࣭ၛۭࢌఱ‫ܮݪࡄࢷڠ‬ါ!ൎࣂܰ೰̤͍͢৏ຊါႀ!
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ൎࣂܰ೰! !............................................................................!!
‫ޣ‬ฬ ⒓‫ޤ‬ᧄ⹹ߪ࿖┙⋴⼔ᄢቇᩞ⎇ⓥ♿ⷐ એਅ㧘♿ⷐߣ⒓ߔ ߣߔࠆ‫ޕ‬‫ޤ⊛ ⋡ޣ‬♿ⷐߪᧄቇߦ߅ߌࠆ⎇ⓥߩផㅴߣ⎇ⓥᚑᨐߩ⊒⴫ߩ႐ߩឭଏࠍ⋡⊛ߣߔࠆ‫ޕ‬‫ޤⴕ ⊒ޣ‬ේೣߣߒߡᐕ  ࿁ೀⴕߔࠆ‫ޕ‬‫ޣ‬ឝタ⺰ᢥ‫ޤ‬ឝタ⺰ᢥߪ㧘ᧂ⊒⴫ߩ߽ߩߦ㒢ࠆ‫ߒߛߚޕ‬㧘ቇળ⊒⴫ߥߤ㧘ቇⴚ⺰ᢥߢߪߥ޿ᒻߢ౏⴫ߒߚ⎇ⓥߦߟ޿ߡߪ㧘ߘߩᣦ ቇⴚ㓸ળฬ㧘⊒⴫ᣣߥߤ ࠍ᣿⸥ߔࠇ߫ឝタน⢻ߣߔࠆ‫ޕ‬ේⓂߩ⒳㘃ߪ㧘ේ⪺㧘✚⺑㧘ߘߩઁߢ޽ࠅ㧘ߘࠇߙࠇߩౝኈߪએਅߩߣ߅ࠅߢ޽ࠆ‫ޕ‬  ේ ⪺̖̖⁛⥄ߩ࠺࡯࠲ߦၮߠ߈㧘⁛ഃᕈ߇㜞ߊᣂߒ޿⍮⷗߇⺰ℂ⊛ߦ␜ߐࠇߡ޿ࠆቇⴚ⺰ᢥ  ✚ ⺑̖̖․ቯߩ࠹࡯ࡑߦߟ޿ߡ㧘ᢥ₂ߩ࡟ࡆࡘ࡯ߥߤࠍㅢߒߡ⍮⷗ࠍᄙ㕙⊛ߦ᭎ⷰߒ✚ว⊛ߦ᭎⺑ߒߚቇⴚ⺰ᢥ  ߘߩઁ̖̖   ߦ⹥ᒰߒߥ޿߇㧘⸥タߦ୯ߔࠆߣቇⴚ⎇ⓥᆔຬળ એਅ㧘ᆔຬળߣ⒓ߔ ߇್ᢿߒߚ߽ߩ̪ቇⴚ⺰ᢥߣߪ㧘⺰ᢥߩ᭴ᚑߦ㧘✜⸒࡮⋡⊛㧘⎇ⓥᣇᴺ㧘⚿ᨐ㧘⠨ኤࠍ฽߻߽ߩߣߔࠆ‫ޕ‬‫ޣ‬ᛩⓂ⾗ᩰ‫ޤ‬  ᧄቇᢎ⡯ຬ ቇᄖ⠪ߣߩ౒ห⎇ⓥ߽น   ᧄቇ㕖Ᏹൕ⻠Ꮷ ቇᄖ⠪ߣߩ౒ห⎇ⓥ߽น   ࿷⡯ਛߩ⎇ⓥࠍ⊒⴫ߔࠆᧄቇరᢎ⡯ຬ  ߘߩઁᆔຬળ߇ㆡᒰߣ⹺߼ߚ߽ߩ‫ޣ‬ේⓂߩฃઃ߅ࠃ߮ណุ‫ޤ‬  