⪯ἠ┫㆜Ꮥ◂✪ࠈSeisen J. Nurs. Stud., Vol. 2. pp.33-40, 2013
研究ノート
࣭࣭࢞࣠ࢺࠈࣆࢩ࢜ࣜࢡࢧ࣐ࢾ࣭ࢨࣘࣤ㸡⩹ᖳ⮣ᗃ┫㆜ㄵᐁ⩞ Key Words physical examination，gerontological nursing practice
抄 録
┘Ⓩࠈᮇ◂✪࡚ࡢ⩹ᖳ┫㆜Ꮥᐁ⩞ϩ࡞࠽࠷࡙㸡Ꮥ⏍ࣆࢩ࢜ࣜࢡࢧ࣐ࢾ࣭ࢨ࡚ࣘࣤࡡࡻ࠹Ꮥࡦࢅ⩞ᚋࡊ࡙࠷ ࡾࡡ࠾ࢅ᪺ࡼ࠾࡞ࡌࡾ࡛࡛ࡵ࡞㸡ᐁ⩞ࡱ࡚ࡡ㡷ᇡᐁ⩞⤊㥺ᩐ࡞ᚺࡋࡒᏕࡦࡡ≁ᚡࢅ᪺ࡼ࠾࡞ࡌࡾࡆ࡛ࢅ┘Ⓩ࡛ࡊࡒ㸣 ᪁ἪࠈAኬᏕࡡ⩹ᖳ⮣ᗃ┫㆜ㄵᐁ⩞ϩ࡚ࡢᐁ⩞ิࡡᝀ⩽ࡡ≟ឺ࣬≟Ἓᢍᥩ࡞࠽࠷࡙㸡࢜ࣜࢷࢅずࡾࡆ࡛ࡂᏕ⏍⮤ ㌗ࡡវࢅ㥉ࡊ࡙ሒࢅᚋࡾ᪁Ἢࢅᑙථࡊ࡙࠷ࡾ㸣AኬᏕ࡞࠽ࡄࡾ⩹ᖳ⮣ᗃ┫㆜ㄵᐁ⩞ϩࢅུㅦࡊࡒᏕ⏍ ྞࢅᑊ ㇗࡞㸡ࡆࡡᡥἪࢅ⏕࠷࡙ࡡᐁ⩞ࡡᏕࡦࡡ࣭ࣝ࣎ࢹ࡞ᑊࡊࢷ࢞ࢪࢹฦᯊࢅ⾔ࡖࡒ㸣 ⤎ᯕࠈᅂࡈࡿࡒ࣭ࣝ࣎ࢹࡢ ྞฦ㸝ᅂ⋙㸚㸞࡚࠵ࡖࡒ㸣ࢷ࢞ࢪࢹฦᯊࡡ⤎ᯕ㸡ᑊ㇗ࡡ⣑ࡡ⏕࡞࠵ࡒࡾ ௧୕ࡡ㢎ᗐ࡚ฝ⌟ࡊࡒ༟ㄊࡢ࡚࠵ࡖࡒ㸣༟ㄊྜྷኃࡡ㛭౿ࡡࡈࡻࡽᏕࡦࡡහᐖࢅ㞗⣑ࡊࡒ⤎ᯕ㸡࠘ᐁ㝷Ѹ⩻࠻ ࡾ࠙㸡࠘࢜ࣜࢷѸ⮤ฦѸវѸኬว࠙㸡࠘ᝀ⩽Ѹ▩ࡾѸᚪこ࠙㸡࠘ሒѸ࡚ࡀࡾѸ࠷࠙ࡡࡗࡡࢡ࣭ࣜࣈฝࡈࡿࡒ㸣ࡆࡿ࡞ࡻࡽ㸡 Ꮥ⏍ࡢᑊ㇗ࡡࢬࢪ࣒ࣤࢹ࡞ᚪこሒࡡᵋᠺࢅ⩻࠻㸡ሒ㞗ࡡᡥṹࢅ⩻࠻㸡ᡥ㡨ࢅ⩻࠻࡙࠷ࡂ㐛⛤ࡡ୯࡚㸡ᑊ㇗ ࡡ⌟≟ࢅ⌦ゆࡌࡾࡒࡴ࡞ᚪこ▩ㆉࡡኬวࡈࢅᏕࡦ㸡ᑊ㇗ࡡࡵ࡙ࡾງࢅᐁ㝷࡞㛭ࢂࡖ࡙ᢍᥩࡊ࡙࠷ࡂ㞬ࡊࡈ࡛ኬวࡈ ࢅᏕࢆࡓࡆ࡛᪺ࡼ࠾࡛ࡖࡒ㸣ࡱࡒ㸡⩹ᖳ⮣ᗃ┫㆜ㄵᐁ⩞ϩࡱ࡚࡞⤊㥺ࡊࡒ㡷ᇡࡡ⮣ᗃ┫㆜Ꮥᐁ⩞ᩐࢅࠔิ㸯 ᅂ㹳 ᅂࠕࠔ୯㸯ᅂ㹳 ᅂࠕࠔᚃ㸯ᅂ㹳 ᅂࠕ࡛ࡊࡒሔྙ㸡ᚃ⩄ࡢࠔථびࠕࠔሒ㞗ࡌࡾࠕࠔࡌࡾࠕࡡエ ㏑ኣ࠷ࡆ࡛♟ࡈࡿ㸡ᐁ⩞ᚃࡡᏕ⏍࡞࠽࠷࡙ࡢථびࡂ㧏㱃⩽ᮇᮮࡡጶࢅずࡾࡆ࡛࡚ࡀࡒ࡛࠷࠹Ꮥࡦ᪺ࡼ ࠾࡛ࡖࡒ㸣Abstract
Objectives The purpose of this study was to clarify what to learn by a physical examination in gerontological
nursing practice㸡we determine whether their learning is characteristic by the number of past training experience.
Methods University A makes the five senses of student oneself act without watching a clinical record on the
training first day and obtains information㸣In 59 students who attended clinical training of gerontorogical nursing practice in University A㸡we performed a text assay in nalyzed a text of the learning that we obtained using this technique.
Results/Discussion The collected report was for 39 peoples（66.1% of recover rate）㸣As a result of text
