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Comparison of the view of life and death between nursing students and citizens
Get PDFわが国は多死社会という課題を迎えており，このような状況の中で患者を看取る立場にある看護師には，ターミナルケアにおける看護の質がより強く求められ，看護基礎教育においてもターミナルケアや学生の死生観育成に関する教育が必要である. そこで本研究は，死に関するドキュメンタリー映画の視聴前後において，看護学生と社会人の死に対する考えの変化を比較することが目的である. 死に関するドキュメンタリー映画を視聴した前後でA大学看護学生22名と一般社会人26名に死生観尺度を参考にして作成した質問紙調査を実施した. その結果，ドキュメンタリー映画を通して，学生が擬似的に死に直面し死について考えるという機会が死生観に何らかの変化をもたらしていた. このようなことから看護学生は，死を否定的側面だけでなく肯定的にとらえるように変化していることがわかった.In Japan, which faces issues of a super-aged society, nurses play vital roles in attending patients' deathbed and therefore are required to enhance their nursing skills in end-of-life care. This study aims to compare the changes that occurred to nursing students and citizen in terms of their views towards death after they watched a documentary film on death. We conducted a questionnaire, which was made based on a death perspective scale, to 22 nursing students at a university and 26 citizens. The result shows that their views towards death were changed to some extent by the opportunity of vicariously facing death and thinking it over. It is also shown that they also came to view death positively rather than only paying attention to negative aspects of death.departmental bulletin pape
The subject of MSM’s(MSM=Men who have sex with men) mental health issues and sex education about the increase in HIV infection in our country
Get PDF本研究は本邦における男性同性愛者のHIV感染増加に関する心理的問題と性教育への課題を明らかとすることを研究目的とした．世界規模では日本のHIV感染者数，HIV新規感染者数ともごく少数である．しかし，その感染者数は男性同性愛者の性行為を中心に2000年～2011年にかけて増加傾向であるという問題を抱えている．同性愛者の精神健康度は異性愛者に比べ低い傾向であり，国内の男性同性愛者を対象とした研究では，同性愛者が精神健康度を良好に保つために教育機関における性教育の中で，同性愛についても肯定的な情報提供が必要だと報告している．しかし，教育機関での性教育は異性愛を前提として行われていることが現状であり，教育機関におけるその計画実施までに年月がかかるのは明白である．よって10代の男女に性教育を行っているNGOと男性同性愛者の地域ボランティア組織が連携し，セクシュアリティの考え方を見直す働きかけを行うこと，その活動内容を教育機関に発信し，同性愛者に対する問題とその対策をともに検討していくことが短期間で実現可能な方法である.The purpose of this study is to clarify the subject of MSM’s(MSM=Men who have sex with men) mental problems and sex education about the increase in HIV infection in our country. If it seen on a worldwide scale, the number of persons with HIV and the number of newly infected persons with HIV in Japan will be small. However, in Japan the number of infected MSM increased from 2000 -2011.Research on Japanese MSM, reports that it is necessary to affirm information about homosexuality in sex education in educational facilities in order that all people may keep good mental health. However, current sex education in educational facilities is performed on the assumption of heterosexuality being the social norm. It is clear that it will take years of planned implementation in educational facilities. Therefore, NGOs which provide sex education to teenagers and MSM local volunteer organizations need to cooperate, carry out information dissemination, and improve the view of different sexual orientations. Moreover, they should send the content of their activities to educational facilities to realize this change in a short period of time.departmental bulletin pape
The beneficial effects of verbalizing of acquired motor skills on motor learning
Get PDF本研究の目的は，得た運動スキルの言語化が運動学習を促進するかどうかを明らかにすることであった．参加者は大学生18名であり，言語化群とコントロール群に割りつけられた．2つの球を非利き手で回す課題を運動学習課題とした．言語化群が4分間球回しを練習した後，得た運動スキルについて，ビデオカメラに向かって話をさせた．その直後，2分後，1日後の1分間の球回し回数と落下回数を測定した．コントロール群は，4分間の練習後の2分間科学雑誌を音読した．言語化群が話をしている時間はビデオを見返すことで確認した．分析は，言語化群とコントロール群のパフォーマンスに対して分散分析，球回し回数と話をした時間の相関分析を実施した．その結果，球回しの改善回数は，コントロール群に比べて言語化群の方が有意に多かった．また，言語化群が話をしていた時間と鉄球回しの改善回数に有意な相関を認めた．本研究結果から，運動スキルを言語化することによって運動学習が促進されることが示され，リハビリテーション効果を高める介入になることが期待される．