JaLCDOI 10.18926/15286
Title Alternative An analysis of quitting behavior and desire to quit of nurses.
FullText URL 008_1_069_076.pdf
Author Hayashi, Yuko|
Abstract 本研究の目的は,臨床看護婦の離職の実態と離職願望およびその背景因子との関連性について実証分析を行うことである。2箇所の地方都市の公立病院で働く看護婦582名を対象として,離職と転職の意志と理由ならびに個人要因と職場要因についての調査を実施した。その結果,次のような知見を得た。 1) 地方都市の大規模公立病院で働く看護婦の8割が卒業後ずっと同じ病院で勤務していた。 2) 実際の離・転職者は調査対象者の約15%であり,その7割を20代が占めた。 3) 20歳代の離職には2つの理由が見られた。一つは結婚・出産および家族の世話による離職であった。職業と家庭の両立は困難と考えていた。もう一つは未婚の看護婦による他の看護職への転職であった。 4) 約6割が離職願望をもっていた。離職願望の背景として,仕事要因と個人要因および年齢的な特徴が見られた。すなわち,20代では自分の適性や能力への不安。30歳代では子育てと労働条件の負担。40歳代以降では健康上の理由であった。しかし給料との関連は低かった。 5) しかし地方都市の公立病院においては離職者は減少傾向にあり,就労形態は「若年短期未婚型」より「中高年継続就労型」へと以降しているものと考えられた。
Abstract Alternative The purporse of this study is finding existing situation and those reasons of nurses who would resign or desired to resign from their jobs. A survey was conducted to 582 nurses in two public hospitals located in the province. The following results were obtained. 1. 15% of all the target nurses would segign soon. 70% of which was in age of twenties. 2. There were two main reasons of resignation among nurses in age of twenties. One was getting married, having child or family care ; they felt it is difficult to continue both their working life and family one. The other was they were planning to be qualified for another nursing professional. 3. 60% of all the target nurses desired to resign from their jobs. 4. The reason was different by age group. Each had own reason ; Anxieties for their aptitude and ability as nurses in the twentie, responsibility for their children and family menbers in the thirties, and anxieties for health in the forties and fifties. But amont of salaries did not affect their disire.
Keywords 看護職 (nurses) 離職の理由 (resign) 離・転職願望の背景 (desired resign)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-09-10
Volume volume8
Issue issue1
Start Page 69
End Page 76
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307437
JaLCDOI 10.18926/15273
Title Alternative The relation of Ikigai (the meaning of one's life) to one's behavioral pattern and belief, researched through the elderly persons at their discharge from hospital
FullText URL 009_1_033_039.pdf
Author Watanabe, Kumi| Nakanishi, Yoshiko| Ikeda, Toshiko| Takata, Setuko| Kondo, Masuko| Ohta, Niwa| Inoshita, Hikari|
Abstract 退院を控えた老人が,どの程度生きがいを持って退院していくのか,老人自身のどのような生き方が生きがいに影響しているのかについて知るため,それまでの健康状態や,生活信条,生活行動について,退院許可の出た70歳以上の患者92名を対象として,独自の調査用紙に基づき面接調査を行った。生きが いとこれまでの健康度,生活信条,生活行動の関連性を,分散分析及びt検定により解析した。生きがいの平均得点が高かった生活行動は「ボランティア」で,続いて「植物」であった。生きがいの平均得点が高かった生活信条は「その日を楽しく生きる」と回答した人が,回答しなかった人との間に有意差があり,老人の退院時の生きがいの得点が高い傾向を示すことが明らかとなった。
Abstract Alternative There have been few researches about Ikigai of the elderly at the time of leaving the hospital and about the ways of their home nursing care. The purpose of this study is to clarify the relation of Ikigai to one's behavioral pattern and belief. In three national university hospitals and a general hospital in Chugoku region and Shikoku region, ninety-two patients above the age of 70, ready to discharge, were interviewed and given a questionnaire. The questions were about their body condition, behavioral pattern, and belief, and their Ikigai. More than eighty percent of them seem to lead a life worth living at the time of leaving the hospital. The behavioral pattern scores on the "working as a volunteer" and "growing plants" are on a high level of Ikigai. The belief scores on the "enjoy every day" is also on a high level of Ikigai. In this paper the result of this interview is reported and a better nursing care for them is discussed.
