看護大学生における性感染症の知識と意識の実態

全文

(1)⪯ἠ┫㆜Ꮥ◂✪ࠈSeisen J. Nurs. Stud., Vol. 2. pp.89-96, 2013. 資. 料. 看護大学生における性感染症の知識と意識の実態 Nursing Students’ Knowledge and Awareness of Sexually Transmitted Diseases ⛸ᮇࠈ㤮㸞㸟㸡ࠈཋ⏛ࠈᑚእ㸞㸡ኬ⡪ࠈᗀᜠ㸞㸡ᏭᏘᏄࠈᑠᏄ㸞㸡Ễ஬ࠈࡥࢀᏄ㸞 Kaori Tanemoto㸡Sayo Harada㸡Hiroe Ohgomori㸡Shoko Abiko㸡Hiroko Nagai ࣭࣭࢞࣠ࢺࠈ┫㆜ኬᏕ⏍ࠈᛮវ᯹⑍ࠈ▩ㆉࠈណㆉ Key Words nursing student㸡sexually transmitted diseases㸡knowledge㸡awareness. 抄録 ⫴ᬊࠈཉ⏍ຘ഼┤ࡡᛮវ᯹⑍ሒ࿈࡚ࡢ㸡㹳 ṋࡡវ᯹࠿௙ࡡᖳ㱃ᒒ࡞Ẓ࡬࡙㧏࠷≟Ἓ࠿⤾࠷࡙࠷ࡾ㸣ࡊ࠾ࡊ㸡ᛮ ⾔Ⅵࢅࡌࡾᖳ㱃࠿఩ᖳ㱃໩ലྡྷ࡞࠵ࡾୌ᪁࡚㸡ⱕᖳᒒࡢᛮវ᯹⑍࡞㛭ࡌࡾ▩ㆉ࠿୘༎ฦ࡚࠵ࡾࡆ࡛࠿ᣞᦤࡈࡿ࡙࠷ࡾ㸣 ኬᏕ⏍࠿ᛮវ᯹⑍࡞⨧ᝀࡌࡾ࡛Ꮥᴏࡡ୯᩷࠵ࡾ࠷ࡢ⤽⤾୯Ḿ࡛࠷ࡖࡒ≟Ἓࢅᣅࡂࡆ࡛࠾ࡼ㸡ኬᏕ࡞࠽ࡄࡾᛮᩅ⫩ࡡඖ ᐁ࠿ᚪこ࡚࠵ࡾ㸣 ┘Ⓩࠈ┫㆜ኬᏕ⏍ࡡᛮវ᯹⑍࡞ᑊࡌࡾ▩ㆉ࡛ណㆉࡡᐁឺ࡛ᛮវ᯹ᩅ⫩࡛ࡡ㛭౿ࢅ᪺ࡼ࠾࡞ࡊ㸡ຝᯕⓏ࡝ᛮវ᯹⑍஢㜭 ᩅ⫩ࡡ᪁Ἢࢅ᳠ゞࡌࡾ㸣 ᪁Ἢࠈᑊ㇗ࡢAኬᏕ┫㆜Ꮥ㒂ᖳ⏍ྞ㸡ᖳ⏍ྞ゛ྞ㸣↋エྞࡡ⮤エᘟ㈹ၡ⣤Ἢ࡞ࡻࡾ㈹ၡ⣤ㄢᰕࢅᐁ᪃ࡊࡒ㸣 ᒌᛮ㸡྘㈹ၡ㡧┘ࡡᇱᮇ⤣゛㔖࡛㸡Ꮥ⩞ᅂᩐ࡛ᛮវ᯹⑍ࡡ⑄ᝀࡡ⑍≟࡞㛭ࡌࡾ▩ㆉ㸡ᛮវ᯹⑍ࡡវ᯹ࡷ஢㜭࡝࡜࡞㛭 ࡌࡾ▩ㆉ㸡ᛮវ᯹⑍࡞ᑊࡌࡾណㆉࡡこᅄ㛣࡞ࡗ࠷࡙㸡Fisherࡡ├᥃Ἢࢅ⏕࠷ฦᯊࡊࡒ㸣᭯ណỀ‵ࡢ㸚࡛ࡊࡒ㸣 ⤎ᯕࠈ᭯ຝᅂ➽ࡢྞ㸝᭯ຝᅂ➽⋙㸚㸞࡚࠵ࡖࡒ㸣ᑊ㇗⩽ࡡ㸚࠿ᛮវ᯹⑍ࡡᏕ⩞⤊㥺࠿࠵ࡖࡒ㸣⑄ᝀࡡ⑍ ≟࡞㛭ࡌࡾ▩ㆉࡢ㸡HIV/AIDSࡢ㸚㸡ࢠ࣐ࣚࢩ࢓㸡ࣉࣜ࣋ࢪ㸡ᾷ⑋ࡢ༖ᩐ௧୕࠿▩ࡖ࡙࠷ࡒ࠿㸡ࢤࣤࢩ࣭࣏ࣞࡢ 㸚࡛༖ᩐ௧ୖ࡚࠵ࡽ㸡⑄ᝀ࡞ࡻࡽ▩ㆉࣝ࣊ࣜ࡞ᕣ࠿࠵ࡖࡒ㸣ࡱࡒ㸡Ꮥ⩞ᅂᩐ࡛ࡡ㛭㏻࡚ࡢ㸡ࢠ࣐ࣚࢩ࢓㸡ᾷ⑋㸡 ࢤࣤࢩ࣭࣏ࣞࡢᏕ⩞ᅂᩐࡡኣ࠷ᑊ㇗⩽࡞▩ࡖ࡙࠷ࡾ๪ྙ࠿᭯ណ࡞㧏࠾ࡖࡒ㸣វ᯹ࡷ஢㜭࡝࡜࡞㛭ࡌࡾ▩ㆉࡢ㡧┘୯ 㡧┘࡞࠽࠷࡙㸚௧୕ࡡ㧏࠷ḿ➽⋙࡚࠵ࡖࡒ࠿㸡Ꮥ⩞ᅂᩐ࡞ࡻࡾᕣࡢヾࡴࡼ࡝࠾ࡖࡒ㸣ᛮវ᯹⑍࡞ᑊࡌࡾណㆉ࡚ࡢ㸡 ᑊ㇗⩽ධဤ࠿ㄙࡵ࠿វ᯹ࡌࡾྊ⬗ᛮ࠿࠵ࡾ࡛ᅂ➽ࡊ࡙࠷ࡒ࠿㸡⮤ฦ࠿វ᯹ࡌࡾྊ⬗ᛮ࠿࠵ࡾ࡛ᅂ➽ࡊࡒࡡࡢ㸚࡚ ࠵ࡖࡒ㸣ࡱࡒ㸡Ꮥ⩞ᅂᩐ࡞ࡻࡾᕣࡢヾࡴࡼࡿ࡝࠾ࡖࡒ㸣ࠈ ⤎ㄵࠈ⑄ᝀࡡ⑍≟࡞㛭ࡌࡾ▩ㆉࡢ㸡Ꮥ⩞ᅂᩐࡡኣ࠷⩽࠿▩ㆉࢅ᭯ࡊ࡙࠷ࡾ๪ྙ࠿᭯ណ࡞㧏࠾ࡖࡒ㸣វ᯹ࡷ஢㜭࡝࡜࡞ 㛭ࡌࡾ▩ㆉ㸡ᛮវ᯹⑍࡞ᑊࡌࡾណㆉ࡞ࡗ࠷࡙ࡢ㸡Ꮥ⩞ᅂᩐ࡛ࡡ㛣࡞᭯ណ࡝ᕣࡢヾࡴࡼࡿ࡝࠾ࡖࡒ㸣HIV/AIDS௧አࡡ ⑄ᝀ࡞㛭ࡌࡾ㡧┘࡞ࡗ࠷࡙ᑊ㇗⩽ࡡᏕ⩞ࣝ࣊ࣜ㸡▩ㆉࣝ࣊ࣜ࡞ᕣ࠿࠵ࡖࡒ㸣ᛮវ᯹⑍࡞㛭ࡌࡾᇱᮇⓏ࡝හᐖࢅᚗ⩞ࡊ㸡 ஢㜭⾔ິ࡝࡜රమⓏ࡝හᐖࢅᩅ᤭ࡌࡾࡆ࡛࠿ᚪこ࡚࠵ࡾ㸣. Abstract Background Young people infected with STDs㸝sexually transmitted diseases㸞may need to take a leave from academics or discontinue their studies altogether㸡and in order to maintain and promote students’ overall health㸡 it is important to improve sex education in universities. ObjectivesࠈThis study analyzes