The purpose of this study is to investigate the beneficial effects of verbalizing acquired motor skill on motor learning. Eighteen young adults participated in this study. The participants were randomly assigned to two groups (the verbalizing group and the control group). First, the participants practiced two balls rotation task on the left hand for four minutes to familiarize themselves with the ball rotation task. Next, the participants’ ball rotation performance (the times of ball rotation and times of dropping it) was measured for one minute (Pre). Then, the verbalizing group talked about the motor skills acquired by the ball rotation practice. On the other hand, the control group read scientific magazine aloud for the same length of time as talking in the verbalizing group (i.e., two minutes). After the interventions, the participants’ rotation performance was measured immediately, after two minutes and one day after (Post 1, Post 2 and Post 3, respectively). The method of measurement was the same as in Pre measurement. Results showed that, the number of ball rotation was significantly increased in the verbalizing group, but not control group.Also, the improvement frequency of ball rotation in verbalizing group was significantly higher than that in the control group. Additionally, there was a significant relationship between the time for talking and the improvement frequency of ball rotation. On the other hand, frequency of ball drops was not obtained these effects. These results suggest that verbalizing of acquired motor skill has an advantage in terms of frequency of ball rotation which expresses motor smoothness, but not in terms of the frequency of dropping the ball which expresses motor error. And, the relationship also suggests that time length is important to lead the beneficial effects.departmental bulletin pape
Reliability of hip joint abduction muscle strength measurement on supine position using a Hand-held dynamometer
Get PDF本研究の目的は，背臥位でのベルト固定による等尺性股関節外転筋力測定の信頼性を明らかにし，今後の理学療法の発展に繋げていくことである．対象は大学生31名（男性23名，女性8名，平均年齢19.7歳）の右下肢31脚とした．等尺性股関節外転筋力の測定は，Hand-held Dynamometerを使用し，センサー固定用ベルト使用下において背臥位と側臥位の2肢位で行った．測定時間，回数は，約3秒間の最大努力による股関節外転運動を30秒以上の間を空けて3回ずつ行わせ，股関節外転筋力の値は2回目と3回目においての測定値の最大値を採用した．データの分析は，級内相関係数（Intraclass correlation coefficients：ICC），対応のあるt検定，単回帰分析を行った．結果，信頼性に関しては側臥位ICC（1,1）=0.832，背臥位ICC（1,1）=0.974であった．等尺性股関節外転筋力値は背臥位において有意に高値となった．背臥位での計測法は信頼性が高く，多様な場面において計測可能な肢位であることが示唆された．The purpose of this study is to examine the reliability of the method of hip joint abduction muscle strength measurement by a Hand-held dynamometer(HHD) with a belt．31 healthy subjects were participated in this study．We measured the subjects in the supine position and the lateral position．The interclass correlation coefficient (ICC) was 0.832(lateral position) and 0.974(supine position)．The muscular strength was significantly greater in the supine position than in the lateral position．In order to measure hip joint abduction muscle strength，it was suggested that fixing HHD with a belt in supine position is a reliable method．departmental bulletin pape
Question tendency regarding sports injuries in the athletic trainer certification examination
Get PDF本研究の目的はAT試験対策勉強の質を向上させるために，公益財団法人日本体育協会公認アスレティックトレーナー専門科目検定試験理論試験（以下AT試験）において平成24年度から平成27年度のスポーツ外傷・障害の基礎知識分野の出題傾向を明らかにすることである．対象は平成24年度から27年度のAT試験とし，公認アスレティックトレーナー専門テキスト③スポーツ外傷と障害の内容に含まれる問題を目次に従い詳細に分類した．そこから各項目の問題数の集計，傷害の種類の抽出を行った．結果，過去4年間のAT試験においては上肢のスポーツ外傷・障害と下肢のスポーツ外傷・障害の出題が多く，特に上肢の外傷・障害では手・手指，下肢の外傷・障害では足・足関節の分野での出題数が多い傾向がみられた．また，AT試験に出題されている傷害と柔道整復師国家試験に出題されている傷害の多くは一致しているため，AT試験対策勉強の質を向上させるには柔道整復師国家試験対策の勉強を平衡して行っていくことが必要であると示唆された．The purpose of the study is to analyze the question tendency regarding sports injuries in the athletic trainer certification examination (AT exam) from 2012 to 2015 and to improve the quality of learning during AT exam preparation. We analyzed AT exam from 2012 to 2015 and classified the questions about sports injuries according to the content of the Certified Athletic Trainer Professional Text ③, Sports trauma and injuries. As a result, in the AT examination over the past 4 years, there were many questions concerning sports injuries in the upper limbs and the lower limbs. Especially, the questions of the upper limbs included a lot of injuries in the hands, and in the questions of the lower limbs, there were many injuries of the feet. In addition, it was suggested that it is necessary to study of the national examination for judo therapy practitioners as well.departmental bulletin pape
Relationship between use of school counselor by the teachers and school counselor recognition of the students in public junior high school