analysis㸡the word that appeared at frequency nine or more was 31㸣We found what four groups of [Actually-Think]㸡[Clinical record- Oneself─The five senses-Important]㸡[Patients-Know- Need]㸡[Information-Possibility-Impossibility] were done when we compiled a relevant word㸣Students learned importance of necessary knowledge through experience㸡it is about what kind of information is necessary㸡about how you gather information㸡about what do you gather information from㸣And the student learned importance and difficulty to understand what they can do㸣The latter term group of gerontorogical nursing practice was able to watch the true figure of elderly people without a preconception.
フィジカルイグザミネーションを用いた老年臨床看護論実習Ⅱの学習効果
The Learning Effect of Practical Training in the Gerontological Nursing Using the Physical Examination.
Ꮽ⏛༐ᑋ
㸞㸟㸡ᮟ㝧Ꮔ
㸞㸡⏷㔕┞Ꮔ
㸞Chizu Yasuda，Takako Kitamura㸡Aiko Hatano
㸞⪯ἠኬᏕࠈ┫㆜Ꮥ㒂ࠈ┫㆜Ꮥ⛁ࠈSchool of Nursing，Seisen University
㸞ா㒌ᶪኬᏕࠈ┫㆜Ꮥ㒂ࠈ┫㆜Ꮥ⛁ࠈFaculty of Nursing㸡Kyoto Tachibana University
㸞⁘㈙༈⛁ኬᏕࠈ༈Ꮥ㒂ࠈ┫㆜Ꮥ⛁ࠈFaculty of Nursing㸡Shiga University of Medical Science 㸟E-mail㸯[email protected]
Ϩ㸣⥬ࠈゕ
ࠈ⩹ᖳ┫㆜Ꮥᠺெ┫㆜Ꮥ࠾ࡼ≺❟ࡊ࡙࠾ࡼ⌟ᅹ ࡱ࡚㸡⩹ᖳ┫㆜Ꮥᩅ⫩࡞㛭ࡌࡾ◂✪ᩐࡢቌຊࡊ࡙ ࠷ࡾ㸣ᖲᠺᖳᗐࡡ࣑࢜ࣛ࢞ࣖࣚᨭḿ࡞ࡻࡽࡐࡡ ᑍ㛓ᛮࡡ☔❟ࡷᩅ⫩හᐖࡡ᳠ゞࡢࡈࡼ࡞㔔こちࡈ ࡿ࡙࠽ࡽ㸡ᠻࠍࡵࡆࡿࡱ࡚┫㆜ᇱ♇ᩅ⫩࠾ࡼ⮣ᆀ ᐁ⩞࡞࠽ࡄࡾ⩹ᖳ┫㆜ࡡຝᯕⓏᏕ⩞᪁Ἢࢅ᳠ゞ ࡊ࡙ࡀࡒ㸝Ꮽ⏛㸡㸰Ꮽ⏛㸡㸞㸣⩹ᖳ┫㆜ Ꮥ࡚ịࡴࡼࡿࡾᏕࡦ࡞ࡢ㸡㧏㱃⩽ࢅ⌦ゆࡊ㸡භវ ࡊ㸡ࢢࡡ᰷ᣈࢅ⩻࠻㸡ࡷ࡙ࡐࡡ▩ㆉࢅᚺ⏕ࡌ ࡾࡆ࡛୕ࡅࡼࡿ㸡ㅦ⩇࡛ⁿ⩞࡛ᐁ⩞ࡡᏕ⩞ちⅤ ࡷ┘ᵾୌ㈇ᛮࢅᣚࡗࡻ࠹ᣞᑙࢅ┘ᣞࡊ࡙࠷ࡾ㸣 ࠈAኬᏕ࡚ࡢᖳḗ࠾ࡼᖳḗ࡞࠾ࡄࡒ⩹ᖳ⮣ᗃ┫⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞 Ꮥ⩞⌦ゆࢅࡵ࡛࡞㸡ᑊ㇗㧏㱃⩽ࡡ็ࠍ࡛ንࡌࡾ ≟ឺࢅ┘ࡡᙔࡒࡽ࡞ࡊ㸡ࡒࡂࡈࢆࡡሒࢅᚋ࡙ࡐ ࡿࢅὩ⏕ࡊ࡙࠷ࡂሔ࡚࠵ࡾ㸣ᚉࡖ࡙ࡆࡿࡱ࡚ࡡ▩ ㆉࢅ᭩ኬ㝀࡞ᘤࡀฝࡌ᪁Ἢ㸡ᑊ㇗㧏㱃⩽࡞├よ ࡿ☔࠾ࡴࡾᶭఌࢅὩ࠾ࡌ᪁Ἢ㸡ኣ᪁㟻࠾ࡼኣࡂࡡ ሒᚋࡼࡿࡾ᪁Ἢࢅᩅ⫩ࡡ୯࡞ཱིࡽථࡿ࡙࠷ ࡂࡆ࡛ᚪこࡓ࡛⩻࠻ࡼࡿࡒ㸣ࡐࡆ࡚AኬᏕ࡚ࡢ㸡 ⩹ᖳ⮣ᗃ┫㆜ㄵᐁ⩞ࡡᚃ༖ᐁ⩞ϩࡡิࡡᝀ⩽ࡡ ≟ឺ࣬≟Ἓᢍᥩ࡞࠽࠷࡙㸡࢜ࣜࢷࢅずࡾࡆ࡛ࡂ Ꮥ⏍⮤㌗ࡡវࢅ㥉ࡊ࡙ሒࢅᚋࡾ᪁Ἢࢅᑙථ ࡊ࡙࠷ࡾ㸣ࡐࡿ࡞ఔ࠷㸡Ꮥ⏍ࡢ๑࡞㸡ᝀ⩽ࢅ⤣ ྙⓏ࡞ᤂ࠻ࡾࡒࡴࡡࢬࢪ࣒ࣤࢹ࡞ᚪこሒࡡ ᵋᠺࢅ‵ങࡊ㸡ሒ㞗ࡡᡥṹࢅ⩻࠻㸡ᡥ㡨ࢅ⩻ ࠻࡙ᐁ㝷࡞⾔ິࢅ㉫ࡆࡈࡄࡿࡣࡼ࠷㸣ᒜහ ࡢࣆࢩ࢜ࣜࢡࢧ࣐ࢾ࣭ࢨࣘࣤࢅࠔᐁࡡ᥀ ⣬࣬☔ヾࠕ࡛ᏽ⩇ࡊ㸡ࡐࡿࢅᇱ࡞ណࡘࡄࢅࡌࡾ ࣆࢩ࢜ࣜࢬࢪ࣒ࣤࢹࡡୌこ⣪࡛㏑࡙࠷ࡾ 㸝ᒜහ㸡㸞㸣ᐁ⩞࡚ࡢ⑄ᝀ࠾ࡼฝ⌟ࡈࡿࡾ≟ ࢅῼࡊ㸡≟࡞㛭㏻ࡌࡾ⏍Ὡこᅄ࣬⢥♼こᅄࢅ ⩻࠻ࡒ୕࡚㸡ᑊ㇗㧏㱃⩽ࡡ㌗మ࡞よࡿ࡙ሒࢅ☔ ヾࡊ࡙࠷ࡾࡆ࡛࠾ࡼ㸡Aኬࡡ⩹ᖳ⮣ᗃ┫㆜ㄵᐁ⩞ ϩ࡚⏕࠷ࡾሒ㞗࡞ࡢ㸡ࣆࢩ࢜ࣜࢡࢧ࣐ࢾ ࣭ࢨࣘࣤࡡᡥἪཱིࡽථࡿࡼࡿ࡙࠷ࡾ࡛ᤂ࠻ࡼࡿ ࡒ㸣ࡊ࠾ࡊ㸡࢜ࣜࢷ࡞㢏ࡼࡍࣆࢩ࢜ࣜࢡࢧ࣐ ࢾ࣭ࢨࣘࣤࢅᐁ᪃ࡊ࡙࠷ࡾ᪁Ἢࡢビ౮ࡌࡾ࡞ࡢ⮫ ࡖ࡙࠽ࡼࡍ㸡⾔◂✪࡞࠽࠷࡙ࡵࡆࡡሒ㞗᪁ Ἢࢅཱིࡽථࡿࡒᐁ⩞ຝᯕࡢࡆࡿࡱ࡚᪺☔࡞Ꮛᅹࡊ ࠷㸣ࡱࡒ⩹ᖳ⮣ᗃ┫㆜ㄵᐁ⩞ϩࡡㄚ㢗ࢅ⩞ᚋࡌ ࡾ࡞ࡢ㸡ᑊெ㛭౿ᢇ⾙ࡷᏕ⩞ឺᗐᙟᠺࡡງࡵᚪこ ࡛ࡾ㸣ࡆࡿࡱ࡚ࡡ◂✪࡞࠽࠷࡙㸡⩹ᖳ⮣ᗃ┫㆜ ㄵᐁ⩞ϩࡡㄚ㢗㐡ᠺࡡࡒࡴ࡞㸡㡷ᇡࢅ㉰࠻࡙⤊㥺 ࡌࡾᇱᮇⓏᐁ㊮⬗ງࡡᙟᠺᙫ㡢ࡌࡾࡆ࡛㸡ࡈ ࡼ࡞ᐁ⩞࡞ᚺࡋ࡙Ꮥࡦ␏ࡾࡆ࡛㸝ఫ⸠ࡼ㸡 㸞♟ࡈࡿ࡙࠷ࡾ㸡ࣆࢩ࢜ࣜࢡࢧ࣐ࢾ ࣭ࢨ࡛ࣘࣤᐁ⩞ࡡ㛭౿࡞ࡗ࠷࡙ࡢ᪺ࡼ࠾ᩝ ⊡ずࡗ࠾ࡼ࠷㸣ࡻࡖ࡙ᮇ◂✪࡚ࡢ⩹ᖳ⮣ᗃ┫ ㆜ㄵᐁ⩞ϩ࡞࠽࠷࡙ࣆࢩ࢜ࣜࢡࢧ࣐ࢾ࣭ࢨࣘ ࡚ࣤࡡࡻ࠹Ꮥࡦࢅ⩞ᚋࡊ࡙࠷ࡾࡡ࠾ࢅ㸡Ꮥ⏍ ࡡ࣭ࣝ࣎ࢹ୕࡞㧏㢎ᗐ࡞⌟ࢂࡿࡒ༟ㄊࢅฝࡌࡾ ࡆ࡛࡞ࡻࡽ᪺ࡼ࠾࡞ࡌࡾ࡛࡛ࡵ࡞㸡ᐁ⩞ࡱ࡚ࡡ 㡷ᇡᐁ⩞⤊㥺ᩐ࡞ᚺࡋࡒᏕࡦࡡ≁ᚡࢅ㸡⤊㥺⩄࡞ ࠽ࡄࡾẒ㍉ฦᯊ࡞ࡻࡽ᪺ࡼ࠾࡞ࡌࡾࡆ࡛ࢅ┘Ⓩ࡛ ࡊࡒ㸣 ⏕ㄊࡡゆㄕࢅ㊂ࡌࡾ㸣 ࣆࢩ࢜ࣜࢡࢧ࣐ࢾ࣭ࢨࣘࣤ㸯ᮇ◂✪࡚ࡢᑊ㇗ ࡡ㌗మᶭ⬗ࢅᢍᥩࡌࡾⅥ࡞ᚪこᐁࡡ᥀⣬࣬☔ ヾ࡛ࡊ㸡ࡐࡿࡼࡡሒ࡞ࡻࡽ㸡ᑊ㇗ࡡ㌗మⓏ ≟ࡡཋᅄࢅᚨ⌦Ⓩ࠽ࡻࡦ♣ఌⓏ᪁㟻࠾ࡼࡵ⤣ྙࡊ ࡙ࢬࢪ࣒ࣤࢹ࡚ࡀࡾࡵࡡ࡛ࡌࡾ㸣
ϩ㸣᪁ࠈἪ
㸦㸣ᑊ㇗
ࠈᑊ㇗ࡢ㸡AኬᏕ࡚ᖳḗ࠾ࡼᖳḗ࡞⾔ࢂࡿࡾ⩹ ᖳ⮣ᗃ┫㆜ㄵᐁ⩞ϩࢅུㅦࡊࡒᏕ⏍ ྞ࡛ࡊࡒ㸣㸧㸣㸶ኬᏕࡡ⩹ᖳ⮣ᗃ┫㆜ㄵᐁ⩞ϩࡡᴣこ
ࠈAኬᏕ࡚ࡢᖳḗ࠾ࡼᖳḗ࡞࠾ࡄ࡙㸡ᠺெϨ㸡 ᠺெϩ㸡ẍᛮ㸡ᑚඡ㸡ᆀᇡ㸡ᅹᏩ㸡ࢰ࣭࣐ࢻࣜ㸡 ⩹ᖳ㸡ࡡ㡷ᇡื⮣ᆀᐁ⩞⾔ࢂࡿ㸡Ꮥ⏍ࡢᡜᒌࡌ ࡾࢡ࣭ࣜࣈ࡞ࡻࡽ㡷ᇡᐁ⩞ࢅ⤊㥺ࡌࡾ㡨␊␏ ࡾ㸣⩹ᖳ⮣ᗃ┫㆜ㄵᐁ⩞ࡢ༟న࡚㸡㆜⩹ெಕ ᪃シ࡚㐄㛣Ꮥࡩ⩹ᖳ⮣ᗃ┫㆜ㄵᐁ⩞Ϩ࡛㸡 㝌ࡡ⒢㣬ᆵᲯ࡞㐄㛣࠾ࡄ࡙⾔ࢂࡿࡾ⩹ᖳ⮣ᗃ ┫㆜ㄵᐁ⩞ϩ࡛࡚ᵋᠺࡈࡿࡾ㸣 ࠈᅂㄢᰕࢅࡊࡒࢷ࢞ࢪࢹࡢ㸡⩹ᖳ⮣ᗃ┫㆜ㄵᐁ ⩞ϩ࡚ࡡᏕࡦࡡ࣭ࣝ࣎ࢹ࡚࠵ࡾ㸣⩹ᖳ⮣ᗃ┫㆜ㄵ ᐁ⩞Ϩ࡚㧏㱃⩽ࡡ≁ᚡࢅ⌦ゆࡊࡒ࠹࠻࡚㸡⑄ᝀࢅ ᣚࡖࡒ㧏㱃⩽ࡡ┫㆜ࢅᏕࡩࡡ⩹ᖳ⮣ᗃ┫㆜ㄵᐁ ⩞ϩࡡࡠࡼ࠷࡚࠵ࡾ㸣ࡆࡡᐁ⩞࡚ࡢࡆࡿࡱ࡚ࡡᐁ ⩞ᣞᑙࡡ⤊㥺ࢅ㊻ࡱ࠻㸡ᐁ⩞ิࡡ⬗ິⓏሒ 㞗࡛ኣ᪁㟻Ⓩᝀ⩽࡛ࡡ㛭ࢂࡽࢅᙁࡌࡾⅥ㸡 ᐁ⩞ิ࡞ࡢ࢜ࣜࢷࢅず࠷࡚ሒ㞗ࢅࡌࡾ᪁ Ἢࢅ࡛ࡖ࡙࠷ࡾ㸣ࡐࡡࡒࡴᏕ⏍ࡢ㸡ᐁ⩞ิࡱ࡚ ࡞ᚪこ᭩ᑚ㝀࡞࠻ࡼࡿࡒሒ㸝⑄ᝀྞ㸡Ꮽ㟴ᗐ㸡 ㆜ᗐ㸡⌟≟ࡡADL㸞ࢅࡵ࡛࡞ࡊ࡙㸡ᐁ㝷࡞ᑊ ㇗࡞ฝఌࡖ࡙⋋ᚋࡊࡄࡿࡣࡼ࠷ሒ࡛㸡ࡐ ࡡࡒࡴ࡞ࡡࡻ࠹᪁Ἢࢅ࡛ࡼࡄࡿࡣࡼ࠷ ࠾ࢅ⩻࠻࡙ࡂࡾࡡㄚ㢗࡚࠵ࡾ㸣ᐁ⩞┘ࡻࡽ ࢜ࣜࢷࢅ㛸ぬ࡚ࡀࡾ㸡ࡐࡿࡱ࡚࡚ࡵᐁ⩞ᣞᑙ⩽ ࡞├ᑖࡠࡿࡣᚪこᩐೋࡢᥞ♟ࡈࡿࡾࡻ࠹ ࡞ࡖ࡙࠷ࡾ㸣 ࠈ㸨㸣ㄢᰕහᐖ
ࠈ⩹ᖳ⮣ᗃ┫㆜ㄵᐁ⩞ϩ࡞࠽ࡄࡾᏕࡦࡡ࣭ࣝ࣎ࢹ ࡡහ㸡ࠔᐁ⩞ิࡢវࡡࡲ࡚ሒ㞗ࢅ㐅ࡴࡱSeisen J. Nurs. Stud., Vol. 2. 2013 ࡊࡒ㸡ࡐࡆ࠾ࡼᏕࢆࡓࡆ࡛ࡷវࡋࡒࡆ࡛ࡢ࠵ࡽ ࡱࡊࡒ࠾ࠕ࡞ᑊࡌࡾᅂ➽ࢅฦᯊࡊ㸡Ꮥࡦࡡහᐖࢅ ᪺ࡼ࠾࡞ࡊࡒ㸣 ࠈࠈࠈ
㸩㸣ㄢᰕ㛣
ࠈᖲᠺᖳ᭮㹳ᖲᠺᖳ᭮ࡱ࡚ࡡᐁ⩞㛣୯ ࡞㸡Ꮥ⏍ࡢ㐄㛣ࡡ⩹ᖳ⮣ᗃ┫㆜ㄵᐁ⩞ϩࢅ⾔࠷㸡 Ꮥ⏍⮤ᐁ⩞᭩⤂࡞Ꮥࡦࡡ࣭ࣝ࣎ࢹࢅエ㘋ࡌ ࡾ㸣࣭ࣝ࣎ࢹᅂࡢ㸡ᖲᠺᖳ᭮ࡡ㐄㛣࡚⾔ ࡖࡒ㸣 ࠈ㸪㸣ฦᯊ᪁Ἢ
ࠈ࣭ࣝ࣎ࢹ࠾ࡼᏕࡦࢅฦᯊࡌࡾ࡞ᙔࡒࡽ㸡Ꮥ⏍ ▩ㆉ㟻㸡⥬㟻㸡౮ೋび➴ࡈࡱࡉࡱちⅤࡡᏕࡦ ࢅࡴࡾ࡛᥆ᐳࡊ㸡ࡐࡡ୯࡚⏕ࡊࡒゕㄊࢅࡐࡡ ࡱࡱ⾪⌟ࡌࡾࡆ࡛㸡ฦᯊᑊ㇗ெᩐኣ࠷ࡆ࡛ࡻࡽ㸡 ࢷ࢞ࢪࢹฦᯊࢅ⏕࠷ࡾ᪁Ἢࢅ㐽ᢝࡊࡒ㸣 㸞Ꮥࡦࡡ࣭ࣝ࣎ࢹࢅࢷ࢞ࢪࢹฦᯊࡊࡒ㸣ฦᯊ࡞ ࡢSPSS Text Analysis for Surveys 4.0ࢅ ⏕ ࠷ ࡒ㸣ࡆࡿ࡞ࡻࡽᏕ⏍ெࡡ࣭ࣝ࣎ࢹහ࡞ฝ⌟ࡊ ࡒ༟ㄊ࡛㸡ᑊ㇗Ꮥ⏍ධమ࡚ࡐࡡ༟ㄊరᅂฝ⌟ ࡊࡒ࠾᪺ࡼ࠾࡛ࡾ㸣ࡆࡡᡥἪ࡚ࡢெࡡࣝ ࣭࣎ࢹහ࡞⧖ࡽ㏁ࡊ༟ㄊ⏕ࡈࡿ࡙ࡵ㸡ࡐࡡ ༟ㄊ⮤మࡢெ࡞ࡗࡀᅂ࡛࢜ࣤࢹࡈࡿࡾ㸣 㸞ࢷ࢞ࢪࢹฦᯊ࡞ࡻࡽ᪺ࡼ࠾࡛ࡖࡒ㧏㢎ฝࡡ ༟ㄊ࡞ࡗ࠷࡙㸡ᑊ㇗Ꮥ⏍ࢅ⾔㸡㢎ฝ༟ㄊࢅา࡛ ࡊ㸡ࡐࡡ༟ㄊࢅ㐽ᢝࡊ࡙࠷ࡿࡣ㸡ࡊࡄࡿࡣ ࡛⾪⌟ࡌࡾᆵࡡࢸ࣭ࢰࡡࢠࣞࢪ㞗゛⾪࡛ࡲ ࡊ㸡ࢤࣝࢪ࣎ࣤࢸࣤࢪฦᯊࢅ㐲⏕ࡊࡒ㸣ࢤࣝ ࢪ࣎ࣤࢸࣤࢪฦᯊࡢḗඔฦ⾪࡚⾪ࢂࡈࡿࡾ ࡗࡡንᩐࡡ࢜ࢷࢥࣛࡡ୯࡚జࡒࡵࡡࢅ᥀ࡊ㸡ฦ 㢦ࡌࡾᡥἪ࡚࠵ࡾ㸣ࡆࡿ࡞ࡻࡽ㸡々ᩐࡡ༟ㄊ ࡡ㢦జᗐࢅᣞᵾ࡞ฦ㢦ࡊ㸡༟ㄊྜྷኃࡡ㛭౿ࢅ⾪ ࡊࡒ㸣⤣゛ゆᯊ࡞ࡢIBM SPSS Statistics 21.0㸡 SPSS Categoriesࢅ⏕ࡊࡒ㸣 㸞⩹ᖳ⮣ᗃ┫㆜ㄵᐁ⩞ϩࡱ࡚࡞⤊㥺ࡊࡒ㡷ᇡࡡ ⮣ᗃ┫㆜Ꮥᐁ⩞ᩐࢅࠔิ㸯ᅂ㹳 ᅂࠕࠔ୯㸯 ᅂ㹳 ᅂࠕࠔᚃ㸯ᅂ㹳 ᅂࠕ࡛ࡊ࡙ㄢᰕࡊ㸡ࢷ ࢞ࢪࢹฦᯊ࡞ࡻࡽ᪺ࡼ࠾࡛ࡖࡒ㧏㢎ฝࡡ༟ㄊ࡞ ࡗ࠷࡙㸡า࡛ࡲࡊ࡙ࢤࣝࢪ࣎ࣤࢸࣤࢪฦᯊࡊ ࡒᏕ⏍㛣ࡡ㛭౿࡞࠽࠷࡙㸡ᐁ⩞⤊㥺ᩐࡡሒࢅ Ꮥ⏍ெெ࡞⨠ࡀᥦ࠻࡙ᒒืࡊࡒ㸣ࡆࡿ࡞ࡻࡽ ⤊㥺ᐁ⩞ᩐྜྷኃࡡ㛭౿ࢅ⾪ࡊࡒ㸣⤣゛ゆᯊ࡞ࡢ IBM SPSS Statistics 21.0㸡SPSS Categories ࢅ⏕ࡊࡒ㸣㸫㸣⌦Ⓩ㒼៎
ࠈ◂✪ࡡ㉻᪠࡛හᐖ࠽ࡻࡦ㸡◂✪ࡡཤຊࡢ௴ណ ࡚࠵ࡽཤຊ࡞ྜྷណࡊ࠷ࡆ࡛ࢅࡵࡖฺ࡙─ᑊ ᚺࢅུࡄ࠷ࡆ࡛㸡ཤຊ࡞ྜྷណࡊࡒሔྙ࡚࠵ࡖ࡙ ࡵ㸡ฺ─ࢅུࡄࡾࡆ࡛ࡂࡆࡿࢅᅂࡌࡾࡆ࡛ ࡚ࡀࡾࡆ࡛ࢅಕ㝸ࡌࡾහᐖࢅ᭡㟻࡛ཾ㢄࡚ㄕ᪺ ࡊࡒ㸣◂✪ࡡཤຊࡡࡦ᤻ࡄࡢ༟నヾᏽ⤂ᚃ ࡞ᐁ᪃ࡊࡒ㸣ฦᯊࡌࡾᐁ⩞࣭ࣝ࣎ࢹࡢᏕ⏍࡞㏁༴ ࡊࡒᚃ㸡ྜྷណࢅᚋࡼࡿࡒ⩽ࡓࡄẮྞࢅᾐࡊࡒ୕࡚ ࣎ࢪࢹᢖพ࡞࡙ᅂࡊࡒ㸣࠽ࡆࡡ◂✪ࡢ⪯ἠኬ Ꮥ࠽ࡻࡦ⁘㈙┬❟ኬᏕࡡ⌦ᐼᰕጟဤఌࡡᢆヾࢅ ᚋ࡙⾔ࡖࡒ㸣Ϫ㸣⤎ࠈᯕ
㸦㸣ᑊ㇗⩽ࡡᒌᛮ
ࠈᅂࡈࡿࡒᏕࡦࡡ࣭ࣝ࣎ࢹࢷ࢞ࢪࢹࡢ ྞฦ 㸝ᅂ⋙㸚㸞࡚࠵ࡖࡒ㸣ࡐࡡ࠹ࡔ㸡⩹ᖳ⮣ᗃ ┫㆜ㄵᐁ⩞ϩิࡴ࡙㸡ࡵࡊࡂࡢࡐࡿࡱ࡚࡞㡷 ᇡࡡᐁ⩞ࢅᅂ⤊㥺ࡊࡒᏕ⏍㸝௧ୖࠔิ⩄ࠕ࡛ ࡌࡾ㸞ࡢྞ㸡㡷ᇡᐁ⩞ࢅᅂ㹳 ᅂ⤊㥺ࡊࡒ Ꮥ⏍㸝௧ୖࠔ୯⩄ࠕ࡛ࡌࡾ㸞ࡢྞ㸡㡷ᇡᐁ ⩞ࢅᅂ㹳 ᅂ⤊㥺ࡊࡒᏕ⏍㸝௧ୖࠔᚃ⩄ࠕ࡛ ࡌࡾ㸞ࡢྞ࡚࠵ࡖࡒ㸣 ࠈ㸧㸣⮤⏜エ㏑ࡡࢷ࢞ࢪࢹฦᯊ࡞ࡻࡽฝࡈࡿࡒ
ࠈ༟ㄊ
ࠈ ྞฦࡡᏕࡦࡡ࣭ࣝ࣎ࢹࢷ࢞ࢪࢹ࠾ࡼ㸡ྞペ࣬ ິペ࣬ᙟᐖペ࣬ᙟᐖິペࢅฝࡊࡒ㸣 ࠈฝࡈࡿࡒධ༟ㄊࡡ࠹ࡔ㸡ᑊ㇗ࡡ⣑༖ᩐ ⏕ࡊࡒ࡛ࡈࡿࡾ௧୕ฝ⌟ࡊࡒ༟ㄊࡢ㸡࠘ ሒ㸝㸞㸡࡚ࡀࡾ㸝㸞㸡ᝀ⩽㸝 㸞㸡࢜ࣜࢷ㸝㸞㸡 ࠵ࡾ㸝㸞㸡វ㸝㸞㸡ሒ㞗ࡌࡾ㸝㸞㸡ࡂ ࡾ㸝㸞㸡វࡋࡾ㸝㸞࠙ࡡ㸡 ༟ㄊ࡚࠵ࡖࡒ㸣ᑊ ㇗ࡡ⣑ࡡ⏕࡞࠵ࡒࡾ ௧୕ࡡ㢎ᗐ࡚ฝ⌟ࡊ ࡒ༟ㄊࡢ㸡୕エ࡞ຊ࠻࠘ࡌࡾ㸝㸞㸡⮤ฦ㸝㸞㸡 ࡌࡾ㸝㸞㸡ᣚࡗ㸝㸞㸡࠷࠹㸝㸞㸡ᛦ࠹㸝㸞㸡 ኬวࡓ㸝㸞㸡࠷㸝㸞㸡ᚋࡾ㸝㸞㸡☔࠾ࡴࡾ㸝㸞㸡 ථび㸝㸞㸡ࢤ࣐ࣖࢼࢢ࣭ࢨࣘࣤ㸝㸞㸡▩ࡾ㸝㸞㸡 ᐁ㝷㸝㸞㸡ᚪこ㸝㸞㸡ኣࡂ㸝㸞㸡ࢆ࣬ ࡡࡻ࠹㸝㸞㸡ࢂ࠾ࡾ㸝㸞㸡⩻࠻ࡾ㸝㸞㸡୯㸝㸞㸡 ࠹㸝 㸞㸡≟㸝 㸞࠙ࡡ࡚࠵ࡖࡒ㸣㸝ᅒ㸞 ࣆࢩ࢜ࣜࢡࢧ࣐ࢾ࣭ࢨࣘࣤࢅ⏕࠷ࡒ⩹ᖳ⮣ᗃ┫㆜ㄵᐁ⩞ϩࡡᏕ⩞ຝᯕ⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞
㸨㸣༟ㄊ㛣ࡡ㛭౿ᛮ
ࠈ ௧୕ࡡ㢎ᗐ࡚ฝ⌟ࡊࡒ༟ㄊ࡞࠽࠷࡙㸡ࡐ ࡿࡼࡡ༟ㄊྜྷኃࡡ⤎ࡦࡗࡀࢅ᳠チࡊࡒ㸣ᅒࡢ༟ ㄊࢅา࡛ࡌࡾาࢪࢤࡡᕱ⨠ᅒ࡞࠽࠷࡙㸡༟ㄊ 㛣ࡡ㛭౿ᛮࢅ⾪⌟ࡊ࡙࠷ࡾ㸣㸝ᅒ㸞ࢤࣝࢪ࣎ࣤࢸ ࣤࢪฦᯊ࡚ࡢ㸡⾔࠽ࡻࡦาࡡ࢜ࢷࢥ࣭ࣛ㛣ࡡ㊝㞫 ㎾࠷㡧┘㛣ࡡ㢦జᛮࡢ㧏ࡂࡾ㸣ࡻࡖ࡙ࢡ ࣚࣆ୕࡚᪺ࡼ࠾࡞㎾ࡂన⨠ࡌࡾ༟ㄊྜྷኃࢅࢡ࣭ࣜ ࣈࡊࡒ㸣ࡆࡿࡻࡽ㸡ฝ⌟ࡊࡒ༟ㄊࡢࡗࡡࢡࣜ ࣭ࣈ࡞ࡱ࡛ࡴࡾࡆ࡛࡚ࡀࡒ㸣ࢡ࣭ࣜࣈձࡢ࠘ᐁ 㝷Ѹ⩻࠻ࡾ࠙㸡ࢡ࣭ࣜࣈղࡢ࠘࢜ࣜࢷѸ⮤ฦѸវѸ ኬว࠙㸡ࢡ࣭ࣜࣈճࡢ࠘ᝀ⩽Ѹ▩ࡾѸᚪこ࠙㸡ࢡ࣭ࣜ ࣈմࡢ࠘ሒѸ࡚ࡀࡾѸ࠷࡚࠙࠵ࡖࡒ㸣ࡱࡒ㸡ࢤ ࣝࢪ࣎ࣤࢸࣤࢪฦᯊ࡚ࡢḗඔ࡛ḗඔࡡཋⅤ࠾ࡼ 㐪ࡂ࡞న⨠ࡌࡾᑛᩐὬ࡚࠵ࡾࡆ࡛ࢅ♟ࡌ㸣ࡻ ࡖ࡙ཋⅤ࠾ࡼࡡ㊝㞫ࡻࡽ㸡ࢡ࣭ࣜࣈմࡢ༟ㄊࡡฝ ⌟㢎ᗐධమⓏ࡞㧏࠷༟ㄊ㛭౿ࡊ࡙࠷ࡾࡆ࡛ ᪺ࡼ࠾࡛ࡖࡒ㸣ࡆࡡ༟ㄊ㛣ࡡࢡ࣭ࣜࣅࣤࢡࡡ᳠ チ࡞⮫ࡖ࡙ࡢ㸡㢎ฝࡈࡿࡒࡡ༟ㄊࢅᡥ࠾ࡽ ࡞ඔࡡࢷ࢞ࢪࢹࢸ࣭ࢰࡡୌ㒂ࢅࣚࣤࢱ࣑࡞㐽ᢝࡊ㸡 ᩝ❮ࢅㄖࢆ࡚ධమࢅこ⣑ࡊࡒ⤎ᯕ࡛ࢷ࢞ࢪࢹฦᯊ ࡡ⤎ᯕୌ⮬ࡌࡾ࠾࠹࠾ࢅ⾔ࡖࡒ㸣㸝⾪㸞㸩㸣ᐁ⩞⤊㥺ᩐืᏕ⏍㛣ࡡ㛭౿ᛮ