the correlation between nursing students’ STD education and their knowledge and awareness of STDs㸡and attempts to determine effective methods for preventive education on STDs. MethodsࠈSubjects were 154 university students from a department of nursing㸣An anonymous self-report questionnaire was carried out㸡and we analyzed the characteristics and key statistics for each questionnaire item㸣㸣Of all subjects㸡96.2% had received Results/DiscussionࠈResponses were obtained from 104 students㸝67.5%㸞 some STDs education㸣The students’ level of knowledge of the symptoms differed according to the disease㸣 Furthermore㸡students with more education showed significantly greater knowledge of the symptoms of chlamydia㸡 gonorrhea㸡and condyloma㸣As for knowledge of transmission and prevention㸡there was no significant difference in this knowledge in terms of amount of education㸣Regarding awareness of STDs㸡all subjects answered that anyone can be affected㸡but only 62.5% answered that they also had a chance of being infected㸣Furthermore㸡 there was no significant difference in awareness in terms of the amount of education.ࠈ ConclusionࠈStudents with more education showed significantly greater knowledge of the symptoms of STDs㸣There was no significant difference in terms of amount of education both the awareness of STDs and the knowledge of transmission and prevention㸣The students' level of education and knowledge differed according to the disease㸣Finally㸡both basic and specific information should be given in education programs at the university level. 㸞＊. ⪯ἠኬᏕࠈ┫㆜Ꮥ㒂ࠈSchool of Nursing㸡Seisen University E-mail：[email protected]. .

