡛࠿᭻ࡱࡿࡾ㸣ࡱࡒ㸡⒢㣬࡞㛭ࡌࡾᛦ࠷ࡡ☔ヾࡻࡽࡵ㧏ೋࢅ♟ࡊ࡙࠷ࡒࡒ

ᑍ௴⫃ဤࡡ㒼⨠ࡢ㸡ධᅗⓏ࡞ቌ࠻࡙࠷ࡾ㸞㸞㸣ᮇ◂✪ࡴ㸡㧏㱃ᝀ⩽࡛ᐓ᪐ࡐࡿࡑࡿࡡᛦ࠷ࡷᕵ᭻ࢅ☔ヾࡊ࡝࡚ࡢ㸡ᑍ௴⫃ဤࡡ㒼⨠ࡡ᭯↋ࢅᅂ➽ࡊࡒࡡࡢ྘┫㆜ᖅ࠿ࡼ㛭ࢂࡾࡆ࡛࠿ᚪこ࡚࠵ࡾ㸣ୌ᪁㸡ࠔ㌷㝌ᨥᥴࠕ࠿

࡚࠵ࡽ㸡⑋㝌ࡇ࡛࡞ᅂ➽ࢅịࡴࡒධᅗㄢᰕ࡛ࡡ༟⣟ẒࠔᅹᏩᨥᥴࠕ࡞Ẓ࡬࡙ᝀ⩽ࡷᐓ᪐ࡡ‫‮‬㊂ᗐ࠿఩࠷ࡡ

㍉ࡢ࡚ࡀ࡝࠷ࡵࡡࡡ㸡ᑍ௴⫃ဤ࠿࠷ࡾ࡛ᅂ➽ࡊࡒධᅗࡢ㸡ᝀ⩽ࡷᐓ᪐࡛༈⒢⩽࡛ࡡヾㆉࡡࡍࡿ࠿᥆ᐳࡈࡿ㸡ㄢᰕࡡ⤎ᯕ㸚࡞Ẓ࡬࡙㸚࡛఩࠾ࡖࡒ㸣ධᅗㄢ㸞┘ᵾࢅභ᭯ࡌࡾࡆ࡛ࡡ㔔こᛮ ࠿㏑࡬ࡼࡿ࡙࠷ࡾ㸣㧏ᰕ㸞࡚ࡢ⑋ᗃ࠿ኬࡀ࠷࡮࡜㸡ࡱࡒ᛬ᛮ᭿୯ᚨࡡ⑋㝌ࡷ㱃ᝀ⩽࡛ᐓ᪐ࡐࡿࡑࡿࡡᛦ࠷ࡷᕵ᭻ࢅ☔ヾࡊࡒ࠹࠻㧏ḗᶭ⬗ࡡ༈⒢ᶭ㛭࡞࠽࠷࡙ᑍ௴⫃ဤ࠿࠷ࡾ࡛ሒ࿈ࡈ࡚㸡༈⒢⩽ࡵྜྷࡋ᪁ྡྷࢅྡྷ࠷࡙࠷ࡂࡒࡴ࡞㸡ⓑ࡚භ᭯ࡿ࡙࠷ࡾ㸣ࡊ࠾ࡊ㸡ධᅗㄢᰕ࡛Ẓ㍉ࡊ࡙ᮇ◂✪ࡡ⤎ᯕࡌࡾࡆ࡛࠿ᚪこ࡚࠵ࡾ࡛⩻࠻ࡾ㸣ࡐࡡࡒࡴ㸡ථ㝌᫤࠵࠿఩࠾ࡖࡒࡡࡢ㸡⑋ᗃᩐ࡞㛭ࢂࡼࡍ༝ງࡊ࡙࠷ࡒࡓࡄ

ࡾ࠷ࡢථ㝌᪡᭿࠾ࡼ㸡㧏㱃ᝀ⩽࡛ᐓ᪐ࢅஹ࠻ࡒヨࡊྙࡾ⑋㝌ࡡ┫㆜ᖅࢅᑊ㇗࡛ࡊࡒࡒࡴ㸡⑋ᗃᩐ࠿ᑛ࡝࠷⑋

࠷ࢅࡌࡾࡆ࡛࠿ኬว࡚࠵ࡽ㸡ࡐࡡ㝷㸡௑ᚃࡡᕵ᭻࡝࡜

㝌࠿ධమࡡ༖ᩐࢅ༥ࡴࡾ࡮࡜ኣࡂ㸡⑋ᗃᩐࡷ⑋㝌ࡡᶭࢅ☔ヾࡌࡾᚪこ࠿࠵ࡾ㸣┫㆜ᖅ࠿㸡$'/࠿࡜ࡡࡻ࠹࡞

⬗࠿㛭౿ࡊ࡙࠷ࡾ࡛ࡵ⩻࠻ࡼࡿࡾ㸣ን໩ࡊ࡙࠷ࡂ࠾ࡡ஢ῼࢅࡊ࡝࠿ࡼ㸡࡝࠽࠾ࡗ㧏㱃ᝀ⩽ࠈᮇ◂✪࡚㸡㈹ၡ⣤ࡡ㡧┘ࡢ㸡㧏㱃ᝀ⩽ࢅཱིࡽᕬࡂ⎌࠿࡜ࡡࡻ࠹࡝⏍Ὡࢅ᭻ࢆ࡚࠷ࡾ࠾ࢅ☔ヾࡊ㸡ࡆࡿ࠾ࡼሾࡷ㌷㝌ࡡ≟Ἓࢅ⩻࠻࡙◂✪⩽ࡼ࡚షᠺࡊࡒ࠿㸡

ࡡ⒢㣬࡞㛭ࡌࡾᛦ࠷ࢅᮇெ࠽ࡻࡦᐓ᪐࡛භ࡞භ᭯ࡌࡾ

&URQEDFKࡡȘ౿ᩐ࠿௧୕࡚࠵ࡽ㸡ಘ㢏ᛮ࠿☔ಕࡈࡆ࡛ࡢ㸡ࢼ࣭ࢫ࡞༳ࡊࡒᨥᥴ࡛ࡊ࡙㔔こ࡚࠵ࡾ㸣ࡈࡼࡿ࡙࠷ࡾࡆ࡛࠿☔ヾ࡚ࡀࡒ㸣ࡱࡒ㸡ࢪࢠ࣭ࣛࢼࣤࢡࡡ

࡞㸡ථ㝌୯࠾ࡼ㏝㝌ᚃࡡ⏍Ὡ࡞ࡗ࠷࡙ず㏳ࡊࢅ❟࡙㸡ᐁ᪃ࡷᑍ௴⫃ဤࡡ㒼⨠࠿㸡㏝㝌ㄢᩒຊ⟤ࡡ⟤ᏽこ௲࡛ᮇெ࠽ࡻࡦᐓ᪐ࡡࢼ࣭ࢫ࡞Ἒ࠹ࡻ࠹࡝㛭ࢂࡽ࠿ịࡴࡼ࡝ࡖ࡙࠽ࡽ㸡㸧ᅄᏄ࡛ࡵࠔᐁ᪃≟Ἓࠕ࡞࠽࠷࡙᭯ណᕣ

ࡿࡾ㸣ࡐࡡࡒࡴ㸡⑋Ჯࡡ≁ᚡ࡞㛭ࢂࡼࡍ㸡㧏㱃ᝀ⩽࡞ࢅヾࡴ㸡࡝࠽࠾ࡗ㌷㝌ᙟᘟ࡚᭯ណᕣ࠿ヾࡴࡼࡿ࡝࠾ࡖ

ᦘࢂࡾ┫㆜ᖅ࠿᪝ࠍࡡ┫㆜࡚࠘ᐓᗖ⫴ᬊ࣬ᐓ᪐ᶭ⬗ࡡࡒࡆ࡛ࡢ㸡㈹ၡ㡧┘ࡡጂᙔᛮ࠿☔ヾ࡚ࡀࡒ࡛ࡵ⩻࠻ࡼビ౮࡛ᐓ᪐࣬ᝀ⩽ࡡᕵ᭻☔ヾ࠙ࢅᐁ㊮ࡌࡾࡆ࡛࠿㸡ᙁࡿࡾ㸣ࡐࡡୌ᪁࡚㸡ᅄᏄฦᯊࢅࡊࡒ᫤࡞㸡ᅄᏄㇿⲬ㔖ࡂ᭻ࡱࡿࡾ㸣

࠿ᑚࡈ࠾ࡖࡒࡽ஦㔔ㇿⲬ࠿࠾࠾ࡖ࡙ࡊࡱࡖࡒ㡧┘࠿࠵㸣ㄢᰕᑊ㇗⩽࠽ࡻࡦᑵᗐࡡጂᙔᛮ

ࡖࡒ㸣ࡆࡡࡆ࡛࠾ࡼ㸡㡧┘හᐖࢅず├ࡌࡆ࡛ࡵᚪこ࡚ࠈᮇ◂✪ࡡㄢᰕᑊ㇗⩽ࢅ᪝ᮇ┫㆜༝ఌ࡚ࡡ┫㆜⫃ဤᐁ࠵ࡾ࡛⩻࠻ࡾ㸣㸞ឺㄢᰕ⤎ᯕ ࡛Ẓ㍉ࡌࡾ࡛㸡⏠ዥẒࡢ࡮࡯ྜྷࡋ࡚࠵ࡖ
ࡒ㸣ࡊ࠾ࡊ㸡ᮇ◂✪࡚ࡢṋ௥௧ୖࡡᑊ㇗⩽࠿ᑛ࡝ࡂϬ㸣⤎ㄵṋ௥௧୕ࡡᑊ㇗⩽࠿ኣ࠾ࡖࡒࡒࡴ㸡ᖲᆍᖳ㱃ࡵ㧏࠷ࠈ⑋㝌࡞ໂຸࡌࡾ┫㆜ᖅࡡ㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳ࡊലྡྷ࡞࠵ࡖࡒ㸣┫㆜ᖅ⤊㥺ᖳᩐࡢ㸡㸪ᖳ௧୕ᖳᮅ‫‮‬ࡒ┫㆜㡧┘࡞ᑊࡌࡾࠔᚪこᛮࡡヾㆉࠕ࡛ࠔᐁ᪃≟Ἓࠕ࠽ࡻࡦᖳ௧୕࠿ኣ࠾ࡖࡒ㸣ࡆࡿࡼࡡࡆ࡛࠾ࡼ㸡ᮇ◂ࢅㄢᰕࡊ㸡⑋Ჯࡡ≁ᚡࡇ࡛࡞ฦᯊࡊࡒ⤎ᯕ㸡௧ୖࡡࡆ✪ࡡ⤎ᯕࡢ㸡┫㆜ᖅ⤊㥺࠿㸪ᖳ௧୕ࡡ୯ᇻ௧୕ࡡ┫㆜࡛࠿᪺ࡼ࠾࡛࡝ࡖࡒ㸣ᖅࡡࠔᚪこᛮࡡヾㆉࠕ࡛ࠔᐁ᪃≟Ἓࠕࢅཬ᫆ࡊ࡙࠷ࡾ࡛

㸣㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜㡧┘࡞࠽࠷࡙㸡

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012࡛ࡡ㏻ᦘ࡞ࡵ┘ࢅྡྷࡄ㸡ࡈࡱࡉࡱ࡝ぽᗐ࠾ࡼ㧏㱃ᝀ⩽ࠈධ࡙ࡡ㡧┘࡚ࠔᚪこᛮࡡヾㆉࠕ࠿ࠔᐁ᪃≟Ἓࠕࡻࡽ᭯ࡡ┫㆜࡞ࡗ࠷࡙᳠ゞࢅ㔔ࡠ࡙࠷ࡂᚪこ࠿࠵ࡾ㸣ណ࡞㧏࠾ࡖࡒ㸣㸣㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜ࡡ྘㡧┘ࡡࠔᚪこᛮࡡヾㆉࠕ࡛ࠔᐁ᪃≟Ἓࠕࡢ㸡ࢪࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃

ㅨ㎙ࡡ᭯↋࡞࠽࠷࡙᭩ࡵኣࡂࡡ㡧┘࡚᭯ណᕣ࠿ヾࡴࡼ ኬን࠽ᚹࡊ࠷୯㸡ᮇ◂✪ࡡㄢᰕ࡞༝ງࡊ࡙ࡂࡓࡈࡖ

ࡿ㸡ḗ࠷࡚ᑍ௴⫃ဤࡡ㒼⨠ࡡ᭯↋࡞࠽࠷࡙ኣ࠾ࡖࡒ┫㆜㒂㛏ᵕ㸡⥪┫㆜ᖅ㛏ᵕ㸡┫㆜ᖅࡡⓑᵕ࡞῕ㅨ⏞ࡒ㸣ࡊ୕ࡅࡱࡌ㸣࡝࠽㸡ᮇ◂✪ࡡୌ㒂ࡢ㸡➠㸨ᅂᒷᡥ┫㆜㸣㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜㡧┘ࡡ࠹ࡔ㸡ᏕఌᏕ⾙㞗ఌ࡞࠽࠷࡙Ⓠ⾪ࡊࡒ㸣ࠔᐁ᪃≟Ἓࠕ࡚ࡢ㸫㡧┘࡞࠽࠷࡙ᑍ௴⫃ဤࡡ㒼⨠ࡡ᭯↋࡚᭯ណᕣ࠿ヾࡴࡼࡿࡒࡒࡴ㸡ᑍ௴⫃ဤ࠿㒼⨠ࡈᘤ⏕ᩝ⊡ࡿ࡙࠷ࡾࡆ࡛ࡢ㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜ࡡ㸦㸞ΰỀᡛᯖ㸡Ꮽ஬᪺Ꮔ㸣㧏㱃㛏᭿ථ㝌ᝀ⩽ࡡ㏝㝌࡞

ᐁ㊮ࡡࡒࡴ࡞ࡵ᭻ࡱࡊ࠷࡛⩻࠻ࡾ㸣ࡊ࠾ࡊ㸡⑋ᗃᩐྡྷࡄ࡙ࡡᨥᥴࢨࢪࢷ࣑ࡡᚪこᛮ㸢㏝㝌ࢅᅏ㞬࡞ࡌࡡᑛ࡝࠷⑋㝌࡚ࡢ㸡ᑍ௴⫃ဤࡡ☔ಕ࡛⤊ῥⓏ࡝ᢰಕ

ࡾၡ㢗࡛ᨥᥴࢨࢪࢷ࣑㸢㸣୔㔔┫㆜Ꮥヽ㸰࠿ㄚ㢗࡛࡝ࡾ㸣㸯㸣㸧㸞㏝㝌ᝀ⩽ࡡᖲᆍᅹ㝌᪝ᩐ➴㸣ཉ⏍ຘ഼┤㸰㸣ࢪࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃ࡢ㸡ᑍ௴⫃ဤࡡ㒼⨠ࡻࡽࡵኣࡂࡡ㡧┘࡚᭯ណᕣࢅヾࡴ࡙࠽ࡽ㸡┫㆜ࡡୌ㒂࡛ࡊࠈࠈᖳ᭮᪝ࠈKWWSZZZPKOZJRMSWRXNHL࡙⑋Ჯ༟న࡚┫㆜ᖅ࡞ࡻࡾᐁ㊮࠿ྊ⬗࡚࠵ࡾࡒࡴ㸡

ࠈࠈVDLNLQKZNDQMDGOSGI㸣ࢪࢠ࣭ࣛࢼࣤࢡࡡᐁ᪃ណ⩇ࡢኬࡀ࠷࡛⩻࠻ࡾ㸣ࢪࢠ

㸨㸞0DU\'1D\ORU'RURWK\%URRWHQ5REHUWD࣭ࣛࢼࣤࢡࢅᐁ᪃ࡌࡾࡆ࡛࡚㸡㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅ

ࠈࠈ&DPSEHOO%DUEDUD6-DFREVHQ0DWK\'0H]H\HWDO㸣

ず㏳ࡊࡒ┫㆜ࡡちⅤ࠿ᙁ໩ࡈࡿࡾ࡛ྜྷ᫤࡞ᐓ᪐࡫ࡡ┫㆜ࡵඖᐁࡊ㸡┫㆜ࡡ㈹ྡྷ୕࡞ࡵࡗ࡝࠿ࡾ࡛⩻࠻ࡼ

ࠈࠈ&RPSUHKHQVLYH 'LVFKDUJH 3ODQQLQJ DQG +RPHࡿࡒ㸣ࠈࠈ)ROORZXS RI +RVSLWDOL]HG (OGHUV㸣-$0$㸰㸝㸞㸯㸣㸣㧏㱃ᝀ⩽ࡡ㏝㝌ᚃࢅず㏳ࡊࡒ┫㆜㡧┘ࡢ㸡࠘ᐓᗖ⫴ᬊ࣬ᐓ᪐ᶭ⬗ࡡビ౮࡛ᐓ᪐࣬ᝀ⩽ࡡᕵ᭻☔ヾ࠙㸩㸞(YDQV5/+HQGLVNV5'(YDOXDWLQJ+RVSLWDO࠘㏝㝌ㄢᩒ㸡௒㆜ಕ㝜ࡡึ᩷࠙ࡡ㸧ᅄᏄᵋ㏸࡚࠵ࡖ

'LVFKDUJH3ODQQLQJ㸯$5DQGRPL]HG&OLQLFDOࡒ㸣ࡐࡡࡒࡴ㸡⑋Ჯ഼࡚ࡂ┫㆜ᖅࡢ㸡ࡆࡿࡼ㸧ࡗࡡ

7ULDO0HGLFDO&DUH㸰㸝㸞㸯㸣ഁ㟻ࢅࡻࡽណㆉࡊ࡝࠿ࡼ┫㆜ࡌࡾࡆ࡛࠿㔔こ࡚࠵ࡾ㸪㸞⩹ெ┫㆜ࡡᑍ㛓┫㆜ᖅⓇ㘋⩽ୌぬ㸣┫㆜༝ఌ࣭࣑࣌
࣭࣋ࢩ㸰ᖳ㸧᭮᪝㸣KWWSZZZQXUVHRUMS࡛⩻࠻ࡼࡿࡒ㸣ࠈࠈLQGH[KWPO㸣㸫㸞⨶ࢿㆺ᩺Ꮔ㸡ᮙᮇḿᏄ㸡⚗ᔪ㱗Ꮔ㸡ᑚᮿඁ⣎㸣᪃࠽ࢂࡽ࡞ ⑋Ჯ࡚ᐁ㝷࡞഼࠷࡙࠷ࡾ┫㆜ᖅࡢ㸡㧏㱃ᝀ⩽ࡡ㏝㝌

シ⒢㣬࡫⛛⾔ࡊࡒ⬳༛୯ᝀ⩽ࡡ㏝㝌᫤≟Ἓ࡛㏝㝌ᚃࡡ⏍Ὡࢅず㏳ࡊࡒ┫㆜࡞࠽࠷࡙㸡ࠔᐁ᪃≟Ἓࠕ࡞Ẓ๑ࡡᚨ㒼㸣㡨ኮᇸ༈Ꮥ㸰㸝㸞㸯㸣࡬࡙ࠔᚪこᛮࡡヾㆉࠕࡢ㧏࠷࠿ࡐࡿࢅᐁ㊮ࡊࡀࡿ࡙࠷

㸬㸞Ễ⏛ᬓᏄ㸡ᮟᔪᖶ௥㸣㧏㱃⩽ࡡ㏝㝌ᨥᥴ㸣᪝ᮇ⩹࡝࠷⌟≟࠿࠵ࡾ࡛⩻࠻ࡼࡿࡒ㸣ࡐࡡࡒࡴ㸡㧏㱃ᝀ⩽࡛ᖳ༈Ꮥఌ㞟ヽ㸰㸝㸞㸯㸣㛭ࢂࡖ࡙࠷ࡾ᫤㛣࠿㛏ࡂᚨ㌗≟ឺࡡን໩ࢅ┘ࡡᙔࡒࡽ㸭㸞ᡖᮟࡥ࠾ࡽ㸡Ễ⏛ᬓᏄ㸡ᮟᔪᖶ௥㸣ୌ⯙⑋Ჯ࠾ࡼ࡞ࡊ࡙࠷ࡾ⑋Ჯ┫㆜ᖅ࠿㸡᪝ࠍࡡ㧏㱃ᝀ⩽ࡡ≟ឺࢅ࢓⮤Ꮹ㏝㝌ࡌࡾこ௒㆜㧏㱃ᝀ⩽࡫ࡡ㏝㝌ᨥᥴ࡞ᚪこࢬࢪ࣒ࣤࢹࡊ࡝࠿ࡼ㛭ࢂࡾࡆ࡛ࡡ㔔こᛮ࠿♟ြࡈࡿ࡝こ⣪ࡡฦᯊ㏛㊟ㄢᰕ࡞ࡻࡾビ౮࠾ࡼ㸣᪝ᮇᆀࡒ㸣ࡱࡒ㸡ࢪࢠ࣭ࣛࢼࣤࢡࢅᐁ᪃ࡌࡾࡆ࡛࡚㸡㧏㱃ᝀᇡ┫㆜Ꮥఌヽ㸰㸝㸞㸯㸣⩽ࢅ┫ࡾちⅤ࠿ᙁ໩ࡈࡿࡾ࡛ྜྷ᫤࡞㸡ᐓ᪐࡫ࡡ┫㆜ࡵ㸮㸞▴ᶣ㯖㔓㸡≹㔕Ⰳኯ㸡け⃕⨶㈏Ꮔ㸡ᖲᒜ᭰Ꮔ㸣⒢ඖᐁࡊ㸡┞ᑊⓏ࡞┫㆜ᖅࡡ┫㆜ࡡ㈹ྡྷ୕࡞ࡵࡗ࡝࠿ࡾ

㣬ᆵ⑋Ჯ࡞ථ㝌୯ࡡ㧏㱃⩽ࡡ㐘ິᶭ⬗࣬⢥♼ᶭ⬗࡛⩻࠻ࡼࡿࡒ㸣ࡆࡡࡆ࡛࠾ࡼ㸡ථ㝌᪡᭿࠾ࡼ㏝㝌ᚃࡡ࡞㛭ࡌࡾㄢᰕ㸣⸓㔕Ꮥ㝌⣎こ㸰㸯㸣⏍ὩࢅරమⓏ࡞ず㏳ࡊࡒ┫㆜ᐁ㊮࠿㸡௑ᚃࡡㄚ㢗࡛⩻㸞ᴃᮇ㡨Ꮔ㸡ᕖᓧᾀ஦㸣‫‮‬㊂ᗐㄢᰕ࡞ࡻࡾ㏝㝌ᨥᥴ㸞࠻ࡼࡿࡒ㸣඙⾔◂✪࡚ᅹᏩᨥᥴࡡ๪ྙࡵኣ࠷ ࡆ࡛࠾ࡡビ౮㸣᪝ᮇ༈⒢࣏ࢾࢩ࣒ࣤࢹᏕఌ㞟ヽ㸰ࡼ㸡௑ᚃࡢ㸡⑋㝌㛣ࡡ㏻ᦘ࡞࡛࡜ࡱࡼࡍ㸡⑋㝌࡛ᅹᏩ㸝㸞㸯㸣

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012ᐁឺㄢᰕሒ࿈᭡㸣㸣㸣㸞㮎ずᑠᕤ㸡ᮟᔪᖶ௥㸡㫵⩒◂஦㸡ኬහᑔ⩇㸣㏝㝌ᅏ㞬࠿஢ῼࡈࡿࡒ㧏㱃ථ㝌ᝀ⩽࡞ᑊࡌࡾ᪡᭿㏝㝌㸞᲻㘵♰Ꮔ㸡ኬ➁ࡱࡽᏄ㸡㉝㛣᪺Ꮔ㸡㕝ᮄ⫩Ꮔ㸡ఫᨥᥴࡡຝᯕ࡞㛭ࡌࡾ◂✪≁ᏽᶭ⬗⑋㝌⩹ᖳ⑋⛁⸠༐ྍࠈ௙㸣᛬ᛮ᭿⑋㝌࡞࠽ࡄࡾ᪡᭿㏝㝌ᨥᥴࢅ࡞࠽ࡄࡾ‵ᐁ㥺◂✪㸣⑋㝌⟮⌦㸰㸝㸞㸯

┘Ⓩ࡛ࡊࡒࢪࢠ࣭ࣛࢼࣤࢡ⚂ࡡᑙථ㸣᪝ᮇᅹᏩࢢ

㸣

࢓Ꮥఌヽ㸰㸝㸞㸯㸣㸞㮎ずᑠᕤ㸡ዚཋⰶᏄ㸡Ꮽ㐡ዼᏄ㸡ὰ㔕ᘧᜠ㸡ఫ⸠㸞㮎ずᑠᕤ㸡ᮟᔪᖶ௥㸣㧏㱃ᝀ⩽࡞ᑊࡌࡾ㏝㝌ᨥᥴ⏜౅㸣ኬᏕ⑋㝌࡞࠽ࡄࡾᨭゖ∟㏝㝌ᨥᥴࢪࢠ࣭ࣛ

ࢪࢠ࣭ࣛࢼࣤࢡ⚂ࡡ㛜Ⓠ㸝➠ୌሒ㸞㸣⑋㝌⟮⌦ࢼࣤࢡ⚂ࡡጂᙔᛮࡡ᳠チ㸣┫㆜⥪ྙ⛁Ꮥ◂✪ఌヽ㸰㸝㸞㸯㸣㸞᩺⏛㟴Ờ㸣ᩝ⊡ᢊ㘋࡞࠽ࡄࡾ᪝ᮇࡡᐓ᪐௒㆜⩽ࢅ㸰㸝㸞㸯㸣ᑊ㇗࡛ࡌࡾ┫㆜◂✪ࡡິྡྷ࡛ㄚ㢗㸣ᒜᲅኬᏕ┫㆜㸞Ễ⏛ᬓᏄ㸡ᮟᔪᖶ௥㸣㏝㝌ᨥᥴࡡ⌟≟࡛ㄚ㢗㸣ಕᏕఌヽ㸰㸝㸞㸯㸣೸ࡡ⛁Ꮥ㸰㸝㸞㸯㸣㸞㮎ずᑠᕤ㸡ᮟᔪᖶ௥㸣㧏㱃ᝀ⩽࡞ᑊࡌࡾ㏝㝌ᨥᥴ㸞ᮟᮿᜠᏄ㸡㧏ᶣ╤Ꮔ㸡㯦⏛ࡴࡃࡲ㸡୯ㆺ஁ᜠ㸣ᅹࢪࢠ࣭ࣛࢼࣤࢡ⚂ࡡ㛜Ⓠ㸝➠஦ሒ㸞㸢ኬᏕ⑋㝌࡞

Ꮹ⒢㣬࡞࠽ࡄࡾ㏝㝌ᣞᑙࡡ᪡᭿໩࡞ྡྷࡄࡒථ㝌᫤࠽ࡄࡾጂᙔᛮࡡ᳠チ㸢㸣⑋㝌⟮⌦㸰㸝㸞㸯ࢪࢠ࣭ࣛࢼࣤࢡ࡞ࡻࡾ┫㆜㸣᪝ᮇᅹᏩࢢ࢓Ꮥఌヽ㸣㸰㸝㸞㸯㸣㸞๑᥎㸞㸞๑᥎㸬㸞

㸞ఔ┷⏜⨶㸡୷ᒱ├Ꮔ㸡ᕖᓞ࿰௥㸡ᑚᮿዼᏄ㸡ఫ⸠㸞๑᥎㸞㸞᪝ᮇ┫㆜༝ఌࠈᨳ➿௺⏤㒂㸣ᖳ┫㆜⫃ဤᐁឺᘧ⨶㸣⑋Ჯ┫㆜ᖅ㛏࠾ࡼࡲࡒ㏝㝌ㄢᩒࡡ⌟≟࡛ㄚㄢᰕ㸣㸣㸣㢗㸣▴ᕖ┫㆜㞟ヽ㸰㸯㸣㸞᲻⏛ய㸡ኮ⩒೸ኯ㑳㸡㯦⏛ᰜྍ㸡᫅ᕖྚක㸡㎯Ⲧ㸞ὕහᚷ‘㸡୷ᒱ├Ꮔ㸡ఔ┷⏜⨶㸡ᕖᓞ࿰௥㸣⑋㝌ᕰࠈ௙㸣㧏㱃⩽࡞ᑊࡌࡾ᪡᭿㏝㝌ᨥᥴࢪࢠ࣭ࣛࢼ

࡞ໂຸࡌࡾ┫㆜ᖅࡡ㏝㝌ㄢᩒὩິࡡᐁឺ࡛ㄚ㢗㸣ࣤࢡࡡ᭯⏕ᛮ㸣᮶᪝ᮇᩒⅇఌヽ㸰㸯▴ᕖ┫㆜㞟ヽ㸰㸯㸣㸞๑᥎㸞㸣㸞๑᥎㸞㸞ᖲ℡⟿Ꮔ㸡ᶣᮇᬓᏄ㸣㧏㱃⩽ࡡ㏝㝌ᨥᥴ࡞࠾࠾ࢂ

㸞᰿ᨼᶖ㸡㧏ᶣࡲࡷᏄ㸡ྎ⏛࿔ᖲ㸣༈⒢ᶭ㛭࡞࠽ࡄࡾ┫㆜ᖅࡡᙲ๪ᆀᇡ࡛ࡡ㏻ᦘࢅ㏳ࡊ࡙㸣┫㆜࣬ࡾ㏝㝌ㄢᩒᑍ㛓⫃㒼⨠ࡡྊ⬗ᛮ࡞㛭ࡌࡾධᅗㄢ

ಕ೸⛁Ꮥ◂✪ヽ㸰㸯㸣ᰕ㸣᪝ᮇ㎨ᮟ༈Ꮥఌ㞟ヽ㸰㸝㸞㸯㸣㸞ᮿỄ⠔ᚷ㸡Ễ⏛ᬓᏄ㸡ᮟᔪᖶ௥㸣≁ᏽᶭ⬗⑋㝌࡞࠽ࡄࡾ⑋Ჯ┫㆜ᖅࡡ㏝㝌ᨥᥴ࡞ࡗ࠷࡙ࡡヾㆉ࠽ࡻ㸞๑᥎㸞ࡦᐁ᪃≟Ἓ㸢㏝㝌ᨥᥴ㒂⨣ࡡ᭯↋࡞ࡻࡾẒ㍉࡞↌㸞๑᥎㸞Ⅴࢅᙔ࡙࡙㸢㸣⑋㝌⟮⌦㸰㸝㸞㸯㸣㸞๑᥎㸞㸞๑᥎㸫㸞
㸝ᖳ㸨᭮᪝ུ௛ࠈᖳ㸭᭮᪝ུ⌦㸞㸞᪝ᮇゴၡ┫㆜ᣲ⮾㈀ᅆ㸣㏝㝌ㄢᩒ┫㆜ᖅ࡞㛭ࡌࡾ

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012

Nurses’ “Recognition of Necessity” and “Condition of
Implementation” of Care that Considers the Lifestyles ofElderly Patients after Discharge—Focus on Ward Characteristics—
Misako Kojima Yukie Watanabe Chiaki Kinouchi  Mutsumi Chida Michiko Ishikawa
1㸞Faculty of Nursing, Iwate Prefectural University2㸞Department of Nursing Sciences, School of Health Sciences, Japan University of Health Sciences
3㸞Former Iwate Prefectural University

Abstract
Objective: To elucidate the “recognition of necessity” and “condition of implementation” of

nursing care that considers the lifestyles of elderly patients after discharge among nurses working
in wards based on the characteristics of the ward and the influence of these characteristics onnurses’ “recognition of necessity” and the “condition of implementation”. Furthermore, thisresearch investigates the role of nursing care that considers the lifestyles of elderly patients after
discharge in care for elderly patients.
Methods: A 13-item self-report questionnaire on nursing care that considers the environment

surrounding elderly patients as well as their lifestyles after discharge was created and conducted
on 1743 nurses at 59 hospitals.
Results: Responses were obtained from 908 nurses㸝52.1%㸞. For all 13 items, scores for“recognition of necessity” were significantly higher than those for “condition of implementation”
㸝p<0.05㸞. In addition, we analyzed the influence of each ward characteristic on the lifestyles of

elderly patients after discharge. As a result, the ward characteristic with the most significant
influence was the practice of screening. The 13 items had a two-factor structure consisting of“assessment of family background and function, and confirmation of the wishes of the family andthe patient” and “discharge planning and intervention for long-term care insurance”. The ward
characteristic with the most significant influence on these factors was also the practice ofscreening.
Conclusion: Implementation of screening, Implementation of screening was thought to not only

was thought to not only strengthen the perspective of caring for elderly patients, but also
contribute to improvements in nursing care by enhancing nursing care for families.

Key words：elderly, recognition, implementation, discharge planning, screening

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012ఌࠈࠈ࿈➠㸫ᅂᒷᡥ┫㆜ᏕఌᏕ⾙㞗ఌࡡࡇ᱄හ
➠ᅂᒷᡥ┫㆜ᏕఌᏕ⾙㞗ఌࢅୖエࡡ㏳ࡽ㛜തࡊࡱࡌ㸣ఌဤࡡⓑᵕࢅࡢࡋࡴኣᩐࡡࡇཤຊࢅ࠽ᙽࡔࡊ࡙࠷ࡱࡌ㸣ࠈࠈࠈࠈ᭿ࠈࠈ᪝㸯ᖲᠺᖳ᭮᪝㸝ᅰ㸞ࠈࠈࠈఌࠈࠈሔ㸯ᒷᡥ┬❟ኬᏕㅦᇸ࣬භ㏳ㅦ⩇Ჯࠈࠈࠈఌࠈࠈ㛏㸯ᅰᒁ㝟Ꮔ㸝ᒷᡥ┬❟ኬᏕ㸞ࠈࠈࠈ࣒࢕ࣤࢷ࣭࣏㸯ࠔࢢ࢓ࡡᮇ㈹ࢅịࡴ࡙ࠕࠈࠈࠈఌ㛏ㅦⁿ㸯ᅰᒁ㝟Ꮔ㸝ᒷᡥ┬❟ኬᏕ㸞ࠈࠈࠈ≁ืㅦⁿ㸯ⓑ⡚ࠈ❮㸝ா㒌ኬᏕኬᏕ㝌ᩅ⫩Ꮥ◂✪⛁⮣ᗃᐁ㊮ᣞᑙᏕㅦᗑ㸞ࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈᖳ᭮
ࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈ➠ᅂᒷᡥ┫㆜ᏕఌᏕ⾙㞗ఌࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈఌ㛏ࠈᅰᒁ㝟Ꮔ㸝ᒷᡥ┬❟ኬᏕ㸞

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012ᖲᠺᖳᗐᒷᡥ┫㆜Ꮥఌ➠㸧ᅂ⌦஥ఌࠈࠈࠈ᪝ࠈ᫤㸯ᖲᠺᖳ㸮᭮᪝㸝Ề㸞㸯㹳㸯ఌࠈሔ㸯ᒷᡥ┬❟ኬᏕ┫㆜Ꮥ㒂Ჯᑍ㛓ฦ㔕◂✪ᐄฝᖆ⩽㸯඾ᮿ㸡ⳝờ㸝࿰㸞㸡ⳝờ㸝⏛㸞㸡ᕝ⸠㸡Ṃ⏛㸡ᖲ㔕㸡୔὾㸝ዄ㸞㸡୔὾㸝ࡱ㸞ጟ௴≟㸯ᮄහ
Ḗᖆ⩽㸯Ꮽ⸠㸡Ⓣ⏷㸡␂ᒜ㸦㸣㛜ఌࠈᖲ㔕⌦஥ࡻࡽ㸡ฝᖆ⩽ྞ㸡ጟ௴≟ྞ࡞࡙⌦஥ఌᠺ❟࠿ᐃゕࡈࡿࡒ㸣㸧㸣⌦஥㛏ᣭᣔ
ࠈṂ⏛⌦஥㛏ࡻࡽ㛜ఌࡡᣭᣔ࠿࠵ࡖࡒ㸣㸨㸣㆗஥㸦㸞ሒ࿈஥㡧
㸝㸞ᗚຸᢰᙔሒ࿈
ࠈ୔὾㸝ዄ㸞⌦஥ࡻࡽ㈠ᩩ㸦࡞ࡗ࠷࡙ㄕ᪺࠿࠵ࡖࡒ㸣㸮᭮᪝⌟ᅹ㸡ఌဤᩐࡢྞ࡚㸡ᖲᠺᖳᗐࡡථఌ⩽࠿ྞ࡛Ꮥ⾙㞗ఌⓆ⾪ࡡࡒࡴ࡞ኬࡀࡂఘࡦ࡙࠷ࡾ㸣ఌ㈕ᮅ⣙⩽ࡢ㸡ᖲᠺᖳᗐྞ㸡ᖳᗐࡢྞ࡛࡝ࡖ࡙࠷
ࡾ㸣ᖲᠺᖳᗐᮅ⣙⩽ࡢ㸡ᖳᗐᮆࡱ࡚࡞ఌ㈕ࢅ⣙ࡴ࡝࠷࡛㏝ఌ࡛࡝ࡾࡒࡴ㸡ఌヽ㏞௛᫤࡞࿣ࡦ᤻ࡄ࡙࠷ࡂ㸣㸝㸞⥽㞗ጟဤఌሒ࿈
ࠈ඾ᮿ⥽㞗ጟဤ㛏ࡻࡽ㈠ᩩ㸧࡞ࡗ࠷࡙ㄕ᪺࠿࠵ࡖࡒ㸣࣒ࣤࣁ࣭࡛ᙲ๪ฦᢰ㸡ఌ㆗࡛୹࡝㆗஥㸡ᏕఌヽࡡⓆ⾔㐅ᤎ≟Ἓ࡞ࡗ࠷࡙ሒ࿈࠿࠵ࡖࡒ㸣㸝㸞➠㸪ᅂᏕ⾙㞗ఌ௺⏤ጟဤఌሒ࿈
ࠈ୔὾㸝ࡱ㸞⌦஥ࡻࡽሒ࿈࠿࠵ࡖࡒ㸣ⁿ㢗ࡡ⏞ࡊ㎰ࡲ࠿࠵ࡽ㸡㐛ཡ᭩ኣࡡⁿ㢗ᩐ࡛࡝ࡖࡒ㸣ᰕㄖࡵ⤂஡ࡊ㸡ᢊ㘋㞗ࡵ㎾ࠍⓆ㏞஢ᏽ࡚࠵ࡾ㸣ᐁ⾔ጟဤఌࡵ⑋㝌᪃シᡜᒌࡡ᪁ࠍ࡞ࡵࡇ༝ງ࠷ࡒࡓ࠷࡙࠷ࡾ㸣㸧㸞ᐼ㆗஥㡧
㸝㸞ᖲᠺᖳᗐᖲᠺᖳᗐ᭿ビ㆗ဤ㸡⌦஥࣬┐஥㐽ᣪ⤎ᯕ࡞ࡗ࠷࡙
ࠈᯐᮇ㐽ᣪ⟮⌦ጟဤ㛏࡞௥ࢂࡽ㸡୔὾㸝ዄ㸞㐽ᣪ⟮⌦ጟဤࡻࡽ㈠ᩩ㸨࡞ࡗ࠷࡙ㄕ᪺࠿࠵ࡽ㸡␏㆗࡝ࡂ㸡ᢆヾࡈࡿࡒ㸣㸝㸞ᖲᠺᖳᗐ஥ᴏ゛⏤㸝᱄㸞ࠈᖲ㔕⌦஥ࡻࡽ㈠ᩩ㸩࡞ࡗ࠷࡙ㄕ᪺࠿࠵ࡖࡒ㸣ᏕఌヽࡡⓆ⾔㸡➠㸫ᅂᏕ⾙㞗ఌ㛜ത㸝ఌ㛏㸯ᅰᒁ㝟ᏄẮ㸞㸡⥪ఌ㛜ത㸡ࡴࢆࡆ࠷ࢬ࣐ࢻ࣭㛜ത㸡ᗀሒὩິ࡞ࡗ࠷࡙ᢆヾࡈࡿࡒ㸣㸝㸞ᖲᠺᖳᗐ஢⟤㸝᱄㸞ࠈⳝờ㸝࿰㸞⌦஥ࡻࡽ㈠ᩩ㸪࡞ࡗ࠷࡙ㄕ᪺࠿࠵ࡖࡒ㸣ᖲᠺᖳᗐࡡఌဤᩐࢅெ࡛ࡊ࡙⟤ฝࡊࡒ㸣ᖲᠺᖳᗐ
࠾ࡼࡡ᩺ࡒ࡝ビ㆗ဤ࠽ࡻࡦ⌦஥࣬┐஥࠿⥪ఌࡱ࡚ᮅᏽࡡࡒࡴ᪉㈕➴࠿୘᪺࡚࠵ࡾ࠿㸡௑ᖳᗐࢅཤ⩻࡞⟤ฝࡊࡒ㸣ࠈࡴࢆࡆ࠷ࢬ࣐ࢻ࣭ࡢ㸡Ꮥ⾙㞗ఌࡡஹὮࢬࢴࢨ࡛ࣘࣤ㔔々ࡌࡾ᫤㛣ᖈࡡ㛜ത࡚࠵ࡽ㸡ཤຊ⩽࠿ᑛ࡝࠷࡛ㅦᖅ
࡞⏞ࡊズ࡝࠷㸡Ꮥ⾙㞗ఌࡡ≁Ⰵ࡞㒼៎ࡌࡾ࡛ื᪝ࡡ㛜ത࠿ࡻ࠷ࡡ࡚ࡢ࡝࠷࠾࡛࠷࠹ណず࠿ฝࡈࡿࡒ㸣ᮮᖳᗐ௧㜾ࡡࢬ࣐ࢻ࣭㛜തࡢ㸡᩺⌦஥㸡ビ㆗ဤࡡᐼ㆗࡞ࡻࡾ࠿㸡ᖲᠺᖳᗐ஢⟤࡛ࡊ࡙ࡢ㸡㡧┘ࢅṟࡊ࡙࠽ࡂࡆ࡛
࡛ࡊࡒ㸣ࡐࡡ௙㸡␏㆗࡝ࡂᢆヾࡈࡿࡒ㸣㸝㸞ᢖ✇ぜ์ࡡᨭゖ࡞ࡗ࠷࡙
ࠈ㈠ᩩ㸫࡞ࡗ࠷࡙඾ᮿ⥽㞗ጟဤ㛏ࡻࡽㄕ᪺࠿࠵ࡖࡒ㸣ㄵᩝ⛸㢦㸝ࡐࡡ௙㸞ࡡエ㍍හᐖ㸡ืใࡽࡡ༟న㸝㒂༟

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012న࡛ࡊࡒ㸞㸡ᇮ➱こ㡷ࡡ࣭࣋ࢩᩐࡡエ㍍හᐖࡡን᭞㸡ㄵᩝࡡᥞฝහᐖࡡን᭞㸡ᩝ᭡ࣆ࢚࣭࣏ࢴࢹࡡን᭞㸝⾪㢗ࡡ࣎࢕ࣤࢹᩐ㸡ࣆ࢚ࣤࢹࡡን᭞㸞㸡ᅒ⾪ࡡ᥎㍍හᐖን᭞࡞ࡗ࠷࡙㸡ᢆヾࡈࡿࡒ㸣ᢖ✇ぜ์ࡡᨭゖࡢ⌦஥ఌࡡᢆヾ࡚ࡻ࠷ࡒࡴ㸡ᨭゖ᪝ࡢ㸡ᖲᠺᖳ㸮᭮᪝࡛ࡊࡒ㸣㸝㸞㛭ᚨ㡷ᇡืྞ⡑ࡡᨭゖ࡞ࡗ࠷࡙ࠈ୔὾㸝ࡱ㸞๧ጟဤ㛏ࡻࡽื῟㈠ᩩ࡞ࡗ࠷࡙ㄕ᪺࠿࠵ࡖࡒ㸣ᖳࡡㄢᰕ௧ᮮ㸡ㄢᰕࢅ⾔ࡖ࡙࠷࡝࠷ࡒࡴ㸡㛭ᚨ㡷ᇡ࠿᭞᩺ࡈࡿ࡝࠷ࡱࡱᏕఌヽ࡞᥎㍍ࡈࡿ࡙࠷ࡾ⌟≟࡞࠵ࡾ㸣᩺ࡒ࡞ㄢᰕࢅ⾔ࢂ࡝ࡂ࡙ࡵࡻ࠷ࡻ࠹࡞㸡ථఌ⏞㎰᭡ࡡࠔ᥎㍍ࡊ࡙ࡻ࠷㡧┘ࠕࡡḅ࡞㏛ຊࡊ࡙ࡢ࡜࠹࠾㸡ࡱࡒ㸡ఌ㈕⣙ථࡡ㝷࡞ᣲ㎰⏕⣤ࡡങ⩻ḅ࡞㛭ᚨ㡷ᇡࡡエ㍍ḅࢅシࡄࡾࡆ࡛ࡢ࡜࠹࠾㸡࡝࡜ࡡᥞ᱄࠿࠵ࡖࡒࡒࡴ㸡⤽⤾ᐼ㆗࡛ࡌࡾࡆ࡛࡛ࡊࡒ㸣㸝㸞ⱝᩝᢖ✇ぜ์ᨭゖ㸡ࢲ࢘ࢴࢠࣛࢪࢹᰧ㛸ࡡࡒࡴࡡ஢⟤࡞ࡗ࠷࡙ࠈⱝᩝࡡᢖ✇ぜ์ࡡᨭゖ࡞ࡗ࠷࡙ࡢ㸡ࢾ࢕ࢷ࢔ࣇࢲ࢘ࢴࢠࢅུࡄࡒࡡ࡚㸡Ꮥఌヽࡡ⾪⣤ࡡࢲ࢘ࢴࢠࡡ㝷࡞ᨥᡮࢂࡿࡾࡡ࡛ྜྷ➴ࡡㅨ㔘ࢅᨥᡮ࠹ࡆ࡛࡛ࡊࡒ㸣㸝㸞ビ㆗ဤఌḗ➠㸝᱄㸞ࠈᖲ㔕⌦஥ࡻࡽ㈠ᩩ㸭࡞ࡗ࠷࡙ㄕ᪺࠿࠵ࡖࡒ㸣᭮᪝㸝ᅰ㸞࡞㛜ത஢ᏽࡡビ㆗ဤఌḗ➠࡞ࡗ࠷࡙ᢆヾࡈࡿࡒ㸣㸝㸞⥪ఌḗ➠㸝᱄㸞ࠈᖲ㔕⌦஥ࡻࡽ㈠ᩩ㸮࡞ࡗ࠷࡙ㄕ᪺࠿࠵ࡖࡒ㸣⥪ఌḗ➠࡞ࡗ࠷࡙ᢆヾࡈࡿࡒ㸣㆗஥㘋⨣ྞெࡢ㸡⥪ఌฝᖆ⩽ࢅ☔ヾࡊ࡙࠾ࡼ⾔࠹ࡆ࡛࡛ࡊࡒ㸣㸝㸞➠㸬ᅂᏕ⾙㞗ఌ㸝ᖲᠺᖳᗐ㸞ఌ㛏ು⿭࡞ࡗ࠷࡙
ࠈ௿⸠ᨪẮ㸝ᒷᡥ┬❟ኬᏕ㸞㸡ᒜහୌྍẮ㸝ᒷᡥ┬❟ኬᏕ㸞㸡୕ᯐ⨶ಕᏄẮ㸝ᒷᡥ┬❟ኬᏕ㸞ࡡ㸨Ắ࡞౪㢏ࡌࡾࡆ࡛࡛ࡊࡒ㸣㸝㸞ࡐࡡ௙
ࠈࡴࢆࡆ࠷ࢬ࣐ࢻ࣭ㅦᖅࡡᘒᙔ௥࡞ࡗ࠷࡙㸯ⓆἸࡢᏕ⾙㞗ఌ஥ຸᑻ࡞౪㢏ࡌࡾ࠿㸡௥㔘ࡢᮇ㒂஢⟤࡚ᨥฝࡌࡾࡆ࡛࡛ࡊࡒ㸣ࠈ᩺⌦஥㛏ࡡ㐽ฝ᪁Ἢ࡞ࡗ࠷࡙㸯᩺⌦஥ఌࢅ㛜തࡌࡾ㝷ࡢ㸡⌟⌦஥㛏࠿ྒྷఌࢅࡌࡾࡆ࡛࡛ࡊ㸡᪝⛤ࡡㄢᩒࢅ⾔࠹㸣㸩㸣㛚ఌࠈṂ⏛⌦஥㛏ࡻࡽ㛚ఌࡡᣭᣔ࠿࠵ࡖࡒ㸣௧୕㸝ᩝ㈈㸯୔὾㸝ዄ㸞㸞

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012ᖲᠺᖳᗐࠈᒷᡥ┫㆜Ꮥఌビ㆗ဤఌࠈ㆗஥㘋᪝ࠈࠈ᫤㸯ᖲᠺᖳ᭮᪝㸝ᅰ㸞㸯㹳㸯ሔࠈࠈᡜ㸯࠷ࢂ࡙┬Ằ᝗ሒஹὮࢬࣤࢰ࣭㸝࢓࢕࣭ࢻ㸞㸬㝭ࠈᏕ⩞ᐄ㸧ฝ ᖆ ⩽㸯Ṃ⏛㸡Ꮽ⸠㸡඾ᮿ㸡ⳝờ㸝࿰㸞㸡ⳝờ㸝⏛㸞㸡⟵▴㸡ᖲ㔕㸡୔὾㸝ዄ㸞㸡୔὾㸝ࡱ㸞㸡ᮟ୕ጟ ௴ ≟㸯ᮄහ㸡ᕝ⸠㸡Ⓣ⏷㸡⏛୯㸡␂ᒜ㸡ᯐᮇ㸡୔὾㸝ᖶ㸞㒼ᕱ㈠ᩩ㸯㸦㸣⌦஥ఌሒ࿈ࠈࠈࠈࠈࠈ㸧㸣ᗚຸሒ࿈ࠈࠈࠈࠈࠈ㸨㸣⥽㞗ጟဤఌὩິሒ࿈
ࠈࠈࠈࠈࠈ㸩㸣ᖲᠺᖳᖲᠺᖳᗐビ㆗ဤ࠽ࡻࡦ⌦஥࣬┐஥㐽ᣪ⤎ᯕሒ࿈ࠈࠈࠈࠈࠈ㸪㸣ᖲᠺᖳᗐ஥ᴏὩິ࡞ࡗ࠷࡙
ࠈࠈࠈࠈࠈ㸫㸣ᖲᠺᖳᗐ཭ᨥỬ⟤ሒ࿈࠽ࡻࡦఌ゛┐ᰕሒ࿈ࠈࠈࠈࠈࠈ㸬㸣ᖲᠺᖳᗐಞḿ஢⟤㸝᱄㸞ࠈࠈࠈࠈࠈ㸭㸣ᖲᠺᖳᗐ஥ᴏ゛⏤㸝᱄㸞ࠈࠈࠈࠈࠈ㸮㸣ᖲᠺᖳᗐ஢⟤㸝᱄㸞㸦㸣㛜ఌࠈฝᖆ⩽ྞ㸡ጟ௴≟㸬ྞ࡚ビ㆗ဤఌࡡᠺ❟࠿☔ヾࡈࡿࡒ㸣㸧㸣⌦஥㛏ᣭᣔ
ࠈṂ⏛⌦஥㛏ࡻࡽᣭᣔ࠿࠵ࡖࡒ㸣ᮇ᪝㸡᩺⌦஥࡞ࡻࡾఌ㆗ࢅ⾔࠷㸡ḗᖳᗐࡡ᩺మโࡡᙲ๪࠿Ửᏽࡊࡒ㸣ᒷᡥ┫㆜Ꮥఌヽࡵධᅗ࠾ࡼᐞ㉏౪㢏࠿ᮮ࡙࠽ࡽ㸡ධᅗ࡞▩ࡼࡿࡾࡻ࠹࡞࡝ࡖ࡙ࡀࡒ㸣ࡈࡼ࡞Ὡິࢅ᥆㐅ࡊ࡙࠷ࡀࡒ࠷㸣㸨㸣ሒࠈ࿈㸦㸞⌦஥ఌሒ࿈
ࠈࠈ㈠ᩩ㸦࡞ࡗ࠷࡙㸡Ṃ⏛⌦஥㛏ࡻࡽሒ࿈࠿࠵ࡖࡒ㸣㸧㸞ᗚຸሒ࿈
ࠈࠈ㈠ᩩ㸧࡞ࡗ࠷࡙㸡୔὾㸝ዄ㸞⌦஥ࡻࡽሒ࿈࠿࠵ࡖࡒ㸣㸨㸞⥽㞗ጟဤఌὩິሒ࿈
ࠈ㈠ᩩ㸨࡞ࡗ࠷࡙㸡඾ᮿ⥽㞗ጟဤ㛏ࡻࡽሒ࿈࠿࠵ࡖࡒ㸣⌟ᅹࡡ⥽㞗ጟဤྞࡢ㸡ᖲᠺᖳᗐ࡚௴᭿⤂஡࡛࡝ࡾ㸣ᖲᠺᖳᗐࡻࡽ᩺ࡒ࡝మโ࡚㐅ࡴ࡙࠷ࡒࡓࡀࡒ࠷㸣ᢖ✇ㄵᩝ࠿㸧ᮇ㏛ຊ࡛࡝ࡽ㸡⌟ᅹᰕㄖ୯ࡡࡵࡡࡢ㸩ᮇ࡛࡝ࡖࡒ㸣
ࠈ೒⌦Ⓩ㒼៎࡞ࡗ࠷࡙㸡೒⌦ᐼᰕጟဤఌࡡᐼᰕࢅུࡄ࡙࠷࡝࠷ㄵᩝࡢ㸡ᰕㄖࡊ࡝࠷࡛࠷࠹ᰕㄖ⩽ࡵ࠷ࡾ㸣೒⌦ᐼᰕጟဤఌࡡシ❟ࢅ௑ᚃ᳠ゞࡊ࡙࠷ࡒࡓࡀࡒ࠷㸣㸩㸞㐽ᣪ⟮⌦ጟဤఌ࠾ࡼሒ࿈
ࠈࠈ㈠ᩩ㸩࡞ࡗ࠷࡙㸡ᯐᮇ㐽ᣪ⟮⌦ጟဤ㛏࡞௥ࢂࡽ㸡୔὾㸝ዄ㸞㐽ᣪ⟮⌦ጟဤࡻࡽሒ࿈࠿࠵ࡖࡒ㸣㸪㸞➠㸪ᅂᏕ⾙㞗ఌࠈࠈᏭ⸠஥ຸᑻ㛏ࡻࡽሒ࿈࠿࠵ࡖࡒ㸣ⁿ㢗ࡡⓆ⾪࠿஢ᏽࡈࡿ࡙࠽ࡽ㸡‵ങࡵ㡨ㄢ࡞㐅ࢆ࡚࠷ࡾ㸣㸩㸣㆗ࠈ஥㸦㸞ᖲᠺᖳᗐ஥ᴏὩິ࡞ࡗ࠷࡙
ࠈ㈠ᩩ㸪࡞ࡗ࠷࡙㸡ᖲ㔕⌦஥ࡻࡽㄕ᪺࠿࠵ࡖࡒ㸣➠㸩ᅂᏕ⾙㞗ఌࡢཤຊ⩽ྞ㸡ⁿ㢗ࡡⓆ⾪࠿࠵ࡖࡒ㸣⤂஡ᚃࡡ࢓ࣤࢢ࣭ࢹࡢ㸡ᴣࡠይビ࡚࠵ࡖࡒ㸣ࡴࢆࡆ࠷ࢬ࣐ࢻ࣭ࡢ㸡௙ࡡ㞗ఌ࡛᫤㛣࠿㔔々ࡊ࡙ࡊࡱ࠷㸡ཤຊ⩽࠿ᑛ࡝࠾ࡖࡒ㸣␏㆗࡝ࡂ㸡ᢆヾࡈࡿࡒ㸣