Keywords 老人 (the elderly) 生きがい (Ikigai) 生活信条 (belief) 生活行動 (behavioral pattern)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1998-09-30
Volume volume9
Issue issue1
Start Page 33
End Page 39
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307183
JaLCDOI 10.18926/11908
Title Alternative Probrems and needs on elderly patients after discharge from hospital - Analysis from the interview records of their patients -
FullText URL 005_023_027.pdf
Author Ikeda, Toshiko| Nakanishi, Yoshiko| Takata, Setuko| Kondo, Masuko| Ohta, Niwa| Inoshita, Hikari| Kojima, Mishako|
Abstract 高齢者人口の増加に伴い慢性疾患をもつ老人が増え在宅医療の必要性が叫ばれているが、一旦入院すると症状が軽快しても自宅への退院は困難とする事例が多い。そこで、高齢者の在宅医療がスムーズに行われるための退院指導のあり方、継続看護の方向性を得るために患者が自宅退院を迎える時どのような問題を持ち、どのような援助を希望しているかを質問紙を用い面接調査した。70歳以上の患者が自宅へ退院する時の心配なこと、医療従事者に相談したいことは1、健康面で病気のこと、2、日常生活面で食事のことが多かった。退院後、困る事では1、健康面の事が多く、次いで2、日常生活面、3、精神面の順であった。援助の希望では1、日常生活面が最も多く次いで2、健康面、3、精神面であった。このような心配事、ニーズが退院後どのように変化しているのか調査中である。
Abstract Alternative The population of the aged people with the chronic disease is increasing. It produces demands for the home health care. We focused on the home health care for the aged above 70 and interviewed with a questionnaire to them who were ready to discharge. We also have been investigating every three months how problems and needs were changing after discharge. In this paper, we report on results of this interview and discuss problems and needs they have to provide our better nursing care for them.
Keywords 高齢者 退院指導 在宅看護 退院時心配事 退院時ニーズ
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1995-01-31
Volume volume5
Start Page 23
End Page 27
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313456
JaLCDOI 10.18926/11906
Title Alternative Research of the problems on the elderly patients at discharge from the hospital concerning their health and daily life at home
FullText URL 005_017_021.pdf
Author Nakanishi, Yoshiko| Takata, Setuko| Kondo, Masuko| Ota, Niwa| Inoshita, Hikari| Ikeda, Toshiko| Kojima, Misako|
Abstract 高齢者の退院指導及び在宅看護の在り方を検討した研究は少ない。そこで、高齢者の自宅院時に持つ健康上及び生活上の問題を明らかにすることを目的に、面接調査を行った。対象は、中・四国の3国立大学付属病院と1総合病院で退院許可のあった70歳以上の患者78名とした。調査内容は、退院時の患者の身体状態・日常生活動作・退院時の患者の状況・家族の状況・健康に対する意識や取り組みについてとした。その結果、(1)高齢の自宅退院患者の23.1%は、身体状態上継続看護が必要であった。(2)退院患者の20.5%が、退院後生活を自立する為に介助が必要であるとしていた。(3)退院患者の57.7%は心配事を持ち、50%は相談・指導を希望していた。(4)患者の世話人の42.3%は職業を持ち、27.3%は健康を害していた。(5)退院患者の73.1%は何らかの健康管理がなされ、84.7%は生きがいを持っていた。
Abstract Alternative Now there are few researehes into the guidance which be done for the elderly patients at the time of leaving the hospital and into the ways of their home nursing care. Therefore, we did interview the elderly patients in order to make it clear what problems they have about their health and their life. In the three national university hospitals in Chugoku District and Shikoku District and one general hospial, we focussed on the 78 patients more than seventy years old who were allowed to leave the hospital. The purpose of our research is to know body condition and the situation of the patients leaving the hospital, activities of their daily life, the situation of their family and their consciousness and care about their health. After having done this research we conclude as follows, (1) 23.1 percent of all the patients need continuing nursing care from the viewpoint of their body condition after leaving the hospital. (2) 20.5 percent of all the patients need help from their family or others to support themselves at home. (3) 57.7 percent of all the patients have worries and 50 percent of them have a wish to consult with the doctors or the nurses and to be guided by them. (4) 42.3 percent of people who take care of patients have their own job and suffer from poor health. (5) 73.1 percent of all the patients who leaves the hospital were given some health care before entering the hospital and 84.7 percent of them seem to lead a life worth living.
