養護教諭は児童生徒の養護をつかさどる職務において、保健管理、保健教育、健康相談活動、保健室経営、保健組織活動などの役割を行っている。近年、学校において救急処置の対応における専門性を求められる事故がおきており、保健管理における専門的な判断力が一層必要となっている。養護教諭における専門的判断とは、医学的な知識と共に、主訴に対するアセスメントと対象全体の観察力による総合的な判断である。誰でも簡単に器具が必要ではなくできる、五感で感じる観察力の一つとして、東洋医学における対象全体を見る舌診に視点を当て、看護学の授業において講義と演習を行った。学生の生活習慣の問診と舌診の観察における現れ方に関係性がみられ、有効な観察項目であることが実証された。今後は、保健室における児童生徒の対応において、子どもの心身を観る舌診を取り入れたフィジカルアセスメントの実践化に向けて取り組んでいきたい。In duties to control the nursing of children,`Yogo teacher\u27performs roles such as health management, health education, health consultation, school health room management and the health organization activity. In late years the case is found that the specialty in the correspondence of the first aid is required in the school, so it is considered that the specialists\u27 judgment in the health management is necessary still more.The specialized judgment required for`Yogo teacher\u27is the assessment for the main complaints, and the synthetic judgment by the ability of general observation for the object from the medical knowledge.As one of the observations using five senses which anyone can do without tools, there is health check through the tongue observation.Zesshin, medical examination by ovserving the patients\u27 tongues, is the skill of traditional health check in the Oriental medicine. Generally speaking, the Oriental medicine focuses not only the disease but also the overall situation of the patient.I had the opportunity to practice watching the tongues in the classes of nursing science. I had the medical interview for the lifestyle of students, and after all, my interviews were related to the results of Zesshin. Therefore it was demonstrated that Zesshin was one of the useful observation item. Hereafter in the deal ings of the children in the school health room.I will work on the practice of the physical assessment through Zesshin, which cover the mental and physical health condition of children
