職場の健康づくり活動に関する一考察 : ヘルスケア・トレーナーの活動状況調査より

The purpose of this research is to clarify the actual situation on the health promotion activities in the Japanese worksites. We focused our investigation on the leaders called Health Care Trainer who undertake the main role in the worksite health promotion activities of the companies and sports clubs. The subjects of this survey were the Health Care Trainers registratered as members of Japan Industrial Safety and Health Association (JISHA). The questionnaire was consisted of five main items : 1. Styles of Health Care Trainers\u27 activities. 2. Smoking control programs. 3. Health check programs. 4. Back care programs. 5. Exercise and fitness programs. The results were as follows : Among the investigated Health Care Trainers, about 30 percent of them have no worksite health promotion activity after getting their license ; some of them didn\u27t have no opportunity to conduct that kind of program at the worksite ; others are now preparing to bring fitness programs for workers ; and also there are some Health Care Trainers who have no idea to guide workers thier health promotions. This seems a part of problem concerning the professinal leadership development and certification system in Japan. We can observe a important lack of leadership which would be expected for all of Health Care Trainers. This research revealed that 57.8 percent of Health Care Trainers\u27 worksites had a smoking control program. 48.2 percent of these Health Care Trainers have given to their perticipants some informations that smoking too much is harmful to his or her health. A smoking control program is not only to inform a worker to stop smoking but to advise him or her to taper down smoking. We suggest that Health Care Trainer should develop their several way of this program in different ways. The Health Care Trainers reported that 91.6 percent of the worksites had the a health check program. The Ministry of Labor and JISHA have distinguished this health check program from the medical check. JISHA\u27s functions are, in the one hand, to aid technically the health check and health guidance programs conducted by enterprises, in the other hand, to aid the setting up of equipments for the health promotion program which permit "Joint enterprises\u27 groups" to conduct the health promotions, practiced under the cooperation between the concerned enterprises and the outside health service organizaions. In order that the health check programs will be carried out not only in the physical area but also mental area, JISHA and the team managers of the worksite health promotion must recruit competent staffs immediatelly. 79.5 percent of the Health Care Trainers answered that they given a back care program. In Japan, many office workers suffer often from backache. Because they have been obliged the unnatural and forced postures during their work, the back care program should be developed as a check system with regard to their working times rather than for to other times. A exercise and fitness program reprensented 97.6 percent of all worksite health promotion activities. These programs should be managed and administrated by the Health Care Trainers. According to "JISHA-Trainig Text for Health Care Trainer", the trainer should understand the influence given by the lack of daily exercise and fitness activities. The hypokinetic disease leads the cardiovascular disease, obesity, arteriolosclerosis, high blood pressure, and so on. The Health Care Trainers must have knowledge by which they are able to make workers fun and to give them that important habit to continue their sport and recreation activities