(2) ࠽ࡄࡾᛮᩅ⫩㸡࢙࢕ࢫᩅ⫩࡚ࡢ㸡ୌᏽࡡ▩ㆉࡢ⋋. Ϩ㸣⥬ࠈゕ. ᚋࡊ࡙࠷ࡾ࠿㸡⮤ᕤ࠿஢㜭⾔ິࢅ⾔࠹୕࡚ࡢ㸡୘. ࠈཉ⏍ຘ഼┤࡞ࡻࡾវ᯹⑍Ⓠ⏍ິྡྷㄢᰕࡡᖳ㱃ื. ༎ฦ࡚࠵ࡽ㸡ኬᏕ⏍Ὡࡡ᪡࠷᫤᭿࡞ᛮវ᯹⑍࡞ࡗ. ࡞ࡲࡒᛮវ᯹⑍ሒ࿈ᩐࡡᖳḗ᥆⛛࡚ࡢ㸡ᖲᠺᖳ. ࠷࡙ࡡᏕ⩞ᶭఌࡡᚪこ࠿࠵ࡾࡆ࡛ࢅᣞᦤࡊ࡙࠷ࡾ㸣. ௧㜾㸡㹳 ṋࡡវ᯹࠿௙ࡡᖳ㱃ᒒ࡞Ẓ࡬࡙㧏. ࠈⱕᖳᒒࡡᛮវ᯹⑍ࡡ⨧ᝀࡢ㸡Ꮥᴏࡡ୯᩷࠵ࡾ࠷. ࠷≟Ἓ࠿⤾࠷࡙࠷ࡾ㸣. ࡢ⤽⤾୯Ḿ࡛࠷ࡖࡒ≟Ἓࢅᣅࡂࡆ࡛࠾ࡼ㸡Ꮥ⏍ࡡ. ࠈ㧏ᰧ⏍ࡡᛮஹ⤊㥺⩽ࡡ๪ྙࡢ㸡ᑚᯐࡼ㸝㸞. ೸ᗛࢅಕᣚቌ㐅ࡌࡾࡒࡴ࡞㸡ኬᏕ࡞࠽ࡄࡾᛮᩅ⫩. ࡡㄢᰕ࡚ࡢ㸡㧏ᰧᖳ⏍ࡡ⏠㸚㸡ዥ㸚࡚࠵ࡽ㸡. ࡡඖᐁ࠿ᚪこ࡚࠵ࡾ㸝ኬけ࣬ᒜඔ㸡㸞㸣඙⾔. ๩㸝㸞ࡡㄢᰕ࡚ࡢ㸡㧏ᰧ 㹳 ᖳ⏍ࡡ⏠㸚㸡. ◂✪࡚ࡢ㸡ኬᏕ⏍ࡢᛮវ᯹⑍ࡡᏕ⩞ࡢࡊ࡙࠷ࡾ࠿㸡. ዥ㸚࡛ࡡሒ࿈࠿࠵ࡽ㸡ᛮ⾔Ⅵࢅࡌࡾᖳ㱃࠿఩. ᛮវ᯹⑍஢㜭࡞㛭ࡌࡾណㆉ࠿఩ࡂ㸡஢㜭⾔ິ࠿࡛. ᖳ㱃໩ലྡྷ࡞࠵ࡾࡆ࡛࠿ᣞᦤࡈࡿ࡙࠷ࡾ㸣. ࡿ࡙࠷࡝࠷⌟≟࡞࠵ࡾࡆ࡛࠿ᣞᦤࡈࡿ࡙࠷ࡾ࠿㸡. ࠈᮿ὾㸝㸞ࡢṋ࠾ࡼṋࡱ࡚ࡡ⏠ዥࢅᑊ㇗. ᛮវ᯹⑍ࡡ⛸㢦ืࡡ▩ㆉࡷណㆉࡡᐁឺ࡛ᛮវ᯹⑍. ࡛ࡊࡒᛮវ᯹⑍ࡡ▩ㆉ࡞㛭ࡌࡾㄢᰕ࡞࠽࠷࡙㸡ᛮ. ࡡᏕ⩞⤊㥺࡛ࡡ㛭౿ࡢ᪺ࡼ࠾࡞࡝ࡖ࡙࠷࡝࠷㸣ࡈ. វ᯹⑍࡞⨧ᝀࡊ࡙ࡵ↋⑍ು≟ឺ࡚࠵ࡾࡆ࡛ࡷវ᯹. ࡼ࡞㸡┫㆜ኬᏕ⏍ࡢ༈⒢⩽࡫ࡡᚷྡྷ࠿㧏ࡂ㸡ୌ⯙. ࡞ࡻࡾዲࡻ࠹ງ࡫ࡡᙫ㡢࡞㛭ࡌࡾ▩ㆉࢅ᭯ࡊࡒ⩽. ࡡኬᏕ⏍࡞Ẓ࡬࡙▩ㆉࡷ㛭