看護学部における新入生セミナーの活動

報告Reports　本学看護学部では、新入生が抱く入学時の不安や緊張を和らげる目的で学生スタッフ参画による「新入生セミナー」が実施されている。この新入生セミナーは150 名前後の在学生スタッフが主体となって、１年間にわたり企画、運営を行う組織的活動である。この自主的な活動は新入生に対する効果だけでなく、在学生スタッフに対しても、主体的活動による達成感やリーダーシップの獲得、縦と横のつながりの形成などの効果があると考えられる。在学生スタッフの意欲的な活動は、新入生のモデルとなり、スタッフへの自主的な参加へとつながる形で10 年以上継続されている。今回、本学部の新入生セミナーの活動についての概要を報告する

Factors Affecting Hospitalization and Death of Older Patients Who Need Long-Term Care—The Necessity of the Support for Dysphagia in Home Dental Care

The demand for home dental care is increasing, but how it should be involved in the continuation of life at home for elderly people who need care has not been examined. Therefore, we examined whether items examined by dentists can affect hospitalization and death. The study included 239 patients with oral intake. They were divided into regular and non-regular diet groups, and ages, nutritional statuses, activities of daily living (ADLs), Charlson Comorbidity Indexes (CCI) and swallowing functions were compared. The nutritional statuses and ADLs of the three groups at the first visit and after one year were compared. The groups included those with stable, declined and improved diet forms. Factors influencing hospitalization and death over three years were examined. Nutritional status, swallowing function, CCI and ADLs were worse in the non-regular diet group. The declined diet form group had lower ADL levels and nutritional statuses at the first visit. A proportional hazards analysis showed significant differences in the changes in diet form for the stable and declined groups related to hospitalization (hazard ratio (HR): 6.53) and death (HR: 3.76). Changes in diet form were thought to affect hospitalization and death, and it is worthwhile to assess swallowing function in home dental care