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㸧㸞ᖲᠺᖳᗐ཭ᨥỬ⟤࠽ࡻࡦఌ゛┐ᰕ࡞ࡗ࠷࡙
ࠈ㈠ᩩ㸫࡞ࡗ࠷࡙㸡ⳝờ㸝࿰㸞⌦஥ࡻࡽㄕ᪺࠿࠵ࡖࡒ㸣ࡐࡡᚃ㸡Ꮽ⸠┐஥㸡ⳝờ㸝⏛㸞┐஥ࡻࡽ㐲ḿ࡞ฌ⌦ࡈࡿ࡙࠷ࡒ᪠ࡡሒ࿈࠿࠵ࡖࡒ㸣␏㆗࡝ࡂ㸡ᢆヾࡈࡿࡒ㸣㸨㸞ᖲᠺᖳᗐಞḿ஢⟤㸝᱄㸞
ࠈ㈠ᩩ㸬࡞ࡗ࠷࡙㸡ⳝờ㸝࿰㸞⌦஥ࡻࡽᖲᠺᖳᗐ཭ᨥỬ⟤࠿☔ᏽࡊࡒࡆ࡛ࢅུࡄ࡙஢⟤ࢅಞḿࡊࡒ᪠㸡ㄕ᪺࠿࠵ࡖࡒ㸣␏㆗࡝ࡂ㸡ᢆヾࡈࡿࡒ㸣㸩㸞ᖲᠺᖳᗐ஥ᴏ゛⏤㸝᱄㸞ࠈ㈠ᩩ㸭࡞ࡗ࠷࡙㸡ᖲ㔕⌦஥ࡻࡽㄕ᪺࠿࠵ࡖࡒ㸣ࡴࢆࡆ࠷ࢬ࣐ࢻ࣭࡞ࡗ࠷࡙ࡢ㸡Ꮥ⾙㞗ఌࡡ୯࡚ࡡ㛜തࡢ௙ࡡࣈࣞࢡ࣑࡛ࣚ㔔࡝ࡽཤຊ⩽࠿ᑛ࡝࠷࡝࡜ၡ㢗࠿࠵ࡾ࠿㸡ᚉᮮ࡛࠽ࡽ࡞❟᱄ࡊࡒ㸣㐘ႜ᪁Ἢࡢ㸡ᮮᖳᗐ⌦஥ఌ࡛Ꮥ⾙㞗ఌఌ㛏࡛ࡡ㛣࡚༝㆗ࡊ࡙ࡵࡼ࠹ࡻ࠹࡞᳠ゞ஥㡧࡛ࡊ࡙⏞ࡊ㏞ࡾࡆ࡛࠿ㄕ᪺ࡈࡿࡒ㸣ࡆࡿ࡞ᑊࡊ
࡙㸡ᚉᮮ࡛ྜྷᵕࡡ㛜ത࡚ࡢㄚ㢗࠿ኣ࠷ࡡ࡚࠵ࡿࡣ㸡Ꮥ⾙㞗ఌ࡛ࡢื᪝ࡡ㛜ത࡚ࡵᐁ᪃࠿ྊ⬗࡝஢⟤࡞ࡊࡒ᪁࠿Ⰳ࠷࡛ࡡណず࠿࠵ࡽ㸡஢⟤࡞ථࡿࡾࡆ࡛࡚ྙណࡊࡒ㸣ࠔ㛭ᚨ㡷ᇡืྞ⡑ࡡᨭゖࠕࢅ㏛ຊࡌࡾࡆ࡛࡛ࡊࡒ㸣㸪㸞ᖲᠺᖳᗐ஢⟤㸝᱄㸞
ࠈ㈠ᩩ㸮࡞ࡗ࠷࡙㸡ⳝờ㸝࿰㸞⌦஥ࡻࡽㄕ᪺࠿࠵ࡖࡒ㸣஥ᴏ゛⏤㸝᱄㸞ࡡゞ㆗ࢅུࡄ࡙㸡ࡴࢆࡆ࠷ࢬ࣐ࢻ࣭ࢅᏕ
⾙㞗ఌ࡛ࡢื᪝࡚㛜ത࡚ࡀࡾࡻ࠹࡞ࠔࡴࢆࡆ࠷ࢬ࣐ࢻ࣭㛜ത㈕ࠕࢅ୒ළ࡛ࡊ㸡ങ⩻ḅ࡞ࠔㅦᖅㅨ㔘㸡ఌሔ㈕㸡ᗀሒ㈕➴ࠕ࡛㏛ຊࡌࡾࡆ࡛࡛ࡊࡒ㸣㸫㸞ᖲᠺᖳ̺ᖲᠺᖳᗐ⌦஥࣬ビ㆗ဤ࣬┐஥㸝᱄㸞ࠈ㐽ᣪ⟮⌦ጟဤ࠾ࡼࡡሒ࿈࡛࠽ࡽ㸡␏㆗࡝ࡂᢆヾࡈࡿࡒ㸣㸬㸞ᖲᠺᖳ̺ᖲᠺᖳᗐ⌦஥㛏࠽ࡻࡦ๧⌦஥㛏㸝᱄㸞ࠈṂ⏛⌦஥㛏ࡻࡽ㸡᩺మโ࡞ࡗ࠷࡙௧ୖࡡ࡛࠽ࡽሒ࿈࠿࠵ࡖࡒ㸣␏㆗࡝ࡂ㸡ᢆヾࡈࡿࡒ㸣⌦஥㛏㸯ᒜහୌྍẮ㸡๧⌦஥㛏㸯▴஬┷⣎ᏄẮ㸡ᗚຸ㸯ᒷῪකᏄẮ㸡ᑚᔪ⨶ἃᏄẮ㸡༐⏛╤⨶Ắ㸡ఌ゛㸯༐ⴝ⃀ᏄẮ㸡ᮿᕖ஁⨶ᏄẮ㸡⥽㞗ጟဤ㛏㸯୕ᯐ⨶ಕᏄẮ㸡๧⥽㞗ጟဤ㛏㸯⺨ᓧዄ὘ᏄẮ㸡ᮿᮇ▩ᏄẮ㸡ᗀሒ㸯⳥ⵞ⃕ᖶᏄẮ㸡⚗ᓞ⿩ᏄẮ㸣㸭㸞ビ㆗ဤࡡ⿭ඖ࡞ࡗ࠷࡙
ࠈṂ⏛⌦஥㛏ࡻࡽ㸡ビ㆗ဤ࡛ࡊ࡙㐪⸠ⰃொẮ㸝ᒷᡥ┬❟ኬᏕ㸞ࢅ᥆ⷸࡊ㸡Ꮥఌ࣭࣑࣭࣌࣋ࢩࡡ⟮⌦ࢅ౪㢏ࡊࡒ࠷᪠㸡ᥞ᱄࠿࠵ࡖࡒ㸣ᖲᠺᖳᗐࡱ࡚ࡡ௴᭿࡛ࡊ࡙㸡␏㆗࡝ࡂᢆヾࡈࡿࡒ㸣㸮㸞➠㸬ᅂᏕ⾙㞗ఌఌ㛏ࡡ㐽ฝ࡞ࡗ࠷࡙
ࠈṂ⏛⌦஥㛏ࡻࡽ㸡ᖲᠺᖳᗐࡡᏕ⾙㞗ఌఌ㛏࡞ᒜහୌྍẮ㸝ᒷᡥ┬ኬᏕ㸞ࢅ᥆ⷸࡊ⥪ఌ࡞ㅆࡾࡆ࡛࠿ᥞ᱄
ࡈࡿ㸡␏㆗࡝ࡂᢆヾࡈࡿࡒ㸣㸞ࡐࡡ௙
ࠈᏕ⾙㞗ఌ࡚ࡡⓆ⾪⩽ࡢ㸡භྜྷⓆ⾪⩽ྱࡴධဤ࠿Ꮥఌဤ࡚࠵ࡾࡆ࡛࠿ぜ์ࡈࡿ࡙࠷ࡾ࠿㸡Ꮥఌヽࡢ➱㢄ⴥ⩽ࡡࡲᏕఌဤ࡚࠵ࡿࡣⰃ࠷ࡆ࡛࡛࡝ࡖ࡙࠷ࡾࡆ࡛࡞ࡗ࠷࡙㈹␪࠿࠵ࡖࡒ㸣Ꮥ⾙㞗ఌࡢ㸡ఌဤࢅቌࡷࡌ┘Ⓩ࡚㸡Ꮥఌヽࡢᢖ✇ᩐࢅቌࡷࡌ┘Ⓩ࡚㸡⌟ᅹࡡࡻ࠹࡝ᙟ࡛࡝ࡖ࡙࠷ࡾ㸣ᮇᮮࡢ㸡୦᪁࡛ࡵᏕఌဤ࡚࠵ࡾࡆ࡛࠿᭻ࡱ
ࡊ࠷ࡒࡴ㸡ḗᖳᗐ௧㜾ࡡ᳠ゞ஥㡧࡛ࡊ࡙⏞ࡊ㏞ࡾࡆ࡛࡛ࡊࡒ㸣㸪㸣ࡐࡡ௙ࠈ➠㸫ᅂᏕ⾙㞗ఌ࡞ࡗ࠷࡙㸡㛜ത᪝⛤ࢅ☔ヾࡊ⥪ఌ࡚ሒ࿈ࡌࡾࡆ࡛࡛ࡊࡒ㸣ࠈᖲᠺᖳᗐ⥪ఌࡡ㆗㛏ࡢ㸡Ꮽ⸠ᗀᏄẮ࡛ࡊ㸡㆗஥㘋⨣ྞெࡢ⳥ⵞ⃕ᖶᏄẮ㸡ᒷῪකᏄẮ࡞౪㢏ࡌࡾࡆ࡛࡛ࡊ
ࡒ㸣㸫㸣㛚ఌࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈᩝ㈈㸯୔὾㸝ዄ㸞

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012ᖲᠺᖳᗐࠈᒷᡥ┫㆜Ꮥఌ⥪ఌࠈḗ➠᪝ࠈࠈ᫤㸯ᖲᠺᖳ᭮᪝㸝ᅰ㸞㸯㹳㸯ሔࠈࠈᡜ㸯ᒷᡥ┬❟ኬᏕභ㏳ㅦ⩇Ჯࠈㅦᇸࠈ
㒼ᕱ㈠ᩩ㸯㸦㸣⌦஥ఌ㸡ビ㆗ဤఌሒ࿈ࠈࠈࠈࠈࠈ㸧㸣ᗚຸሒ࿈ࠈࠈࠈࠈࠈ㸨㸣⥽㞗ጟဤఌሒ࿈
ࠈࠈࠈࠈࠈ㸩㸣ᖲᠺᖳᖲᠺᖳᗐビ㆗ဤ࠽ࡻࡦ⌦஥࣬┐஥㐽ᣪ⤎ᯕሒ࿈ࠈࠈࠈࠈࠈ㸪㸣ᖲᠺᖳᗐ஥ᴏὩິ࡞ࡗ࠷࡙
ࠈࠈࠈࠈࠈ㸫㸣ᖲᠺᖳᗐ཭ᨥỬ⟤ሒ࿈㸝᱄㸞࠽ࡻࡦఌ゛┐ᰕሒ࿈ࠈࠈࠈࠈࠈ㸬㸣ᖲᠺᖳᗐಞḿ஢⟤㸝᱄㸞ࠈࠈࠈࠈࠈ㸭㸣ᖲᠺᖳᗐ஥ᴏ゛⏤㸝᱄㸞ࠈࠈࠈࠈࠈ㸮㸣ᖲᠺᖳᗐ஢⟤㸝᱄㸞㸦㸣㛜ࠈఌ㸧㸣⌦஥㛏ᣭᣔ
㸨㸣㆗㛏ࡡ㐽ฝ㸯Ꮽ⸠ᗀᏄ㸝➠ᅂᒷᡥ┫㆜ᏕఌᏕ⾙㞗ఌ஥ຸᑻ㛏㸞㸩㸣㆗஥㘋⨣ྞெࡡ㐽ฝ㸪㸣ሒࠈ࿈㸦㸞⌦஥ఌ㸡ビ㆗ဤఌሒ࿈࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬㈠ᩩ㸦㸧㸞ᗚຸሒ࿈࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬㈠ᩩ㸧㸨㸞ᖲᠺᗐ஥ᴏ⤊㐛ሒ࿈ࠈࠈ㸝㸞➠ᅂᒷᡥ┫㆜ᏕఌᏕ⾙㞗ఌ࡞ࡗ࠷࡙
ࠈࠈ㸝㸞⥽㞗ጟဤఌ࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬㈠ᩩ㸨㸩㸞㐽ᣪ⟮⌦ጟဤఌ࠾ࡼሒ࿈࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬㈠ᩩ㸩㸫㸣㆗ࠈ஥㸦㸞ᖲᠺᖳᗐ஥ᴏὩິ࡞ࡗ࠷࡙࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬㈠ᩩ㸪㸧㸞ᖲᠺᖳᗐ཭ᨥỬ⟤㸝᱄㸞࠽ࡻࡦఌ゛┐ᰕ࡞ࡗ࠷࡙ ࣬࣬࣬࣬࣬࣬࣬࣬࣬㈠ᩩ㸫㸨㸞ᖲᠺᖳᗐಞḿ஢⟤㸝᱄㸞 ࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬㈠ᩩ㸬㸩㸞ᖲᠺᖳᗐ஥ᴏ゛⏤㸝᱄㸞 ࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬㈠ᩩ㸭㸪㸞ᖲᠺᖳᗐ஢⟤㸝᱄㸞 ࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬㈠ᩩ㸮㸫㸞ᖲᠺᖳ̺ᖲᠺᖳᗐビ㆗ဤ㸡⌦஥࣬┐஥㸝᱄㸞 ࣬࣬࣬࣬࣬࣬࣬࣬࣬࣬㈠ᩩ㸩㸬㸞ᖲᠺᖳ̺ᖲᠺᖳᗐ⌦஥㛏࠽ࡻࡦ๧⌦஥㛏㸝᱄㸞㸭㸞ビ㆗ဤࡡ⿭ඖ࡞ࡗ࠷࡙
㸮㸞➠ᅂᏕ⾙㞗ఌఌ㛏ࡡ㐽ฝ࡞ࡗ࠷࡙
㸞ࡐࡡ௙
㸬㸣➠ᅂᏕ⾙㞗ఌఌ㛏ᣭᣔ
㸭㸣ࡐࡡ௙
㸮㸣㛚ࠈఌ



岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㈠ᩩ㸦⌦஥ఌ࣬ビ㆗ဤఌሒ࿈ᖲᠺᖳᗐϨ㸣⌦஥ఌࠈ➠㸦ᅂ⌦஥ఌ㸝㆗஥㘋ࡢᏕఌヽ➠㸫ᕬ➠㸦ྒ࡞᥎㍍㸞
ࠈ㸦㸣᪝ࠈ᫤㸯ᖲᠺᖳ㸩᭮᪝㸝ᅰ㸞㸯㹳㸯ࠈ㸧㸣ሔࠈᡜ㸯࠷ࢂ࡙┬Ằ᝗ሒஹὮࢬࣤࢰ࣭㸝࢓࢕࣭ࢻ㸞㸬㝭ࠈᏕ⩞ᐄ㸪ࠈ㸨㸣ฝᖆ⩽㸯㸮ྞ㸡ጟ௴≟ᥞฝ⩽㸯㸦ྞ㸡Ḗᖆ⩽㸯㸧ྞࠈ㸩㸣ᐼ㆗஥㡧ࠈࠈ㸦㸞ᖲᠺᖳᗐ஥ᴏ゛⏤㸝ಞḿ᱄㸞࡛Ὡິ᪁㔢࡞ࡗ࠷࡙ࠈࠈ㸧㸞ᖲᠺᖳᗐಞḿ஢⟤㸝᱄㸞࡞ࡗ࠷࡙ࠈࠈ㸨㸞ビ㆗ဤ࠽ࡻࡦ⌦஥ࡡ㐽ᣪ᪝⛤㸝᱄㸞㸝㐽ᣪ⟮⌦ጟဤఌ࠾ࡼ㸞ࠈࠈ㸩㸞➠㸬ᅂᏕ⾙㞗ఌ㸝ᖲᠺᖳᗐ㸞ఌ㛏ࡡು⿭⩽࡞ࡗ࠷࡙ࠈࠈ㸪㸞ᖲᠺᖳᗐࡴࢆࡆ࠷ࢬ࣐ࢻ࣭ㅦᖅ࡞ࡗ࠷࡙
ࠈࠈ㸫㸞ථ㏝ఌ⩽ࡡᢆヾ࡞ࡗ࠷࡙ࠈࠈ㸬㸞⌦஥ࡡ⿭ඖ࡞ࡗ࠷࡙
ࠈ➠㸧ᅂ⌦஥ఌ
㸦㸣᪝ࠈ᫤㸯ᖲᠺᖳ㸮᭮᪝㸝Ề㸞㸯㹳㸯㸧㸣ሔࠈᡜ㸯ᒷᡥ┬❟ኬᏕ┫㆜Ꮥ㒂㸧㝭ࠈᑍ㛓ฦ㔕◂✪ᐄ㸦㸨㸣ฝᖆ⩽㸯㸭ྞ㸡ጟ௴≟ᥞฝ⩽㸯㸧ྞ㸡Ḗᖆ⩽㸯㸧ྞ㸩㸣ᐼ㆗஥㡧
ࠈ㸦㸞ᖲᠺᖳᗐ㸢ᖲᠺᖳᗐ᭿ビ㆗ဤ࠽ࡻࡦ⌦஥࣬┐஥㐽ᣪ⤎ᯕࠈࠈࠈ㸝㐽ᣪ⟮⌦ጟဤఌ࠾ࡼࡡሒ࿈㸞ࠈ㸧㸞ᖲᠺᖳᗐ஥ᴏ゛⏤㸝᱄㸞ࠈ㸨㸞ᖲᠺᖳᗐ஢⟤㸝᱄㸞ࠈ㸩㸞ᢖ✇ぜ์ࡡᨭゖ࡞ࡗ࠷࡙㸝࿰ᩝ㸡ⱝᩝ㸞ࠈ㸪㸞㛭ᚨ㡷ᇡืྞ⡑ࡡᨭゖ࡞ࡗ࠷࡙ࠈ㸫㸞ⱝᩝᢖ✇ぜ์ᨭゖ㸡ࢲ࢘ࢴࢠࣛࢪࢹᰧ㛸ࡡࡒࡴࡡ஢⟤࡞ࡗ࠷࡙ࠈ㸬㸞ビ㆗ဤఌḗ➠㸝᱄㸞ࠈ㸭㸞⥪ఌḗ➠㸝᱄㸞ࠈࠈࠈ࣬㆗㛏࣬㆗஥㘋⨣ྞெࠈࠈ㸮㸞➠㸬ᅂᏕ⾙㞗ఌ㸝ᖲᠺᖳᗐ㸞ఌ㛏ು⿭⩽࡞ࡗ࠷࡙ࠈ㸞ఌဤථ㏝ఌ࡞ࡗ࠷࡙
ࠈ㸞ࡐࡡ௙
ࠈࠈࠈ࣬ࡴࢆࡆ࠷ࢬ࣐ࢻ࣭ㅦᖅࡡᘒᙔ௥ᨥฝ࡞ࡗ࠷࡙



岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㈠ᩩ㸦ϩ㸣ビ㆗ဤఌ
㸦㸣᪝ࠈ᫤㸯ᖲᠺᖳ᭮᪝㸝ᅰ㸞㸯㹳㸧㸣ሔࠈᡜ㸯࠷ࢂ࡙┬Ằ᝗ሒஹὮࢬࣤࢰ࣭㸝࢓࢕࣭ࢻ㸞㸬㝭ࠈᏕ⩞ᐄ㸧㸨㸣ฝᖆ⩽㸯ྞ㸡ጟ௴≟ᥞฝ⩽㸯㸬ྞ㸩㸣ᐼ㆗஥㡧
㸦㸞ᖲᠺᖳᗐ஥ᴏὩິ࡞ࡗ࠷࡙
㸧㸞ᖲᠺᖳᗐ཭ᨥỬ⟤࠽ࡻࡦఌ゛┐ᰕ࡞ࡗ࠷࡙
㸨㸞ᖲᠺᖳᗐಞḿ஢⟤㸝᱄㸞㸩㸞ᖲᠺᖳᗐ஥ᴏ゛⏤㸝᱄㸞㸪㸞ᖲᠺᖳᗐ஢⟤㸝᱄㸞㸫㸞ᖲᠺᖳᖲᠺᖳᗐビ㆗ဤ࠽ࡻࡦ⌦஥࣬┐஥㐽ᣪ⤎ᯕሒ࿈㸝᱄㸞㸬㸞ᖲᠺᖳᖲᠺᖳᗐ⌦஥㛏࠽ࡻࡦ๧⌦஥㛏㸝᱄㸞㸭㸞ビ㆗ဤࡡ⿭ඖ࡞ࡗ࠷࡙
㸮㸞➠㸬ᅂᏕ⾙㞗ఌఌ㛏ࡡ㐽ฝ࡞ࡗ࠷࡙
㸞ࡐࡡ௙
ࠈࠈࠈ➠㸫ᅂᏕ⾙㞗ఌ࡞ࡗ࠷࡙



岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㈠ᩩ㸧ᒷᡥ┫㆜Ꮥఌࠈᗚຸሒ࿈ࠈఌဤ≟Ἓ㸦㸣ఌဤᩐࠈᖳ᭮᪝⌟ᅹࠈఌဤᩐྞථఌ⩽හズࠈᖲᠺᖳᗐࠈࠈࠈྞ
ࠈᖲᠺᖳᗐࠈࠈࠈྞ
ࠈᖲᠺᖳᗐࠈࠈࠈྞ
ࠈᖲᠺᖳᗐࠈࠈࠈྞ
ࠈᖲᠺᖳᗐࠈࠈࠈྞ
ࠈᖲᠺᖳᗐࠈࠈࠈྞ㏝ఌ⩽හズࠈᖲᠺᖳᗐࠈࠈࠈྞ
ࠈᖲᠺᖳᗐࠈࠈࠈྞ
ࠈᖲᠺᖳᗐࠈࠈࠈྞ㸝හ㸡ᖳఌ㈕㸧ᖳ⁣⣙࡞࡙⌦஥ఌᢆヾࡡ㏝ఌ⩽㸦ྞ㸞ࠈᖲᠺᖳᗐࠈࠈࠈྞ㸝හ㸡ᖳఌ㈕㸧ᖳ⁣⣙࡞࡙⌦஥ఌᢆヾࡡ㏝ఌ⩽ྞ㸞ࠈᖲᠺᖳᗐࠈࠈࠈྞ
㸧㸣ఌ㈕ᮅ⣙⩽
ᖲᠺᖳᗐࠈࠈࠈྞࠈ
ᖲᠺᖳᗐࠈࠈࠈྞ



岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㈠ᩩ㸨ᖲᠺᖳᗐ⥽㞗ဤఌὩິሒ࿈
㸦㸣ᖲᠺᖳᗐ࣬ᖳᗐ⥽㞗ጟဤఌࠈ࣒ࣤࣁ࣭࡛ᙲ๪ฦᢰ
඾ᮿⓊྙᏄ㸝ጟဤ㛏㸞ᕝ⸠ࠈ᭰Ꮔ㸝๧ጟဤ㛏࣬ㄵᩝᢰᙔ㸞ࠈ୔὾ࡱࡹࡲ㸝๧ጟဤ㛏࣬ᗚຸ㸞⺨ᓧዄ὘Ꮔ㸝ㄵᩝᢰᙔ㸞ࠈ㧏ᶣࠈ᭯㔓㸝ㄵᩝᢰᙔ㸞ࠈ༐⏛ࠈ╤⨶㸝ㄵᩝᢰᙔ㸞⏛㎮᭯⌦Ꮔ㸝ㄵᩝᢰᙔ㸞ࠈ㕝ᮄ⨶௥Ꮔ㸝ㄵᩝᢰᙔ㸞ࠈ㐪⸠ࠈⰃொ㸝ㄵᩝᢰᙔ࣭࣑࣭࣬࣌࣋ࢩ㸞
᩟⸠ࠈ㈏Ꮔ㸝ᗚຸ㸞ࠈ࢓ࣤ࢝࣌ࢴࣆ࢒ྒྷᑋᏄ㸝ᗚຸ㸞⟵▴ࠈᜠᏄ㸝ᗚຸ㸯ᢖ✇ಀ㐅࣬Ꮥఌヽ࡫ࡡណず⫀ཱི㸞ᮿᮇࠈ▩Ꮔ㸝ᗚຸ㸯ᢖ✇ಀ㐅࣬Ꮥఌヽ࡫ࡡណず⫀ཱི㸞ࠈࠈ゛ெࠈጟဤఌᑊ㟻ࡡఌ㆗㸯➠㸦ᅂ㸭᭮㸫᪝㸝᭮㸞㹳ࠈ࢓࢕࣭ࢻ࢞ࣔࣤࣂࢪᏕ⩞ᐄ㸪ࠈࠈࠈࠈࠈࠈࠈฝᖆ⩽ெࠈḖᖆ⩽ெ㸱හᐖ㸳➠㸫ᕬ➠㸦ྒ⥽㞗࣬Ⓠษషᴏࡡཬ┤Ⅴ㸡➠㸫ᕬ➠㸧ྒࡡහᐖ㸡ᢖ✇ぜ์ࡡᨭゖ㸡ᢖ✇ㄵᩝࢷࣤࣈ࣭ࣝࢹ㸡⥽㞗షᴏᡥ㡨ࡡず├ࡊ㸡➠㸪ᅂᒷᡥ┫㆜ᏕఌᏕ⾙㞗ఌ⥽㞗ጟဤఌ௺⏤ࢬ࣐ࢻ࣭ࡡහᐖ࣬ᢰᙔ⩽㸡➴࣒࣭ࣜఌ㆗㸯⥽㞗షᴏᡥ㡨㸡ᢖ✇ㄵᩝࢷࣤࣈ࣭ࣝࢹ㸡᥎㍍හᐖࡡỬᏽ࡝࡜ࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈ
㸧㸣ᏕఌヽⓆ⾔ࠈࠈࠈᖲᠺᖳ㸫᭮᪝ࠈ➠㸫ᕬ➠㸦ྒ࢛ࣤࣚ࢕ࣤ∟Ⓠษ
ࠈࠈࠈࠈࠈࠈࠈ㸬᭮୯᪢ࠈ➠㸫ᕬ➠㸦ྒ෇Ꮔ∟㒼ᕱࠈࠈࠈࠈහᐖࠈཋⴥㄵᩝࠈ
ࠈࠈࠈࠈࠈࠈࠈ஥ౚሒ࿈ࠈ
ࠈࠈࠈࠈࠈࠈࠈ➠㸩ᅂᒷᡥ┫㆜ᏕఌᏕ⾙㞗ఌ㛭౿㸝ఌ㛏ㅦⁿ㸡ஹὮ㞗ఌ㸦࣬㸧㸡ࡴࢆࡆ࠷ࢬ࣐ࢻ࣭㸞ࠈࠈࠈࠈࠈࠈࠈᏕఌエ஥ࠈࠈࠈࠈࠈࠈࠈᒷᡥ┫㆜Ꮥఌဤ㛭ᚨ㡷ᇡࠈࠈࠈࠈࠈࠈࠈᒷᡥ┬හ࡚㛜തࡈࡿࡾᏕఌ࣬◂ಞఌࡡࡇ᱄හ
ࠈࠈࠈࠈࠈࠈࠈᒷᡥ┫㆜Ꮥఌヽㄵᩝᢖ✇ಀ㐅ㅦᗑϩࠈࡐࡡ௙ࠈࠈࠈᖲᠺᖳ᭮ࠈ➠㸫ᕬ➠㸧ྒⓆษ஢ᏽ
ࠈࠈࠈࠈࠈࠈࠈཋⴥㄵᩝࠈ㸦㸝ུ⌦ῥࡲ㸞ࠈᰕㄖ୯㸩㸨㸣⌦஥ఌ࡚ᢆヾࡈࡿࡒ஥㡧ࠈ㸦㸞ᢖ✇ぜ์ࡡᨭゖ㸝࿰ᩝ㸡ⱝᩝ㸞ᖲᠺᖳ㸮᭮᪝ᨭゖ࡛ࡌࡾ㸣㸝හᐖื⣤㸞ࠈ㸧㸞㛭ᚨ㡷ᇡืྞ⡑ࡡᨭゖ᪁Ἢ࡞ࡗ࠷࡙㸡⤽⤾ᐼ㆗࡛ࡌࡾ㸣ࠈ㸨㸞ⱝᩝᢖ✇ぜ์ᨭゖ㸡ࢲ࢘ࢴࢠࣛࢪࢹᰧ㛸ࡡࡒࡴࡡ஢⟤㸣ࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈ



岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㸱ᒷᡥ┫㆜Ꮥఌヽᢖ✇ぜ์ࠈᨭゖୌぬ⾪㸳
⌟ࠈࠈ⾔

ᨭࠈࠈゖ

㸣ᢖ✇ぜᏽ

㸣ᢖ✇ぜᏽ ㄵᩝࡡ⛸㢦 ㄵᩝࡡ⛸㢦࣬ࡐࡡ௙㸝ㄵቨ➴㸞࣬ࡐࡡ௙㸝ㄵቨ㸡ᐁ㊮ሒ࿈㸡㈠ᩩ➴㸞 ืใࡽ ืใࡽ

ࠈ㒂༟న࡚ⴥ⩽ᰧḿ᫤࡞⏞ㄫࡌࡾ㸣ืใࡽ࡞࠾࠾ࡾ

ࠈ㒂༟న࡚ⴥ⩽ᰧḿ᫤࡞⏞ㄫࡌࡾ㸣ืใࡽ࡞࠾࠾ࡾ

㈕⏕ࡢⴥ⩽ࡡㇿᢰ࡛ࡌࡾ㸣㈕⏕ࡢⴥ⩽ࡡㇿᢰ࡛ࡌࡾ㸣㸣ᇮ➱こ㡷

㸣ᇮ➱こ㡷 ㄵᩝࡡエ㏑ ㄵᩝࡡエ㏑ ㄵᩝࡡฦ㔖ࡢ㸡⾪㢗㸡こ᪠㸡ᮇᩝ㸡ᘤ⏕ᩝ⊡➴ධ࡙ ㄵᩝࡡฦ㔖ࡢ㸡⾪㢗㸡こ᪠㸡ᮇᩝ㸡ᘤ⏕ᩝ⊡㸡ᅒࢅྱࡴ㸡⤄ࡲ୕࠿ࡽ㡣ᩐ࡚௧ୖࡡぜᏽ௧හ࡛ࡌࡾ㸣⾪㸡$EVWUDFW➴ධ࡙ࢅྱࡴ㸡⤄ࡲ୕࠿ࡽ㡣ᩐ࡚௧ୖ࣬⥪ㄕ㸯㡣㸝ᮇᩝ࡛ᘤ⏕ᩝ⊡㸝ᅒ⾪ࢅྱࡳ㸞࡚ࡡぜᏽ௧හ࡛ࡌࡾ㸣྘࣭࣋ࢩࡡ⾔ᩐࡷᩝᏊᩐ㸡ᩝᏊࢦ࢕ࢫࡢ㸡㸭㸞ᩝ᭡ࣆ࢚࣭࣏ࢴࢹ࡞ࡻࡾ㸣Ꮚ┞ᙔ㸞࣬ཋⴥ㸯㡣㸝ᮇᩝ࡛ᘤ⏕ᩝ⊡㸝ᅒ⾪ࢅྱࡳ㸞࡚

࣬⥪ࠈࠈㄕ㸯㡣࣬ཋࠈࠈⴥ㸯㡣Ꮚ┞ᙔ㸞࣬஥ౚሒ࿈㸯㡣㸝ᮇᩝ࡛ᘤ⏕ᩝ⊡㸝ᅒ⾪ࢅྱࡳ㸞࡚࣬஥ౚሒ࿈㸯㸫㡣
࣬◂✪ሒ࿈㸯㡣Ꮚ┞ᙔ㸞࣬◂✪ሒ࿈㸯㡣㸝ᮇᩝ࡛ᘤ⏕ᩝ⊡㸝ᅒ⾪ࢅྱࡳ㸞࡚࣬▯ࠈࠈሒ㸯㸩㡣࣬ࡐ ࡡ ௙㸯හᐖ࡞ࡻࡽ⥽㞗ጟဤఌ࠿Ửᏽࡌࡾ㸣Ꮚ┞ᙔ㸞࣬▯ሒ㸯㡣㸝ᮇᩝ࡛ᘤ⏕ᩝ⊡㸝ᅒ⾪ࢅྱࡳ㸞࡚
Ꮚ┞ᙔ㸞࣬ࡐࡡ௙㸝ㄵቨ➴㸞㸯හᐖ࡞ࡻࡽ⥽㞗ጟဤఌ࠿Ửᏽࡌࡾ㸣㸞ㄵᩝࡢ㸡⾪㢗㸡ⴥ⩽ྞ㸡ᡜᒌ㸡こ᪠㸡ᮇᩝ㸡ᘤ⏕ᩝ㸞ㄵᩝࡢ㸡⾪㢗㸡ⴥ⩽ྞ㸡ᡜᒌ㸡こ᪠㸡࣭࣭࢞࣠ࢺ㸡⊡㸡⾪㢗㸝ⱝᩝ㸞㸡ⴥ⩽ྞ㸝ⱝᩝ㸞㸡ᡜᒌ㸝ⱝᩝ㸞㸡ᮇᩝ㸡ᘤ⏕ᩝ⊡㸡⾪㢗㸝ⱝᩝ㸞㸡ⴥ⩽ྞ㸝ⱝᩝ㸞㸡ᡜ$EVWUDFW㸝ⱝᩝこ᪠㸞ࡡ㡨࡞షᠺࡌࡾ㸣ᒌ㸝ⱝᩝ㸞㸡$EVWUDFW㸝ⱝᩝこ᪠㸞㸡.H\ZRUGVࡡ㡨࡞షᠺࡌࡾ㸣 ㄵᩝ ࡐࡡ௙ࡢ㝎ࡂ ࡞ࡢᏊ⛤ᗐࡡ࿰ᩝこ᪠ࢅࡗ ㄵᩝ࡞ࡢᏊ⛤ᗐࡡ࿰ᩝこ᪠ࢅࡗࡄࠉཋⴥ࡞ࡗ࠷

ࡄࠉཋⴥ࡞ࡗ࠷࡙ࡢㄊ⛤ᗐࡡ㸶EVWUDFW㸝ⱝᩝ㸞ࡵ࡙ࡢㄊ⛤ᗐࡡ㸶EVWUDFW㸝ⱝᩝ㸞ࡵࡗࡄࡾ㸣ཋⴥ௧ࡗࡄࡾ㸣ཋⴥ௧አࡡㄵᩝ࡞㸶EVWUDFWࢅࡗࡄ࡙ࡵࡻ

አࡡㄵᩝ࡞㸶EVWUDFWࢅࡗࡄ࡙ࡵࡻ࠷㸣࠷㸣㸞ᩝ᭡ࣆ࢚࣭࣏ࢴࢹࡢୖエࡡࡵࡡ࡛ࡌࡾ㸣࣭࣑࣭࣌࣋

㸞ᩝ᭡ࣆ࢚࣭࣏ࢴࢹࡢୖエࡡࡵࡡ࡛ࡌࡾ㸣ࢩࡡᢖ✇ㄵᩝࢷࣤࣈ࣭ࣝࢹࢅ౐⏕ࡌࡾࡆ࡛ࡵ࡚ࡀࡾ㸣࣬ᮇᩝ࠽ࡻࡦᘤ⏕ᩝ⊡ࡢṹ⤄㸡ᩝᏊ⾔㸡ᩝᏊ࣬ᮇᩝ࠽ࡻࡦᘤ⏕ᩝ⊡ࡢ㸧ṹ⤄㸡ᩝᏊ⾔㸡ᩝᏊࡢ࣎࢕ࣤࢹ㸡ࡐࡡ௙ࡢ㸦ṹ⤄࡛ࡌࡾ㸣ࡢ࣎࢕ࣤࢹ㸡ࡐࡡ௙ࡢ㸦ṹ⤄࡛ࡌࡾ㸣

࣬ᩝ᭡ఴⓉࡢ୕ୖ㹢㹢㸡ᕞྎ㹢㹢࡛ࡌࡾ㸣࡝࠽ఴ
Ⓣ㒂ฦࡢ⥽㞗ጟဤఌ࠿㡣ᩐ㸡᭡ヽ஥㡧㸡ུ௛᪝㸡ུ

࣬ᩝ᭡ఴⓉࡢ୕ୖ㹢㹢㸡ᕞྎ㹢㹢࡛ࡌࡾ㸣࡝࠽ఴ
Ⓣ㒂ฦࡢ⥽㞗ጟဤఌ࠿㡣ᩐ㸡᭡ヽ஥㡧㸡ུ௛᪝㸡ུ⌦᪝ࡡ⾪♟ࡡࡒࡴ࡞ฺ⏕ࡌࡾ⌦᪝ࡡ⾪♟ࡡࡒࡴ࡞ฺ⏕ࡌࡾ㸣

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012

㈠ᩩ㸨
⌟ࠈࠈ⾔

ᨭࠈࠈゖ

࣬ᮇᩝ࿰ᩝ᭡మࡢ㸡063᪺᭽㸡ずฝࡊࡢ063ࢥࢨࢴࢠ࣬⾪㢗ࡢ࣎࢕ࣤࢹ࡛ࡌࡾ㸣㸝࣎࢕ࣤࢹ㸞ࢅ⏕࠷ࡾ㸣ᮇᩝḚᩝ᭡మࡢ㸡7LPHV ࣬ᮇᩝ࿰ᩝ᭡మࡢ㸡06᪺᭽㸡ずฝࡊࡢ06ࢥࢨࢴࢠ㸝࣎࢕ࣤࢹ㸞ࢅ⏕࠷ࡾ㸣ᮇᩝḚᩝ᭡మࡢ㸡7LPHV 1HZ 5RPDQ

1HZ5RPDQࢅ⏕࠷ࡾ㸣ࢅ⏕࠷ࡾ㸣࣬୕௛ࡀ㸡ୖ௛ࡀᩝᏊࡢ㸡063᪺᭽ࢅ⏕࠷㸡0LFURVRIW࣬୕௛ࡀ㸡ୖ௛ࡀᩝᏊࡢ㸡06᪺᭽ࢅ⏕࠷㸡0LFURVRIW:RUGࡡᶭ⬗ࢅ⏕࠷࡙షᠺࡌࡾ㸣:RUGࡡᶭ⬗ࢅ⏕࠷࡙షᠺࡌࡾ㸣࣬こ᪠ཀྵࡦ$EVWUDFWࡢ㸡ᕞྎ㹢㹢࢕ࣤࢸࣤࢹࡌࡾ㸣࣬こ᪠ཀྵࡦ$EVWUDFWࡢ㸡ᕞྎ㹢㹢࢕ࣤࢸࣤࢹࡌࡾ㸣 ᅒ⾪ࡡ᥎㍍

㸝㸞ᅒ⾪ࡡ᥎㍍ ᅒ⾪ࡢ㸡㸦ṹ⤄㸝FPᖕ㸞࠵ࡾ࠷ࡢ㸧ṹ㸝FP ᅒ⾪ࡢ㸡㸦ṹ⤄㸝FPᖕ㸞࠵ࡾ࠷ࡢ㸧ṹ㸝FP
ᖕ㸞ࡡࢦ࢕ࢫ࡚ᮇᩝ୯࡞᥎㍍ࡌࡾ㸣ᖕ㸞ࡡࢦ࢕ࢫ࡚ᮇᩝ୯࡞᥎㍍ࡌࡾ㸣 ᅒ⾪୯ࡡ⾪㢗㸡ㄕ᪺ᩝ➴ࡡᩝᏊࡢ063ࢥࢨࢴࢠ㸫ࡱ ᅒ⾪୯ࡡ⾪㢗㸡ㄕ᪺ᩝ➴ࡡᩝᏊࡢ06ࢥࢨࢴࢠ㸭࣎࢕ࣤࢹ⛤ᗐ࡛ࡌࡾ㸣ࡒࡢ㸭࣎࢕ࣤࢹ࡛ࡌࡾ㸣 ᅒࡢཋ์࡛ࡊ࡙MSJ㸡JLI࠵ࡾ࠷ࡢSQJࣆ࢚࣭࣏ࢴࢹ ᅒࡢཋ์࡛ࡊ࡙MSJ㸡JLI࠵ࡾ࠷ࡢSQJࣆ࢚࣭࣏ࢴࢹ

࡞ࡻࡽషᠺࡌࡾ㸣෕┷ࡵྜྷᵕ࡛ࡌࡾ㸣0LFURVRIW

࡞ࡻࡽషᠺࡌࡾ㸣෕┷ࡵྜྷᵕ࡛ࡌࡾ㸣0LFURVRIW([FHOࡱࡒࡢ3RZHU3RLQW࠾ࡼ├᥃㈖ࡽ௛ࡄࡾࡆ࡛([FHOࡱࡒࡢ3RZHU3RLQW࠾ࡼ├᥃㈖ࡽ௛ࡄࡾࡆ࡛

ࡵヾࡴࡾ㸣

ࡵヾࡴࡾ㸣

 ⾪ࡢ0LFURVRIW([FHO࡞ࡻࡾషᠺࡊ㸡ᮇᩝ୯࡞㈖ࡽ

 ᅒ࡞ࡢㄵᩝහ࡚ࡐࡿࡑࡿ㏳ࡊ␊ྒࢅ௛ࡊ㸡⾪㢗࡛࡛ࡵ࡞㸡ࠔᅒ㸦㸣⾪㢗ࠕ࡛ᅒࡡ├ୖ࡞୯ኳᥖ࠻࡞࡙エ㍍

௛ࡄࡾ㸣

ࡌࡾ㸣

 ᅒ࡞ࡢㄵᩝහ࡚ࡐࡿࡑࡿ㏳ࡊ␊ྒࢅ௛ࡊ㸡⾪㢗࡛࡛ࡵ࡞㸡ࠔᅒ㸦㸣⾪㢗ࠕ࡛ᅒࡡ├ୖ࡞୯ኳᥖ࠻࡞࡙エ㍍

 ⾪࡞ࡢㄵᩝහ࡚ࡐࡿࡑࡿ㏳ࡊ␊ྒࢅ௛ࡊ㸡⾪㢗࡛ࡵ࡞㸡ࠔ⾪㸦㸣⾪㢗ࠕ࡛⾪ࡡ├୕࡞ᕞᐞࡎ࡞࡙エ㍍ࡌࡌࡾ㸣 ⾪࡞ࡢㄵᩝහ࡚ࡐࡿࡑࡿ㏳ࡊ␊ྒࢅ௛ࡊ㸡⾪㢗࡛ࡵࡾ㸣࡞㸡ࠔ⾪㸦㸣⾪㢗ࠕ࡛⾪ࡡ├୕࡞ᕞᐞࡎ࡞࡙エ㍍ࡌ
ࡾ㸣ᖲᠺᖳ㸮᭮᪝ᨭゖ

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㈠ᩩ㸨ᒷᡥ┫㆜Ꮥఌヽᢖ✇ㄵᩝࢲ࢘ࢴࢠࣛࢪࢹ
Ἰ㸯௧ୖࡡࡵࡡ࡞ᙔ࡙ࡢࡱࡾሔྙࡢ□࡞ࢲ࢘ࢴࢠࢅࡊ࡙ࡂࡓࡈ࠷㸣ୖ⥲࠿ᘤ࠾ࡿ࡙࠷ࡾ㒂ฦ࡞ࡢラᙔࡌࡾ᝗ሒࢅ
᭡ࡀ㎰ࢆ࡚ࡂࡓࡈ࠷㸣࡝࠽㸡ࢲ࢘ࢴࢠࡈࡿ࡝࠷㡧┘࠿࠵ࡾሔྙࡢ㸡ื㏭㸡㡧┘Ẏࡡ⌦⏜ࢅエථࡊࡒࣆ࢒࢕ࣜࢅ῟௛ࡊ࡙ࡂࡓࡈ࠷㸣ᢖ ✇ ⩽ࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈ
ㄵᩝ⾪㢗ࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈ
ࢲ࢘ࢴࢠ᪝ࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈ
□ࠈ௧ୖࡡධ࡙ࡡ㡧┘࡞ࢲ࢘ࢴࢠ࠿ථࡖ࡙࠷ࡾ㸣□ࠈ㸦㸣ཋ✇ࡡහᐖࡢ௙ࡡฝ∟∸࡞ࡌ࡚࡞Ⓠ⾪㸡࠵ࡾ࠷ࡢᢖ✇ࡈࡿ࡙࠷࡝࠷㸣□ࠈ㸧㸣➱㢄ᇮ➱⩽ࡢᮇᏕఌဤ࡚࠵ࡾ㸣□ࠈ㸨㸣ᕵ᭻ࡌࡾㄵᩝࡡ⛸㢦ࢅ☔ヾࡊࡒ㸣□ࠈ㸩㸣ཋ✇ᯓᩐࡢᢖ✇ぜ์ࡡโ㝀⠂ᅑහ࡚࠵ࡾ㸣ࠈࠈࠈࠈࠈࠈ㡣࡚࠵ࡾ㸣□ࠈ㸪㸣೒⌦Ⓩ㒼៎ࢅこࡌࡾ◂✪ࡢࡐࡡහᐖ࠿エ㍍ࡈࡿ࡙࠷ࡾ㸣ࠈࠈࠈࠈ೒⌦ᐼᰕࢅུࡄ࡙࠷ࡾ᪁ࡢᐼᰕᶭ㛭ྞࢅ࠽᭡ࡀࡂࡓࡈ࠷㸣ࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈ
□ࠈ㸫㸣ㄵᩝཋ✇ࡢ0LFURVRIWࠈ:RUG࡞ࡻࡽషᠺࡈࡿ㸡మ⿚ࡢᢖ✇ぜ์࡞ᚉࡖ࡙࠷ࡾ㸣□ࠈ㹖㸣ᅒ⾪ࡢ⾪㢗࠿ࡗ࠷࡙࠷ࡾ㸣□㹗㸣ධ࡙ࡡᅒࡢ-3(*㸡*,)㸡31*࡚࠵ࡾ࠾㸡࠵ࡾ࠷ࡢ0LFURVRIWࠈ([FHOࡱࡒࡢ0LFURVRIWࠈ3RZHU3RLQW࡞ࠈࠈࠈࠈࡻࡽషᠺࡈࡿ࡙࠷ࡾ㸣□㹘㸣ධ࡙ࡡᅒ⾪ࡢ㸡FPࡱࡒࡢFPࡡࢦ࢕ࢫ࡚షᠺࡈࡿ࡙࠷ࡾ㸣□㹙㸣ධ࡙ࡡᅒ⾪୯ࡡᩝᏊࡢ06ࢥࢨࢴࢠ㸭࣎࢕ࣤࢹ⛤ᗐ࡚షᠺࡈࡿ࡙࠷ࡾ㸣□㹚㸣ධ࡙ࡡᅒࡢ⾪㢗࠿ࠔᅒ㸣㸦ࠈ⾪㢗ࠕࡡᙟᘟ࡚᭡࠾ࡿ㸡ᅒࡡ┷ୖ࡞୯ኳᥖ࠻࡚エ㍍ࡈࡿ࡙࠷ࡾ㸣□㹛㸣ධ࡙ࡡ⾪ࡢ⾪㢗࠿ࠔ⾪㸣㸦ࠈ⾪㢗ࠕࡡᙟᘟ࡚᭡࠾ࡿ㸡⾪ࡡ┷୕࡞ᕞᐞࡎ࡚エ㍍ࡈࡿ࡙࠷ࡾ㸣□ࠈ㸬㸣ᮇᩝ୯ࡡᩝ⊡ࡡᘤ⏕ᙟᘟࡢᢖ✇ぜ์࡞ᚉࡖ࡙࠷ࡾ㸣□ࠈ㸭㸣ᮇᩝ୯ࡡᩝ⊡ࡡᩝ⊡ࣛࢪࢹエ㍍ᙟᘟࡢᢖ✇ぜ์࡞ᚉࡖ࡙࠷ࡾ㸣□ࠈ㹖㸣ᩝ⊡ࡡභⴥ⩽ࡢ㸝᭩ኬ㸞㸪ྞࡱ࡚エ㍍ࡈࡿ࡙࠷ࡾ㸣□ࠈ㹗㸣ᩝ⊡ࣛࢪࢹ୯ࡡᩝ⊡ᩒ⌦␊ྒ࡛ᮇᩝ୯ࡡᩝ⊡ᘤ⏕ᩐᏊ࠿ḿࡊࡂᑊᚺࡊ㸡ᘤ⏕ᩐᏊࡢㄵᩝࡡ㢄࠾ࡼࠈࠈࠈࠈ㡨࡞ᣲࡼࡿ࡙࠷ࡾ㸣□ࠈ㸮㸣こ᪠㸝࿰ᩝ㸞ࡢᏊ⛤ᗐ࡚࠵ࡾ㸣こ᪠㸝࿰ᩝ㸞ࡡᩝᏊᩐࡢࠈࠈࠈࠈࠈࠈᩝᏊ࡚࠵ࡾ㸣□ࠈ㸣$EVWUDFWࡢㄊ⛤ᗐ࡚࠵ࡾ㸣$EVWUDFW㸝ཋⴥࡢᚪ㡪㸞ࡡㄊᩐࡢࠈࠈࠈࠈࠈㄊ࡚࠵ࡾ㸣□ࠈ㸣こ᪠ࡢ┘Ⓩ㸡᪁Ἢ㸡⤎ᯕ㸡⤎ㄵࢅྱࡳࡵࡡ࡚࠵ࡾ㸣□ࠈ㸣ⱝᩝࢰ࢕ࢹࣜ㸡$EVWUDFW㸡.H\ZRUGV㸡ࡢQDWLYHFKHFNࢅུࡄ࡙࠷ࡾ㸣
ࠈ୘᪺࡝Ⅴࡢ㸡ㄵᩝᢖ✇ᨥᥴ✾ཾࡱࡒࡢ⥽㞗ጟဤఌࡱ࡚ࡇ┞ㄧࡂࡓࡈ࠷㸣