ࠈᅒ࡚♟ࡊࡒาࢪࢤ࡞ᑊࡊ࡙⾔ࢪࢤࡢᑊ㇗ ྜྷኃࡡ㛭౿ࢅࡲ࡙࠷ࡾ㸡ࡐࡆ࡞ᑊ㇗⩽ࡡᐁ⩞⤊ 㥺ᩐ࡚⩄ืࡊࡒሒࢅຊ࠻ࡾ࡛㸡ᅒࡡࡻ࠹࡞ ࡖࡒ㸣㸝ᅒ㸞ิ⩄࠽ࡻࡦ୯⩄ࡢ᪺ࡼ࠾ലྡྷ ヾࡴࡼࡿ࠾ࡖࡒ㸡ᚃ⩄ࡢḗඔ㍀࣏ ࢻࢪ࠽ࡻࡦḗඔ㍀࣏ࢻࢪࡡ᪁ྡྷ࡞೩ࡖ࡙࠷ ࡾࡆ࡛᪺ࡼ࠾࡛ࡖࡒ㸣ࡆࡿ࡞ࡻࡽᐁ⩞ᚃ⩄ ࡞ࡡࡲ≁᭯ࡡ≁ᚡ࠵ࡾࡆ࡛♟ြࡈࡿࡒ㸣 ᖱႎ ߢ߈ࠆ ᖚ⠪ ࠞ࡞࠹ ࠆ ᗵ ᖱႎ㓸ߔࠆ ߊࠆ ᗵߓࠆ ߔࠆ ⥄ಽ ធߔࠆ ᜬߟ ߁ ᕁ߁ ᄢಾߛ ߥ ᓧࠆ ⏕߆ࠆ వⷰ ࠦࡒࡘ࠾ࠤ࡚ࠪࡦ ⍮ࠆ ታ㓙 ᔅⷐ ᄙߊ ߤࠎߥߤߩࠃ߁ߥ ࠊ߆ࠆ ⠨߃ࠆ ਛ ߁ ∝⁁ ᅒࠈ ௧୕⏕ࡈࡿࡒ༟ㄊ࡛ࡐࡡ㢎ᗐSeisen J. Nurs. Stud., Vol. 2. 2013 ࣆࢩ࢜ࣜࢡࢧ࣐ࢾ࣭ࢨࣘࣤࢅ⏕࠷ࡒ⩹ᖳ⮣ᗃ┫㆜ㄵᐁ⩞ϩࡡᏕ⩞ຝᯕ ⾪ࠈ㢎ฝ༟ㄊ⏕ࡈࡿࡒᏕࡦࡡ࣭ࣝ࣎ࢹᩝ❮ࡡୌౚ ࠦࡒࡘ࠾ࠤ࡚ࠪࡦ ٌ㧦ታ⠌ೋᦼ⟲ ٤㧦ታ⠌ਛᦼ⟲ ٨㧦ታ⠌ᓟᦼ⟲ ᅒࠈ༟ㄊࡡᕱ⨠ᅒ㸝ࢤࣝࢪ࣎ࣤࢸࣤࢪฦᯊ㸞 ᅒࠈᑊ㇗ࡡᕱ⨠ᅒѸᐁ⩞⤊㥺ᩐࡡሒࢅຊ 㸝ࢤࣝࢪ࣎ࣤࢸࣤࢪฦᯊ㸞 +& ᢥ┨ ߹ߢߩታ⠌ߢ⥄ಽߩᗵߢᖱႎࠍ㓸ߢ߈ࠆ߽ߩߢ߽ޔࠞ࡞࠹ߦ㗬ߞߡߚߩߛߣ᳇ ߠ߈߹ߒߚޕ߹ߚޔࠞ࡞࠹߆ࠄߩᖱႎࠃࠅ߽ޔ⥄ಽߢ㓸ߢ߈ߚᖱႎߩ߶߁߇ᣂߒߊ ߽ࠅ߹ߒߚޕ೨ߦ⤒㑐▵∩߇ࠆߩߪᖱႎߣߒߡߚߛߡߡߚߌࠇߤޔߘߩ ⒟ᐲ߿ߤࠎߥᤨޔߤࠎߥⷺᐲߢ∩ߩ߆ߥߤޔታ㓙ߦࠆ߶߁߇ࠃߊࠊ߆ࠅޔߘࠇߦࠃ ࠅߦ࿎ߞߡࠆߩ߆ࠍ⠨߃ࠆ߇ߢ߈߹ߒߚޕ ࠃࠅޔታ㓙ߦ㜞㦂⠪ߩᣇߣធߒߥ߇ࠄᖱႎࠍ㓸ࠆࠊߌߢޔߘߩᣇߩᕁ߿⍮ߩߎ ߣ߇ធߒߥ߇ࠄ⠨߃ޔߘߩᤨߩᖱ߆ࠄ߽ᗵߓขࠆߎߣ߇ߢ߈ߚޕᗵࠍ♖৻᧰߁ߣ ߔߏߊ∋ࠇࠆߎߣ߽ࠊ߆ࠅ߹ߒߚޕ ߹ߢߪࠞ࡞࠹߆ࠄߩᖱႎߦ㗬ࠅߞ߬ߥߒߛߞߚߚޔᖚ⠪ߐࠎ߇ታ㓙ߦߤߎ߹ߢߪߢ ߈ࠆߩ߆߇߹ࠅᛠីߢ߈ߡߥ߆ߞߚޕ࿁ߩታ⠌ߢ⥄ಽߩᗵߢᖱႎࠍ㓸ߚߎߣ ߢࠃࠅᖚ⠪ߐࠎߩ⁁ᘒߦߟߡᛠីߢ߈ߚߣᕁ߁ޕ⍮ࠅߚᖱႎߦߟߡޔߤߩࠃ߁ߦ ߒߡᖱႎࠍ㓸ߒߡߊ߆ޔߘߩᚻᲑߦߟߡ߽࿁ߩታ⠌ߢ⠨߃ߚࠅޔቇࠎߛࠅߢ߈ ߚߩߢޔߎߩ⚻㛎ࠍᄢಾߦߒߡᰴ࿁ߩታ⠌ߢⴕߞߡ߈ߚߣᕁ߁ޕ ೨࿁߹ߢߩታ⠌ߢߪࠞ࡞࠹ߢࠆ⒟ᐲᖱႎࠍᓧߡ߆ࠄᖚ⠪ߐࠎߣធߒߡߚߩߢޔೋ ߦ⥄ಽߢᖚ⠪ߐࠎߪߎࠎߥੱߛߣߟߌߡߒ߹ߞߡߚߣߎࠈ߇ߞߚߣᗵߓߚޕ ࿁ߪ৻ᣣ⋡ߦᗵߩߺߢᖱႎ㓸ࠍⴕߞߚߚޔవⷰߥߊធߔࠆߎߣ߇ߢ߈ߚޕ߹ߚޔ ⥄Ꮖ⚫ࠍߒߡᖚ⠪ߐࠎߩฬ೨ࠍ⡞߈ޔߩᖱႎࠍવ߃ว߁ߣ߁ᒰߚࠅ೨ߩࠦࡒࡘ ࠾ࠤ࡚ࠪࡦࠍߣࠆߎߣ߇ߢ߈ޔ߹ߢߩ㑐ࠊࠅࠍ⋥ߔߎߣ߇ߢ߈ߚޕߟ߽ࠃࠅᘕ ㊀ߦᖚ⠪ߐࠎߩ᭽ሶࠍⷰኤߒߚࠅ⸒⪲ࠍ⡞߈ขߞߚࠅߔࠆߎߣߢ᳇ߠߊߎߣ߇ߚߊߐࠎ ߞߚߚޔࠞ࡞࠹ߦ㗬ࠆߩߢߪߥߊ⥄ಽߩᗵࠍߞߚᖱႎ㓸߇㊀ⷐߢࠆߣቇࠎ ߛޕ ߘߎߢᗵߓߚߩߪᖚ⠪ߐࠎ߇ߔߎߣߩ৻ߟ৻ߟ߇ߣߡ߽ᣂ㞲ߥᗵߓ߇ߒߡޔ⋥ធᖚ⠪ ߐࠎ߆ࠄ⡞ߊߎߣߪ⥄ಽ߇ᓧߚ⏕ታߥᖱႎߢࠆߩߢᄢಾߥߎߣߛߣᗵߓߚޕࠍ⡞ߊ ߛߌߢߥߊޔታ㓙ߦࠍേ߆ߒߡ߽ࠄߞߡޔ⸅ࠇߚࠅߒߡޔᖚ⠪ߐࠎߩߎߣࠍ⍮ࠈ߁ߣ ᕁ߁ߣߩᖱႎ߇ᔅⷐߥߩ߆ߣ߁ߎߣࠍ೨߽ߞߡ⠨߃ߡ߅ߊߎߣ߽ᄢಾߛߣቇࠎߛޕ ߎࠇ߹ߢߪࠞ࡞࠹ࠍవߦߡᖱႎ㓸ߒߡ߹ߒߚ߇ޔᗵߩߺߢᓧࠄࠇࠆᖱႎߦᄢಾ ߥߘߩੱࠄߒᖱႎ߇ߟ߹ߞߡߡޔᗵ߆ࠄ⥄ಽߢᖱႎࠍᓧࠆߎߣߩᄢಾߐࠍᡷߡ ⍮ࠅ߹ߒߚޕ㜞㦂⠪ߢߪޔ∝⁁߇ߤߩ⒟ᐲߢޔߘࠇߦࠃߞߡ߇㔍ߒߩ߆ޔ߇ߢ߈ ߥߩ߆ࠍ⥄ಽߢߡ⸅ߞߡޔ⡞ߊߎߣߢޔߘߩੱ߇ᜬߞߡࠆߩ․ᓽࠍታᗵߢ߈ࠆޕ ߎࠇ߆ࠄ㜞㦂⠪ߩߺߢߪߥߊޔᚑੱޔዊఽ᭽ޘߥᣇߣ㑐ࠊࠆᯏળ߇ࠆߣᕁ߹ߔ߇ޔ ⥄ಽߩ⋡ߢߡޔ⸅ࠇߡ⡞ߡߤ߁ߥߞߡࠆߩ߆ࠍᗵߓࠆߎߣࠍᄢಾߦߒߡޔᗵߓߚ ߎߣ߆ࠄߘߩੱࠄߒߐࠍචಽߦዅ㊀ߒߚ㑐ࠊࠅ߿េഥࠍߒߡ߈ߚߣᕁ߹ߒߚޕ ࠞ࡞࠹߆ࠄߩᖱႎ㓸ߢߪߥߊޔฃߌᜬߜᖚ⠪ࠍߡޔࠍ⡞ߡޔߘߩੱࠍℂ⸃ߒࠃ ߁ߣߔࠆߎߣߢޔℂ⸃ߔࠆߦߪߤࠎߥߎߣࠍ⍮ࠆᔅⷐ߇ࠆߩ߆⠨߃ࠆߎߣ߇ߢ߈ߚޕ ߅߅߹߆ߥᖱႎߩߺࠍᜬߞߡߡޔߘߩੱߦߪޔߎࠎߥߎߣ߇ߢ߈ࠆ߆߽ߒࠇߥߣ⠨ ߃ࠍ⤘ࠄ߹ߖޔታ㓙ߦ߅ળߔࠆߎߣߢޔߘߩᗐㅢࠅߛߞߚࠅߘ߁ߢߥ߆ߞߚࠅޔ⠨ ߃ߡߚ⁁ᘒߣ㆑߁ㇱಽ߇ߟ߆ߞߚޕ⠨߃ߡߚ⁁ᘒߣ㆑߁ߣ߁ὐߢߪޔ⥄ಽߩ⠨ ߃ᣇ߇ߞߚ߽ߩߢߞߚߎߣ߽ࠊ߆ߞߚޕ߹ߚޔታ㓙ߦᗵࠍ↪ࠆߎߣߢᓧࠄࠇߚ ᖱႎߪ⥄ಽߢᓧߚᖱႎߢࠆߩߢޔࠕࠬࡔࡦ࠻ߥߤߦ⥄ାࠍᜬߞߡߟߥߍࠆߎߣ߇ߢ ߈ߚޕ ߆ࠍ⡬ߚࠅޔߚࠅޔⴕߞߡ߽ࠄߞߚࠅޔߘߩੱࠍ⍮ࠆߚߦᔅⷐߥ߇߆ࠍ⠨ ߃ࠆߩ߇ᄢᄌߢߒߚޕࠞ࡞࠹߇ߥߊߡ߽ᖚ⠪ߐࠎߩߎߣࠍ⍮ࠈ߁ߣᕁߞߚࠄࠆ⒟ᐲ⍮ ࠆߎߣ߇ߢ߈ࠆߣᕁߞߚޕ㜞㦂⠪ߛ߆ࠄߣ߁ᕁㄟߺ߆ࠄߞߡߒ߹߁ߣޔ⡞߆ߥ ߣߌߥߎߣ߇⡞ߌߥߣࠊ߆ࠅ߹ߒߚޕታ㓙⸅ࠇߡߺߚࠅޔߒߚࠅߒߡߊਛߢޔ ߘߩੱߛߌࠍࠆߎߣߢ߇ߢ߈ߥߊߡޔ߇ߢ߈ࠆ߆ޔਇ⥄↱ߥߎߣߪߥ߆ߓߞߊ ࠅ⠨߃ࠇࠆᯏળߦߥߞߚޕࠦࡒࡘ࠾ࠤ࡚ࠪࡦ߇⧰ᚻߥߩߢޔ㔍ߒ߆ߞߚޕ ᔅⷐߥᖱႎߪ߆ߣ߁ߎߣߦߟߡᷓߊ⠨߃ࠄࠇࠆߎߣ߇ߢ߈ߚޕߟ߽ਈ߃ࠄࠇߚ ᖱႎߛߌߦ㗬ߞߡࠆߣ߁ߎߣࠍታᗵߒߚޕࠍߔࠆߎߣߦᗧ⼂߇߈ޔᖚ⠪߇ߤߩ ࠃ߁ߥേ߈ࠍߒߡࠆߩ߆ޔࠍߡࠆߩ߆ޔⷰኤࠍߔࠆߎߣ߇߅ࠈߘ߆ߦߥߞߡ ߚޕᖚ⠪ߦነࠅᷝߞߚេഥࠍ⠨߃ࠆߦߪ↢ᵴࠍ⍮ࠅޔⅣႺࠍ⍮ࠅޔ᳇ᜬߜࠍ⍮ࠆߎߣ߇ ᔅⷐߛߣࠊ߆ߞߚޕ↢┙ߜߦߟߡ⍮ࠆߣᖚ⠪ߩℂ⸃߇ߢ߈ࠆߩߢ⡬ߔࠆᆫ߽ᄢ ಾߛߣᗵߓߚޕ ᗵߩߺߢᖱႎ㓸ࠍታᣉߒߚߎߣߢޔ#&. ߩ⁁ᴫ߿りߩน⢻ᕈߩ⁁ᴫߦߟߡవ ⷰࠍᜬߚߕޔߘߩੱ߇ߤߎ߹ߢߢ߈ࠆߩ߆ߢ߈ߥߩ߆ࠍ⥄ಽߩ⋡ߢߒߞ߆ࠅߣ⏕ߔ ࠆߎߣ߇ߢ߈ߚޕ߹ߚޔࠦࡒࡘ࠾ࠤ࡚ࠪࡦࠍߣࠆߎߣߢޔߘߩੱߩ߹ߢ↢߈ߡ߈ߚ ᱧผ߿ᕁߦߟߡ⺆ߞߡ߽ࠄޔߘࠇࠍᧄੱ߇ߤ߁ᗵߓߡ߅ࠄࠇࠆߩ߆ޔ∩ߺߦߤ ߁ᓇ㗀ߒߡࠆߩ߆ࠍℂ⸃ߢ߈ߚޕߒ߆ߒޔ⍮∝߽ࠆᣇߢࠅޔߘߩੱߩ⊒⸒߇ߔ ߴߡ⏕߆ߥᖱႎߢࠆߣ߁ࠊߌߢߪߥ߆ߞߚߚޔ∔ᖚ߿ᴦ≮ޔኅᣖߩ⁁ᴫ╬ߦ㑐ߒ ߡߪޔࠞ࡞࠹߿ኅᣖߩߥߤ߆ࠄ್ᢿߒߡߊߎߣ߽㊀ⷐߢࠆߣቇࠎߛޕ ࠞ࡞࠹߆ࠄᖱႎࠍᓧߡ߆ࠄ㜞㦂⠪ߣ㑐ࠊࠆߣవⷰ߇ߞߚࠃ߁ߦᕁ߁ޕ࿁ߪߤࠎߥ ↢ᵴࠍߐࠇߡࠆߩ߆ߤࠎߥ∝⁁ࠍᜬߞߡࠆߩ߆ࠍ⠨߃ߡ㑐ࠊࠆߎߣ߇ߢ߈ߚޕᗧ࿑ ⊛ߦᖱႎࠍߣࠆߎߣߩᄢಾߐࠍቇ߱߇᧪ߚޕߒ߆ߒޔ⍮߿⸥ᙘ㕙ߦߟߡߪ⥄ಽ ߇ᜬߞߡࠆᖱႎ߇ᱜߒߩ߆ߣਇߦߥࠆߎߣ߽ߞߚޕ⥄ಽߩᜬߞߡࠆᖱႎߣࠞ ࡞࠹ߩᖱႎࠍ✚วߒߡᖚ⠪ࠍߡߊߎߣ߇ᔅⷐߛߣࠊ߆ߞߚޕࠈࠎߥߣߎࠈߦ᳇㈩ ࠅߒߡޔᢅᗵߦᖱႎ㓸ߔࠆᔅⷐ߇ࠆߣᗵߓߚޕ ᚻតࠅߩᖱႎ㓸ߣ߁ᗵߓߛߞߚ߇ޔㆊߢߪߥߊߩᖚ⠪ߣ߁ߎߣ߇߃ߚޕ ⥄ಽߩ⋡ߢ⏕ߢ߈ޔ⏕߆ߥᖱႎࠍᝒ߃ࠆ߇ߢ߈ߚޕవⷰߥߊ⥄ಽߩᓧߚᖱႎߩਛ ߢߩળߛߞߚߚޔᧄ᧪ࠆߴ߈ࠦࡒࡘ࠾ࠤ࡚ࠪࡦߩขࠅᣇߛߣᗵߓߚޕ⥄ಽߩജ ߢޔᖱႎࠍߟ߆ߺߦⴕߞߚߣ߁ᕁ߇ࠆޕ
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ࠈ༟ㄊ㛣ࡡ㛭౿ࡻࡽ㸡Ꮥ⏍ࡡᏕࡦࡡエ㏑࡞ࡢࡗ ࡡ≁ᚡ࠵ࡾ࡛⩻࠻ࡼࡿࡒ㸣ࡆࡡࢡ࣭ࣜࣅࣤࢡࡡ ᳠チషᴏ࡚⾔ࡖࡒධమࡡこ⣑ࢅ㊻ࡱ࠻࡙⩻ᐳࡌࡾ ࡵࡡ࡛ࡌࡾ㸣 ࠈࢡ࣭ࣜࣈձ࡚ࡢࠔᐁ㝷ࠕ࡛ࠔ⩻࠻ࡾࠕࡡࡗࡡ ༟ㄊ࠾ࡼᵋᠺࡈࡿࡒ㸣ࡆࡡࡗࡡ༟ㄊࡢྞ௧୕ ࡡᏕ⏍⏕ࡊ࡙࠷ࡾ㸡ࠔᐁ㝷ࠕ࡞⤾ࡂ༟ㄊࡢ ኣᒪ࡞ࢂࡒࡽ㸡Ꮥ⏍ࡢᐁ㝷࡞ずࡒࡽ㸡よࡿࡒࡽ㸡 ヨࡊࡒࡽ㸡㛭ࢂࡖࡒࡽ㸡ࡊࡒࡽ࡛ኣࡂࡡࣈࣞ ࣭ࢲࢅᐁ㊮ࡊ࡙࠷ࡾࡆ࡛⾪⌟ࡈࡿࡒ㸣࠷ࡍࡿࡵ Ꮥ⏍⮤ࡼࢠࢨࣘࣤࢅ㉫ࡆࡌࡆ࡛࡚㸡┘ࡡ๑ࡡ㧏 㱃⩽ࡐࡡࡵࡡࢅࡻࡽࡂវࡋཱིࢀ࠹࡛ࡌࡾິࡀ ࠵ࡖࡒ࡛ᤂ࠻ࡼࡿࡒ㸣ࡱࡒ㸡ࠔᐁ㝷ࠕ࡞≟࠵ ࡾࡡ࠾㸡ࠔᐁ㝷ࠕࡢࡆࡱ࡚࡚ࡀࡾ࠾ࢅࠔ⩻࠻ࡾࠕ ࡛࠷࠹⾪⌟ࡡ᪁ࡵኣᩐずུࡄࡼࡿࡒ㸣ࡆࡡᐁ⩞ ࡚ࡢᐁ⩞ิࡱ࡚࡞Ꮥ⏍࡞ఎ࠻ࡾᑊ㇗ࡡሒࡢᚪ こ᭩ᑚ࡞㝀ࡖ࡙࠽ࡽ㸡ᖳ㱃࣬ᙸṌ࣬⌟Ṍ࣬㧏 㱃⩽ུࡄ࡙࠷ࡾ⌟ᅹࡡADLຐࡡሒࢅᐁ⩞ ๑㐄࡞ᥞ♟ࡊ࡙࠷ࡾ㸣ࡆࡡሒࢅ㏳ࡊ࡙㸡ᚨ㌗࡞ ర㉫ࡀ࡙࠷ࡾࡡ࠾㸡࠹࠷ࡖࡒ⏍Ὡࢅࡈࡿ࡙࠷ ࡾࡡ࠾㸡ࡡࡻ࠹ᅏ㞬ࢅᢢ࠻࡙࠷ࡾࡡ࠾ࢅ᥆ῼ ࡌࡾㄚ㢗ࢅฝࡊ࡙࠷ࡾ㸣ࡆࡡㄚ㢗࡞ࡻࡽ⑄ᝀࡡᇱ ♇▩ㆉࡷ㧏㱃⩽ࡡᚨ⌦Ⓩን㸡㧏㱃⩽ࡡ⏍Ὡິ ష࡛࠷ࡖࡒࡆࡿࡱ࡚ࡡᏕහ࡚ࡡ▩ㆉࢅ⤣ᣋࡌࡾࡆ ࡛ࡠࡼ࠷࡚࠵ࡾ㸣ᅂࠔᐁ㝷ࠕࠔ⩻࠻ࡾࠕࡡ ࡗࡡ༟ㄊ㢎ฝࡊࡒࡆ࡛ࡢ㸡ᐁ⩞ࡱ࡚ࡡ▩ㆉࢅࡵ ࡛࡞ᐁ⩞ิ࡞ࡢࡡࡻ࠹ሒࢅࡗ࠾ࡳᚪこ ࠵ࡾࡡ࠾ࢅ⩻࠻㸡ࡐࡡሒࡡ☔࠾ࡈࢅᏽࡴ࡙࠷ࡂ ᪁Ἢࢅ⩻࠻࡙࠷ࡂ࡛࠷࠹Ꮥࡦ♟ࡈࡿࡒ㸣 ࠈࢡ࣭ࣜࣈղࡢࠔ࢜ࣜࢷࠕࠔ⮤ฦࠕࠔវࠕࠔኬวࠕ ࡡࡗࡡ༟ㄊ࡚ᵋᠺࡈࡿ࡙࠷ࡒ㸣࢜ࣜࢷࢅずࡾࡆ ࡛࠾ࡼጙࡴࡒࡆࡿࡱ࡚ࡡᐁ⩞᪁Ἢ࡛Ẓ㍉ࡊ㸡វ ࢅ㥉ࡊ࡙⮤ฦరࢅࡌࡀࡡ࠾ࢅ⩻࠻ࡼ 㧏㱃⩽࡛㛭ࢂࡾࡆ࡛㸡ሒࢅ⋋ᚋࡊ࡙࠷ࡂࡆ࡛ࡡ ኬวࡈ࡞Ẵࡘ࠷ࡒࡆ࡛⾪⌟ࡈࡿࡒ㸣ࡱ࡚ࡢ࢜ ࣜࢷࡡሒ࡞㢏ࡽࡀࡽ࡚㸡㧏㱃⩽ࡡ๑࡞࠷࡙ࡵヨ ࢅࡊ࡙࠷࡙ࡵࡆࢆ࡞ኬวሒࡒࡂࡈࢆ࠵ࡾ ࡛ࡢᛦࡖ࡙࠷࠾ࡖࡒ࡛࠷࠹හᐖࡵኣࡂ࠵ࡖࡒ㸣 ࠈវࢅ㥉ࡊ࡙ᚋࡾሒ࢜ࣜࢷࡡエ㍍㡧ࡻ ࡽࡵ᩺ࡊࡂ㸡ᑊ㇗ࡡ⌟≟࡞༳ࡊ࡙࠷ࡾࡆ࡛㸡ࡱࡒ ࠍධງ࡚ᑊ㇗࡞ྡྷࡀྙࡖ࡙࠷ࡂࡆ࡛࡚ᑊ㇗࡛ࡡ 㛭౿ࡂⰃይ࡞ᙟᠺࡈࡿࡾࡆ࡛┫㆜࡞࠽࠷࡙ ༟ㄊ࡚ᵋᠺࡈࡿ࡙࠷ࡒ㸣ᝀ⩽࡞ࡻࡽࡻ࠷ࢢࢅᥞ ౩ࡌࡾ࡞ࡢ㸡⏍Ὡࡷ⎌ሾࡷẴᣚࡔࢅ▩ࡾࡆ࡛ᚪ こ࡞ࡾࡆ࡛࡛㸡ᝀ⩽ࢅ⌦ゆࡌࡾࡒࡴ࡞ᚪこ▩ ㆉࡢర࠾ࢅ▩ࡾࡆ࡛ࡡ㏳ࡽࡡណྙ࠷ྱࡱࡿ ࡙࠷ࡒ㸣┫㆜ࡡࢢࢅᥞ౩ࡌࡾࡱ࡚࡞ࡢ㸡㧏㱃⩽ ┫㆜࡞㝀ࡼࡍ┫㆜㐛⛤ࡡᒈ㛜ᚪこ࡚࠵ࡾ㸣Ꮥ⏍ ࡢ┫㆜㐛⛤ࢅ㊻ࡱ࠻࡙ᐁ㊮ࢅࡊ㸡ᑊ㇗࠾ࡼཬᚺࢅ ᚋ࡙ࡈࡼ࡞ಞḿࢅຊ࠻࡙࠷ࡂࡡ࡚࠵ࡾ㸡ᝀ⩽ ᢢ࠻ࡾ≟ࡷཬᚺࡡཋᅄࢅࡒࡾࡒࡴ࡞㸡゛⏤❟ ᱄㸡❟᱄ࢅࡌࡾࡒࡴࡡࢬࢪ࣒ࣤࢹ㸡ࢬࢪ࣒ࣤ ࢹࢅࡌࡾࡒࡴࡡሒ㞗࡛ࡈ࠾ࡡࡖ࡙ಞḿࢅຊ ࠻࡙࠷ࡂࡆ࡛࡞ࡾ㸣ᮄ❟ࡼ㏑࡙࠷ࡾࡻ࠹࡞㸡 ┫㆜㐛⛤ࡡ୯࡚Ꮥ⏍᭩ࡵᅏ㞬ࢅវࡋ⮤ಘࢅᣚ࡙ ࠷ࣈࣞࢬࢪࡢ㸡ሒ㞗࡛ሒࡡゆ㔐࡚࠵ࡾ㸝ᮄ ❟ࡼ㸡㸞ࡒࡴ࡞㸡ࡆࡡಞḿࡡషᴏࢅ㏳ࡊ࡙ ሒࡡ㊂ࡽࡈࡷゆ㔐ࡡ㊂ࡽࡈࢅᇔࡴ࡙࠷ࡂࡆ࡛ 㔔こᏕࡦ࡞⦽ࡾ㸣Ꮥ⏍ࡡエ㏑࠾ࡼࡢಞḿష ᴏࢅ㏳ࡊ࡙㸡ḿ☔࡞ࡂ▩ࡾࡆ࡛Ⰳ࠷ᐁ㊮࡞ࡗ ࡾࡆ࡛㸡ࡗࡱࡽሒᢍᥩࡡ㔔こᛮࢅវࡋཱིࡖ ࡙࠷ࡖࡒ࡛⩻࠻ࡼࡿࡒ㸣ࡱࡒ⑄ᝀࡡ≟㸡ຊ㱃ࡡ ᙫ㡢ࡡ▩ㆉࢅᣚࡗࡆ࡛࡚㸡ࡏࡐࡡࡻ࠹⾔ ິንᐖ㉫ࡀࡾࡡ࠾➴㸡⏍Ὡ࡚ࣝ࣊ࣜࡡ㧏㱃⩽ࡡ ⌦ゆ࡞⦽ࡾࡆ࡛ࢅᐁ⩞࡚మ㥺࡚ࡀࡒ࡛ᤂ࠻ࡾࡆ ࡛࡚ࡀࡒ㸣 ࠈࢡ࣭ࣜࣈմ࡚ࡢࠔሒࠕࠔ࡚ࡀࡾࠕࠔ࠷ࠕࡡ ࡗࡡ༟ㄊ࡚ᵋᠺࡈࡿ㸡㧏㱃⩽ࡡᣚࡖ࡙࠷ࡾ࡚ࡀࡾ ງࢅሒ࡛ࡊ࡙ᚋࡾࡆ࡛㸡ิ࡞࢜ࣜࢷࢅずࡂ ࡙ࡵ⮤ฦ࡚ሒᚋࡼࡿࡒ࡛࠷࠹㐡ᠺវ㸡ཬᑊ࡞ ▩ࡽࡒ࠷ሒࢅᚋࡾࡆ࡛ᅏ㞬࡚࠵ࡖࡒࡆ࡛♟ ࡈࡿࡒ㸣㧏㱃⩽ࡡᣚ࡙ࡾງ࡞╌┘ࡌࡾ࡞࠵ࡒࡽ≁ ᚡⓏࡡࡢ㸡㧏㱃⩽ࡢࠍኣᑛࡽ࡛ࡵ㌗మⓏ ᶭ⬗ࡡ⾮㏝ヾࡴࡼࡿࡾࡆ࡛࡚࠵ࡾ㸣ࡐࡡ୕࡚ࡐ ࡡெࡡᣚࡖ࡙࠷ࡾງࢅ᭩ኬ㝀࡞ᘤࡀฝࡌࡆ࡛ࡢ⮤ ᕤຝງវࢅቌࡊ㸡ࡐࡡெࡆࡿࡱ࡚ࡡ⮤ฦࡼࡊࡈ ࢅಕࡔࡼ㐛ࡇࡌࡆ࡛ࢅᨥᥴࡌࡾࡆ࡛࡞⦽ࡾ㸣 ᐁ⩞ࢅ㏳ࡊ࡙㸡ࡵ࡙ࡾງࢅᢍᥩࡊὩ࠾ࡌࡆ࡛ࢅᏕ ࢆࡓ࡛ᤂ࠻ࡼࡿࡾ㸣ࡊ࠾ࡊ㸡ᣚ࡙ࡾງࢅ▩ࡾᚪこ ᛮࢅᙁࡂវࡋࡼ㸡Ꮥ⏍⮤㌗ࡡງ࡚ࡢ࠹ࡱࡂ ሒᚋࡼࡿ࠷࡛࠷࠹හᐖ⾪ฝࡈࡿ࡙࠷ࡒ㸣⮤ ࡼ⬗ິⓏ࡞ሒࢅ⋋ᚋࡊ࡙࠷࠾ࡄࡿࡣࡼ࠷ ࡆࡡᐁ⩞మ⣌࡞࠽࠷࡙㸡㧏㱃⩽࡞ࡡࡻ࠹࡞ࣈ ࣭ࣞࢲࡊࡒࡼ⬗ງᢍᥩ࡚ࡀࡾࡡ࠾㸡ࡐࡡᡥṹࢅ ⩻࠻ࡾࡆ࡛࡛ᐁ㊮ࡊ࡙࠷ࡂࡆ࡛ࡢᏕ⏍࡞࡛ࡖ࡙ᅏSeisen J. Nurs. Stud., Vol. 2. 2013 ࡷࡌ࠷ࡡࡢ㸡ῼࡌࡾງࡗ࠷ࡒチ࡛ࡵᤂ࠻ࡼࡿ ࡾ㸣ࡊ࠾ࡊ⑄ᝀࡡࡲࡡวࡽཾ࡚ᑊ㇗ࢅῼࡊࡒࡽ㸡 ࠍ็ࠍ࡛ንࡌࡾᑊ㇗ࡡ≟ឺࢅ↋ちࡊ࡙࢜ࣜࢷ ࡡエ㍍࠾ࡼ࣒࣭ࢩࢅᙟᠺࡊ࡙࠷ࡂ࡛㸡ㄏࡖࡒᑊ ㇗ࡡᤂ࠻᪁ࢅࡌࡾ࡛࠷࠹Ꮥࡦࡡ⾪ࡿᅂヾࡴࡼ ࡿࡒ࡛ᤂ࠻ࡾ㸣 ࠈࡵ࠹ୌࡗࡢ⮣ᆀᐁ⩞ࡡ⫃ဤ࠾ࡼུࡄཱིࡾථ びࡡᙟ࡚࠵ࡾ㸣࢜ࣜࢷࡡエ㍍ሒ࡞ࡢᐁ⩞ᶭ㛭 ࡡ⤊㥺㇇ᐣ┫㆜ᖅᑍ㛓Ⓩ┘࡚㞗ࡴࡒሒ ࡛㸡ࢬࢪ࣒ࣤࢹ࡞ᚉࡖࡒ⌟ᅹ㐅⾔ᙟࡡ┫㆜゛⏤ ࠵ࡽ㸡゛⏤ࡡᐁ㊮࡞ᑊࡌࡾᑊ㇗ࡡࡆࡿࡱ࡚ࡡཬ ᚺࢅずࡾࡆ࡛࡚ࡀࡾ㸣ᚉࡖ࡙࢜ࣜࢷࢅ࡞ずࡾ ሔྙ㸡Ꮥ⏍ࡢ┫㆜㐛⛤ࢅᒈ㛜ࡌࡾㄚ㢗࡞㝷ࡊ㸡 ࡞ᖲ⾔ࡊ࡙┫㆜ᒈ㛜ࡈࡿ࡙࠷ࡾࡡࢅ▩ࡖ࡙࠷࡙ ⮣ࡱࡂ࡙ࡢࡼ࠷㸣ࡐࡊ࡙Ꮥ⏍ࡢᶅೊࢅ㏳ࡊ ࡙┫㆜ࢅᏕࢆ࡚࠷ࡂࡆ࡛࡞ࡾ㸣┫㆜Ꮥᐁ⩞࡞࠽ ࡄࡾᏕ⏍ࡡᏕ⩞Ὡິࡡࡗࡡᴣᛍ࡞ࡢ㸡ᶅ⠂ࡡⓆ ず࡛ྜྷୌ♟ࡈࡿ࡙࠽ࡽ㸡⮣ᗃᣞᑙ⩽ࡷᩅဤ➴ ࡡ㇇࠾ᢇ⾙ࡷᗀ⠂ち㔕࡚ࡡࢤ࣐ࣖࢼࢢ࣭ࢨࣘ ࣤࢅᶅ⠂࡛ࡌࡾࡆ࡛࡚⮤ᕤࡡᢇ⾙࡛Ẓ㍉ࡊྜྷୌ ࢅᅒࡾ࡛࠷࠹Ⅴ࡚ຝᯕⓏ࡚࠵ࡾ࡛㏑࡙࠷ࡾ㸝ᮙ 㸡 㸞㸣ࡒࡓࡊࡆࡡᶅ⠂࡛ࡢ┫㆜ᢇ⾙ࡷᑊ㇗ ࡞ᑊࡌࡾឺᗐ࡞ᑊࡊ࡙࡚࠵ࡽ㸡┫㆜タ᩷ࡷ゛⏤හ ᐖࡐࡡࡵࡡࢅᶅೊࡌࡾࡆ࡛ࡷ㸡┫㆜ᖅࠍࡡ౮ೋ び࡞ᚉࡖࡒᝀ⩽ാࢅᶅೊࡌࡾࡆ࡛࡛ࡢ␏ࡾ࡛⩻ ࠻ࡾ㸣㧏ᮄࡢᐁ⩞ิࡡṹ㝭࡚Ꮥ⏍࢜ࣜࢷ࡞᭡ ࠷࡙࠵ࡾࡆ࡛ࢅ㬴࿌ࡲ࡞ࡊ㸡⾪㟻Ⓩᯮ࡚⌦ゆ ࡌࡾലྡྷ࡞࠵ࡾ࡛㏑࡙࠽ࡽ㸝㧏ᮄ㸡㸞㸡ᐁ ⩞ิࡡᏕ⏍࡞ᑊࡌࡾᣞᑙࡡ࠵ࡽ᪁ࢅᣞᦤࡊ࡙࠷ ࡾ㸣ᚨ⣵࠷ࡣ࠾ࡽࡡᐁ⩞ิ࡞ࡢ㸡⮣ᆀ࡚ᐁ㝷࡞ ⾔ࢂࡿ࡙࠷ࡾ┫㆜ࡡずᮇࢅ♟ࡌࡆ࡛࡚Ꮥ⏍ࡡ┫㆜ びࢅ⫩࡙㸡┫㆜㐛⛤ࡡᒈ㛜ࢅつ࠻࡙࠷ࡂࡀࡖ࠾ࡄ ࡞ࡾ࡛⩻࠻ࡼࡿࡾ㸡ᅂࡡㄢᰕ࡚㸡ิࢅ㐛 ࡁᐁ⩞࡚ᇱ♇Ⓩ⬗ງࢅ㌗࡞ࡗࡄ࡙ࡀࡒ࡚ࡵ ྜྷࡋᣞᑙ᪁Ἢ࡚ࡻ࠷ࡡ࠾࡛࠷࠹ㄚ㢗᪺ࡼ࠾࡞ ࡖࡒ㸣ᶅೊ⤽⤾ࡊࡌࡁࡾ࡛⌟ሔࢪࢰࢴࣆ⾔࠹ ࢢࡡ᰷ᣈࡷ⌦⏜ࢅ⩻࠻ࡍ࡞㸡┫㆜ᖅࡡ┫㆜ࢅࠔḿ ゆᅂ➽ࠕ࡛ࡊ࡙ᚉ࠹ലྡྷࡗࡀ㸡ᚃࡡᏕ⏍ࡡᏕ ⩞ࡡⓆᒈ࡞ࡢ⦽ࡼ࠷࡛⩻࠻ࡾ㸣ᅂᚃ⩄ࡡ Ꮥ⏍࠾ࡼࡢ㸡ᐁ⩞ิ࡞࠽ࡄࡾሒ㞗ࡡᶅೊᮞ ᩩࡂᏭࢅវࡋࡼࡵ㸡⮤ࡼࡡງ࡚ᑊ㇗ࢅ ⌦ゆࡊ࡙࠷ࡖࡒ㊂វచ࠻㸡ᐁ⩞ࢅ㏳ࡊ࡙ᚆࠍ ࡞ࡗࡄࡒ┫㆜ࡡງࢅⓆᥱࡊࡻ࠹࡛ࡌࡾ≁ᚡ♟ࡈ ࡿࡒ㸣ᅂิࡴ࠾ࡼᶅೊࡡᩅᮞࢅ࠻࠾ࡖࡒࡆ ࡛࡚㸡✒ᴗⓏᑊ㇗⌦ゆ࡛Ꮥࡦࡡጶເ♟ࡈࡿࡒ 㞬ㄚ㢗ࡓࡖࡒࡆ࡛ࡵచ࠻ࡒ㸣㧏ᶣࡼࡢ⩹ᖳ⮣ᗃ ┫㆜ㄵᐁ⩞ࡡิ࡞Ꮥ⏍├㟻ࡌࡾᅏ㞬ࡡ୯࡚ ࠔ࡚ࡀࡾࡆ࡛ࢅびᐳࡌࡾちⅤࢂ࠾ࡼ࠷ࠕ࡛࠷ ࠹හᐖࢅ᪺ࡼ࠾࡞ࡊ࡙࠽ࡽ㸡ᣞᑙ⩽ࡡណᅒⓏᢖ ࡅ࠾ࡄࡷびᐳࡡಀࡊ㔔こ࡚࠵ࡾ࡛㏑࡙࠷ࡾ 㸝㧏ᶣ㸡 㸞㸣ᅂࡡㄢᰕ࠾ࡼࡵᐁ⩞ࡢ㝀ᏽ ࡈࡿ࠷ྜྷᵕࡡലྡྷ♟ࡈࡿ㸡ᣞᑙࡡ࠵ࡽ᪁࡞ ්⩻ᚪこ࡚࠵ࡾ࡛⩻࠻ࡼࡿࡒ㸣 ࠈࡆࡿࡼࡗࡡᏕࡦࡡ≁ᚡࡢ㸡ᕱ⨠ᅒ୕ࡡ㊝㞫 ㎾࠷ࡆ࡛࠾ࡼࡵࢂ࠾ࡾࡻ࠹࡞ப࠷࡞㛭㏻ࡊ࠵ࡖ࡙ ࠷ࡾࡆ࡛చ࠻ࡒ㸣Ꮥ⏍ࡢᑊ㇗ࡡࢬࢪ࣒ࣤࢹ࡞ ᚪこሒࡡᵋᠺࢅ⩻࠻㸡ሒ㞗ࡡᡥṹࢅ⩻࠻㸡 ᡥ㡨ࢅ⩻࠻࡙࠷ࡂ㐛⛤ࡡ୯࡚㸡ᑊ㇗ࡡ⌟≟ࢅ⌦ゆ ࡌࡾࡒࡴ࡞ᚪこ▩ㆉࡡኬวࡈࢅᏕࡦ㸡ᑊ㇗ࡡࡵ ࡙ࡾງࢅᐁ㝷࡞㛭ࢂࡖ࡙ᢍᥩࡊ࡙࠷ࡂ㞬ࡊࡈ࡛ኬ วࡈࢅᏕࢆࡓ࡛⩻࠻ࡼࡿࡾ㸣 ࠈࡆࡡᐁ⩞࡞࠽࠷࡙ࡢิ࡞㝀ࡼࡍ㸡࢜ࣜࢷࡡ ሒࢅ㉰࠻࡙ᐁ☔ヾࢅࡈࡎࡼࢬࢪ࣒ࣤࢹ࡞ ࡗࡅ࡙࠷ࡂࡆ࡛ࢅᣞᑙࡊ࡙࠽ࡽ㸡⬗ິⓏ࡞᥀⣬ Ⓩ࡞ሒ㞗ࡌࡾࡆ࡛࡚ᚪこሒ࡛ࡢర࠾ࢅ⩻ ࠻ࡾࡀࡖ࠾ࡄ࡞ࡖ࡙࠷ࡾ࡛ᛦࢂࡿࡾ㸣
㸧㸣ᐁ⩞⤊㥺ᩐ࡛Ꮥࡦࡡ㛭౿
ࠈ㢎ฝࡊࡒ༟ㄊ࡛ᐁ⩞⤊㥺ᩐ࡛ࡡ㛭౿࡞࠽࠷ ࡙㸡ᐁ⩞ᚃ⩄࡞ࡡࡲᅒࡡᕞୖ࡞ᅖࡱࡖ࡙న⨠ࡌ ࡾ࡛࠷࠹≁᭯ࡡ≁ᚡࡲࡼࡿࡒ㸣าࢪࢤࡡ༟ㄊ ࡡᕱ⨠ᅒ࡛ྙࢂࡎ࡙᳠チࡌࡾ࡛㸡ᐁ⩞ᚃ⩄࡞ ࡢࠔථびࠕࠔሒ㞗ࡌࡾࠕࠔࡌࡾࠕࡡエ㏑ ኣ࠷ࡆ࡛♟ࡈࡿࡒ㸣ࡆࡿࡼࡡ༟ㄊྜྷኃ࡞ࡢᙁ࠷ 㛭㏻ࡂ㸡ណࢅࡌࡱ࡛ࡱࡖࡒࢡ࣭ࣜࣈࡢ࡚ ࡀ࠾ࡖࡒ㸡㢎ฝࡊࡒࠍࡡ༟ㄊࡢᏕ⏍ࡡᐁ⩞ ࡞ࡻࡾᏕࡦࡡ≁ᛮ࠵ࡾ࡛⩻࠻ࡼࡿ㸡ࡵࡖ࡛ ࡵ≁ᚡⓏࡓ࡛ᛦࢂࡿࡒ༟ㄊࡢࠔථびࠕ࡚࠵ࡖࡒ㸣 ฝࡊࡒ༟ㄊࢅᡥ᤻࠾ࡽ࡞ࢷ࢞ࢪࢹ࡞ᡘࡖ࡙හᐖ ࢅ᳠ゞࡊࡒ⤎ᯕ㸡࢜ࣜࢷ࠾ࡼࡡሒ㞗࠾ࡼ┫㆜ 㐛⛤ࢅ㛜ጙࡊࡒሔྙ㸡ථびࢅࡵࡖ࡙ᑊ㇗ᝀ⩽࡛ ࡊ࡙࠷ࡒ࡛࠷࠹ᣲࡽ㏁ࡽࡡエ㏑࡛㸡ᅂࡡᐁ⩞ ࡞࠽࠷࡙ථびࡂ㧏㱃⩽ᮇᮮࡡጶࢅずࡾࡆ࡛ ࡚ࡀࡒ࡛࠷࠹エ㏑හᐖኣࡂヾࡴࡼࡿࡒ㸣 ࠈࡆࡡࠔථびࠕࡡᙟ࡞ࡢࡗࡡ⩻࠻ࡼࡿࡒ㸣 ୌࡗࡢ㸡ᐁ⩞ࢅ⤊㥺ࡌࡾࡇ࡛࡞⑄ᝀࢅᣚࡗᑊ㇗ࡡ ౚቌ࠻㸡ࡐࡡ≟࡞ᚉࡖ࡙ථ㝌᪃シහ࡚ࡡ⏍ Ὡᵕᘟࢅῼࡌࡾງࡗ࠷࡙ࡀࡒࡆ࡛ࡻࡽ㸡᩺ࡒ ᑊ㇗࡞ࡵࡐࡡ࣒࣭ࢩࢅᙔ࡙ࡢࡴࡾ࡛࠷࠹ථ びࡡᙟ࡚࠵ࡾ㸣ᚉࡖ࡙ᐁ⩞ᚃ⩄ථびࢅᣚࡔ ࣆࢩ࢜ࣜࢡࢧ࣐ࢾ࣭ࢨࣘࣤࢅ⏕࠷ࡒ⩹ᖳ⮣ᗃ┫㆜ㄵᐁ⩞ϩࡡᏕ⩞ຝᯕ⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞 ࡡኬวࡈࢅ⌦ゆࡌࡾ࡛භ࡞㸡ᐁ㝷࡞㊂࡚ࡀࡾ ࣈ࣭ࣞࢲ࡚ࡀ㸡༎ฦሒ㞗࡚ࡀࡾ࡛࠷࠹ ⤎ᯕࢅఔ࠻ࡾࡆ࡛ᚪこࡓ࡛ᛦࢂࡿࡾ㸣ᶅೊࡌࡾ Ꮥ⩞ᙟឺࡢᐁ⩞ࢅ✒ࡲ㔔ࡠ࡙࠷ࡂṹ㝭࡞ᚺࡋ࡙㸡 ᪁Ἢࢅንࡈࡎࡾᚪこᛮ♟ြࡈࡿࡒ㸣