Get PDF本研究は，公立中学校15校の教員367名と生徒482名を対象とした調査によって，教員のスクールカウンセラー（SC）利用時の満足度と生徒のSC認知との関連を検討した．この結果，教員のSC利用時の満足度と生徒のSCの勤務曜日の認知，相談室来室経験や相談経験とは，負の関連を示した．This study examined relationship between teachers’ degree of satisfaction of the school counselor and students’ recognition of the school counselor in public junior high schools consisting of 367 teachers and 482 students from 15 public junior high schools. Results indicated that students’ know what days of the week their SC worked, their experience of visiting the counseling room and their experience of counseling had negative relationships to teachers’ recommending the school counselor’s services to students, their use of counseling, and the degree of satisfaction to them.departmental bulletin pape
Fracture of the Distal Radius of the Children Where Attention was Paid to the Remodeling of Bones
Get PDF小児骨折は，不全骨折となることが多い．また多少の転位がある骨折においても骨のリモデリングに期待して，保存療法を選択することが多い．中でも橈骨遠位端骨折は，臨床上多く見られる骨折の一つであり，もっともリモデリングが旺盛な骨折といわれている．今回は整形外科クリニックを受診した小児の橈骨遠位端骨折について，骨のリモデリングに着目した症例を紹介し，今後の小児骨折における施術のあり方について検討する．すべての症例において，転位した骨折部がリモデリングにより受傷前の状態に復する結果となった．転位の大きさの違いによって仮骨の出現時期や骨硬化など治癒経過に差はあるものの，最終的に屈曲転位は矯正された．今回の結果により，小児の自家矯正力の高さを証明することができた．小児骨折は予後が良好な場合が多いが，自家矯正力の限界や成長障害の可能性を見極め，慎重に対応していくことが必要だと考える．Bones of a child have a high potential to remodel themselves when they are broken. So we can expect remodeling of fractured bones in their healing processes even in the cases of some displaced fracture. In addition, child bone fractures are sometimes incomplete. Therefore, we often choose conservative treatment for cases of children’s bone fractures. Above all, the fracture of the distal radius is one of the more frequent fractures clinical and remodeling is excellent in fact.
In the fracture of the distal radius of the children who consulted a clinic, we introduce the case that paid its attention to the remodeling of bones. We also examine the conservative treatment with regards to the remodeling towards a prevention of future childhood fracture.
The results confirmed remodeling worked well in all cases. There was the difference in a healing process, but the flexural derangement was completely corrected. With this results, we were able to prove high autologous correction ability of the bones of children.
Generally, prognosis of child bone fracture is good. However, it is necessary to treat them carefully, being aware of the limit of remodeling potency and keeping a close watch of growth disturbance to the end.departmental bulletin pape
Students' Learning Outcomes from Community Health Nursing Diagnosis in Public Health Nursing Practice
Get PDF本研究は，臨地実習において体験した地域診断のプロセスを通して学士課程の保健師学生が得た学びを，そのプロセスに沿って明らかにし，より質の高い実習にむけた考察を行うことを目的とした．4年次学生31名の実習記録を質的に内容分析した結果，学生は概ね地域診断のプロセスに沿って学びを得ていた．また手順を理解するだけでなくそのダイナミックなプロセスに身を置き，パートナーシップの基に対象者を支援する保健師の役割を学んでいた．さらに専門職としての視点だけでなく，生活者としての視点を持つきっかけにもなっていた．一方，健康課題の優先順位の判断や評価のプロセスに関する明確な学びはみられず，社会資源の活用を促進する保健師の役割については抽象的な理解に留まっていた．したがって今後は講義・演習・実習前から実習後までを通して学びを実践的に深められるような教育方法を検討していく必要がある．One of the purposes of this study is to clarify learning outcomes which undergraduate students gained from community health nursing diagnosis in public health nursing practice. The other purpose is to derive much better educational methods for public health nursing practice. As a result of qualitative analysis of 31 reports of practice by fourth-grade students, it was shown that the students could almost attain learnings along the process of community health nursing diagnosis. In addition to understanding methodology regarding community health nursing diagnosis, they had benefitted from being involved in dynamic and ongoing process. They also learned much of the role of a public health nurse as a partner to support every person, each family, and the whole community. Moreover, students could find not only professional perspective as a public health nurse but also the same perspective as an ordinary person living in a community. However, it was not sufficient to learn about the priority decision making in health problems, or how to evaluate public health support. Only a few comments were found about importance of the use of social resources. As conclusion, it is necessary to implement more effective educational methods by which students can deepen understanding using every chance, including lecture, exercise, and both before and after the practice.departmental bulletin pape