ᚨࡡᗐྙ࠷࠿㧏࠷ࡆ࡛. ࡢ⣑๪ࡊ࠾࡝ࡂ㸡ࣅࣜ࠿ᛮវ᯹⑍࡞ࡢ↋ງ࡚࠵. ࠿᥆ῼࡈࡿࡾ࠿㸡ࡆࡿࡱ࡚࡞┫㆜ኬᏕ⏍ࢅᑊ㇗࡛. ࡾࡆ࡛㸡ࢤࣤࢺ࣭࣑࠿୒⬗࡚ࡢ࡝࠷➴ࡡវ᯹஢㜭. ࡊࡒㄢᰕࡢ࡝ࡈࡿ࡙࠷࡝࠷㸣. ࡡ᪁Ἢ࡞ࡗ࠷࡙ḿࡊࡂ▩ࡾ⩽ࡢ⣑๪࡚࠵ࡖࡒ࡛. ࠈᮇ◂✪࡚ࡢ㸡┫㆜ኬᏕ⏍ࡡᛮវ᯹⑍࡞ᑊࡌࡾ▩. ሒ࿈ࡊ࡙࠷ࡾ㸣. ㆉ࡛ណㆉࡡᐁឺ࡛ᛮវ᯹ᩅ⫩࡛ࡡ㛭౿ࢅ᪺ࡼ࠾࡞. ࠈᮄཋ㸝㸞࡞ࡻࡾ࡛㸡ኬᏕ⏍ࡡ⣑༖ᩐ࠿ኬᏕ. ࡊ㸡ຝᯕⓏ࡝ᛮវ᯹⑍஢㜭ᩅ⫩ࡡ᪁Ἢࢅ᳠ゞࡌࡾ. ථᏕᚃ࡞ᛮ⏍Ὡࢅ㛜ጙࡊ㸡ኬᏕ༛ᴏ᫤࡞ࡢ⣑๪. ࡆ࡛ࢅ┘Ⓩ࡛ࡊࡒ㸣. ࡡᏕ⏍࠿ᛮ⤊㥺ࢅ᭯ࡌࡾࡆ࡛࠿᪺ࡼ࠾࡞࡝ࡖ࡙࠷ ࡾ㸣ኬᏕ⏍ࡡ๪࠿ࢤࣤࢺ࣭࣑ࢅ౐⏕ࡊ࡙࠷ࡒ࠿㸡. ϩ㸣᪁ࠈἪ. ౐⏕┘Ⓩࡡ㸚࠿㑂ዲ࡚࠵ࡽ㸡ᛮវ᯹⑍஢㜭ࢅ ౐⏕┘Ⓩ࡞ᣪࡅࡒࡵࡡࡢ㸚࡚࠵ࡽ㸡ᮄཋ࣬ᮄ. 㸦㸣ㄢᰕ᪁Ἢ. ཋ㸝㸞࡞ࡻࡾ࡛㸡࢛࣭ࣚࣜࢬࢴࢠࢪ᫤ࡡࢤࣤ. ࠈᑊ㇗ࡢ㸡AኬᏕ┫㆜Ꮥ㒂ᖳ⏍ྞ㸡ᖳ⏍ྞ. ࢺ࣭࣑ࡡ౐⏕⋙ࡢ 㹳㸚࡚࠵ࡖࡒ㸣➪ᕖ࣬ᮟぽ. ゛ྞ࡚࠵ࡾ㸣ㄢᰕ᪝᫤ࡢ㸡ᖲᠺᖳ᭮᪝࡞. 㸝㸞ࡡ⏠ᏄኬᏕ⏍ࢅᑊ㇗࡞ࡊࡒㄢᰕ࡚ࡢ㸡㸚. ↋エྞࡡ⮤エᘟ㈹ၡ⣤ㄢᰕ⚂ࢅ㒼ᕱࡊ㸡◂✪⩽࠿. ௧୕࠿ᛮវ᯹⑍࡞㛭ࡌࡾᩅ⫩ࢅུࡄ࡙࠷ࡒ࠿㸡ᛮ. Ꮥ⏍࡞ᑊࡊ㸡ཾ㢄࡛ᩝ᭡࡚㸡◂✪ࡡ㉻᪠ࢅㄕ᪺ࡊ. ஹ⤊㥺⩽ࡡ༖ᩐ௧୕࠿ᛮ⾔Ⅵ᫤࡞ࢤࣤࢺ࣭࣑ࢅ⿞. ࡒ㸣⵱ࡗࡀࡡᅂ཭⟵ࢅ◂✪ᐄ๑࡞᪝㛣シ⨠ࡊࡒ㸣. ╌ࡊ࡝࠷㸡࠵ࡾ࠷ࡢ୘㐲ว࡝౐⏕ࢅࡊ࡙࠽ࡽ㸡ኬ. ᑊ㇗⩽࠿⮤⏜ណᛦ࡚ᢖพࡌࡾࡆ࡛࡛ࡊ㸡᭿㛣⤂஡. Ꮥ⏍ࡡᛮវ᯹⑍஢㜭⾔ິࡡ▩ㆉ࠿఩࠷ࡆ࡛࠿ᣞᦤ. ᚃ࡞◂✪⩽࠿ᅂ཭ࡊࡒ㸣. ࡈࡿ࡙࠷ࡾ㸣➪ཋࡼ㸝㸞ࡡ⏠ዥኬᏕ⏍ࢅᑊ㇗ ࡛ࡊࡒㄢᰕ࡚ࡢ㸡ᛮᩅ⫩࡚ᛮវ᯹⑍࡞ࡗ࠷࡙Ꮥ⩞. 