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㈠ᩩ㸩

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㈠ᩩ㸩ᖲᠺᖳᖲᠺᖳᗐࠈᒷᡥ┫㆜Ꮥఌビ㆗ဤྞ⡑Ꮽ⸠ࠈ㔓ᜠࠈࠈ㸝ᒷᡥ┬❟ኬᏕ㸞▴஬ࠈ┷⣎Ꮔࠈ㸝ᒷᡥ༈⛁ኬᏕ㜻ᒌ⑋㝌㸞ᒷῪࠈකᏄࠈࠈ㸝ᒷᡥ┬❟ኬᏕ㸞୕ᯐࠈ⨶ಕᏄࠈ㸝ᒷᡥ┬❟ኬᏕ㸞㐪⸠ࠈⰃொࠈࠈ㸝ᒷᡥ┬❟ኬᏕ㸞⺨ᓧࠈዄ὘Ꮔࠈ㸝ᒷᡥ┬❟ኬᏕ㸞ᑚᔪࠈ⨶ἃᏄࠈ㸝ᒷᡥ┬❟ኬᏕ㸞㰳⸠ࠈ㈏Ꮔࠈࠈ㸝ᒷᡥ┬❟ኬᏕ㸞⳥ⵞ⃕ࠈᖶᏄࠈ㸝┊ᒱ㉝༎Ꮚ⑋㝌㸞㧏ᶣࠈ᭯㔓ࠈ㸝ᒷᡥ┬❟ኬᏕ㸞⏛㎮ࠈ᭯⌦Ꮔࠈ㸝ᒷᡥ┬❟ኬᏕ㸞༐⏛ࠈ╤⨶ࠈ㸝ᒷᡥ┬❟ኬᏕ㸞༐ⴝࠈ⃀Ꮔࠈࠈ㸝⁢Ἁᮟᙲሔ㸞ᅰᒁࠈ㝟Ꮔࠈ㸝ᒷᡥ┬❟ኬᏕ㸞୯ୖࠈ⋱Ꮔࠈࠈ㸝ᒷᡥ┬ᩅ⫩ጟဤఌ㸞⟵▴ࠈᜠᏄࠈ㸝ᒷᡥ┬❟୯ኳ⑋㝌㸞⚗ᓞࠈ⿩Ꮔࠈࠈ㸝ᒷᡥ┬❟ኬᏕ㸞ᮿᕖࠈ஁⨶Ꮔࠈ㸝ᒷᡥ┬❟ኬᏕ㸞ᮿᮇࠈ▩Ꮔࠈࠈ㸝ᒷᡥ༈⛁ኬᏕ㜻ᒌ⑋㝌㸞ᒜහࠈୌྍࠈࠈ㸝ᒷᡥ┬❟ኬᏕ㸞

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㈠ᩩ㸩

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㈠ᩩ㸪ᖲᠺᖳᗐࠈ஥ᴏὩິሒ࿈
㸦㸣Ꮥఌヽࡡษ⾔➠㸪ᕬ➠㸦ྒࠈᖳ㸫᭮᪝Ⓠษ➠㸪ᕬ➠㸧ྒࠈᖳ᭮᪝Ⓠษ㸧㸣➠㸩ᅂᏕ⾙㞗ఌࡡ㛜ത᭿᪝㸯ᖲᠺᖳ᭮᪝㸝ᅰ㸞ሔᡜ㸯ᒷᡥ┬❟ኬᏕఌ㛏㸯ⳝờ࿰Ꮔ㸝ᒷᡥ┬❟ኬᏕ㸞㸨㸣⥪ఌࡡ㛜ത᭿᪝㸯ᖲᠺᖳ᭮᪝㸝ᅰ㸞㸯㹳㸯ሔᡜ㸯ᒷᡥ┬❟ኬᏕ㸩㸣ࡴࢆࡆ࠷ࢬ࣐ࢻ࣭ࡡ㛜ത᭿᪝㸯ᖲᠺᖳ᭮᪝㸝ᅰ㸞ሔᡜ㸯ᒷᡥ┬❟ኬᏕㅦᖅ㸯⟵▴ᜠᏄ㸝ᒷᡥ┬❟୯ኳ⑋㝌㸞㸪㸣ᗀሒὩິ㸰࣭࣑࣭࣌࣋ࢩ㐘ႜ⟮⌦➴Ꮥఌ࣭࣑࣭࣌࣋ࢩࡡ᩺ぜ㛜シࢅ⾔ࡖࡒ㸣㸫㸣ఌဤࡡ㛭ᚨ㡷ᇡࡡᢍᥩ࡞ࡗ࠷࡙
ఌဤ࡞ㄢᰕࢅᐁ᪃ࡊ㸡Ꮥఌヽ࡞᥎㍍ࡊࡒ㸣㸬㸣㐘ႜ࡞㛭ࡌࡾఌ㆗Ϩ㸣⌦஥ఌ➠㸦ᅂ⌦஥ఌ㸝㆗஥㘋ࡢᏕఌヽ➠㸪ᕬ➠㸦ྒ࡞᥎㍍㸞
㸦㸣᪝᫤㸯ᖲᠺᖳ㸩᭮᪝㸝ᅰ㸞㸯㹳㸯㸧㸣ሔᡜ㸯࠷ࢂ࡙┬Ằ᝗ሒஹὮࢬࣤࢰ࣭㸝࢓࢕࣭ࢻ㸞㸬㝭ࠈᏕ⩞ᐄ㸩㸨㸣㆗஥㸦㸞ሒ࿈஥㡧
㸝㸞ᖲᠺᖳᗐ஥ᴏὩິሒ࿈
㸝㸞ᖲᠺᖳᗐ཭ᨥỬ⟤ሒ࿈㸝᱄㸞࠽ࡻࡦᖲᠺᖳᗐఌ゛┐ᰕሒ࿈㸝㸞➠㸨ᅂᏕ⾙㞗ఌሒ࿈㸝㸞ᗚຸᢰᙔࡻࡽ
㸝㸞⥽㞗ጟဤఌࡻࡽ
㸝㸞ᗀሒᢰᙔࡻࡽ
㸧㸞ᐼ㆗஥㡧
㸝㸞⌦஥ࡡ㎙௴ࡡᢆヾ࡛ࡐࡡ⿭ඖ࡞ࡗ࠷࡙
㸝㸞ᖲᠺᖳᗐ஥ᴏ゛⏤࡛Ὡິ᪁㔢࡞ࡗ࠷࡙㸝㸞ᖲᠺᖳᗐಞḿ஢⟤㸝᱄㸞࡞ࡗ࠷࡙

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㈠ᩩ㸪㸝㸞ᖲᠺᖳᗐ㹳ᖲᠺᖳᗐ⥽㞗ጟဤ࡞ࡗ࠷࡙
㸝㸞ᢖ✇ぜ์ᨭゖ࡞ࡗ࠷࡙㸝㸞Ꮥఌ࣭࣑࣭࣌࣋ࢩ࡞ࡗ࠷࡙
㸝㸞ᏕఌヽZHE∟ࡡ㛸ぬ࡞ࡗ࠷࡙㸝㸞➠㸫ᅂᏕ⾙㞗ఌ㸝ᖲᠺᖳᗐ㸞ࡡఌ㛏ࡡು⿭࡞ࡗ࠷࡙
㸝㸞㛭ᚨ㡷ᇡืࡡఌဤྞ⡑࡞ࡗ࠷࡙㸝㸞ࡐࡡ௙
ࠈࠈࠈ࣬➠㸩ᅂᏕ⾙㞗ఌ௺⏤㐘ႜࡡ㐅ᤎ≟Ἓ࡞ࡗ࠷࡙ሒ࿈㸣㸨㸞ࡐࡡ௙ࠈࠈࠈ࣬➠㸪ᅂᏕ⾙㞗ఌࡡ㛜ത᪝㸡ሔᡜ࡞ࡗ࠷࡙㸣➠㸧ᅂ⌦஥ఌ㸝㆗஥㘋ࡢᏕఌヽ➠㸪ᕬ➠㸧ྒ࡞᥎㍍㸞
㸦㸣᪝᫤㸯ᖲᠺᖳ㸭᭮᪝㸝ᅰ㸞㸯㹳㸯㸧㸣ሔᡜ㸯࠷ࢂ࡙┬Ằ᝗ሒஹὮࢬࣤࢰ࣭㸝࢓࢕࣭ࢻ㸞㸬㝭ࠈᏕ⩞ᐄ㸪㸨㸣㆗஥㸦㸞ሒ࿈஥㡧
㸝㸞➠㸫ᅂ㸝ᖲᠺᖳᗐ㸞Ꮥ⾙㞗ఌఌ㛏᥆ⷸ⩽࡞ࡗ࠷࡙㸝㸞➠㸦ᅂ࣬➠㸧ᅂ࣒࣭ࣜ⌦஥ఌࡡሒ࿈
㸝㸞ᗚຸᢰᙔࡻࡽ
㸝㸞⥽㞗ጟဤఌࡻࡽ
㸝㸞Ꮥఌ࣭࣑࣭࣌࣋ࢩ㐘ႜ⟮⌦ᢰᙔࡻࡽ㸧㸞ᐼ㆗஥㡧
㸝㸞ᖲᠺᖳᗐ஥ᴏ゛⏤㸝᱄㸞㸝㸞ᖲᠺᖳᗐ஢⟤㸝᱄㸞㸝㸞㐽ᣪ⟮⌦ጟဤ࡞ࡗ࠷࡙
㸝㸞ビ㆗ဤఌḗ➠㸝᱄㸞㸝㸞⥪ఌḗ➠㸝᱄㸞㸝㸞ఌဤ㈕ᮅ⣙⩽࡫ࡡᏕఌヽࡡ㏞௛᭿㛣࡞ࡗ࠷࡙㸝㸞ఌဤථ㏝ఌ࡞ࡗ࠷࡙
㸝㸞⥪ఌ㆗஥㘋⨣ྞெ࡞ࡗ࠷࡙㸨㸞ࡐࡡ௙㸝㸞➠㸩ᅂᏕ⾙㞗ఌ࡞ࡗ࠷࡙
㸝㸞➠㸪ᅂᏕ⾙㞗ఌ࡞ࡗ࠷࡙

࣒࣭ࣜ⌦஥ఌ
➠㸦ᅂ࣒࣭ࣜఌ㆗㸝ᖲᠺᖳ㸩᭮᪝㸞㸦㸞ሒ࿈஥㡧
࣬⥽㞗ጟဤఌ࠾ࡼᢖ✇ぜ์ᨭゖ᱄࡞ࡗ࠷࡙
࣬➠㸦ᅂ⌦஥ఌ࡚᩺ࡒ࡞⥽㞗ጟဤ࡞᥆ⷸࡈࡿࡒ᪁࠾ࡼࡡᢆㅑ࡞ࡗ࠷࡙
㸧㸞ᐼ㆗஥㡧
࣬Ꮥአ⥽㞗⩽࡫ࡡㅨ♡࡞ࡗ࠷࡙

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㈠ᩩ㸪➠㸧ᅂ࣒࣭ࣜఌ㆗㸝ᖲᠺᖳ㸪᭮᪝㸞㸦㸞ᐼ㆗஥㡧
࣬Ꮥఌ࣭࣑࣭࣌࣋ࢩష⿿ࡡず✒ࡽහᐖ࡞ࡗ࠷࡙
࣬Ꮥఌ㈕ᮅ⣙⩽࡫ࡡᏕఌヽ㏞௛࡞ࡗ࠷࡙
ϩ㸣ビ㆗ဤఌ㸝㆗஥㘋ࡢᏕఌヽ➠㸪ᕬ➠㸧ྒ࡞᥎㍍㸞
㸦㸣᪝᫤㸯ᖲᠺᖳ᭮㸦᪝㸝᪝㸞㸯㹳㸯㸧㸣ሔᡜ㸯࠷ࢂ࡙┬Ằ᝗ሒஹὮࢬࣤࢰ࣭㸝࢓࢕࣭ࢻ㸞㸬㝭ࠈᏕ⩞ᐄ㸪㸨㸣㆗஥㸦㸞ሒ࿈஥㡧
㸝㸞⌦஥ఌሒ࿈
㸝㸞ᗚຸᢰᙔࡻࡽ
㸝㸞⥽㞗ጟဤఌࡻࡽ
㸧㸞ᐼ㆗஥㡧
㸝㸞ᖲᠺᖳᗐ஥ᴏὩິሒ࿈
㸝㸞ᖲᠺᖳᗐ཭ᨥỬ⟤㸝᱄㸞࠽ࡻࡦᖲᠺᖳᗐఌ゛┐ᰕሒ࿈㸝㸞ᖲᠺᖳᗐ஥ᴏ゛⏤㸝ಞḿ᱄㸞㸝㸞ᖲᠺᖳᗐಞḿ஢⟤㸝᱄㸞㸝㸞ᖲᠺᖳᗐ஥ᴏ゛⏤㸝᱄㸞㸝㸞ᖲᠺᖳᗐ஢⟤㸝᱄㸞㸝㸞ビ㆗ဤࡡ㎙௴ࡡᢆヾ࠽ࡻࡦ⿭ඖ࡞ࡗ࠷࡙
㸝㸞㐽ᣪ⟮⌦ጟဤ࡞ࡗ࠷࡙
㸝㸞ᒷᡥ┫㆜Ꮥఌ➠ᅂᏕ⾙㞗ఌ㸝ᖲᠺᖳᗐ㸞ఌ㛏ࡡು⿭㐽ฝ࡞ࡗ࠷࡙
㸝㸞ᖲᠺᖳᗐ⥪ఌḗ➠㸝᱄㸞㸝㸞ࡐࡡ௙㸨㸞ࡐࡡ௙㸝㸞➠㸩ᅂᏕ⾙㞗ఌ࡞ࡗ࠷࡙



岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㈠ᩩ㸫

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㈠ᩩ㸬ᖲᠺᖳᗐᒷᡥ┫㆜Ꮥఌಞḿ஢⟤㸝᱄㸞㸝ᖲᠺᖳ  ᭮  ᪝㹳ᖲᠺᖳ  ᭮᪝㸞Ϩ㸣཭ථࡡ㒂
㸝༟న㸯ළ㸞㈕ࠈࠈ┘ᖲᠺᖳᗐ
Ử⟤㢘ᖲᠺᖳᗐ
஢⟤㢘ᖲᠺᖳᗐ
ಞḿ஢⟤㢘

ఌࠈ㈕

ࠈ

ࠈ

ࠈࠈ

㞟཭ථࠈࠈࠈࠈࠈࠈ

ࠈࠈࠈࠈࠈ

⧖㉲㔘







ྙࠈࠈ゛

ങࠈ⩻
ළெ

ϩ㸣ᨥฝࡡ㒂
㸝༟న㸯ළ㸞㈕ࠈࠈ┘ᖲᠺᖳᗐ
Ử⟤㢘ᖲᠺᖳᗐ
஢⟤㢘ᖲᠺᖳᗐ
ಞḿ஢⟤㢘ങࠈ⩻ᏕఌヽⓆ⾔ᅂ㸝ළ
ᅂ㸞㸡ⱝᩝࢰ࢕ࢹࣜᰧ㛸ළ
ᅂ㸡ᰕㄖㅨ♡㸡ࢷ࣭ࣈ࠽ࡆ
ࡊ➴⥽㞗ጟဤఌ㸝᪉㈕ළ
ᅂ㸡㥌㌬ᩩ㔘ළெᅂ㸡Ⲍⳣ௥ළᅂ㸞ࠈ





ࠈࠈ

ࠈ

ࠈ

ࠈࠈࠈ

ࠈࠈ

ࠈࠈ







஥ຸ㈕ࠈࠈ

ࠈࠈ

ఌ㆗㈕





᪉㈕㥌㌬ᩩ㔘➴ළᅂ
Ⲍⳣ௥➴ළ

㏳ಘ㈕





Ꮥఌヽ➴㒉㏞ᩩ➴ࠈ࢓ࣜࣁ࢕ࢹ௥







㒉㏞షᴏࠈࠈ





㸟



⥽㞗ጟဤఌὩິ㈕Ꮥ⾙㞗ఌ㛜തࠈຐᠺ㈕ࡴࢆࡆ࠷ࢬ࣐ࢻ࣭
ࠈ㛜ത㈕ᗀሒὩິ㈕

஢ങ㈕
ྙࠈࠈ゛

ࠈἸ㸯㸟ࡢ஢ങ㈕௧አࡡྙ゛㢘࡚࠵ࡾ㸣ࠈࠈࠈ㢘࠿✭Ⓣࡡ⟘ᡜࡢ㔘㢘࠿஢ῼ࡚ࡀ࡝࠷ࡒࡴ✭Ⓣ࡛ࡊ࡙࠷ࡾ㸣

ㅦᖅㅨ㔘࣭࣑࣭࣌࣋ࢩ⟮⌦➴ビ㆗ဤ㐽ᣪᑌ➼༰ใ௥➴

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㈠ᩩ㸭ᖲᠺᖳᗐ஥ᴏ゛⏤㸝᱄㸞㸦㸣Ꮥఌヽࡡษ⾔ࠈࠈࠈᖳ㸧ᅂࡡษ⾔㸧㸣➠㸫ᅂᏕ⾙㞗ఌࡡ㛜തఌ㛏㸯ᅰᒁࠈ㝟Ꮔ㸝ᒷᡥ┬❟ኬᏕ㸞ఌ᭿㸯ᖲᠺᖳ᭮᪝㸝ᅰ㸞ఌሔ㸯ᒷᡥ┬❟ኬᏕㅦᇸ࣬භ㏳ㅦ⩇Ჯ࣒࢕ࣤࢷ࣭࣏㸯ࠔࢢ࢓ࡡᮇ㈹ࢅịࡴ࡙ࠕ㸝௫㸞㸨㸣⥪ఌࡡ㛜ത᪝᫤㸯ᖲᠺᖳ᭮᪝㸝ᅰ㸞ఌሔ㸯ᒷᡥ┬❟ኬᏕㅦᇸ࣬භ㏳ㅦ⩇Ჯ㸩㸣ࡴࢆࡆ࠷ࢬ࣐ࢻ࣭ࡡ㛜ത㸪㸣ᗀሒὩິ㸯࣭࣑࣭࣌࣋ࢩ㐘ႜ⟮⌦➴㸫㸣㛭ᚨ㡷ᇡืఌဤྞ⡑ࡡᨭゖ

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㈠ᩩ㸮ᖲᠺᖳᗐᒷᡥ┫㆜Ꮥఌ஢⟤㸝᱄㸞㸝ᖲᠺᖳ᭮᪝㹳ᖲᠺᖳ᭮᪝㸞Ϩ㸣཭ථࡡ㒂
㸝༟న㸯ළ㸞㈕ࠈࠈ┘ᖲᠺᖳᗐ
஢⟤㢘ᖲᠺᖳᗐ
ಞḿ஢⟤㢘

ቌࠈ΅

ങࠈ⩻

ఌࠈ㈕

ࠈ

ࠈࠈ



㞟཭ථࠈࠈࠈࠈࠈ

ࠈࠈࠈࠈࠈ

ࠈࠈࠈࠈ

⧖㉲㔘

ළெ

ࠈྙࠈࠈ゛ࠈ

ϩ㸣ᨥฝࡡ㒂
㸝༟న㸯ළ㸞㈕ࠈࠈ┘⥽㞗ጟဤఌὩິ㈕ᖲᠺᖳᗐ
஢⟤㢘ᖲᠺᖳᗐ
ಞḿ஢⟤㢘

ቌࠈ΅

ങࠈ⩻

ᏕఌヽⓆ⾔ᅂ
༰ใ௥㸝ළᅂ㸞㸡ⱝᩝࢰ࢕ࢹࣜᰧ㛸㸝ළᅂ㸞㸡ᰕㄖㅨ♡㸡ࢷ࣭ࣈ࠽ࡆࡊ➴ ළ⥽㞗ጟဤఌ㸝᪉㈕➴ළᅂ㸞㸡Ⲍⳣ௥➴ළ





ࠈࠈ

ࠈ

ࠈࠈࠈ

ࠈࠈ

ࠈࠈ

ᗀሒὩິ㈕





஥ຸ㈕



ࠈࠈ

ࠈࠈ‫ڸ‬ఌ㆗㈕



᪉㈕➴ළᅂ
Ⲍⳣ௥➴ළ

㏳ಘ㈕



Ꮥఌヽ➴㒉㏞ᩩ➴࢓ࣜࣁ࢕ࢹ௥







㒉㏞షᴏᏕ⾙㞗ఌ㛜തࠈຐᠺ㈕ࡴࢆࡆ࠷ࢬ࣐ࢻ࣭
ࠈ㛜ത㈕

஢ങ㈕
ྙࠈࠈ゛


㸟



ࠈἸ㸯ఌ㈕ࡢ㸡ఌဤ࠿ெ࡛ࡊ࡙⟤ฝࡊࡒ㸣ࠈࠈࠈ㸟ࡢ஢ങ㈕௧አࡡྙ゛㢘࡚࠵ࡾ㸣ࠈࠈࠈ㢘࠿✭Ⓣࡡ⟘ᡜࡢ㔘㢘࠿஢ῼ࡚ࡀ࡝࠷ࡒࡴ✭Ⓣ࡛ࡊ࡙࠷ࡾ㸣

ㅦᖅㅨ㔘㸡࠽ᘒᙔ௥㸡ఌሔ㈕㸡
ᗀሒ㈕➴࣭࣑࣭࣌࣋ࢩ⟮⌦➴ᑌ➼༰ใ௥㸡ࢤࣅ࣭⏕⣤➴岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012ᒷᡥ┫㆜Ꮥఌఌ์

ࠈࠈ➠ୌ❮ࠈ⥪์➠㸦᮪ࠈᮇఌࡢ㸡ᒷᡥ┫㆜Ꮥఌ㸝,ZDWH6RFLHW\RI1XUVLQJ6FLHQFH㸞࡛⛘ࡌ㸣➠㸧᮪ࠈᮇఌࡡ஥ຸᑻࢅ㸡ᒷᡥ┬❟ኬᏕ┫㆜Ꮥ㒂හ㸝ࠚᒷᡥ┬⁢Ἁᮟ⁢ἉᏊᕛᏄ㸞࡞⨠ࡂ㸣➠㸨᮪ࠈᮇఌࡢ㸡┫㆜ᏕࡡⓆᒈ࡛ఌဤ┞பࡡᏕ⾙Ⓩ◂㛉ࢅࡢ࠾ࡾࡆ࡛ࢅ┘Ⓩ࡛ࡌࡾ㸣➠㸩᮪ࠈᮇఌࡢ㸡➠㸨᮪ࡡ┘Ⓩࢅ㐡ᠺࡌࡾࡒࡴḗࡡ஥ᴏࢅ⾔࠹㸣㸝㸦㸞ࠈᏕ⾙㞗ఌࡡ㛜ത㸝㸧㸞ࠈᏕఌヽࡡⓆ⾔㸝㸨㸞ࠈࡐࡡ௙ᮇఌࡡ┘Ⓩ㐡ᠺ࡞ᚪこ࡝஥ᴏࠈࠈ➠஦❮ࠈఌဤ
➠㸪᮪ࠈᮇఌࡡఌဤࡢ㸡ᮇఌࡡ┘Ⓩ࡞㈮ྜྷࡊ┫㆜ࢅᐁ㊮࣬◂✪ࡌࡾ⩽࡝ࡼࡦ࡞┫㆜࡞㛭ᚨࡡ࠵ࡾ⩽࡚㸡ᡜᏽࡡᖳࠈࠈࠈࠈఌ㈕ࢅ⣙ථࡊ㸡⌦஥ఌࡡᢆヾࢅᚋࡒ⩽ࢅ࠷࠹㸣➠㸫᮪ࠈᮇఌ࡞ථఌࢅヾࡴࡼࡿࡒ⩽ࡢ㸡ᡜᏽࡡᖳఌ㈕ࢅ⣙ථࡊ࡝ࡄࡿࡣ࡝ࡼ࡝࠷㸣➠㸬᮪ࠈఌဤࡢ㸡ḗࡡ⌦⏜࡞ࡻࡽࡐࡡ㈠᰹ࢅ႕኶ࡌࡾ㸣㸝㸦㸞ࠈ㏝ఌ
㸝㸧㸞ࠈఌ㈕ࡡ⁣⣙㸝㸧ᖳ㛣㸞㸝㸨㸞ࠈṒஷࡱࡒࡢ኶㋉ᐃ࿈
㸝㸩㸞ࠈ㝎ྞ
㸧ࠈ㏝ఌࢅᕵ᭻ࡌࡾఌဤࡢ㸡⌦஥ఌ࡫㏝ఌᒀࢅᥞฝࡊ࡝ࡄࡿࡣ࡝ࡼ࡝࠷㸣㸨ࠈᮇఌࡡྞ・ࢅഭࡗࡄ㸡ࡱࡒࡢᮇఌࡡ┘Ⓩ࡞ཬࡌࡾ⾔Ⅵࡡ࠵ࡖࡒఌဤࡢ㸡ビ㆗ဤఌࡡ㆗ࢅ⤊࡙⌦஥㛏࠿㝎ྞࡌࠈࠈࡾࡆ࡛࠿࡚ࡀࡾ㸣ࠈࠈ➠୔❮ࠈᙲဤ࣬ビ㆗ဤ࠽ࡻࡦᏕ⾙㞗ఌఌ㛏➠㸭᮪ࠈᮇఌ࡞ḗࡡᙲဤࢅ࠽ࡀ㸡ࡐࡡ௴᭿ࡢ㸨ᖳ࡛ࡊ්௴ࢅጄࡅ࡝࠷㸣ఢࡊ㸡ᘤࡀ⤾ࡀ㸫ᖳࢅ㉰࠻࡙ᅹ௴ࡌࡾࡆ
ࠈࠈࠈࠈ࡛ࡢ࡚ࡀ࡝࠷㸣㸝㸦㸞ࠈ⌦஥㛏ࠈࠈࠈࠈࠈࠈ㸦ྞ㸝㸧㸞ࠈ๧⌦஥㛏ࠈࠈࠈࠈࠈ㸦ྞ㸝㸨㸞ࠈ⌦஥ࠈࠈࠈࠈࠈࠈࠈᩐྞ㸝⌦஥㛏ࠈ๧⌦஥㛏ࢅྱࡳ㸞㸝㸩㸞ࠈ┐஥ࠈࠈࠈࠈࠈࠈࠈ㸧ྞ➠㸮᮪ࠈᙲဤࡡ㐽ฝࡢ㸡ḗࡡ࡛࠽ࡽ࡛ࡌࡾ㸣㸝㸦㸞ࠈ⌦஥㛏ࡢ㸡⌦஥ࡡப㐽࡞ࡻࡽ㐽ฝࡊ㸡ビ㆗ဤఌࡡ㆗ࢅ⤊࡙⥪ఌࡡᢆヾࢅᚋࡾ㸣㸝㸧㸞ࠈ๧⌦஥㛏ࡢ㸡⌦஥ࡡ୯࠾ࡼ⌦஥㛏࠿ᣞྞࡊ㸡ビ㆗ဤఌࡡ㆗ࢅ⤊࡙⥪ఌࡡᢆヾࢅᚋࡾ㸣㸝㸨㸞ࠈ⌦஥࠽ࡻࡦ┐஥ࡢ㸡ビ㆗ဤఌ࡚ビ㆗ဤࡡ୯࠾ࡼ㐽ฝࡊ㸡⥪ఌࡡᢆヾࢅᚋࡾ㸣➠᮪ࠈᙲဤࡢḗࡡ⫃ຸࢅ⾔࠹㸣㸝㸦㸞ࠈ⌦஥㛏ࡢ㸡ᮇఌࢅ௥⾪ࡊ㸡ఌຸࢅ⤣ᣋࡌࡾ㸣㸝㸧㸞ࠈ๧⌦஥㛏ࡢ㸡⌦஥㛏ࢅ⿭ఫࡊ㸡⌦஥㛏࡞஥ᨶ࠵ࡾ࡛ࡀࡢࡆࡿࢅ௥⾔ࡌࡾ㸣㸝㸨㸞ࠈ⌦஥ࡢ㸡⌦஥ఌࢅ⤄⧂ࡊ㸡ఌຸࢅᇮ⾔ࡌࡾ㸣㸝㸩㸞ࠈ┐஥ࡢ㸡ᮇఌࡡ஥ᴏ࠽ࡻࡦఌ゛ࢅ┐ᰕࡌࡾ㸣➠᮪ࠈᮇఌ࡞㸡ビ㆗ဤࢅ⨠ࡂ㸣ビ㆗ဤࡡᏽᩐཀྵࡦ㐽ฝ᪁Ἢࡢ㸡ื࡞ᏽࡴࡾ㸣➠᮪ࠈビ㆗ဤࡡ௴᭿ࡢ㸡㸨ᖳ࡛ࡊ්௴ࢅጄࡅ࡝࠷㸣ఢࡊ㸡ᘤࡀ⤾ࡀ㸫ᖳࢅ㉰࠻࡙ᅹ௴ࡌࡾࡆ࡛ࡢ࡚ࡀ࡝࠷㸣➠᮪ࠈビ㆗ဤࡢ㸡ビ㆗ဤఌࢅ⤄⧂ࡊ㸡ࡆࡡఌ์࡞ᏽࡴࡾ஥㡧ࡡ࡮࠾࡞⌦஥㛏ࡡㅆၡ࡞ᚺࡋ㸡ᮇఌࡡ㐘ႜ࡞㛭ࡌࡾ