ฃઃᣣߪ㧘♿ⷐߩឭ಴ⷐઙࠍḩߚߒߡ޿ࠆේⓂߩᆔຬળ߳ߩ೔⌕ᣣߣߔࠆ‫ޕ‬  ᛩⓂේⓂߩណุ㧘ේⓂߩ⒳㘃㧘ណ↪᳿ቯᣣ㧘ឝタ㗅ߪᩏ⺒ࠍ⚻ߡᆔຬળߦ߅޿ߡ᳿ቯߔࠆ‫ޕ‬‫୶ޣ‬ℂ⊛㈩ᘦ‫ޤ‬ੱ߇ኻ⽎ߢ޽ࠆ⎇ⓥߪ㧘୶ℂ⊛ߦ㈩ᘦߐࠇ㧘୶ℂክᩏᆔຬળ╬ߩᛚ⹺ࠍᓧߚߎߣ߇᣿⸥ߐࠇߡ޿ࠆߎߣ‫ޕ‬‫ޣ‬ේⓂߩឭ಴‫ޤ‬  ේⓂߪᱜᧄ  ㇱߣ೽ᧄ ⪺⠪ฬ߿ㅪ⛊వߩࡔ࡯࡞ࠕ࠼࡟ࠬߥߤ㧘⪺⠪ࠍ․ቯߢ߈ࠆᖱႎࠍ೥㒰ߒߚ߽ߩ  ㇱࠍឭ಴ߔࠆ‫ߦࠄߐޕ‬ណ↪᳿ቯᓟ㧘᳞߼ߦᔕߓߡේⓂߩ㔚ሶࡈࠔࠗ࡞ 0LFURVRIW:RUG ࠍឭ಴ߔࠆ‫ޕ‬  ේⓂߩ૞ᚑᣇᴺߥߤߩ⹦⚦ߪ㧘ᆔຬળ߇ቯ߼ࠆၫ╩ⷐ㗔ߦࠃࠆ‫ޕ‬  ේⓂߪㇷㅍ࡮ࡔ࡯࡞࡮⋥ធᜬෳߩ޿ߕࠇ߆ߩᣇᴺߢឭ಴ߔࠆ‫ޕ‬ㇷㅍߔࠆ႐วߪ㧘ኽ╴ߦ‫ޟ‬ᛩⓂේⓂ࿷ਛ‫ᧇߣޠ‬ᦠ߈ߒ㧘ᦠ⇐ㇷଢߣߔࠆ‫ߩ࡞࡯ࡔޕ‬႐วߪ㧘ේⓂࠍᷝઃߒ㧘NL\R#QFQDFMS ተߡㅍઃߔࠆ‫ޕ‬ᆔຬળ߇ࡔ࡯࡞ࠍฃ

− 57 −J Nurs Studies NCNJ Vol. 11 No. 1 2012ାᓟ  ᣣએౝߦ㧘ᛩⓂࡔ࡯࡞ㅍାరߦ⏕⹺ߩࡔ࡯࡞ࠍㅍାߔࠆ‫߇࡞࡯ࡔ⹺⏕ޕ‬ዯ߆ߥ޿႐วߪ㧘໧޿วࠊߖవ߹ߢㅪ⛊ߔࠆ‫ޕ‬  ේⓂߩឭ಴వ߅ࠃ߮໧޿วࠊߖవ‫᧲ ޥ‬੩ㇺᷡἑᏒ᪢࿦  ࿖┙⋴⼔ᄢቇᩞ ቇⴚ⎇ⓥᆔຬળ㔚⹤㧦  ‫⪺ޣ‬⠪ᩞᱜ‫ޤ‬⪺⠪ᩞᱜߪශ೚਄ߩ⺋ࠅ⒟ᐲߦ⇐߼㧘ౝኈߩᄢ᏷ߥᄌᦝ߿ട╩ߪ⹺߼ߥ޿‫ޕ‬‫౏ߩߢ࠻࠶ࡀ࡯࠲ࡦࠗޣ‬㐿‫ޤ‬ឝタߐࠇߚᛩⓂ⺰ᢥߪ㧘ࠗࡦ࠲࡯ࡀ࠶࠻਄ߢߩ౏㐿ࠍ೨ឭߣߔࠆ‫ޕ‬‫⪺ޣ‬૞ᮭ‫ޤ‬ᛩⓂߐࠇߚ⺰ᢥ߇ᧄ⹹ߦឝタߐࠇߚ႐ว㧘ශ೚ 㕙ࠍ೑↪ߒߡⶄ౮࡮ⶄ⵾࡮ㅍାߒ ࠺࡯࠲ࡌ࡯ࠬൻߥߤߩᄌᒻ૶↪