㸧㸣ㄢᰕහᐖ. ࡊࡒࡵࡡ࠿㸚࡚࠵ࡖࡒ࠿㸡ᛮ⾔ິ࡚ࡢ㸡ࢤࣤ. ࠈ㈹ၡ⣤ࡢᇱᮇᒌᛮ࡛ࡊ࡙㸡ᖳ㱃ཀྵࡦᛮื࡛㸞. ࢺ࣭࣑౐⏕ࡡ┘Ⓩࡢ㑂ዲ࠿୹࡚࠵ࡽ㸡ᛮវ᯹⑍஢. ᛮវ᯹⑍࡞㛭ࡌࡾ▩ㆉࡡ⋋ᚋ㸡㸞ᛮវ᯹⑍ࡡ⑄. 㜭࡞ᑊࡌࡾណㆉ࠿఩࠷ࡆ࡛࠿᪺ࡼ࠾࡞ࡈࡿ࡙࠷ࡾ㸣. ᝀࡡ⑍≟࡞㛭ࡌࡾ▩ㆉ㸡㸞ᛮវ᯹⑍ࡡវ᯹ࡷ஢. ࠈᒜᓧࡼ㸝㸞࠿ዥᏄኬᏕ⏍ࢅᑊ㇗࡞ࡊࡒㄢᰕ. 㜭࡞㛭ࡌࡾ▩ㆉ㸡㸞ᛮវ᯹⑍࡞ᑊࡌࡾណㆉ㸡㸞. ࡞࠽࠷࡙ࡵ㸡ิ➴୯➴ᩅ⫩࡚Ꮥࢆࡓ࢙࢕ࢫ࣬ᛮវ. ᛮវ᯹⑍࡞㛭ࡌࡾ⾔ິ࡛ࡊࡒ㸣㸞㸞㸞㸞࡞ࡗ. ᯹⑍ࡡᏕ⩞හᐖࡢ㸡វ᯹⤊㊨࣬஢㜭Ἢ࠿㸚㸡. ࠷࡙ࡢᑚᯐࡼ㸝㸞㸡㸞࡞ࡗ࠷࡙ࡢກ㸝㸞. ᛮវ᯹⑍ࡡ⑋ྞ࠿㸚㸡ᛮវ᯹⑍ࡡ⑍≟࠿. ࡡ඙⾔◂✪ࢅཤ⩻࡞㈹ၡ⣤ࢅషᠺࡊࡒ㸣. 㸚࡚࠵ࡖࡒ㸣⮤ฦ⮤㌗ࡡវ᯹஢㜭ࡡࡒࡴ࡞ࡢ㸡 ࠔḿ. 㸦㸞ᛮវ᯹⑍࡞㛭ࡌࡾ▩ㆉࡡ⋋ᚋ. ࡊ࠷▩ㆉࢅ㌗࡞ࡗࡄࡾࠕ࠿㸚ࠔࢤࣤࢺ࣭࣑ࢅ. ࠈᛮវ᯹⑍ࡡ᤭ᴏࢅུࡄࡒ⤊㥺ࡡ᭯↋࡛ࡐࡡ᫤᭿㸡. ᚪࡍ౐࠹ࠕ࠿㸚࡚࠵ࡽ㸡 ࠔ≁ᏽࡡ┞ᡥ࡚࠵ࡿࡣ. ᝗ሒࡡථᡥ඙࡛ࡊࡒ㸣ᛮវ᯹⑍ࡡ᤭ᴏࢅུࡄࡒ᫤. ኬ୓ኰࠕ㸚࡛ᅂ➽ࡊ࡙࠷ࡒ㸣ิ➴୯➴ᩅ⫩࡞. ᭿ࡢࠔᑚᏕᰧࠕࠔ୯Ꮥᰧࠕࠔ㧏➴ᏕᰧࠕࠔኬᏕࠕ ࠔࡐ. ⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞. .

(3) ┫㆜ኬᏕ⏍࡞࠽ࡄࡾᛮវ᯹⑍ࡡ▩ㆉ࡛ណㆉࡡᐁឺ. ࡡ௙ࠕࡡ㡧┘ࡡ々ᩐᅂ➽࡛ࡊࡒ㸣᝗ሒࡡථᡥ඙. ណᛦ࡚࠵ࡾࡆ࡛ࢅఎ࠻ࡒ㸣ࡱࡒ㸡ࡆࡡㄢᰕ࡫ࡡཤ. ࡡ㡧┘ࡢ㸡 ࠔᐓ᪐ࠕ ࠔཪெ࣬▩ெࠕ ࠔࢷࣝࣄࠕ ࠔࣚࢩ࢛ࠕ. ຊࢅྜྷណࡊࡒᚃ࡚ࡵ㸡࠷ࡗ࡚ࡵ㏭୯࡚ࡷࡴࡾࡆ࡛. ࠔࣄࢸ࢛࣬DVDࠕ ࠔ᩺⪲ࠕ ࠔ㞟ヽࠕ ࠔ࢕ࣤࢰ࣭ࢾࢴࢹࠕ. ࠿࡚ࡀ㸡ㄢᰕ࡫ࡡཤຊࢅཱིࡽࡷࡴࡾࡆ࡛࡚୘ฺ─. ࠔࡐࡡ௙ࠕࡡ㡧┘ࡡ々ᩐᅂ➽࡛ࡊࡒ㸣. ࢅ⿍ࡾࡆ࡛ࡢୌว࡝࠷ࡆ࡛ࢅ᭡㟻࡛ཾ㢄࡚ㄕ᪺ࡊ. 㸧㸞ᛮវ᯹⑍ࡡ⑄ᝀࡡ⑍≟࡞㛭ࡌࡾ▩ㆉ. ࡒ㸣㈹ၡ⣤ࡢᢖพ࡛ࡊ㸡㈹ၡ⣤࡫ࡡエථࢅࡵࡖ࡙. ࠈࠔHIV/AIDSࠕཀྵࡦཉ⏍ຘ഼┤ࡡᛮវ᯹⑍ᏽⅤ. ◂✪ཤຊ࡫ࡡྜྷណ࡛ࡲ࡝ࡊࡒ㸣. ሒ࿈ᑊ㇗⑄ᝀࡡࠔࢠ࣐ࣚࢩ࢓ࠕ ࠔࣉࣜ࣋ࢪࠕ ࠔᾷ⑋ࠕ. ࠈ࡝࠽㸡ᮇ◂✪ࡢ⪯ἠኬᏕ◂✪೒⌦ጟဤఌࡡᢆヾ㸝ᖲᠺᖳ᭮᪝㸞ࢅᚋ࡙ᐁ᪃ࡊࡒ㸣. ࠔࢤࣤࢩ࣭࣏ࣞࠕࡡ⑍≟࡞ࡗ࠷࡙㸡ࠔリࡊࡂ▩ࡖ࡙ ࠷ࡾࠕ࠾ࡼࠔධࡂ▩ࡼ࡝࠷ࠕࡡ௲Ἢ࡛ࡊࡒ㸣㸨㸞វ᯹ࡷ஢㜭࡝࡜࡞㛭ࡌࡾ▩ㆉ. Ϫ㸣⤎ࠈᯕ. ࠈវ᯹ࡷ஢㜭࡝࡜࡞㛭ࡌࡾ▩ㆉࡢ㸡ࠔ↋⑍≟ࡡࡆ ࡛࠿࠵ࡾࠕࠔࢤࣤࢺ࣭࣑࡚஢㜭࠿࡚ࡀࡾࠕࠔࢤࣤࢺ. ࠈ㈹ၡ⣤ࡢྞ࡞㒼ᕱࡊ㸡ᅂ཭ࡢྞ㸝ᅂ཭⋙. ࣭࣑௧አ࡚஢㜭ࡢ࡚ࡀ࡝࠷ࠕ ࠔ୘ዲ⑍࡞࡝ࡾࣛࢪ. 㸚㸞࡚࠵ࡖࡒ㸣㐛༖ᩐࡡ㡧┘࠿↋ᅂ➽࡚࠵ࡾ. ࢠ࠿࠵ࡾࠕࠔHIV᪾វ᯹ࡡࣛࢪࢠ࠿࠵ࡾࠕ ࠔ࢛࣭ࣚ. ㈹ၡ⣤ࢅ↋ຝ࡛ࡊ㸡᭯ຝᅂ➽ᩐࡢྞ㸝᭯ຝᅂ. ࣜࢬࢴࢠࢪ࡚វ᯹ࡌࡾࠕ ࠔ≁ᏽࡡ┞ᡥ࡛ࡡᛮ⾔Ⅵ. ➽⋙㸚㸞࡚࠵ࡖࡒ㸣. ࡚វ᯹ࡌࡾࠕ ࠔࣂ࣭ࢹࢻ࣭ࡡ㐛ཡࡡ┞ᡥ࠿㛭౿ࡌ. 㸦㸣ᇱᮇ⤣゛㔖. ࡾࠕࠔㄙ࡚ࡵវ᯹ࡌࡾࠕࡡ㡧┘࡛ࡊ㸡ࠔࡐ࠹ᛦ࠹ࠕ. 