Nayoro City University Institutional Repository
Not a member yet
1438 research outputs found
Sort by
Paternalism and Freedom on Beveridge. -Philanthropy,labour exchange and unemployment Insurance on Beveridge in early 20th century-
No full textapplication/pdf【要旨】本稿は、福祉国家が形成される過程において、パターナリズムと自由の関係性という問題がどのように展開してきたのかについて検討するために、『ベヴァリッジ報告』を執筆したべヴァリッジの議論の源流である20世紀の初頭における思想に焦点をあて、べヴァリッジがパターナリズムと自由がどのように捉えられていたのかについて、彼の慈善活動や失業保険・職業紹介所に関する分析を通して検討した。その結果、べヴァリッジの議論というのは、パターナリスティックな観点から政府の介入を主張したわけではなく、むしろ実質的な自由を保障する取り組みとして主張されていたということが明らかとなった。Abstract:The purpose of the present study is to examine how the relationship between paternalism and freedom developed in the creation of the welfare state, focusing on William Beveridge and his perceptions on paternalism and freedom. By exploring concepts from the beginning of the twentieth century, which was the origin for discussions of Beveridge, the author of “Beveridge Report”, analyses on philanthropic activities, unemployment insurance, and labour exchange were scrutinized. As a result, it was clarified that Beveridge discussed and advocated for these projects as a guarantee for substantial freedom rather than an intervention by the government from paternalistic viewpoint.departmental bulletin pape
Basic research on preventive support by social workers in clinics. －Assessment components and development that lead to support through early detection of life challenges－
No full textapplication/pdf【要旨】本研究は診療所の医療ソーシャルワーカー（SW）による予防的支援が終了した153人の患者を対象とした量的研究である。支援開始経路別（SW発見とそれ以外）に患者属性を分析し，生活課題の早期発見から支援につなげるアセスメント要素と支援展開について考察した。 SWは生活課題の早期発見について，病院のSWでは取り組みにくい予診やアウトリーチ等を用い，患者の身体的側面だけでなく受診状況やサービス利用，社会的つながりに関する要素からもアセスメントを実施していた。また，在宅生活の中で社会資源未利用やインボランタリーな患者に対して，潜在的ニーズを長期・継続的に評価し，課題の発生防止や悪化防止に努めていた。一方，院内多職種・地域内多機関との間で早期発見・早期相談を促進する支援体制化にも取り組んでおり，これらが診療所のSWの予防的支援の特徴と考えられた。Abstract: This study is a quantitative survey of 153 patients who completed preventive support provided by social worker in a clinic setting. The purpose of the research is to collect cases of early detection of life challenges and to clarify commonalities and differences by support route. The next step is to analyze the assessment methods and deployments that lead from early detection to support. Regarding early detection of life challenges, clinic social workers differ from hospital social workers in that they use prescreening and outreach to assess patient encounters, service utilization, and social connections. In addition, for patients who were not using social resources or who were involuntary, we continually assessed their latent needs and worked to prevent the occurrence or deterioration of life challenges. On the other hand, efforts were also being made to create a system to encourage early detection and early consultation by staff at clinics and in the community. The above were the characteristics of social workers' preventive support at clinics.departmental bulletin pape
Nutritional care of older patients with lifestyle-related diseases
No full textapplication/pdf【要旨】高齢者は老化により全身の機能が低下するため，生活習慣病を発症しやすい。疾病予防や重症化予防のためには，食事や運動による包括的な生活習慣病管理が重要であるため，名寄市の医療機関において，生活習慣病の高齢患者を対象とした栄養アドバイスを行った。結果は，栄養アドバイスを受けた者はBMIの平均が25kg/m2以上と肥満であり，血圧は収縮期血圧が高いことによる高値血圧で，食塩摂取量が多かった。栄養アドバイスにより，患者が食習慣を見直したことで，体重が減少しBMIで有意差がみられた。食物繊維摂取量は有意に増加した。エネルギー，食塩摂取量は減少傾向がみられた。栄養アドバイスは疾患の具体的な栄養食事療法，問題点，改善ポイントについて，患者のペースに合わせてゆっくりアドバイスを行ったため，生活習慣病の改善効果に結びついたと考えられた。Abstract: Older people are more likely to develop lifestyle-related diseases, which are caused by the deterioration of the body's functions. Comprehensive lifestyle-related disease management through diet and exercise is important for prevention of disease and severe conditions. We provided nutritional advice to older patients with lifestyle-related diseases at a clinic in Nayoro City. Patients who received nutritional advice were obese, with an average body mass index (BMI) of 25 kg/m2 or higher, and had high systolic blood pressure and salt intake. Nutritional advice was given slowly at the patient's pace regarding specific nutritional diet, problems, and points for improvement. The advice helped patients to change their eating habits, resulting in weight loss, a significant decrease in BMI, a significant increase in dietary fiber intake, and slight decreases in energy and salt intake. Our findings suggest that nutritional advice had a positive effect on lifestyle-related diseases.departmental bulletin pape
Contraception and the Coming of the Pleasure Society (3)
No full textapplication/pdf【要旨】大昔から人類は様々な出生回避策を採ってきた。それらに対して過去の道徳と社会はいかなる態度をとってきたか，また経口避妊薬が今後の道徳と社会に与えるであろう影響について考えてみたい。三回目の今回は五節において20世紀に入ってから欧米で出生回避が合法化されていった経緯を,六節で近代日本での出生回避をめぐる動きを考察する。Abstract: Since ancient times, human beings have adopted a variety of birth control measures. In this treatise, I will discuss historical moral and societal attitudes towards contraception and consider the potential impact of oral contraceptive drugs on morality and society in the future. In this volume, I make the 5th and 6th sections public.
Section 5: On the legalization of contraception in USA and western Europe in 20 th century.
Section 6: On the Birth control movement and its reaction in modern Japan.departmental bulletin pape
特別養護老人ホームにおける介護職員に対するスーパービジョンの状況について ～尊厳のあるケア実践に向けた文献研究による一考察～
Get PDFapplication/pdfdepartmental bulletin pape