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012ࠈࠈࠈࠈ㔔こ஥㡧ࢅᐼ㆗ࡌࡾ㸣➠᮪ࠈᮇఌ࡞㸡Ꮥ⾙㞗ఌఌ㛏ࢅ⨠ࡂ㸣➠᮪ࠈᏕ⾙㞗ఌఌ㛏ࡢ㸡ビ㆗ဤఌ࡚ఌဤࡡ୯࠾ࡼ㐽ฝࡊ㸡⥪ఌࡡᢆヾࢅᚋࡾ㸣➠᮪ࠈᏕ⾙㞗ఌఌ㛏ࡡ௴᭿ࡢ㸡㸦ᖳ࡛ࡊ්௴ࡢヾࡴ࡝࠷㸣➠᮪ࠈᏕ⾙㞗ఌఌ㛏ࡢ㸡Ꮥ⾙㞗ఌࢅ୹ᐍࡌࡾ㸣ࠈࠈ➠ᄿ❮ࠈఌ㆗
➠᮪ࠈᮇఌ࡞㸡ḗࡡఌ㆗ࢅ⨠ࡂ㸣㸝㸦㸞ࠈ⌦஥ఌ
㸝㸧㸞ࠈビ㆗ဤఌ㸝㸨㸞ࠈ⥪ఌ
➠᮪ࠈ⌦஥ఌࡢ㸡⌦஥㛏࠿ᣅ㞗ࡊ㸡ࡐࡡ㆗㛏࡛࡝ࡾ㸣㸧ࠈ⌦஥ఌࡢ㸡Ẏᖳ㸦ᅂ௧୕㛜തࡌࡾ㸣ఢࡊ㸡⌦஥ࡡ㸨ฦࡡ㸦௧୕࠾ࡼㄫị࠿࠵ࡖࡒ࡛ࡀࡢ㸡⌦஥㛏ࡢ㸡⮣᫤࡞ࠈࠈ⌦஥ఌࢅ㛜തࡊ࡝ࡄࡿࡣ࡝ࡼ࡝࠷㸣㸨ࠈ⌦஥ఌࡢ㸡⌦஥ࡡ㐛༖ᩐࡡฝᖆࢅࡵࡖ࡙ᠺ❟࡛ࡌࡾ㸣➠᮪ࠈビ㆗ဤఌࡢ㸡⌦஥㛏࠿ᣅ㞗ࡊࡐࡡ㆗㛏࡛࡝ࡾ㸣㸧ࠈビ㆗ဤఌࡢ㸡Ẏᖳ㸦ᅂ㛜തࡌࡾ㸣ఢࡊ㸡ビ㆗ဤࡡ㸨ฦࡡ㸦௧୕࠾ࡼㄫị࠿࠵ࡖࡒ࡛ࡀ࠽ࡻࡦ⌦஥ఌ࠿ᚪこ࡛ࠈࠈヾࡴࡒ࡛ࡀ㸡⌦஥㛏ࡢ㸡⮣᫤࡞ビ㆗ဤఌࢅ㛜തࡊ࡝ࡄࡿࡣ࡝ࡼ࡝࠷㸣㸨ࠈビ㆗ဤఌࡢ㸡ビ㆗ဤࡡ㐛༖ᩐࡡฝᖆࢅࡵࡖ࡙ᠺ❟࡛ࡌࡾ㸣➠᮪ࠈ⥪ఌࡢ㸡⌦஥㛏࠿྇㞗ࡊ㸡Ꮥ⾙㞗ఌఌ㛏࠿㆗㛏࡛࡝ࡾ㸣㸧ࠈ⥪ఌࡢ㸡Ẏᖳ㸦ᅂ㛜തࡌࡾ㸣ఢࡊ㸡ఌဤࡡ㸪ฦࡡ㸦௧୕࠾ࡼㄫị࠿࠵ࡖࡒ࡛ࡀ࠽ࡻࡦ⌦஥ఌ࠿ᚪこ࡛ヾࡴࡒࠈࠈ࡛ࡀ㸡⌦஥㛏ࡢ㸡⮣᫤࡞⥪ఌࢅ㛜തࡊ࡝ࡄࡿࡣ࡝ࡼ࡝࠷㸣㸨ࠈ⥪ఌࡢ㸡ఌဤࡡฦࡡ㸦௧୕ࡡฝᖆࡱࡒࡢጟ௴≟ࢅࡵࡖ࡙ᠺ❟࡛ࡌࡾ㸣➠᮪ࠈ⥪ఌࡢ㸡ࡆࡡఌ์࡞ᏽࡴࡾ஥㡧ࡡ࡮࠾ḗࡡ஥㡧ࢅ㆗Ửࡌࡾ㸣㸝㸦㸞ࠈ஥ᴏ゛⏤࠽ࡻࡦ཭ᨥ஢⟤㸝㸧㸞ࠈ஥ᴏሒ࿈࠽ࡻࡦ཭ᨥỬ⟤㸝㸨㸞ࠈࡐࡡ௙⌦஥ఌ࠿ᚪこ࡛ヾࡴࡒ஥㡧➠᮪ࠈ⥪ఌ࡞࠽ࡄࡾ㆗஥ࡢ㸡ฝᖆఌဤࡡ㐛༖ᩐࢅࡵࡖ࡙Ửࡊ㸡ྊྫྷྜྷᩐࡡ࡛ࡀࡢ㆗㛏ࡡỬࡌࡾ࡛ࡆࢀ࡞ࡻࡾ㸣ࠈࠈ➠஫❮ࠈᏕ⾙㞗ఌ➠᮪ࠈᏕ⾙㞗ఌࡢ㸡Ẏᖳ㸦ᅂ㛜തࡌࡾ㸣➠᮪ࠈᏕ⾙㞗ఌఌ㛏ࡢ㸡Ꮥ⾙㞗ఌࡡ㐘ႜ࠽ࡻࡦⁿ㢗ࡡ㐽ᏽ࡞ࡗ࠷࡙ᐼ㆗ࡌࡾࡒࡴ㸡Ꮥ⾙㞗ఌ௺⏤ጟဤࢅጟვࡊ㸡ࠈࠈࠈࠈጟဤఌࢅ⤄⧂ࡌࡾ㸣ࠈࠈ➠ඵ❮ࠈఌヽ➴➠᮪ࠈᮇఌࡢ㸡ఌヽ➴ࡡⓆ⾔ࢅ⾔࠹ࡒࡴ⥽㞗ጟဤఌࢅ⨠ࡂ㸣ࠈࠈ➠୏❮ࠈఌ゛➠᮪ࠈᮇఌࡡఌ゛ᖳᗐࡢ㸡Ẏᖳ㸩᭮㸦᪝࡞ጙࡱࡽ⩛ᖳ㸨᭮᪝࡚⤂ࢂࡾ㸣ࠈࠈ➠ඳ❮ࠈఌ์ࡡን᭞
➠᮪ࠈᮇఌࡡఌ์ࢅን᭞ࡌࡾሔྙࡢ㸡⌦஥ఌ࠽ࡻࡦビ㆗ဤఌࡡ㆗ࢅ⤊࡙⥪ఌࡡᢆヾࢅᚪこ࡛ࡌࡾ㸣㸧ࠈ๑㡧ࡡᢆヾࡢ㸡➠᮪ࡡぜᏽ࡞࠾࠾ࢂࡼࡍฝᖆ⩽ࡡ㸨ฦ㸧௧୕ࡡ㈮ᠺࢅᚪこ࡛ࡌࡾ㸣

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012ࠈࠈ➠ஐ❮ࠈ㞟์➠᮪ࠈࡆࡡఌ์࡞ᏽࡴࡾࡵࡡࡡ࡮࠾㸡ᮇఌࡡ㐘ႜ࡞ᚪこ࡝஥㡧ࡢ㸡ื࡞ᏽࡴࡾ㸣㜻์ࠈࡆࡡఌ์ࡢ㸡ᖲᠺᖳ㸫᭮᪝࠾ࡼ᪃⾔ࡌࡾ㸣

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012ᒷᡥ┫㆜Ꮥఌࠈᙲဤྞ⡑㸝ᖳ᭮⌟ᅹ㸞⌦஥㛏Ṃ⏛ࠈฺ᪺

ᒷᡥ┬❟ኬᏕ

๧⌦஥㛏␂ᒜ࡝ࢅᏄ

ᒷᡥ┬❟☤஬⑋㝌⌦஥

඾ᮿⓊྙᏄࠈ㸝⥽㞗ጟဤ㛏㸞๑ᒷᡥ┬❟ኬᏕ

ⳝờࠈ࿰Ꮔࠈ㸝ఌ゛㸞ᒷᡥ┬❟ኬᏕ

ᮄහࠈ༐ᬏࠈ㸝ఌ゛㸞᪝ᮇಕ೸༈⒢ኬᏕ

ᕝ⸠ࠈ᭰Ꮔࠈ㸝๧⥽㞗ጟဤ㛏㸞ᒷᡥ┬❟ኬᏕ



Ⓣ⏷ࠈ⠂Ꮔࠈ㸝ᗀሒ㸞ᒷᡥ┬❟ኬᏕ

ᖲ㔕ࠈ᫓ᙢࠈ㸝ᗚຸ㸞ᒷᡥ┬❟ኬᏕ

୔὾ዄ㒌Ꮔࠈ㸝ᗚຸ㸞ᒷᡥ┬❟ኬᏕ

୔὾ࡱࡹࡲࠈ㸝๧⥽㞗ጟဤ㛏㸞ᒷᡥ┬❟ኬᏕ

┐஥Ꮽ⸠ࠈᗀᏄ

ᒷᡥ┬❟ኬᏕ

ⳝờ⏛㭧Ꮔ

ᒷᡥ┬❟Ờๆ⑋㝌

ビ㆗ဤ㐪⸠ࠈⰃொࠈ㸝࣭࣑࣭࣌࣋ࢩࠉ⥽㞗ጟဤ㸞ᒷᡥ┬❟ኬᏕ⏛୯ࠈ༐ᑖ

ᒷᡥ┬❟㧏⏛㧏➴Ꮥᰧ⟵▴ࠈᜠᏄࠈ㸝⥽㞗ጟဤ㸞ᒷᡥ┬❟୯ኳ⑋㝌ᯐᮇࠈ㑫Ꮔ

ᒷᡥ┬❟୯ኳ⑋㝌୔὾ࠈᖶᯖ

ᒷᡥ༈⛁ኬᏕ㜻ᒌ⑋㝌ᮟ୕ࠈ⦶Ꮔ

ᒷᡥ┬❟༞ක⑋㝌㸝஫༎㡚㡨㸡ᩏ⛘␆㸞

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012ᒷᡥ┫㆜Ꮥఌථఌᡥ⤾ࡀࠈᮇᏕఌ࡫ࡡථఌࢅᕵ᭻ࡈࡿࡾ᪁ࡢ㸡௧ୖࡡこ㡷࡞ᚉࡖ࡙ࡇエථࡡ୕㸡ථఌ⏞㎰᭡ࢅᒷᡥ┫㆜Ꮥఌ஥ຸᑻࡱ࡚ࡇ
㏁㏞ࡂࡓࡈ࠷㸣㸦㸣ථఌ⏞㎰᭡࡞ᚪこ஥㡧ࢅࡵࡿ࡝ࡂࡇエථࡂࡓࡈ࠷㸣エථࡵࡿ࠿࠵ࡾሔྙ࡞ࡢ㸡්ᥞฝࢅ࠽㢢࠷ࡌࡾࡆ࡛࠿࠵
ࠈࠈࡽࡱࡌ㸣ᥞฝࡈࡿࡒ᭡㢦ࡢ㏁༴࠷ࡒࡊࡱࡎࢆࡡ࡚ࡇἸណୖࡈ࠷㸣㸧㸣ථఌ⏞㎰᭡ࡢᴘ᭡࡚ࡢࡖࡀࡽ࡛࠽᭡ࡀࡂࡓࡈ࠷㸣㸨㸣ࠔఌဤྞ⡑エ㍍ࡡྊྫྷࠕḅ࡚ࡢ㸡࡜ࡔࡼ࠾࡞‫ࡄࡗࢅې‬㸡ࠔ㡧┘ࡊ࡙ࡻ࠷㡧┘ࠕḅ࡞ࡢエ㍍ࡊ࡙ࡻ࠷᝗ሒ࡞ࣝ༰
ࠈࠈࢅ࠽᭡ࡀࡂࡓࡈ࠷㸣ఌဤྞ⡑エ㍍࠿ྊࡡሔྙ㸡ࣝ༰ࡡ࠵ࡾ᝗ሒ࡞㛭ࡊ࡙ఌဤྞ⡑࡞エ㍍࠷ࡒࡊࡱࡌ㸣㸩㸣ථఌ⏞㎰᭡࡞ᖳఌ㈕ࡡᡮ㎰㔘ུ㡷チ㸝ࢤࣅ࣭㸞ࢅ῟௛ࡊ㸡ୖエ஥ຸᑻࡱ࡚㒉㏞ࡊ࡙ࡂࡓࡈ࠷㸣ࠈ㸝㸞ᖳఌ㈕ළ࡚ࡌ㸣ఌဤࡡ⛸㢦ࡢḿఌဤࡡࡲ࡚ࡌ㸣ࠈ㸝㸞㒉౼ᑻ࡞ങ࠻௛ࡄ࡙࠵ࡾ㒉౼ᣲ᭨ᡮ㎰⏕⣤㸡ࡱࡒࡢᙔᏕఌ࠿షᠺࡊࡒᡮ㎰⏕⣤࡞࡙ᖳఌ㈕ࢅ࠽ᣲࡽ㎰ࡲࡂࠈࠈࠈࡓࡈ࠷㸣ࠈࠈࠈࠈࠈࠈ࣬ཾᗑ␊ྒ㸯㸥㸧㸧㸦㸥㸢㸫㸢㸭㸮㸮㸨㸧ࠈࠈࠈࠈࠈࠈ࣬ຊථ⩽ྞ㸯ࠈᒷᡥ┫㆜ᏕఌࠈࠈࠈӐࡇἸណӑࠔᡮ㎰㔘ུ㡷チࠕࢅᚪࡍུࡄཱིࡽ㸡ུ㡷༰࠿࠵ࡾࡆ࡛ࢅࡇ☔ヾࡂࡓࡈ࠷㸣ࠈ㸝㸞ᣲ㎰ᡥᩐᩩࡢථఌᕵ᭻⩽࠿ࡇㇿᢰࡂࡓࡈ࠷㸣ࠈ㸝㸞ࠔᡮ㎰㔘ུ㡷チࠕࡡࢤࣅ࣭ࡱࡒࡢཋ⣤ࢅථఌ⏞㎰᭡ࡡ⿤࡞㈖௛ࡊ࡙ࡂࡓࡈ࠷㸣ࠈ㸝㸞ථఌ⏞㎰᭡ࢅᑌ᭡࡚࠽㏞ࡽࡂࡓࡈ࠷㸣ࠈࠈࠈӐࡇἸណӑᣲࡽ㎰ࡲᡥ⤾ࡀࡓࡄ࡚ࡢථఌ⏞ࡊ㎰ࡲࡢᏰ஡࠷ࡒࡊࡱࡎࢆ㸣ࠈࠈࠈࠈࠈࠈࠈࠈථఌ⏞㎰᭡ࢅᚪࡍ࠽㏞ࡽࡂࡓࡈ࠷㸣㸪㸣ථఌ⏞㎰ࡢ㸡㝮᫤ུࡄ௛ࡄ࡙࠷ࡱࡌ㸣ࠈ㸱஥ຸᑻ㸳ࠚࠈᒷᡥ┬ᒷᡥ㑾⁢Ἁᮟ⁢ἉᏊᕛᏄ
ࠈࠈࠈࠈࠈᒷᡥ┬❟ኬᏕ┫㆜Ꮥ㒂හࠈᒷᡥ┬┫㆜Ꮥఌ஥ຸᑻࠈᖲ㔕᫓ᙢࠈࠈࠈࠈࠈ)$;㸯ࠈࠈ(PDLO㸯LZDWHNDQJR#POLZDWHSXDFMSࠈࠈࠈࠈࠈࠈࠈࠈࠈ+3㸯KWWSLVQVMS

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012ᒷᡥ┫㆜Ꮥఌヽᢖ✇ぜ์㸦㸣⥪์ ᮇᏕఌࡢ㸡┫㆜Ꮥ࡞࠽ࡄࡾ◂✪ᠺᯕࡡⓆ⾪ࢅ┘Ⓩ࡛ࡊ࡙㸡ᒷᡥ┫㆜Ꮥఌヽ-RXUQDORI,ZDWH6RFLHW\RI1XUVLQJ
6FLHQFHࢅᖳ㸧ᅂⓆ⾔ࡌࡾ
 ษ⾔࡞ࡗ࠷࡙ࡢ㸡ᮇᏕఌ࠿⥽㞗ጟဤఌࢅシ⨠ࡊ㸡ࡐࡡ௴࡞࠵ࡒࡾ ᮇ㞟ヽࡢ㸡࢛ࣤࣚ࢕ࣤ ,QWHUQHW ࠽ࡻࡦ⣤፳మ࡞࡙ฝ∟ࡌࡾ㸣㸧㸣ᢖ✇ぜᏽ ᢖ✇㈠᰹
ࠈ㸦㸞➱㢄ᇮ➱⩽ࡢᮇᏕఌࡡఌဤ࡛ࡌࡾ㸣ࠈ㸧㸞ᮇᏕఌ࠿౪㢏ࡊࡒሔྙ࡞ࡢ๑㡧ࡡ㝀ࡽ࡚ࡢ࡝࠷㸣ࠈ㸨㸞᪝ᮇ௧አࡡᅗ࠾ࡼᢖ✇ࡌࡾ⩽࡞ࡗ࠷࡙ࡢఌဤ௧አ࡚ࡵᢖ✇㈠᰹ࢅ᭯ࡌࡾࡵࡡ࡛ࡌࡾ㸣ࠈ㸩㸞ࡐࡡ௙ࡡᢖ✇⩽࡞ࡗ࠷࡙ࡢ⥽㞗ጟဤఌ࠿Ửᏽࡌࡾ㸣 ⴥషᶊ
ࠈᮇヽ᥎㍍ㄵᩝࡡⴥషᶊࡢᮇᏕఌ࡞ᖉᒌࡌࡾ㸣ࠈᢖ✇⩽ࡢ㸡∟ᶊࡡฺ⏕࡞ᙔࡒࡖ࡙㸡ᮇぜ์ࡡ㜻์࡞ᚉ࠹㸣 ㄵᩝࡡ⛸㢦ࠈᮇヽ࡞᥎㍍ࡌࡾㄵᩝࡢ㸡⥪ㄕ㸡ཋⴥ㸡஥ౚሒ࿈㸡◂✪ሒ࿈㸡▯ሒ㸡ࡐࡡ௙࡛ࡊ㸡ㄵᩝ࡛ࡊ࡙ᮅⓆ⾪ࡡࡵࡡ࡛ࡌ
ࡾᐼᰕࡡṹ㝭࡚⥽㞗ጟဤఌ࠿ㄵᩝࡡ⛸㢦ࡡን᭞ࢅᣞ♟ࡌࡾࡆ࡛࠿࠵ࡾ㸣ࠈࠈ࣬ࠈ⥪ㄕࠈ┫㆜Ꮥ࡞㛭ࢂࡾ≁ᏽࡡࢷ࣭࣏࡞ࡗ࠷࡙ࡡ▩ずࢅ㞗ࡴ㸡ᩝ⊡➴ࢅࣝࣄ࣭ࣖࡊ㸡⥪ྙⓏ࡞ᏕၡⓏ≟Ἓࢅᴣㄕࡊࡒࡵࡡ㸣
ࠈࠈ࣬ࠈཋⴥࠈ┫㆜Ꮥ࡞㛭ࢂࡾ◂✪ㄵᩝࡡ࠹ࡔ㸡◂✪ࡐࡡࡵࡡ࡞≺๭ᛮ࠿࠵ࡽ㸡᩺ࡊ࠷▩ずࢅྱࡴ࡙మ⣌Ⓩ࡞◂✪ᠺᯕ࠿エ㏑ࡈࡿ࡙࠽ࡽ㸡┫㆜Ꮥࡡ▩ㆉ࡛ࡊ࡙ណ⩇࠿᪺ࡼ࠾࡚࠵ࡾࡵࡡ㸣ཋ์࡛ࡊ࡙㸡┘Ⓩ㸡᪁Ἢ㸡⤎ᯕ㸡⩻ᐳ㸡⤎ㄵࡡ㸪ṹࡡᙟᘟ࡚エ㏑ࡈࡿࡒࡵࡡ࡚࡝ࡄࡿࡣ࡝ࡼ࡝࠷㸣ࠈࠈ࣬ࠈ஥ౚሒ࿈
ࠈ⮣ᗃ┫㆜୕㈏㔔࡝⮣ᗃᐁ㊮ౚࡡሒ࿈࡚㸡⮣ᗃ┫㆜ᐁ㊮ࡱࡒࡢ┫㆜Ꮥ୕ࡡ᭯─࡝㈠ᩩ࡛࡝ࡾࡵࡡ㸣ࠈࠈ࣬ࠈ◂✪ሒ࿈ࠈ┫㆜Ꮥ࡞㛭ࢂࡾ◂✪ㄵᩝࡡ࠹ࡔ㸡◂✪ᠺᯕࡡណ⩇࠿ኬࡀࡂ㸡┫㆜ᏕࡡⓆᒈ࡞ᐞ୙ࡌࡾ࡛ヾࡴࡼࡿࡾࡵ
ࡡ㸣ཋ์࡛ࡊ࡙㸡┘Ⓩ㸡᪁Ἢ㸡⤎ᯕ㸡⩻ᐳ㸡⤎ㄵࡡ㸪ṹࡡᙟᘟ࡚エ㏑ࡈࡿࡒࡵࡡ࡚࡝ࡄࡿࡣ࡝ࡼ࡝࠷㸣ࠈࠈ࣬ࠈ▯ሒࠈ┫㆜Ꮥ࡞㛭ࢂࡾ◂✪ㄵᩝࡡ࠹ࡔ㸡᩺ࡊ࠷▩ㆉ࠿ྱࡱࡿ࡙࠽ࡽ㸡┫㆜ᏕࡡⓆᒈ࡞ᐞ୙ࡌࡾࡆ࡛࠿᭿ᙽ࡚
ࡀࡾࡵࡡ㸣ཋ์࡛ࡊ࡙㸡┘Ⓩ㸡᪁Ἢ㸡⤎ᯕ㸡⩻ᐳ㸡⤎ㄵࡡ㸪ṹࡡᙟᘟ࡚エ㏑ࡈࡿࡒࡵࡡ࡚࡝ࡄࡿࡣ࡝ࡼ
࡝࠷㸣ࠈࠈ࣬ࠈࡐࡡ௙ ㄵቨ㸡ᐁ㊮ሒ࿈㸡㈠ᩩ➴ࠈ┫㆜Ꮥ࡞㛭ࢂࡾㄵᩝ㸣 ㄵᩝࡡᥞฝ
ࠈㄵᩝࡢ㸡ᒷᡥ┫㆜Ꮥఌ࣭࣑࣭࣌࣋ࢩࡻࡽ࢛ࣤࣚ࢕ࣤᢖ✇ࡌࡾ㸣 ㄵᩝࡡ᤿ྫྷ
ࠈᢖ✇ㄵᩝࡡ᤿ྫྷࡡỬᏽࡢ㸡ᰕㄖࢅ⤊࡙⥽㞗ጟဤఌ࠿⾔࠹㸣ᰕㄖ⩽ࡢ⥽㞗ጟဤఌ࠿౪㢏ࡌࡾཋ์࡛ࡊ࡙ᰕㄖ⩽ࡢ㸧ྞ࡛ࡌࡾ㸣ᰕㄖ⩽㛣ࡡណずࡡ┞㐢࠿ᅹࡾሔྙࡢ⥽㞗ጟဤఌ࠿ืࡡ㸦ྞ࡞ᰕㄖࢅ౪㢏ࡌࡾࡆ࡛࠿࡚ࡀࡾ㸣ᰕㄖࡢ

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012

ื㏭ᏽࡴࡾᰕㄖᇱ‵࡝ࡼࡦ࡞ᰕㄖ࢝࢕ࢺࣚ࢕ࣤ࡞ᚉࡖ࡙⾔࠹㸣ࠈᢖ✇ㄵᩝࡡᐼᰕ㐛⛤࡞࠽࠷࡙㸡⥽㞗ጟဤఌ࠾ࡼࡡಞḿ➴ࡡこ᭻࡞ᑊࡊ㸨࠾᭮௧୕ⴥ⩽࠾ࡼࡡᅂ➽࠿࡝࠾ࡖࡒሔ
ྙ࡞ࡢ⮤ິⓏ࡞୘᤿⏕࡛ࡌࡾ㸣 ⥽㞗ࠈㄵᩝࡡ᥎㍍㡨ᗆࡐࡡ௙⥽㞗࡞㛭ࡌࡾࡆ࡛ࡢ㸡⥽㞗ጟဤఌ࠿⾔࠹ ᰧḿࠈิᰧࡢⴥ⩽ᰧḿ࡛ࡌࡾ㸣ⴥ⩽ᰧḿࡢཋ์࡛ࡊ࡙Ꮚྀࡡゖḿ࡞⏻ࡴࡾࡵࡡ࡛ࡌࡾ㸣්ᰧ௧ᚃࡢ⥽㞗ጟဤఌ࡞࡙⾔࠹㸣 ืใࡽ
ࠈ㒂༟న࡚ⴥ⩽ᰧḿ᫤࡞⏞ㄫࡌࡾ㸣ืใࡽ࡞࠾࠾ࡾ㈕⏕ࡢⴥ⩽ࡡㇿᢰ࡛ࡌࡾ㸣 ೒⌦Ⓩ㒼៎ࠈெཀྵࡦິ∸࠿ᑊ㇗࡛ࡈࡿࡾ◂✪ࡢ㸡೒⌦Ⓩ࡞㒼៎ࡈࡿ㸡ࡐࡡ᪠࠿ᮇᩝ୯࡞᪺エࡈࡿ࡙࠷ࡾࡆ࡛㸣රమⓏ࡞ࡢୖ
エࡡ೒⌦ᇱ‵ࢅ‫࡛ࡆࡾ࠷࡙ࡊࡒ‮‬㸣ࡱࡒ㸡ཋ์࡛ࡊ࡙◂✪೒⌦ᐼᰕጟဤఌࡡᐼᰕࢅ࠹ࡄ࡙࠷ࡾࡆ࡛㸣࣬ࠈெమࢅᑊ㇗࡛ࡊࡒ◂✪࡚ࡢ㸡ࠔࣉࣜࢨࣤ࢞ᐃゕࠕ࡞ᚉ࠹ࡆ࡛㸣࣬ࠈິ∸ࢅᑊ㇗࡛ࡊࡒ◂✪࡚ࡢ㸡ࠔᒷᡥ┬❟ኬᏕິ∸ᐁ㥺೒⌦ぜᏽࠕࡱࡒࡢྜྷ➴Ề‵ࡡ೒⌦ᇱ‵ࢅ‫࠷࡙ࡊࡒ‮‬ࡾࡆ࡛㸣࣬ࠈㄢᰕ◂✪࡞ࡗ࠷࡙ࡢ㸡ࠔ␷Ꮥ◂✪࡞㛭ࡌࡾ೒⌦ᣞ㔢ࠕࡱࡒࡢྜྷ➴Ề‵ࡡ೒⌦ᇱ‵ࢅ‫࡛ࡆࡾ࠷࡙ࡊࡒ‮‬㸣࣬ࠈࣃࢹࢣࢿ࣑࣬㐿ఎᏄゆᯊࢅᑊ㇗࡛ࡊࡒ◂✪ࡢ㸡ࠔࣃࢹࢣࢿ࣑࣬㐿ఎᏄゆᯊ◂✪࡞㛭ࡌࡾ೒⌦ᣞ㔢ࠕ࠽ࡻࡦࠔ㐿ఎᏄ἖⒢⮣ᗃ◂✪࡞㛭ࡌࡾᣞ㔢ࠕࡱࡒࡢ㸡ࡆࡿ࡛ྜྷ➴Ề‵ࡡ೒⌦ᇱ‵ࢅ‫࡛ࡆࡾ࠷࡙ࡊࡒ‮‬㸣 ᢖ✇ᡥ⤾ࡀ㸦㸞ㄵᩝࡡᢖ✇ࡢ㸡ᒷᡥ┫㆜Ꮥఌ࣭࣑࣭࣌࣋ࢩࡡᏕఌヽㄵᩝᢖ✇⏕࢓ࢺࣝࢪࡻࡽ⾔࠹㸣ᢖ✇ࡡ㝷ࡢ㸡ձ➱㢄ⴥ⩽ࡡẮྞ㸡ղఌဤ␊ྒ㸡ճᡜᒌ㸡մ㏻⤙඙పᡜ࠽ࡻࡦ㒉౼␊ྒ㸡յ㞹Ꮔ࣒࣭ࣜ࢓ࢺࣝࢪ㸡նㄵᩝࢰ࢕ࢹࣜ㸡շㄵᩝࡡ⛸㢦ࠈࢅ᪺エࡊ㸡ㄵᩝ࡛ᢖ✇ࢲ࢘ࢴࢠࣛࢪࢹࢅ῟௛ࡊ࡙㏞ಘࡌࡾ㸣㸧㸞⥽㞗ጟဤఌ࠿㸡ᢖ✇ㄵᩝ࠿ᢖ✇ぜ์࡞ᚉࡖ࡙࠷ࡾࡆ࡛ࢅ☔ヾࡊࡒ᫤Ⅴ࡚ᢖ✇ᡥ⤾ࡀ࠿⤂஡ࡊ㸡ࡆࡡ᪝ࢅࡵ
ࡖུ࡙௛᪝࡛ࡌࡾ㸣ࡱࡒ㸡ᰕㄖࢅ⤊࡙㸡⥽㞗ጟဤఌ࠿㞟ヽ᥎㍍ࢅスྊࡊࡒ᪝ࢅࡵࡖུ࡙⌦᪝࡛ࡌࡾ㸣㸨㸞᤿⏕ࡈࡿࡒㄵᩝࡡ᥎㍍࡞◂✪೒⌦ᐼᰕ᭡㸡භྜྷ◂✪⩽ྜྷណ᭡➴࠿ᚪこ࡛ࡈࡿࡒሔྙ࡞ࡢ㸡ㄵᩝུ⌦㏳▩ᚃ㐄㛣௧හ࡞⥽㞗ጟဤఌ᏾࡙࡞ࡐࡿࡼࡡ᭡㢦ࢅᥞฝࡌࡾࡆ࡛㸣㸩㸞ⴥ⩽ࡢུ⌦᪝௧㜾࡚࠵ࡿࡣ㸡ㄵᩝ᥎㍍チ᪺ࢅㄫịࡌࡾࡆ࡛࠿ฝᮮࡾ㸣 ᥎㍍ᩩࠈ᥎㍍ᩩࡢ↋ᩩ࡛ࡌࡾ㸣ࡒࡓࡊ㸡࣭࢜ࣚ෕┷᥎㍍࡞㛭ࡌࡾ㈕⏕ࡢᐁ㈕ㇿᢰ࡛ࡌࡾ㸣㸨㸣ᇮ➱こ㡷 ㄵᩝࡡエ㏑㸦㸞ㄵᩝཋ✇ࡢ㸡࿰ᩝࡱࡒࡢḚᩝ ཋ์࡛ࡊ࡙ⱝᩝ ࡛ࡊ㸡$ࢦ࢕ࢫࡡ㡣シᏽࢅ⏕࠷㸡0LFURVRIW:RUG᭡㢦࡛ࡌࡾ㸣㸧㸞ㄵᩝࡡฦ㔖ࡢ㸡⾪㢗㸡こ᪠㸡ᮇᩝ㸡ᘤ⏕ᩝ⊡㸡ᅒ⾪$EVWUDFW➴ධ࡙ࢅྱࡴ㸡⤄ࡲ୕࠿ࡽ㡣ᩐ࡚௧ୖࡡぜᏽ௧හ࡛ࡌࡾ㸣྘࣭࣋ࢩࡡ⾔ᩐࡷᩝᏊᩐᩝᏊࢦ࢕ࢫࡢ㸭㸞ᩝ᭡ࣆ࢚࣭࣏ࢴࢹ࡞ࡻࡾ㸣ࠈࠈ࣬ࠈ⥪ࠈࠈㄕ㡣ࠈࠈ࣬ࠈཋࠈࠈⴥ㡣ࠈࠈ࣬ࠈ஥ౚሒ࿈㸭㡣ࠈࠈ࣬ࠈ◂✪ሒ࿈㡣ࠈࠈ࣬ࠈ▯ࠈࠈሒ㸩㡣ࠈࠈ࣬ࠈࡐࡡ௙ࠈහᐖ࡞ࡻࡽ⥽㞗ጟဤఌ࠿Ửᏽࡌࡾ㸣㸨㸞࿰ᩝཋ✇ࡢ㸡ཋ์࡛ࡊ࡙⌟௥࠾࡝ࡘ࠾࠷㸡-,6➠㸧Ề‵ࡱ࡚ࡡ₆Ꮚࢅ⏕࠷ࡾ㸣አᅗࡡெྞ㸡ᆀྞ㸡⾙ㄊࡢཋㄊࡡࡱࡱ⾪エࡌࡾ㸣Ꮥ⾙Ⓩ࡞ᩫᏊమ࡚⾪エࡈࡿ࡙࠷ࡾ⾙ㄊࡢᩫᏊమ࡚⾪エࡌࡾ㸣༟న࠽ࡻࡦ༟నエྒࡢ㸡

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012ཋ์࡛ࡊ࡙6,༟న⣌࡞ᚉ࠹ࡵࡡ࡛ࡌࡾ㸣࿰ᩝཋ✇ࡡྀㄖⅤࡢࣅ࢛ࣛࢺཀྵࡦ࣏࡛࢜ࣤࡌࡾ㸣㸩㸞ㄵᩝࡢ㸡⾪㢗㸡ⴥ⩽ྞ㸡ᡜᒌ㸡こ᪠࣭࣭࢞࣠ࢺ㸡ᮇᩝ㸡ᘤ⏕ᩝ⊡㸡⾪㢗 ⱝᩝ 㸡ⴥ⩽ྞ ⱝᩝ 㸡ᡜᒌ ⱝᩝ 㸡$EVWUDFW ⱝᩝこ᪠ 㸡.H\ZRUGVࡡ㡨࡞షᠺࡌࡾ㸣ᮇᩝ࠿Ḛᩝ࡚࠵ࡾሔྙ࡞ࡢ㸡⾪㢗௧ୖࡡⱝᩝ㒂ฦ࠾ࡼጙࡴ㸡࿰ᩝࡡ⾪㢗㸡ⴥ⩽ྞ㸡ᡜᒌ㸡こ᪠ࢅ㡨࡞᭩ᚃ࡞エ㍍ࡌࡾ㸣㸪㸞ㄵᩝ࡞ࡢᏊ⛤ᗐࡡ࿰ᩝこ᪠ࢅࡗࡄ㸡ཋⴥ࡞ࡗ࠷࡙ࡢㄊ⛤ᗐࡡ$EVWUDFW ⱝᩝ ࡵࡗࡄࡾ㸣ཋⴥ௧አࡡ
ㄵᩝ࡞$EVWUDFWࢅࡗࡄ࡙ࡵࡻ࠷㸣㸫㸞Ḛᩝ ⱝᩝ$EVWUDFWࢅྱࡳ ࡢཋ์࡛ࡊ࡙1DWLYH&KHFNࢅུࡄࡒࡵࡡ࡛ࡌࡾ㸣㸬㸞㸪ㄊ௧හࡡ࣭࣭࢞࣠ࢺ ࿰ᩝ࠽ࡻࡦⱝᩝࡐࡿࡑࡿ ࢅࡗࡄࡾ
㸭㸞ᩝ᭡ࣆ࢚࣭࣏ࢴࢹࡢୖエࡡࡵࡡ࡛ࡌࡾ㸣࣭࣑࣭࣌࣋ࢩࡡᢖ✇ㄵᩝࢷࣤࣈ࣭ࣝࢹࢅ౐⏕ࡌࡾࡆ࡛ࡵ࡚ࡀࡾ㸣࣬ࠈᮇᩝ࠽ࡻࡦᘤ⏕ᩝ⊡ࡢ㸧ṹ⤄㸡ᩝᏊ⾔ᩝᏊࡢ࣎࢕ࣤࢹ㸡ࡐࡡ௙ࡢ㸦ṹ⤄࡛ࡌࡾ㸣࣬ࠈᩝ᭡ఴⓉࡢ୕ୖPPᕞྎPP࡛ࡌࡾ㸣࡝࠽ఴⓉ㒂ฦࡢ⥽㞗ጟဤఌ࠿㡣ᩐ㸡᭡ヽ஥㡧㸡ུ௛᪝㸡ུ⌦᪝ࡡ⾪♟ࡡࡒࡴ࡞ฺ⏕ࡌࡾ㸣࣬ࠈ⾪㢗ࡢ࣎࢕ࣤࢹ࡛ࡌࡾ㸣࣬ࠈᮇᩝ࿰ᩝ᭡మࡢ06᪺᭽㸡ずฝࡊࡢ06ࢥࢨࢴࢠ ࣎࢕ࣤࢹ ࢅ⏕࠷ࡾ㸣ᮇᩝḚᩝ᭡మࡢ7LPHV 1HZ 5RPDQࢅ⏕࠷ࡾ㸣࣬ࠈ୕௛ࡀ㸡ୖ௛ࡀᩝᏊࡢ06᪺᭽ࢅ⏕࠷㸡0LFURVRIW:RUGࡡᶭ⬗ࢅ⏕࠷࡙షᠺࡌࡾ㸣࣬ࠈこ᪠ཀྵࡦ$EVWUDFWࡢ㸡ᕞྎPP࢕ࣤࢸࣤࢹࡌࡾ㸣㸮㸞ࠈ୷௛ࡀᩐᏊ㸡࣭࣏ࣞᩐᏊ➴ࡡᶭ⛸౪ᏋᩝᏊࡢ౐⏕ࡊ࡝࠷㸣 ᅒ⾪ࡡ᥎㍍
㸦㸞ᅒ⾪ࡢ㸡㸦ṹ FPᖕ ࠵ࡾ࠷ࡢ㸧ṹ FPᖕ ࡡࢦ࢕ࢫ࡚ᮇᩝ୯࡞᥎㍍ࡌࡾ㸣㸧㸞ᅒ⾪୯ࡡ⾪㢗㸡ㄕ᪺ᩝ➴ࡡᩝᏊࡢ06ࢥࢨࢴࢠ㸭࣎࢕ࣤࢹ⛤ᗐ࡛ࡌࡾ㸣㸨㸞ᅒࡢཋ์࡛ࡊ࡙MSJ㸡JLI࠵ࡾ࠷ࡢSQJࣆ࢚࣭࣏ࢴࢹ࡞ࡻࡽషᠺࡌࡾ㸣෕┷ࡵྜྷᵕ࡛ࡌࡾ㸣0LFURVRIW ([FHOࡱࡒࡢ3RZHU3RLQW࠾ࡼ├᥃㈖ࡽ௛ࡄࡾࡆ࡛ࡵヾࡴࡾ㸣㸩㸞ᅒ࡞ࡢㄵᩝහ࡚ࡐࡿࡑࡿ㏳ࡊ␊ྒࢅ௛ࡊ㸡⾪㢗࡛࡛ࡵ࡞㸡ࠔᅒ㸦㸣⾪㢗ࠕ࡛ᅒࡡ├ୖ࡞୯ኳᥖ࠻࡞࡙エ㍍ࡌࡾ㸣㸪㸞⾪࡞ࡢㄵᩝහ࡚ࡐࡿࡑࡿ㏳ࡊ␊ྒࢅ௛ࡊ㸡⾪㢗࡛࡛ࡵ࡞㸡ࠔ⾪㸦㸣⾪㢗ࠕ࡛⾪ࡡ├୕࡞ᕞᐞࡎ࡞࡙エ㍍ࡌࡾ㸣 ᩝ⊡ࡡエ㍍
ࠈᘤ⏕ᩝ⊡ࡡエ㏑ᙟᘟࡢࠔ⏍∸༈Ꮥ㞟ヽ࡞㛭ࡌࡾ⤣ୌぜᏽ8QLIRUP5HTXLUHPHQWVIRU0DQXVFULSWV6XEPLWWHGWR%LRPHGLFDO-RXUQDOVࠕ ͂9DQFRXYHU̓VW\OH ࡞‵ࡍࡾ㸣㸦㸞ᩝ⊡ࢅᘤ⏕ࡌࡾሔྙࡢ㸡ᮇᩝࡡᘤ⏕⟘ᡜࡡ⫢࡞୕௛ࡀᩝᏊ࡚  ࡡࡻ࠹࡞⾪ࡊ㸡᭩ᚃ࡞ୌᣋࡊ࡙ᘤ⏕㡨࡞᥎ࡅࡾ㸧㸞エ㍍ࡡᵕᘟࡢୖエࡡࡻ࠹࡞ࡌࡾ
࣬ࠈ㞟ヽࡡሔྙ͐͐ⴥ⩽ྞࠈ⾪㢗ྞࠈ㞟ヽྞᖳḗᕬ ྒ 㡣㸣ࠈ࡝࠽㸡㡣ࡢᩐᏊࡡࡲ㸣㞟ヽྞࡢ࿰㞟ヽࡢ༈Ꮥ୯ኳ㞟ヽ㸡Ὂ㞟ヽࡢ0('/,1(࡞ᚉ࠷┤␆ᙟࢅ⏕࠷ࡾ㸡ࡐࡿ
ࡼ࡞᥎㍍ࡈࡿ࡙࠷࡝࠷ࡵࡡࡢḿᘟྞ⛘ࢅ⏕࠷ࡾ㸣࣬ࠈ༟⾔ᮇࡡሔྙ͐͐ⴥ⩽ྞ᭡ྞ∟ࠈⓆ⾔ᆀ㸯Ⓠ⾔ᡜᖳḗࡱࡒࡢ㸡ⴥ⩽ྞࠈ᭡ྞࠈ∟ࠈ⥽㞗⩽
ྞⓆ⾔ᆀࠈⓆ⾔ᡜࠈᖳḗࠈ㡣ࠈ࡝࠽㸡㡣ࡢᩐᏊࡡࡲ㸣࣬ࠈズᮇࡡሔྙ͐͐ⴥ⩽ྞࠈ᭡ྞࠈ∟ࠈ⩳ズ⩽ྞࠈⓆ⾔ᆀࠈⓆ⾔ᡜࠈᖳḗࠈ㡣࣬ࠈ᩺⪲エ஥ࡡሔྙ͐͐ⴥ⩽ྞࠈエ஥ࢰ࢕ࢹࣜ ࢤ࣭ࢻ࣭ྞ  ᩺⪲ྞ ᆀᇡ∟ࡡሔྙ࡞ࡢࡐࡡྞ⛘∟᭽ኟษࡡื ࠈ᥎㍍ᖳ᭮᪝㸰ḅన⨠㸝ṹ㸞㸣࡝࠽㸡ⴥ⩽ྞࡡ࡝࠷ሔྙࡢ┤␆ࡊ࡙Ⰳ࠷㸣࣬ࠈ࣭࣑࣭࣌࣋ࢩࡡሔྙ͐͐ⴥ⩽ྞࠈࢰ࢕ࢹࣜࠈࢦࣇࢰ࢕ࢹࣜ>࢕ࣤࢰ࣭ࢾࢴࢹ@ࠈⓆ⾔ඔࠈⓆ⾔⩽ࠈⓆ
⾔ᖳ᭮᪝>᭞᩺ᖳ᭮᪝@ࠈ85/ࠈ ཋ์࡛ࡊ࡙㸡පⓏᶭ㛭➴ࡡࢦ࢕ࢹ࡞࠽࠷࡙᝗ሒ࠿⤽⤾ࡊ࡙ྜྷࡋ85/୕࡞࠵ࡾࡆ࡛࠿☔ᐁ࡚࠵ࡾࡻ࠹࡝ሔྙࡡࡲᘤ⏕ࡌࡾࡆ࡛࠿ฝᮮࡾ㸣ࠈ㸨㸞ⴥ⩽ྞࡡエ㍍࡞ࡗ࠷࡙ࡢୖエࡡౚ࡞ᚉ࠹

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岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012࣬ࠈ࿰ᩝࡡሔྙ͐͐㸪ྞ௧ୖࡡ࡛ࡀࡢධဤࡡጞྞ㸡㸫ྞ௧୕ࡡ࡛ࡀࡢ㸡➱㢄࠾ࡼ㸪ྞࡡጞྞࡡᚃ࡞ࠔ㸡௙ࠕࢅࡗࡄࡾ࣬ࠈḚᩝࡡሔྙ͐͐㸪ྞ௧ୖࡡ࡛ࡀࡢጞ㸡ྞࡡ࢕ࢼࢨࣔࣜ㸡㸫ྞ௧୕ࡡ᫤ࡢ㸪ྞࡱ࡚ࡡጞ㸡ྞࡡ࢕ࢼࢨࣔࣜ
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岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012

Journal of Iwate Society of Nursing Science Submission Guidelines
㸦㸣General Guidelines
㸝1㸞The Journal of Iwate Society of Nursing Science is published by the Society two times a year for the purpose of sharing
research results in nursing.
㸝2㸞The editorial committee is established by the Society to carry out publishing responsibilities.
㸝3㸞The journal is published online and on paper.
㸧㸣Submission Rules
㸝1㸞Qualifications for Submission
1㸞The first author listed must be a member of the Society.
2㸞Authors requested by the Society are exempt from the preceding qualification.
3㸞Authors residing outside Japan are not required to be members of the Society.
4㸞Other authors may be qualified by the editorial committee.
㸝2㸞Article Categories
Articles published in the Journal must be review articles, original articles, case reports, research reports, brief reports andothers, which are unpublished. In the review process, the editorial committee may suggest a change in categories.
࣬ࠈReview Article
A comprehensive evaluation and discussion based on a critical review of literature concerning a specific theme innursing.
࣬ࠈOriginal Article
A research article in nursing with originality, including new knowledge and systematically describing research results.
It should contain clear significance for knowledge in nursing science. It must be presented systematically consistingof purpose, method, results, discussion and conclusion.
࣬ࠈCase Report
A report of a valuable clinical example of nursing. It will provide beneficial information for nursing practice andnursing science.
࣬ࠈResearch Report
A research article in nursing with a significant research conclusion, which will be recognized as contributing to thedevelopment of nursing science. The article must consist of purpose, method, results, discussion and conclusion.
࣬ࠈBrief Report
A short research article in nursing containing new knowledge, expected to contribute to the development of nursing
science. The article must consist of purpose, method, results, discussion and conclusion.
࣬ࠈOther articles㸝Issue, Practice Report, Material, etc.㸞
Articles in nursing science.
㸝3㸞Article Submission
Articles should be submitted online.
㸝4㸞Review Process
The decision on submitted articles concerning acceptance for publication is carried out by the editorial committee, basedon the evaluation of two anonymous reviewers at the request of the committee. If there are differences of opinion between
the reviewers, an additional reviewer will be requested. The review is conducted in accordance with the reviewing standards
and guidelines.
If the author does not respond to the editorial committee’s comments on modifications for more than three months, thearticle will automatically be rejected.

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岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012

㸝5㸞Editing
The publication sequence of articles and other editorial issues are performed by the editorial committee.
㸝6㸞Proofs
The first proofreading will be conducted by the author. Corrections by the author will be limited to the correction of words
and phrases. Further proofreading will be performed by the editorial committee.
㸝7㸞Reprints
The author may ask for reprints in blocks of 10 copies during the proofreading process. The cost will be the responsibilityof the author.
㸝8㸞Ethical Considerations
Research on human subjects or animals must include a statement of ethical consideration. The ethical standards written
below must be fulfilled. The research protocol must be approved by the Ethical Committee of the institution.
࣬ࠈResearch on the human body must follow the “Helsinki Declaration”.
࣬ࠈResearch on animals must meet the ethical standards of the “Iwate Prefectural University Ethical Provisions for Animal
Experiments” or other similar standards.
࣬ࠈInvestigative research studies must meet the ethical standards of the “Ethical Guidelines on Epidemiologic Study” orsimilar standards.
࣬ࠈResearch on the human genome and genetic analysis must meet the ethical standards of the “Ethical Guidelines for
Human Genome and Genetic Analysis” and “Guidelines for Clinical Research on Gene Therapy” or similar
standards.
㸝9㸞Submission Procedures
1㸞Articles should be submitted through the Iwate Society of Nursing Science web site by attaching the file of article. The
submitter also should write ձName of the first author, ղMembership number, ճAffiliation, մPostal address including
postal code, յE-mail address, նTitle of the article, շCategory of the article. Submission checklist should be
attached.
2㸞Once the editorial committee has confirmed that the submitted article conforms to the submission rules, the submission
procedures are completed and this date is considered the date of receipt. The date when the editorial committee accepts
the article for publication, based on the reviewers’ evaluation, is considered the date of acceptance.
3㸞The author of an article accepted for publication for which a joint research agreement and ethical screening report arenecessary must supply those documents to the editorial committee within two weeks of notification of acceptance of thearticle.
4㸞The author may request a proof of publication for the article after the date of acceptance.
㸝10㸞Publication Costs
ࠈThe costs for publication are free. However, publication costs of color photographs are the responsibility of the author.
㸨㸣Writing Guidelines
㸝1㸞Description of the Article
1㸞The submitted article is to be in Japanese or English, using A4 page settings and written in MS Word.
2㸞The length of the article must be no longer than the page limits described below. The page count is inclusive of all partsof the article: title, abstract, main text, references, tables, and figures.
࣬ࠈReview Article: 12 pages
࣬ࠈOriginal Article: 12 pages
࣬ࠈCase Report: 8 pages
࣬ࠈResearch Report: 12 pages
࣬ࠈBrief Report: 4 pages

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012

࣬ࠈOther articles: The editorial committee will decide on the length of the article according to content.
3㸞Measurements and measurement symbols should conform to System International㸝SI㸞units.
4㸞The article should be presented in the following order: title, name of the author, affiliation, abstract, keywords, text,
references.
5㸞An abstract of 250 words should be attached to articles .
6㸞Five or fewer keywords should be included in all articles.
7㸞The format of the article should be as follows:
࣬ࠈThe text and references should be two-columned, 44 lines in 10 point font and everything else should be in one
column.
࣬ࠈThe top and bottom margins should be set at 25mm and the left and right margins should be set at 20mm. Margins
will be used by the editorial committee to display page numbers, the name, volume and number of the journal and thedates of receipt and acceptance.
࣬ࠈThe title should be in 16 point font.
࣬ࠈThe typeset for English text should be Times New Roman.
࣬ࠈThe abstract should be indented by 15mm.
8㸞Numbers enclosed in circles, roman numerals and similar machine-dependent characters should not be used.
9㸞If the author is Japanese, the Japanese title of the article, the name of the author in Japanese, the name of the affiliationin Japanese and an abstract in Japanese should be attached.
㸝2㸞Insertion of Diagrams
1㸞Figures and tables should be sized at 1 column㸝width 7.5cm㸞or 2 columns㸝width 16.5cm㸞and be inserted into thetext.
2㸞The letters of the title and the explanation of figures and tables should be in 8 point font.
3㸞Figures should be created using jpg, gif or png formats. This also applies to photographs. Direct copying and pastingfrom Microsoft Excel or PowerPoint is also acceptable.
4㸞Sequential numbers should be added to each figure in the article and e.g. “Fig 1.” and the title of the figure should becentered directly below each figure.
5㸞Sequential numbers should be added to each table in the article and e.g. “Table 1.” and the title of the table should be
written directly above the table to the left.
㸝3㸞Description of References
ࠈDescriptions of references should be based on the “Uniform Requirements for Manuscripts Submitted to Biomedical Journals”
㸝i.e. ‘Vancouver style’㸞.
1㸞When references are cited, superscript expressed as 1㸞, 2㸞etc. should be added in the citation area and the citations
should be listed in order at the end of the article.
2㸞The description style should be as follows:࣬ࠈArticles in journals: The name of the author. the title of the article. the title of the journal year; volume㸝number㸞:pages.
Pages should be in numbers.
࣬ࠈBooks: The name of the author. the title of the book. version. the name of the editor. place of publication: publisher;year. pages.
࣬ࠈNewspaper articles: The name of the author. the title of the article. the title of the newspaper㸝edition㸞. date: section:
location㸝column number㸞. If the name of the author was not stated, it may be omitted.
࣬ࠈWeb sites: The name of the author. the title: the subtitle. place of publication: publisher; date of publication [updated
date; cited date]. URL.
3㸞Names of authors in references should be as follows:

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012

If there are 5 or fewer authors, the last names and initials of the authors should be written. If there are 6 or more authors,
the last names and initials of the first five authors and “et al.” should be written.
4㸞Typeset for references is the same as for the main text.
㸩㸣Copyrights
㸝1㸞The copyrights of all articles and content of the journal㸝including the online version on the web site㸞are reserved by thesociety.
㸝2㸞Before using diagrams and highly original items published in the journal, users must apply for permission from the editorialcommittee of the journal.㸝E-mail applications will not be accepted.㸞
㸝3㸞An application for permission should include:
㸦㸣The volume, number, pages, year, title of the article, the name of the first author listed and the page number or numberof the diagram for which permission is sought.
㸧㸣The purpose of use.
㸨㸣The full name, address, telephone and fax number, e-mail address and signature of the applicant.
㸝4㸞Diagrams and other items for which permission for use is granted must be stated as a citation from the original article infootnotes or references.
September 19, 2012

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012ᒷᡥ┫㆜Ꮥఌࠈ㛭ᚨ㡷ᇡืྞ⡑ࠈᮇᏕఌࡢ㸡୹࡞Ꮥ⾙㞗ఌ㛜ത࡛ᏕఌヽⓆษࡡ஥ᴏࢅᒈ㛜ࡊ㸡┫㆜ᏕࡡⓆᒈ࡛ఌဤ┞பࡡᏕ⾙Ⓩ◂㛉ࢅᅒࡖ࡙ࡱ
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岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㸣᩺⏍ඡ㞗୯ࢢ࢓ࠈࠈྚᓧࠈ⣟Ꮔ㸣Ꮥᰧ┫㆜ࠈࠈࠈ㐪⸠ࠈᕧᏄࠈࠈࠈᑚᒜࠈࡹ࠾ࡽࠈࠈᰐ⏛ࠈ࿔ᏄࠈࠈࠈᖲࠈࠈᰜᏄࠈࠈࠈ⏛୯ࠈ༐ᑖࠈࠈࠈ⏛ᮟࠈ⨶✉Ꮔࠈࠈཋࠈࠈ⍖ᜠ㸣ះᛮ┫㆜ࠈࠈ㰳⸠ࠈ㈏Ꮔࠈࠈࠈ୔὾ࠈᖶᯖ
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㸣㧏㱃⩽┫㆜ࠈࠈࠈ୕ዥ㮭ࠈ⦍ࠈࠈࠈᮄහࠈ༐ᬏࠈࠈࠈᑚᔪࠈ⨶ἃᏄࠈࠈఫࠍᮄࠈᩏࠈࠈࠈఫࠍᮄࠈᩝᏄࠈࠈⳚ㔕ࠈᬓ⨶ࠈࠈ⸠ᕖࠈྦỜࠈࠈࠈᐄᒱࠈ㝟Ꮔࠈࠈࠈῳ㎮ࠈᖶᯖ㸣⢥♼┫㆜ࠈࠈࠈ⛼ⴝࠈᩝ㤮ࠈࠈࠈᑚ➗ཋᬓᜠᏄࠈࠈఫ⸠ࠈྍᩅࠈࠈࠈ⏛㎮ࠈ᭯⌦Ꮔࠈࠈ⸠ᕖࠈྦỜࠈࠈ⸠⃕ࠈࡂࡲᏄࠈࠈᮿ὾ࠈ┷㔓Ꮔ㸣ᆀᇡ┫㆜ࠈࠈᒷῪࠈᯖ㔓㤮ࠈࠈᒷῪࠈකᏄࠈࠈࠈఫࠍᮄࠈᩏࠈࠈࠈఫࠍᮄࠈᩝᏄࠈࠈ㕝ᮄࠈႌ⨶ᏄࠈࠈᖲࠈࠈᰜᏄ
ࠈࠈᮿᕖࠈ஁⨶Ꮔ

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㸣ᅹᏩ┫㆜ࠈࠈ୕ዥ㮭ࠈ⦍ࠈࠈࠈࠈᕝ⸠ࠈ᭰Ꮔࠈࠈࠈᑚᔪࠈ⨶ἃᏄࠈࠈ⃕හࠈ࢕ࢵࠈࠈࠈཋࠈࠈ⍖ᜠࠈࠈࠈ୔୕ࠈ༐౅Ꮔ
㸣ᐓ᪐┫㆜ࠈࠈࠈ▴ᕖࠈḿᏄࠈࠈࠈఫࠍᮄࠈᖶᰜࠈࠈཋࠈࠈ⍖ᜠࠈࠈࠈᮿ὾ࠈ┷㔓Ꮔࠈࠈ୔὾ࠈࡱࡹࡲࠈࠈᶋ⏛ࠈࠈ☈㸣ⅇᐐ┫㆜ࠈࠈ⃕හࠈ࢕ࢵࠈࠈࠈ㕝ᮄࠈႌ⨶Ꮔࠈࠈᖲ㔕ࠈ᫓ᙢࠈࠈࠈ୔὾ࠈࡱࡹࡲ

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岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012㸣┫㆜᝗ሒࠈ
㸣࠿ࢆ┫㆜ࠈࠈ௿⸠ࠈዄኳࠈࠈࠈ㛓⬝ࠈ㇇Ꮔࠈࠈࠈᕝ⸠ࠈ᭰Ꮔࠈࠈࠈ↻ㆺࠈ┷⃀ࠈࠈࠈⳚ㔕ࠈᬓ⨶ࠈࠈࠈṂ⏛ࠈฺ᪺ࠈࠈ᫸⃕ࠈᙹᏄ

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ࠈ
㸣⥾࿰ࢢ࢓
ࠈࠈⳝờࠈ࿰Ꮔࠈࠈࠈ➪㔕ࠈ౅ዄࠈࠈࠈ⳥ⵞ⃕ࠈᖶᏄ㸣࢜ࢗࣤࢬࣛࣤࢡࠈ
ࠈࠈ㐪⸠ࠈᕧᏄࠈࠈࠈᶋ⏛ࠈࠈ☈ࠈࠈࠈῳ㎮ࠈᖶᯖࠈ㸣ࡐࡡ௙
ࠈࠈኬ஁ಕࠈᬰᏄࠈࠈࠈࠈࠈࠈࠈណㆉ㝸ᐐ㸡⬳♼⤊አ⛁┫㆜ࠈࠈఫ⸠ࠈ⛼Ꮔࠈࠈࠈࠈࠈࠈࠈࠈ⫃ሔࡡ࣒ࣤࢰࣜࣉࣜࢪࢢ࢓
ࠈࠈ࢓ࣤ࢝࣌ࢴࣆ࢒ࠈྒྷᑋᏄࠈࠈ୘ዲ┫㆜ࠈࠈ㤃ᒜࠈ⣟ࠈࠈ⚗ᓞࠈ⿩Ꮔࠈࠈࠈࠈࠈࠈࠈࠈࣛࣈࣞࢱࢠࢷ࢔ࣇࣉࣜࢪ
㸟ྞ⡑షᠺ࡞ࡇ㈮ྜྷ㡤ࡀ㸡ࠔ┫㆜⌦ㄵ࣬┫㆜Ṍྍࠕࠔⅇᐐ┫㆜ࠕࡡ㛭ᚨ㡷ᇡ࡞༰ࢅࡗࡄ࡙࠷ࡒࡓ࠷ࡒఌဤ࡚ࠉ
ࠈ࠽ྞ๑࡛ఌဤ␊ྒࡡエ㍍࠿࡝࠷ࡒࡴ㸡ྞ⡑࡞エ㍍࡚ࡀ࡝࠷᪁࠿ྞ࠷ࡼࡖࡊࡶ࠷ࡱࡌ㸣࠽ᚨᙔࡒࡽࡡ᪁ࡢᏕఌ஥
ࠈຸᑻࡱ࡚ࡇ㏻⤙ࡂࡓࡈ࠷㸣㸟ྞ⡑࡫ࡡ᥎㍍ࢅࡇᕵ᭻ࡌࡾ᪁ࡢ஥ຸᑻࡱ࡚ࡇ㏻⤙ࡂࡓࡈ࠷ࠊ
ᖲᠺᖳ᭮

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岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012ᒷᡥ┫㆜Ꮥఌヽࠈㄵᩝᢖ✇ࡡࡇ᱄හࠈᒷᡥ┫㆜Ꮥఌ࡚ࡢ㸡ᒷᡥ┫㆜Ꮥఌヽࢅᖳ㸧ᅂⓆ⾔ࡊ࡙࠽ࡽࡱࡌ㸣෇Ꮔమ࡛ࡊ࡙ࡡⓆษࡡ࡮࠾࡞㸡࢕ࣤࢰ࣭ࢾࢴ
ࢹ࡞ᑊᚺࡊࡒ㞹Ꮔమ࡚ࡵⓆษࡊ࡙࠽ࡽࡱࡌ㸣ࡱࡒ㸡ࠔ༈Ꮥ୯ኳ㞟ヽࠕ࡞᥎㍍ࡈࡿ࡙࠽ࡽࡱࡌ㸣ࠈㄵᩝ࡞ࡢ㸡
ࠔ⥪ㄕࠕࠔཋⴥࠕࠔ஥ౚሒ࿈ࠕ
ࠔ◂✪ሒ࿈ࠕ
ࠔ▯ሒࠕࠔࡐࡡ௙ࠕ࡛⛸㢦࠿࠵ࡽࡱࡌ㸣㝌හ࡚࡛ࡽࡂࡱࡿ࡙࠷ࡾ┫㆜◂✪ࡷ᪝ࠍࡡ࠾࠾ࢂࡽࢅࡱ࡛ࡴࡒ஥ౚ◂✪㸡ᬉṹ࠾ࡼཱིࡽ⤄ࢆ࡚࠷ࡾᴏຸࡡᨭၻ࡝࡜ࢅ㸡ㄵᩝ࡛ࡊ࡙ࡱ࡛ࡴ
࡙ࡲ࡙ࡢ࠷࠾࠿࡚ࡊࡺ࠹࠾㸣ࠈᒷᡥ┫㆜Ꮥఌヽࡢ㸡ࡲ࡝ࡈࡱ࠾ࡼࡡᢖ✇࡚ᠺࡽ❟ࡖ࡙࠽ࡽࡱࡌ㸣ᒷᡥ┫㆜Ꮥఌ࡚ࡢ㸡ࡲ࡝ࡈࡱࡡㄵᩝᢖ✇ࡡᨥᥴࢅ㸡ㄵᩝᢖ✇ᨥᥴ✾ཾ࡛⥽㞗ጟဤఌ࠿⾔ࡖ࡙࠽ࡽࡱࡌ㸣ࠈࡲ࡝ࡈࡱ࠾ࡼࡡㄵᩝࡡᢖ✇ࢅ࠽ᙽࡔࡊ࡙࠷ࡱࡌ㸣ࠈࠈࠈᨥᥴ✾ཾ㸡ᨥᥴහᐖ㸡ၡ࠷ྙࢂࡎ඙
●ㄵᩝᢖ✇ᨥᥴ✾ཾࠈࠈࠈࠈࠈࠈㄵᩝࡡᇮ➱࡞㛭ࡌࡾ┞ㄧࢅ࠽ུࡄࡊࡱࡌ㸣ࠈࠈࠈࠈࠈࠈᢰᙔ⩽㸯Ṃ⏛ฺ᪺㸡ⳝờ࿰Ꮔࠈࠈࠈࠈࠈࠈ㏻⤙඙㸯VKLHQ#LVQVMSࠈ
●

⥽㞗ጟဤఌ

ࠈࠈࠈࠈࠈࠈᢖ✇࠾ࡼᰧḿࡱ࡚ࢅ࠽ᡥఎ࠷ࡊࡱࡌ㸣ࠈࠈࠈࠈࠈࠈᢰࠈᙔ㸯ᒷᡥ┫㆜Ꮥఌ⥽㞗ጟဤఌࠈࠈࠈࠈࠈࠈ㏻⤙඙UHJLVW#LVQVMS ㄵᩝᢖ✇ࡡ࣒࣭ࣜ࢓ࢺࣝࢪ࡛ྜྷࡋ
ㄵᩝᢖ✇ࡡὮࡿ࡛ᮇᏕఌࡡᢖ✇ᨥᥴ

・ㄵᩝࡡᮇᩝࡷᅒ⾪ࢅᇮ➱ᇮ➱࣬షᠺࡌࡾ

・ᢖ✇ぜ⛤㸡ᇮ➱こ㡧࡞ᢖ✇ᚉࡖ࡙ᢖ✇ࡌࡾ

・ᰕ⤾⩽࠾ࡼࡡࢤ࣒ࣤࢹࢅ
ᰕ⤾ུࡄ࡙ㄵᩝࢅಞḿࡌࡾུ⌦・ㄵᩝ࠿Ꮥఌヽ࡞᥎㍍㸖

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ㄵᩝᢖ✇
ᨥᥴ✾ཾ
⥽㞗ጟဤఌ

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012ᒷᡥ┫㆜Ꮥఌヽㄵᩝᢖ✇ಀ㐅ㅦᗑϪ◂✪ࡷᐁ㊮ࢅㄵᩝ࡞㸖ࠈᒷᡥ┫㆜Ꮥఌ࡚ࡢ㸡ㄵᩝᢖ✇ᨥᥴ✾ཾࢅシࡄ࡙࠷ࡱࡌ㸣ࠈ┫㆜◂✪࡛ࡊཱི࡙ࡽ⤄ࢆࡓࡆ࡛ࡷ㸡ᗀࡂ┫㆜⫃⩽ࡡ᪁ࠍ࡞▩ࡖ࡙࠷ࡒࡓࡀࡒ࠷┫㆜ᐁ㊮ࢅ㸡ࡏࡥㄵᩝ࡞ࡊ࡙ࡲ
ࡱࡊࡺ࠹㸣ࠈㄵᩝ࡛ࡊ࡙ࡱ࡛ࡴࡾࡆ࡛࡚㸡௙ࡡ┫㆜⫃⩽ࡡ᪁ࠍ࡫ࡡ┫㆜ࡡࣃࣤࢹ࡛࡝ࡽ┫㆜ࡡᑊ㇗࡛࡝ࡾ᪁ࠍ࡫ࡡᨥᥴ࡛࡝
ࡽࡱࡌ㸣ࡱࡒ㸡⮤ฦࡡᐁ᪃ࡊࡒࡆ࡛ࡷ⩻࠻ࢅゕㄊ໩ࡌࡾࡆ࡛࡛࡝ࡽ㸡⮤ฦࡡ⾔ࡖࡒ◂✪ࡷ┫㆜ࢅ௙ࡡ᪁࡞ㄕ᪺ࡊ
ࡷࡌࡂ࡝ࡽࡱࡌ㸣ࡵࡊ㸡๑࡞ୌṄࢅ㊻ࡲฝࡎࡍ࡞࠷ࡒ࡝ࡼࡣ㸡ࡏࡥ㸡ㄵᩝᢖ✇ᨥᥴ✾ཾ࡞ࡇ┞ㄧࡂࡓࡈ࠷㸣ࡐࡊ࡙ㄵᩝ࡛ࡊ࡙Ⓠ⾪ࡊࡱࡊࡺ࠹㸣ㄵᩝషᠺࢅ✒ࡲ㔔ࡠࡾࡆ࡛࡚㸡ࡐࡡࢤࢵࢅࡗ࠾ࡴ࡙ࡀࡱࡌ㸣ࠈⓑᵕࡡኣࡂࡡᢖ✇ࢅ࠽ᙽࡔࡊ࡙࠷ࡱࡌ㸣ࠈㄵᩝࡡᢖ✇࡞ᡖᝠ࠷࠿࠵ࡾ᫤ࡢ㸡ᨥᥴ✾ཾ࡞ࡇ┞ㄧࡂࡓࡈ࠷㸣ࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈㄵᩝᢖ✇ᨥᥴ✾ཾᢰᙔ⩽㸯ⳝờ࿰Ꮔ

岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012ᒷᡥ┬හ࡚㛜ത஢ᏽࡡᏕఌ࣬◂ಞఌ࣬ຫᙁఌࡡࡇ᱄හ
ࠤᖳ㸦᭮௧㜾ࠤ㸦᭮‫ࠈ۔‬ᒷᡥ┬❟ኬᏕ┫㆜Ꮥ㒂㸻㸹◂ಞࠈ┫㆜Ꮥ㒂ᩅဤ࣬⮣ᆀᐁ⩞ᣞᑙ⩽ྙྜྷ◂ಞఌࠔ⮣ᆀᐁ⩞ᣞᑙ⩽࡛ኬᏕᩅဤ࡛ࡡ᝗ሒஹᥦఌ㸢Ꮥ⏍ࡡᏕࡦ࠿῕ࡱࡾ⎌ሾࡘࡂࡽࡡࡒࡴ࡞
⮣ᆀᐁ⩞ᣞᑙ⩽࡛ኬᏕᩅဤ࡛ࡡ᝗ሒஹᥦఌ㸢Ꮥ⏍ࡡᏕࡦ࠿῕ࡱࡾ⎌ሾࡘࡂࡽࡡࡒࡴ࡞㸢ࠕ᭿᪝㸯㸦᭮᪝㸝ᅰ㸞ࠈ㸯㹳㸯ఌሔ㸯┊ᒱᆀᇡஹὮࢬࣤࢰ࣭㸝࣏࢛ࣛࢪ㸞㝭ఌ㆗ᐄ
හᐖ㸯㸦㸣ヨ㢗ᥞ౩ࠈࠈࠈࠈ࣬ᐁ⩞ུࡄථࡿ᪃シ࡛ࡡ㏻ᦘ࣬ᇱ┑ࡘࡂࡽ㸢ᩅဤࡡᐁ⩞ᣞᑙమโ㸢ࠈࠈࠈࠈ࣬ᒷᡥ┬❟ኬᏕ┫㆜Ꮥ㒂ࡡ࣑࢜ࣛ࢞ࣖࣚࠈᐁ⩞ࡡన⨠ࡘࡄࠈࠈࠈࠈ࣬༐ⴝኬᏕࡡ⮣ᆀᣞᑙ⩽◂ಞ࡚ࡡᏕࡦ࣬ᐁ⩞ᣞᑙࡡᕝኰ
ࠈࠈࠈ㸧㸣᝗ሒஹᥦ
⏞㎰᪁Ἢ㸯ᡜᒌ᪃シ࣬Ắྞࢅ᪺エࡊ㸡㸦᭮᪝㸝㔘㸞ࡱ࡚࡞)$;㸝㸞࡚࠽⏞㎰ࡲࡂࡓࡈ࠷㸣㸨᭮‫➠ࠈ۔‬ᅂᒷᡥප⾏⾠⏍Ꮥఌ⥪ఌ࠽ࡻࡦᏕ⾙㞗ఌ᭿᪝㸯㸨᭮㸧᪝㸝ᅰ㸞㹳ఌሔ㸯┊ᒱᆀᇡஹὮࢬࣤࢰ࣭㸝࣏࢛ࣛࢪ㸞㝭ఌ㆗ᐄᏕ⾙㞗ఌ㛏㸯⏛ྞሔၻ᪺㸝ᒷᡥ┬୯㒂ಕ೸ᡜ㛏㸞ࢨࣤ࣎ࢩ࣑ࢗ㸯ࠔ᮶᪝ᮇኬ㟀ⅇ὘ἴ࡛௒㆜ࠕᏕఌ஥ຸᑻ㸯ᒷᡥ༈⛁ኬᏕ༈Ꮥ㒂ප⾏⾠⏍Ꮥㅦᗑࠈ㸝හ㸞‫ࠈ۔‬ᒷᡥ┬❟ኬᏕኬᏕ㝌┫㆜Ꮥ◂✪⛁ࠈᏕనㄵᩝⓆ⾪ఌ᭿᪝㸯㸨᭮᪝㸝㔘㸞ఌሔ㸯࠷ࢂ࡙┬Ằ᝗ሒஹὮࢬࣤࢰ࣭㝭ࠈᒷᡥ┬❟ኬᏕ࢓࢕࣭ࢻ࢞ࣔࣤࣂࢪ
ၡ࠷ྙࢂࡎ඙㸯ᒷᡥ┬❟ኬᏕኬᏕ㝌┫㆜Ꮥ◂✪⛁ࠈ

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岩手看護学会誌/Journal of Iwate Society of Nursing Science. Vol.6, No.2, 2012⥽ࠈ㞗ࠈᚃࠈエࠈ௑ྒࡢᖲᠺᖳࡡ๭ษྒ࠾ࡼ⥽㞗ጟဤ㛏ࢅຸࡴࡾ඾ᮿ඙⏍ࡡ࣭ࣛࢱ࣭ࢨࢴࣈࡡୖ㸡⌟మโࡡ⥽㞗ጟဤఌ࡛ࡊ࡙
࠽ᒀࡄࡌࡾ᭩ᚃࡡᏕఌヽ࡛࡝ࡽࡱࡌ㸣ࠈ⥽㞗ጟဤఌ࡚ࡢఌဤࡡⓑࡈࡱ࡞◂✪ᠺᯕࡡⓆ⾪ࢅ㌗㎾࡞វࡋ࡙࠷ࡒࡓࡀ㸡ኣࡂࡡㄵᩝࢅᢖ✇ࡊ࡙࠷ࡒࡓࡄࡾࡻ
࠹ᕝኰࢅ㔔ࡠ࡙ཤࡽࡱࡊࡒ㸣Ꮥ⾙㞗ఌ࡞࠽ࡄࡾ⥽㞗ጟဤఌ௺⏤ࢬ࣐ࢻ࣭ࡡ㛜തࡷᢖ✇ᨥᥴ✾ཾࡡ㛜シ㸡ⱝᩝᢖ✇ぜᏽࡡషᠺ㸡ㄵᩝࢷࣤࣈ࣭ࣝࢹࡡᨭⰃ࡝࡜࡚ࡌ㸣ࡱࡒ㸡ⴥ⩽࡛ᰕㄖ⩽ࡡཫ᪁࠿࠽ப࠷ࡡẮྞ࠿ࢂ࠾ࡼ࡝࠷≟ឺ࡚ᰕㄖࢅ࠽ࡆ࡝࠹ࣇࣚ࢕ࣤࢺ᪁ᘟࢅཱིࡽථࡿࡾ࡛භ࡞㸡ⴥ⩽ࡡࣈࣚ࢕ࣁࢨ࣭࠿Ꮼࡼࡿࡾࡻ࠹㸡ᢖ✇ㄵᩝ࡞ᑊࡌࡾᢰ
ᙔ⩽ࢅ㸦ྞỬࡴ㸡ㄵᩝ࠿ུ⌦ࡈࡿࡾࡱ࡚ᢖ✇ㄵᩝࡷⴥ⩽ࡡ᝗ሒࢅ▩ࡾጟဤ࠿᭩ᑚ㝀࡞࡝ࡾࡻ࠹⥽㞗ࣈࣞࢬࢪࢅᨭ
ၻࡊ࡙⌟ᅹ࡞⮫ࡖ࡙࠽ࡽࡱࡌ㸣ࡆࡡࡻ࠹࡞ఌဤࡡⓑࡈࡱ࡛├᥃㛭ࢂࡾ࡛ࡆࢀ࠾ࡼୌずず࠻ࡘࡼ࠷ጟဤఌහࡡᅹࡽ
᪁࡞⮫ࡾࡱ࡚㸡ⴥ⩽࡞୘ฺ─࡛࡝ࡼ࡝࠷ࡻ࠹㸡ࡻࡽⰃ࠷ㄵᩝࢅⓆษ࡚ࡀࡾࡻ࠹㸡⣵㒂࡞඾ᮿጟဤ㛏ࡡ㢢࠷࠿㎰ࡴࡼࡿ࡙࠷ࡱࡌ㸣ࠈ᭩ᚃ࡞࡝ࡽࡱࡌ࠿㸡ࡆࡡሔࢅ࠽ೇࡽࡊ࡙ࡆࡿࡱ࡚⥽㞗ጟဤఌࢅ≄ᘤࡊ࡙ࡂࡓࡈࡖࡒ඾ᮿጟဤ㛏࡞វㅨࡌࡾ࡛භ
࡞㸡ࡇᢖ✇ࡂࡓࡈࡖࡒᇮ➱⩽ࡡ᪁ࠍ㸡ᰕㄖ⩽ࡡⓑࡈࡱ࡞ᨥ࠻ࡼࡿ࡙ᮇヽࢅ࠽ᒀࡄ࡚ࡀࡱࡌࡆ࡛ࢅ㸡⥽㞗ጟဤୌྜྷᚨ࠾ࡼវㅨ⏞ࡊ୕ࡅࡱࡌ㸣ࡆࡿ࠾ࡼࡵఌဤࡡⓑࡈࡱ࠾ࡼࡡ✒ᴗⓏ࡝ᢖ✇ࢅ࠽ᙽࡔࡊ࡙࠽ࡽࡱࡌ㸣ࠈ㸝㐪⸠ࠈエ㸞⥽㞗ጟဤ࢓ࣤ࢝࣌ࢴࣆ࢒ྒྷᑋᏄࠈ㐪⸠Ⰳொࠈ⺨ᓧዄ὘Ꮔࠈ඾ᮿⓊྙᏄ㸝ጟဤ㛏㸞ࠈᕝ⸠᭰Ꮔ㸝๧ጟဤ㛏㸞ࠈ㰳⸠㈏Ꮔࠈ㕝ᮄ⨶௥Ꮔࠈ㧏ᶣ᭯㔓ࠈ⏛㎮᭯⌦Ꮔࠈ༐⏛╤⨶ࠈ⟵▴ᜠᏄࠈᮿᮇ▩Ꮔࠈ୔὾ࡱࡹࡲ㸝๧ጟဤ㛏㸞㸝஫༎㡚㡨㸞

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岩手看護学会誌 第 6 巻 第 2 号
発行日
編 集
発

行

印

刷

2012 年 12 月 31 日
岩手看護学会編集委員会
代表者 兼松百合子
岩手看護学会代表者 武田利明〒020-0193
岩手県岩手郡滝沢村滝沢字巣子152-52
岩手県立大学看護学部内岩手看護学会事務局
Fax 019-694-2239
E-Mail regist@isns.jp

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