㸦㸞ᇱᮇᒌᛮ. ࠔࡐ࠹ᛦࢂ࡝࠷ࠕࡡ௲Ἢ࡛ࡊࡒ㸣㸩㸞ᛮវ᯹⑍࡞ᑊࡌࡾណㆉ. ࠈᛮืࡢ㸡⏠ᛮྞ㸝㸚㸞㸡 ዥᛮெ㸝㸚㸞. ࠈᛮវ᯹⑍࡞ᑊࡌࡾណㆉࡢ㸡 ࠔᜅᛟវࠕ 㸡 ࠔ⮤ฦ࠿. ࡚࠵ࡖࡒ㸣ᖲᆍᖳ㱃ࡢṋ㸝SDs㸞࡚࠵ࡖࡒ㸣. វ᯹ࡌࡾྊ⬗ᛮࠕࡡ㡧┘࡛ࡊ㸡 ࠔ㟸ᖏ࡞࠵ࡾࠕ㸡 ࠔᑛ. 㸧㸞ᛮវ᯹⑍࡞㛭ࡌࡾ▩ㆉ 㸝㸞ᛮវ᯹⑍࡞㛭ࡌࡾ▩ㆉࡡ⋋ᚋ㸝⾪㸞. ࡊ࠵ࡾࠕ㸡 ࠔ࠵ࡱࡽ࡝࠷ࠕ㸡 ࠔධࡂ࡝࠷ࠕ ࡡ௲Ἢ࡛ࡊࡒ㸣㸪㸞ᛮវ᯹⑍࡞㛭ࡌࡾ⾔ິ. ࠈᛮវ᯹⑍࡞㛭ࡌࡾ▩ㆉࡡ⋋ᚋ࡞ࡗ࠷࡙ࡢ㸡ᛮវ. ࠈᛮវ᯹⑍࡞㛭ࡌࡾ⾔ິࡢ㸡វ᯹ࢅ␪ࡖࡒ᫤ࡡ┞. ᯹⑍ࡡ᤭ᴏࢅུࡄࡒ⤊㥺࠿ࠔ᭯ࠕ࠿ெ㸝㸞㸡. ㄧུ࣬タࡡ᭯↋㸡┞ㄧ┞ᡥ࡛ࡊࡒ㸣┞ㄧ┞ᡥࡡ㡧. ࠔ↋ࠕ࠿ெ㸝㸚㸞࡛࡮࡯ධဤࡡᑊ㇗⩽࡞ᛮᩅ. ┘ࡢࠔのࠕࠔඕᘭ጗ግࠕࠔᢰ௴ࠕ ࠔಕ೸ᐄࠕࠔࣂ࣭ࢹ. ⫩ࡡᏕ⩞⤊㥺࠿࠵ࡖࡒ㸣Ꮥ⩞᫤᭿ࡢࠔᑚᏕᰧࠕ࠿. ࢻ࣭ࠕࠔཪெࠕࠔ㞹ヨ┞ㄧࠕࠔ༈ᖅࠕࠔ࢕ࣤࢰ࣭ࢾࢴ. ெ㸝㸚㸞㸡ࠔ୯Ꮥᰧࠕ࠿ெ㸝㸚㸞㸡 ࠔ㧏. ࢹࠕࠔࡐࡡ௙ࠕࡡ㡧┘࡛ࡊ㸡々ᩐᅂ➽࡛ࡊࡒ㸣. ➴Ꮥᰧࠕ࠿ெ㸝㸚㸞㸡 ࠔኬᏕࠕ࠿ெ㸝. ࠈࡐࡡ௙㸡ᛮវ᯹⑍࡞㛭ࡊ࡙㸡ᛦࡖ࡙࠷ࡾࡆ࡛࡝. 㸚㸞㸡ࠔࡐࡡ௙ࠕࡢெ㸝㸚㸞࡚㸡ࡐࡡ௙ࡡහᐖ. ࡜ࢅ⮤⏜࡞エ㍍ࡌࡾḅࢅシࡄࡒ㸣. ࡢࠔ௘஥ࠕࠔ಴ெⓏ࡞ࠕ࠿ྞࡍࡗ࡚࠵ࡽ㸡↋エථ ࠿ྞ࡚࠵ࡖࡒ㸣᝗ሒࡡථᡥ඙ࡢࠔࢷࣝࣄࠕெ. 㸨㸣ฦᯊ᪁Ἢ. 㸝㸚㸞࠿᭩ࡵኣࡂ㸡ḗ࠷࡚ࠔ࢕ࣤࢰ࣭ࢾࢴࢹࠕ. ࠈᒌᛮ㸡྘㈹ၡ㡧┘ࡡᇱᮇ⤣゛ᚃ㸡ᛮវ᯹⑍ࡡ᤭. ࠿ெ㸝㸚㸞㸡ࠔཪெ࣬▩ெࠕ࠿ெ㸝㸚㸞㸡. ᴏࢅུࡄࡒ⤊㥺ࢅࠔᏕ⩞ᅂᩐࠕ࡛ࡊ㸡ᅂࢅ㝎አࡊ㸡. ࠔ᩺⪲ࠕ࠿ெ㸝㸚㸞ࡡ㡨࡚࠵ࡖࡒ㸣. 㹳 ᅂ࡛ 㹳 ᅂࡡ⩄࡞ฦࡄࡒ㸣▩ㆉ㸡ណㆉࡡ. 㸝㸞ᛮវ᯹⑍ࡡ⑄ᝀࡡ⑍≟࡞㛭ࡌࡾ▩ㆉ㸝⾪㸞. 