Keywords 高齢者 (the aged people home nursing care) 継続看護 (continuing nursing care) 生活の自立 (self-support for living) 退院時指導 在宅看護 consciousness about health
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1995-01-31
Volume volume5
Start Page 17
End Page 21
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002314025
JaLCDOI 10.18926/11893
Title Alternative Daily VMA (vanillyl mandelic acid) variation in urine in relation of fatigue sensation, stress and life stile of nurses on night shift.
FullText URL 004_105_110.pdf
Author Inoshita, Hikari| Ouchi, Takeshi| Ninomiya, Tsuneo|
Abstract Daily VMA variation in urine in relation of fatigue sensation, stress and life stile of nurses on night shift. To evaluate exhaustion objectively in hospital nurses, daily variation of urinaly VMA (vanillyl mandelic acid) excretion was measured in hospital nurses working in daytime and nighttime and it's correlation with the data from Psychological Stress Response Scale (PSRS) test, the burn-out scale, quality and quantity of sleep and daily life stile recorded throughout 24 hours were studied. VMA level in urine showed circadian rhythmic movement, higher in daytime and lower in nighttime. During night shift, VMA in urine in nighttime showed slightly higher level than during day shift but in the subsequent daytime after night shift, VMA level was stillkeeping normal circadian rhythm, resuling flatness of daily fluctuation of VMA level. Dissatisfaction of sleep during daily fluctation of VMA level. Dissatisfaction of sleep during daytime was noticed. Correlation between VMA level in urine and sense of tiredness, stresses or burn-out scale were not carfied in this study because of shortage of samples but working conditions might affect biologicalresponse of exhaustion.
Keywords VMAの変動 三交替性疲労感 ストレス 生活時間
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1994-01-31
Volume volume4
Start Page 105
End Page 110
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313516
JaLCDOI 10.18926/11891
Title Alternative Sutdies on Galvanic skin responce (GSR) in relation to psychological condition test for the students.
FullText URL 004_099_103.pdf
Author Inoshita, Hikari| Ogata, Michiko| Tokunaga, Ayumi| Bando, Mika| Yamada, Yoko| Marumoto, Kazumi|
Abstract Psychological anxiety trend was studied by Galvanic skin responce (GSR) 60 students, 7 of male and 53 of female, in School of Health Sciences Tokushima University, and the results were compared with the data from State Anxiety Inventory (STAI) test and Self-rating Depression Scale (SDS) test. Compared GSR with STAI, initial responses of GSR showed postive relation to state anxiety in STAI test ; while compared GSR with SDS, both of spontaneous and initial responses showed reversed correlation. Although spontaneous and initial responce in GSR were more remarkably augmented in the female students than male students, these trends might not be caused only by sex difference because the test environment was not same in two groups. Based on these data, GSR is considered to represent objective indicator of psychological anxiety. However further basic data accumulations are needed in regard to some factors affecting the data such as sex of examiners or examinees and test environment.
Keywords 皮膚電気反射(GSR) 大学生 心理状態 不安尺度 抑うつ尺度
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1994-01-31
Volume volume4
Start Page 99
End Page 103
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313732
JaLCDOI 10.18926/11815
Title Alternative The research on the problems of health care and living of the aged (Pursuing the cases of home treatment given to the elderly patients for one year after their discharge)
FullText URL 007_2_181_188.pdf
Author Nakanishi, Yoshiko| Kondo, Masuko| Ohta, Niwa| Inoshita, Hikari| Ikeda, Toshiko| Watanabe, Kumi| Sato, Yoshie| Takata, Setuko| Kojima, Misako|
Abstract 退院後の生活に目を向けた適切な退院指導がなされることは、高齢患者が安心して在宅療養を送る上で、重要な意味を持つ。そこで病院から在宅療養に移行した70歳以上の高齢者の抱える問題を4回に渡って1年間調査し、これまでに退院時、3ヵ月後、6ヵ月後の調査結果を報告した。本稿では1年を通じて回答のあった53名について健康と生活上の問題の変化を分析し、考察した。在宅療養に移行した高齢者の健康状態と生活上の問題は、ほぼ一致して退院後6ヵ月から1年後までに変化を認め、特に日常生活上の問題は著しく増加した。その原因として病状の悪化との関連が考えられた。また、高齢者の問題についての意識は、研究者の専門的な問題意識に比べて低かった。従って入院中に退院後の生活を予測することには限界があり、今後は退院指導の充実と伴に在宅サービスとの連携が重要であることを認めた。
Abstract Alternative We planned to make emerge the problems felt by the elderly patients of 70 years and over given home treatment. As a means of our research, four times a year we sent a questinnaire to the aged who had been discharged. After collecting the answers of the questionnaires, we decided to focus on the 53 elderly patients who answered all four questionnaires, and then tried to make their problems emerge. The contents of the questionnaires were about their health care in a year and how their daily life changed. We can see that the condition of the elderly patients under home treatment and their living problems have changed almost without exceptions six months to a year after their discharge. Especially the number of the problems in their daily life increased remarkably. These results might be considered to be caused by the aggravation of their diseases. In addition, the elderly patients are not as conscious of their own problems as a specialist with a critical mind. Therefore, there is a limit to estimating the change in lifestyle of a discharged patient while they remain hospitalized. We consider it essential to get full discharge-care closely connected with home service for elderly patients.
Keywords 高齢者 (the aged) 在宅療養 (home treatment) 退院指導 (discharge-care) 健康問題 (health) 日常生活 (daily-life problems)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-01-31
Volume volume7
Issue issue2
Start Page 181
End Page 188
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313372
JaLCDOI 10.18926/11813
Title Alternative Occupational stress and moderator factors -nurse-
FullText URL 007_2_171_180.pdf
Author Inoshita, Hikari|
Abstract 2カ所の地方都市の公立病院で働く看護婦585名に職業性ストレスとモデレータ要因についての調査を行った。職業性ストレッサーとして、訴え率の高い項目は「労働の過重負担」であった。バリマックスによる因子分析を行ったところ①自己実現、②人間関係と対人責任、③意欲と理念の喪失、④仕事の負担、⑤サポート、⑥ライフイベントの6つの因子を抽出した。①自己実現、③意欲と理念の喪失、④仕事の負担の因子は、年齢が若い看護婦ほど否定し、年齢の上昇と共に肯定する傾向が見られた。反対に⑤サポート因子は年齢が若いほど肯定し、年齢の上昇と共に否定する傾向が見られた。すなわち、若い看護婦は、能力の発揮ができない、意欲が喪失する、仕事が負担であると感じており、年齢の上昇と共に能力の発揮ができる、意欲がある、仕事が負担ではないと感じていた。しかし、若い看護婦ほどサポートを多く得られており、年齢の上昇とともに減少していた。これらの結果より、職業性のストレスやモデレータは年齢あるいは経験年数により質や量が変化していた。
Abstract Alternative Occupational stress and moderator factors were investigated in 585 nurses working in two pubric hospitals local cities. As occupational stresser "too hevey labor" was most frequent in complaiment items. The following factors were extracted by varimax analysis, ①self-expression, ②human-relation and personal reponsibility, ③lost ofwill and ideology, ④loaded labor, ⑤support, ⑥life-event. It was observed that ①self-expression, ③lost ofwill and ideology, ④loaded labor were denayed by younger nurses, but ⑤support was increased with age. Accordingly, younger nurses felt that they couldn't show their abilities, they lost their will, their duties were heavy, but along with age, they felt they could exhibit their abilities, willing to work, their burdens were not heavy. The younger the nurses, the more the supports were given, and they received fewer supports with age. In conclusion, quality and quantity of occupational stress and moderator change with age and occupational carrier.
Keywords 看護職 (nurses) 職業性ストレス (occupational stress) モデレータ要因 (moderator factors) キャリア (carrier)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-01-31
Volume volume7
Issue issue2
Start Page 171
End Page 180
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313647
JaLCDOI 10.18926/11811
Title Alternative The health and daily-life problem of the aged at homes for three months after discharge from the hospital
FullText URL 007_2_165_170.pdf
Author Inoshita, Hikari| Takata, Setuko| Kondo, Masuko| Ohta, Niwa| Ikeda, Toshik