߽฽߻ 㗏Ꮣߔࠆߎߣ㧘⠡⸶࡮⠡᩺࡮࠳ࠗࠫࠚࠬ࠻ߥߤߦࠃࠅੑᰴ⊛⪺૞‛ߣߒߡ㗏Ꮣߔࠆߎߣ㧘߅ࠃ߮╙ਃ⠪ߦኻߒߡォタࠍ⸵⻌ߔࠆᮭ೑ߪ࿖┙⋴⼔ᄢቇᩞߦᏫዻߔࠆ‫߅ߥޕ‬㧘ߎࠇߪ㧘⪺૞⠪⥄りߩߎࠇࠄߩᮭ೑ࠍ೙㒢ߔࠆ߽ߩߢߪߥ޿‫ ޕ‬

৏ຊါႀ! !............................................................................!!
‫ޣ‬๺ᢥේⓂߩၫ╩ⷐ㗔‫ޤ‬๺ᢥේⓂߩၫ╩ⷐ㗔ߪએਅߩߣ߅ࠅߣߔࠆ‫߅ߥޕ‬㧘⧷ᢥේⓂߩၫ╩ⷐ㗔ߦߟ޿ߡߪ㧘⧷ᢥ↪ᛩⓂⷙቯ ,QIRUPDWLRQIRU$XWKRUV ߩၫ╩ⷐ㗔 0DQXVFULSW3UHSDUDWLRQV ߩ㗄ߦᓥ߁‫ޕ‬  ේⓂߪ 0LFURVRIW:RUG ࠍ↪޿ߡ૞ᚑߔࠆ‫ޕ‬  ේⓂߪ㧭 ್↪⚕ࠍ↪޿㧘૛⊕ࠍචಽߦߣࠅ  ᨎ޽ߚࠅ  ሼ ⴕ  ሼ ᮮᦠ߈ߣߔࠆ‫ᧄޕ‬ᢥ㧘ᢥ₂㧘࿑⴫ߩ✚ࡍ࡯ࠫᢙߪ㧘 ሼ ᨎએౝߣߔࠆ‫ޕ‬࿑⴫ߪ  ὐߦߟ߈  ᨎߣߒߡ⸘▚ߔࠆ‫ޕ‬  ේⓂߪ㧭 ್↪⚕ߩ㕙ߩߺߦශ೚ߒ㧘⴫⚕߆ࠄ࿑⴫߹ߢࡍ࡯ࠫ⇟ภࠍ૛⊕ਅਛᄩߦ⸥ߔ‫ޕ‬  ᢙሼ࡮᰷ᢥߪඨⷺࠍ૶↪ߔࠆ‫ޕ‬  ᧄᢥߩ┨┙㧘㗄⋡⇟ภߪΣ㧚ψ㧚ψ ψ  ߣߔࠆ‫ޕ‬  ᧄᢥਛߩᢥ₂ߩ⸥タᣇᴺ㧘߅ࠃ߮ᢥ₂࡝ࠬ࠻ߩ⸥タ᭽ᑼߪਅ⸥ߦ೎ㅜቯ߼ࠆ‫ޕ‬  ࿑⴫ߪ㧘࿑ 㧘⴫  ߥߤㅢߒ⇟ภࠍߟߌ㧘ᧄᢥߣߪ೎ߦ  ⴫  ࿑ߏߣߦ㧭 ್↪⚕ࠍ↪޿ߡ૞ᚑߒ㧘ේ࿑ߪ㧘ߘߩ߹߹⵾߇น⢻ߥ߽ߩߣߔࠆ‫ᧄޕ‬ᢥᰣᄖߦᝌ౉Ꮧᦸ૏⟎ࠍᧇᦠ߈ߔࠆ‫ޕ‬  ࿑⴫߅ࠃ߮⛔⸘ᢙ୯ߩ⸥タߪේೣߣߒߡ $3$ ࠕࡔ࡝ࠞᔃℂቇળ ⺰ᢥ૞ᚑࡑ࠾ࡘࠕ࡞ߦᓥ߁‫ޕ‬  ᱜᧄේⓂߦߪ㧘⴫⚕ࠍߟߌ㧘਄ඨಽߦ⴫㗴㧘⪺⠪ฬ㧘ᚲዻᯏ㑐ฬ㧘 ⺆એౝߩࠠ࡯ࡢ࡯࠼ࠍ⸥タߒ㧘ߘࠇߙࠇߦ⧷ᢥࠍઃ⸥ߔࠆ‫ޕ‬ਅඨಽߦߪᏗᦸߔࠆේⓂߩ⒳㘃 ‫ޟ‬ේ⪺‫ ޠઁߩߘޟޠ⺑✚ޟޠ‬㧘ේⓂ࡮࿑࡮⴫ߩᨎᢙ㧘ㅪ⛊⽿છ⠪ߩ᳁ฬ࡮૑ᚲ࡮㔚⹤⇟ภ࡮)$;࡮HPDLO ࠕ࠼࡟ࠬࠍ᣿⸥ߔࠆ‫ޕ‬೽ᧄ  ㇱߦߟ޿ߡߪ‫ᧄޔ⚕⴫ޔ‬ᢥ╬߆ࠄ⪺⠪ࠍ․ቯߢ߈ࠆᖱႎࠍߔߴߡ೥㒰ߔࠆ‫ޕ‬  ⷐᣦߪ㧘๺ᢥⷐᣦ  ሼ⒟ᐲ ߅ࠃ߮⧷ᢥⷐᣦ  ⺆⒟ᐲ ࠍ⸥タߒ㧘ߘࠇߙࠇᣣᧄ⺆ߩࠠ࡯ࡢ࡯࠼  ⺆એౝ ߅ࠃ߮⧷⺆ߩࠠ࡯ࡢ࡯࠼  ⺆એౝ ࠍઃ⸥ߔࠆ‫ߒߛߚޕ‬㧘ᏗᦸߔࠆේⓂߩ⒳㘃߇‫ߩޠઁߩߘޟ‬႐วߪ㧘⧷ᢥⷐᣦ߅ࠃ߮⧷⺆ߩࠠ࡯ࡢ࡯࠼ࠍ⋭⇛ߔࠆߎߣ߇ߢ߈ࠆ‫ޕ‬  ᛩⓂߦ㓙ߒ㧘ේⓂߪ㧘⴫⚕㧘ⷐᣦ㧘ᧄᢥ㧘ᢥ₂㧘⴫㧘࿑ߩ㗅ߦ㊀ߨߡឭ಴ߔࠆ‫ޕ‬‫ޣ‬ᢥ₂ߩᒁ↪߅ࠃ߮⸥タ᭽ᑼ‫ޤ‬ᢥ₂ߩᒁ↪ߪ㧘౏⴫ߐࠇߚ⪺૞‛߆ࠄߩ߽ߩߦ㒢ቯߒ㧘ߘߩ಴ౖࠍ᣿⸥ߒ㧘ᒁ↪ߔࠆᔅⷐᕈߣᾖࠄߒߡᔅⷐᦨዊ㒢ߩᒁ↪ߦ⇐߼ࠆ‫ޕ‬

国立看護大学校研究紀要

第 11 巻第1号

2012 年− 58 −  ᧄᢥਛߩᢥ₂ߩ⸥タᣇᴺ  ᢥ₂ߩᧄᢥਛߩᒁ↪ߪ㧘⪺⠪ߩᆓ㧘⊒ⴕᐕࠍ᜝ᒐ⴫␜ߔࠆ ૒‫ᧁޘ‬㧘 ‫ޕ‬ㇱಽ⊛ߦᒁ↪ߔࠆ႐วߦߪ㧘⪺⠪ฬ㧘⊒ⴕᐕߣ૬ߖߡࡍ࡯ࠫᢙࠍ᣿␜ߔࠆ 㚤᧻㧘㧘S ‫ޕ‬  ฬએ਄ߩ⪺⠪ߩ౒⪺ߩ႐วߪ㧘╩㗡⪺⠪ߩᆓߛߌࠍᒁ↪ߒߡ‫̌ߪߚ߹ޠࠄޟ‬HWDO̍ࠍߟߌࠆ ┻↰ࠄ㧘 :RRGVHWDO ‫ޕ‬  หߓ⪺⠪ߩⶄᢙߩᢥ₂ࠍห৻▎ᚲߢᒁ↪ߒߚࠅ㧘⇣ߥࠆ⪺⠪ߦࠃࠆⶄᢙߩ⪺૞ࠍห৻▎ᚲߢᒁ↪ߒߚࠅߔࠆ႐วߦߪ㧘หߓ᜝ᒐߩਛߦ╩㗡⪺⠪ߩᆓߩࠕ࡞ࡈࠔࡌ࠶࠻㗅ߢᢥ₂ࠍਗߴ㧘࠮ࡒࠦࡠࡦߢᢥ₂ࠍ඙ಾࠆ‫ޕ‬଀ ቟⮮㧘㧘㧧㊁᧛ࠄ㧘D㧘E㧧:RRGVHWDO㧧☨↰ࠄ㧘   ᢥ₂࡝ࠬ࠻ߩ⸥タ᭽ᑼ
ᢥ₂࡝ࠬ࠻ߪ㧘ᧄᢥᧃየߦ‫ޟ‬ᢥ₂‫ߡߒߣޠ‬㧘๺ᢥ㧘⧷ᢥࠍಽߌߕߦߔߴߡ╩㗡⪺⠪ߩᆓߩࠕ࡞ࡈࠔࡌ࠶࠻㗅ߦਗߴࠆ‫⪺౒ޕ‬⠪ߪ  ฬ߹ߢ⴫⸥ߒ㧘 ⇟⋡એ㒠ߩ⪺⠪ߪ‫ޕࠆߔ⸥⴫ߡߒߣޠઁޟ‬⸥タᣇᴺߪਅ⸥ߩ଀␜ߦᓥ߁‫߅ߥޕ‬㧘⧷ᢥߩ⸥タ᭽ᑼߦߟ޿ߡߪ㧘⧷ᢥ↪ၫ╩ⷐ㗔ࠍෳ⠨ߦߔࠆ‫ޕ‬  㔀⹹ឝタ⺰ᢥߩ႐ว⪺⠪ฬ ⊒ⴕᐕ 㧚⺰ᢥߩ⴫㗴㧚ឝタ㔀⹹ฬ㧘Ꮞ ภ 㧘ᦨೋߩࡍ࡯ࠫᢙᦨᓟߩࡍ࡯ࠫᢙ㧚଀  ࿡ፉᐢਯ㧘ᐔ⌀ℂሶ㧘㊁ᵤ↰ᔒ଻㧘㊄Ỉᖝሶ㧘૒⮮ࠞࠢሶ㧘౎↰⋉ల㧘ઁ  㧚ᗵᨴኻ╷࿾ၞࡀ࠶࠻ࡢ࡯ࠢߦ㑐ߔࠆࠕࡦࠤ࡯࠻⺞ᩏ㧚ⅣႺᗵᨴ㧘  㧘
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第 11 巻第1号

2012 年− 60 −DQGWKHUHIRUHLQIRUPDWLRQUHJDUGLQJWKHDXWKRUVVXFKDVQDPHVDIILOLDWLRQVRUDGGUHVVHVVKRXOGEHGHOHWHGIURPWKH
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第 11 巻

第1号

2012 年− 62 −