Athletic Events and Mood State in Dialysis Patients

Thirty one dialysis patients and 13 hospital staffs were investigated for mood state by POMS (Profile of Mood State-Revised for Japanese) test at the beginning and end of the athletic events. POMS tests indicated that the patients decreaed their Tension-Anxiety and Anger-Hostility levels and staffs did also their Tension-Anxiety, Depression-Dejection, and Anger- Hostility levels. These results indicated that physical activities could reduce tense levels for both dialysis patients and staff members

在宅高齢者の介護予防に関する一考察-音楽療法講座継続参加事例から-

我々は２年半に亙り札幌市介護予防事業の委託を受けて「北翔大学ポルト音楽療法講座」を展開してきた。平成２２年度～平成２３年度の活動を総括評価する目的で、参加者の目標達成状況及び満足度、参加によって生活機能にどのような影響をあたえていたのか、さらに、これまでの音楽療法活動を介護予防の観点から分析した。調査結果から、在宅高齢者は年齢に関わらず、前向きに取り組む姿勢を持ち合わせ、環境さえ整備されたなら自己の能力を、より多く発揮することが可能であるという結論に達した。今回の調査対象は地域で暮らす比較的身体的に良好な高齢者であることから、自己の自覚や努力によって、より充実した活動や社会参加が可能となり、さらには地域の人間関係構築につながっていくことが、本講座継続参加事例の分析から明らかとなった。For two and a half years, as part of a project to reduce care dependency, we have been engaged in a study commissioned by the city of Sapporo called the Hokusho UniversityPorto Music Therapy Program. In order to comprehensively evaluate our activities from 2010 to 2011 in terms of reduction in care dependency, we conducted an analysison the influence of music therapy activities to reduce care dependency by examining the participants goal achievement and satisfaction levels, and how their participation affectedeach participants vital functions.The findings showed that athome elderly people, regardless of their age, have a positiveattitude toward willingly facing a challenge and can display their ability to the full if their environment is improved. The subjects in the present study were relativelyhealthy elderly people living in communities. The results of the analysis on the subjects who regularly participated in the program clearly showed that through a selfawarenessand effort it is possible for elderly people to fruitfully participate in society, while building human relationships in the community

当院看護職の看護倫理に関する現状調査

当院看護倫理委員会は、看護職の倫理的感性を養い、自律を促すことを目的に活動している。今回、当院看護職の看護倫理に関する現状調査を行い、2006年の同等調査と比較・検討した。その結果、看護職の倫理的感性が養われてきていることがわかった。また、問題解決に向けての行動も起こせるようになってきており、看護職の自律度は高まってきていると考える。Article信州大学医学部附属病院看護研究集録 37(1): 19-26(2008)departmental bulletin pape

東日本大震災を経験した福祉施設職員の震災前から現在までの体験－テキストマイニングによる分析から－

　The authors held a semi-structured interview with 8 workers from 3 welfare institutions for elderly people that have been run even after the Great East Japan Earthquake, to hear about their experiences before, during and after the earthquake. The authors performed a hierarchical cluster analysis and a co-occurrence network analysis using the text mining software KH Coder, for frequent words used more than 45 times, which were extracted from the obtained data. In the hierarchical cluster analysis, the authors studied the 4 clusters: "looking back at anti-disaster measures before the earthquake", "Thoughts for houses and families and information", "Protecting users in the state of confusion after the occurrence of the disaster" and "Accepting a large number of people and responding to them". In the co-occurrence network analysis, "facilities", "evacuation" and "people" were positioned at the center, and an experience of a worker struggling over accepting evacuees was extracted. In addition, a workers\u27 experience of overcoming the disaster while being worried about the safety of their family members were also extracted. The needs for measures considering the possibilities of accepting local people at the time of disasters and the needs for responses to workers who suffered from the disaster during their working hours and do their duty to cope with the disaster while being worried about their family members with less information in their hand were suggested.　東日本大震災を経験し, 現在まで運営が継続されている高齢者福祉施設3 施設に勤務する8 人の福祉職員に, 震災前, 震災時, 震災後の体験を明らかにする目的で, 半構造化面接を実施した. 得られたデータを, テキストマイニングソフトKH Coder を用い, 45 回以上の頻出語を対象に, 階層的クラスター分析と共起ネットワーク分析を行った. 階層的クラスター分析では, ｢震災前の災害対応を振り返る｣｢家や家族への思いと情報収集｣｢発災後の混乱の中で利用者を守る｣｢大勢の人を受け入れて対応する｣の4 つのクラスターが構成された. 共起ネットワーク分析では,《施設》に《避難》してくる《人》が中央に位置しており, 避難者の受け入れについて苦慮していた職員の体験が抽出された. また, 家族の安否を心配しながら震災時を乗り越えた職員の体験が抽出された. 福祉施設では, 災害時に地域の人などを受け入れる可能性があることを想定した対策の必要性と, 勤務中に被災し, 少ない情報の中で家族を心配しながら災害対応に従事している職員への対応の必要性が示唆された