Nippon Sport Science University
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A survey on clinical training stress among students of Judo therapist training schools : focus on differences in grade-specific training modes
The accreditation rules for judo therapist training schools have been revised, and the scope of clinical training has been expanded in terms of its contents, duration, and so on. Consequently, the importance of clinical training has increased. While these schools develop clinical training based on the guidelines for (on-site) clinical training, each school independently selects the training location, duration, contents, and so on. However, the actual condition of the students undergoing clinical training remains unknown. Although there have been many reports on the stress of students in other healthcare fields who undergo clinical training, there are few studies on the stress of students who undergo clinical training at judo therapist training schools.
Therefore, this study aimed to investigate the psychological and physical responses to stress in students at judo therapist training schools that implement different training modes for each grade.
The participants were 252 second- to fourth-year students who underwent clinical training. Psychological responses were measured using the State-Trait Anxiety Inventory (STAI), and physical responses were measured by salivary alpha-amylase activity assay and acceleration plethysmography. The results showed that the STAI scores, which represent the level of psychological response, were higher before the clinical training for the second-year students and after for the third- and fourth-year students. As for physical re-sponses, acceleration plethysmography showed higher heart rates before the clinical training in the second- and third-year students. Moreover, it was observed that the participants had low stress levels during the clinical training.
Thus, the results revealed that during the clinical training, the participants exhibited significant psycho-logical responses, but there were no marked changes in their physical responses. A possible reason for the absence of excessive stress is that the implementation of participatory clinical training through a step-by-step approach of observation, imitation, and practice helped alleviate the participants’ anxie-ty-related stress. The results of this study indicate that the participants underwent clinical training with moderate levels of stress.柔道整復師学校養成施設指定規則が改正され,臨床実習の実施内容および実施時間などの拡大が進んだことで,その重要性が高まっている。柔道整復師学校養成施設の臨床実習は,臨床(地)実習ガイドラインに基づいて展開されるが,実習場所や実施時間および実習内容などは,各学校単位で選定し臨床実習が進められている。しかし,臨床実習に臨む学生の実態が未だ明確となっていない。すなわち,他のコメディカルでは,臨床実習に臨む学生のストレスに関わる報告が多いなか,柔道整復師学校養成施設での臨床実習に臨む学生のストレス調査に関した報告は少ない。
本研究では,柔道整復師学校養成施設での臨床実習形態が異なる各学年について,学生の心理的反応と身体的反応のストレスを調査することを目的とした。
対象は,臨床実習を履修した2年次から4年次の学生252名とした。心理的反応は状態-不安尺度(STAI)を用いて測定し,身体的反応は唾液アミラーゼ活性測定(SAA)と加速度脈波測定を用いて測定した。研究結果から,心理的反応のSTAIでは2年次の実習前に高値を示し,3年次と4年次では実習後に高値を示した。身体的反応の加速度脈波では,2年次と3年次の実習前に高値を示した。また,本研究での臨床実習における学生へのストレスは,低ストレスにて経過したことが示唆された。
本研究の臨床実習では,心理的反応において有意な反応を示したが,身体的反応では大きな変化が生じず実習を経過したことが示唆された。その要因として,診療参加型臨床実習を原則とした見学・模倣・実施を段階的に実践し,学生の不安に関わるストレスを軽減させたことが,過度なストレスに至らなかった要因と考える。結果,本研究での臨床実習では適度な緊張範囲のストレスにて実習を経過したことが結果より考察される。原著論文departmental bulletin pape
Effects of living environment on the self-esteem of junior high school students : factor structure modeling in Tokyo urban area and isolated islands
This study aimed to clarify the effects of the urban area and isolated island living environments on the self-esteem of junior high school students using a factor structure model. The subjects were 577 junior high school students in urban areas and 135 junior high school students in three isolated island schools. The survey was conducted from September to October 2022 using a self-administered, unmarked questionnaire. The sur-vey items were related to lifestyle, relationship with surroundings, residential area, experiences, self-evaluation, and a self-esteem scale and the POMS. As a result of factor analysis, a seven-factor structure was extracted for urban areas and five factors for isolated islands. Subsequent covariance structure analysis revealed that the parent-child relationship had the most substantial influence on self-esteem in both urban areas and isolated is-lands. In particular, children’s daily conversations with their parents and their feeling of recognition and ac-ceptance increased their self-esteem. In addition to the parent-child relationship, teachers were included in the isolated islands items, indicating that children have closer relationships with their parents than in urban areas. Furthermore, it became clear that good relationships with parents and others lead to sharing nature and various experiences, which fosters self-esteem. It was also confirmed that increased self-esteem enhances a sense of physical health by ensuring a good night’s sleep.
In this study, we were able to clarify the factors that structurally affect self-esteem through the direct and in-direct influence of various factors through the factor structure model.本研究は,都市部と離島の生活環境が中学生の自尊感情に及ぼす影響を,因子構造モデルを用いて明らかにすることを目的とした。対象は,都市部の中学生577名と離島3校の中学生135名である。調査は2022年9月から10月にかけて,無記名の自記式調査票を用いて実施した。調査項目は,生活習慣,周囲との関係,居住地域,体験,自己評価に関するもので,自尊感情尺度,POMSを用いた。因子分析の結果,都市部では7因子,離島では5因子の構造が抽出された。その後の共分散構造分析の結果,都市部と離島ともに,親子関係が自尊感情に最も大きな影響を与えることがわかった。特に,親との日常的な会話や,認められ,受け入れられているという実感が,子どもの自尊感情を高めていることが明らかとなった。離島の項目には,親子関係に加え教師が含まれており,都市部よりも親との関係が密であることがわかる。さらに,親などとの良好な関係が,自然体験や様々な体験の共有につながり,自尊感情を育むことが明らかになった。また,自尊感情の向上は,良質な睡眠を確保することで身体的健康感を高めることが確認された。
本研究では,因子構造モデルにより,様々な因子の直接的・間接的な影響により,自尊感情に構造的に影響を与える因子を明らかにすることができた。研究資料departmental bulletin pape