ニンチショウ カンゴ ニンテイ カンゴシ キョウイク カテイ ニオケル キョウイク ト ジュギョウ ヒョウカ ノ ブンセキ

認定看護師教育課程 認知症看護認定看護師コース(以下、本教育課程)の教育実践を振り返り、今後の課題を検討した。今回、授業評価を実施した研修生20名の認知症看護経験年数は平均10.4±4.45年であり、本教育課程を受講した理由の大半は自己の学習ニーズ(16名)であった。研修生の本教育課程に対する期待には「臨床実践に沿った講義内容」があり、修了生による臨床に即した実践内容を含んだ授業の工夫が必要であると考えられた。研修生は「認知症ケアを自己の言語で伝えられるようになりたい」という目標を持つ者が多く、本教育課程で看護過程の展開技術を重視した学習プログラムはニーズに一致していた。研修生は自己の目標達成において病院実習の有効性を高く評価していたが、満足度は低い傾向を示した。特に、受講理由が施設長等の勧めである研修生にその傾向が認められた。よって、入学前に研修生が自己を振り返る課題を課し、本教育課程での学びのイメージを高めさせ、認定看護師の研修の質の向上を図ることが課題に挙げられた。The purpose of the research was to look back upon the educational practice of the course for certified nurses in dementia nursing of the curriculum for of certified nurse education, (hereafter referred as to "this education course") and discuss tasks for future use. The average number of years of experience in dementia nursing for the 20 trainees of whom the class evaluation of this education course was implemented was 10.4±4.45, and the reason for attending this educational course was for the majority, a fulfillment of their own learning requirements (16 trainees). Their expectations for this educational course included the "contents of lectures consistent with clinical practice." Therefore, it was considered necessary to contrive the class in line with the clinical practice of those who have already completed this educational course. There were many trainees who had the target of "conveying dementia care in their own words," which showed that a learning program with emphasis on developing technology for the nursing process matched their needs. Although the trainees highly evaluated the eff ectiveness of hospital practice for their target achievement, they showed a low degree of satisfaction. This trend was significant among those who attended this educational course at the encouragement of the chief of their facility, in particular. Therefore, the benefit of indicating the tasks before they attend this educational course, in order to make them refl ect on themselves, enhance their image of learning in this educational course. Improving the quality of training for qualified nurses was also clarified

秋田市における血液透析患者の現状と医療・福祉のニーズ(第2報) : 健康関連QOLの評価

私たちは介護保険制度導入にあたり,血液透析患者(以下,透析患者)に対する望ましい医療・福祉サービスを考える手だてとして,透析患者に実態調査を行った。今回は,同時に測定した健康関連QOL(HQOL)に焦点をあて,分析,報告する。秋田市内9施設で,外来通院している314人の透析患者の調査結果,以下のことが明らかになった。1)4領域いずれも基本調査と比して,対象である透析患者は低いスコアであった。2)HQOLと各因子では,ADL,透析の満足度,福祉サービスで有意差がみられた。特に,医療サービスと福祉サービスの希望者でHQOLスコアに差がみられたことから,医療・福祉を連携してサポートするためにHQOLの評価が重要な視点になると考えた。In order to better understand the medical and social services needs of patients receiving hemodialyis in Akita, a questionnaire was administered to these patients. And at this report, we analyse the HQOL investigated with another questionnaire. 314 responses were received from 9 hospitals within Akita City. These were analysed and the conclusions are as follows : 1. In all domains, the average of hemodialyis patients\u27 score was lower than the controls\u27. 2. There were significants in each facter, ADL, satisfuction of hemodialyis and needs of social service. Espesially it is important that we know needs of medical services and social services, so that the difference in these factors