㡧┘࡞ࡗ࠷࡙ࡢ㸡Ꮥ⩞ᅂᩐ࡛ࡡ㛭㏻ࢅ㸡Fisherࡡ. ࠈᛮវ᯹⑍ࡡ⑄ᝀࡡ⑍≟࡞㛭ࡌࡾ▩ㆉ࡞ࡗ࠷࡙. ├᥃Ἢࢅ⏕࠷ฦᯊࡊࡒ㸣↋ᅂ➽ࡢḖ᥾ೋ࡛ࡊཱི࡙. ࡢ㸡 ࠔHIV/AIDSࠕࡢ㸡ࠔリࡊࡂ▩ࡖ࡙࠷ࡾࠕெ. ࡽ᡽࠷㸡᳠ᏽẎ࡞㝎አࡊࡒ㸣⤣゛ゆᯊࢮࣆࢹࢗ. 㸝㸚㸞㸡 ࠔᑛࡊ▩ࡖ࡙࠷ࡾࠕெ㸝㸚㸞࡚㸡. ࢘࢓IBM SPSS Statistics Version20ࢅ౐⏕ࡊࡒ㸣. ࠔ࠵ࡱࡽ▩ࡼ࡝࠷ࠕெ㸝㸞࡚㸡 ࠔධࡂ▩ࡼ࡝࠷ࠕ. ᭯ណỀ‵ࡢ㸚࡛ࡊࡒ㸣. ࡢ࠷࡝࠾ࡖࡒ㸣 ࠔリࡊࡂ▩ࡖ࡙࠷ࡾࠕ࡛ࠔᑛࡊ▩ ࡖ࡙࠷ࡾࠕࢅྙࢂࡎࡾ࡛㸚࡚㸡 ࠔ▩ࡖ࡙࠷ࡾࠕ. 㸩㸣೒⌦Ⓩ㒼៎. ๪ྙ࠿⑄ᝀ୯࡚᭩ࡵ㧏࠾ࡖࡒ㸣ḗ࡞㸡▩ࡖ࡙࠷. ࠈㄢᰕ๑࡞ᮇ◂✪ࡢᠺ⦴࡞ୌว㛭౿࡝࠷ࡆ࡛㸡◂. ࡾ๪ྙ࠿㧏࠾ࡖࡒࡡࡢ㸡 ࠔࣉࣜ࣋ࢪࠕ࡚㸡 ࠔリࡊࡂ. ✪࡫ࡡཤຊࢅᢼྫྷࡊ࡙ࡵ୘ฺ─ࢅ⿍ࡾࡆ࡛ࡢୌว. ▩ࡖ࡙࠷ࡾࠕெ㸝㸞㸡 ࠔᑛࡊ▩ࡖ࡙࠷ࡾࠕ. ࡝࠷ࡆ࡛ࢅᑊ㇗⩽࡞ㄕ᪺ࡊ㸡◂✪࡫ࡡཤຊࡢ⮤⏜. ெ㸝㸞㸡 ࠔ࠵ࡱࡽ▩ࡼ࡝࠷ࠕெ㸝㸞㸡 ࠔධ . Seisen J. Nurs. Stud., Vol. 2. 2013.

(4) ⾪ࠈᑊ㇗⩽ࡡᛮវ᯹⑍࡞㛭ࡌࡾ▩ㆉࡡ⋋ᚋ 㗄⋡. ࠞ࠹ࠧ࡝࡯. ᕈ೎ P. ၮᧄዻᕈ. ↵. ᝼ᬺࠍฃߌߚ⚻㛎 P. 㨚㧔㧑㧕 . ᅚ. . ᦭. . ή ᝼ᬺࠍฃߌߚᤨᦼ P. ᖱႎߩ౉ᚻవ P. ⍮⼂ߩ₪ᓧ. . ዊቇᩞ. . ਛቇᩞ. . 㜞╬ቇᩞ. . ᄢቇ. . ߘߩઁ. . ࠹࡟ࡆ. . ࠗࡦ࠲࡯ࡀ࠶࠻ ෹ੱ࡮⍮ੱ. . ᣂ⡞. . 㔀⹹. . ࡆ࠺ࠝ࡮&8&. . ኅᣖ. . ࡜ࠫࠝ. . ߘߩઁ. 㧔. ⾪ࠈᑊ㇗⩽ࡡᛮវ᯹⑍ࡡ⑄ᝀࡡ⑍≟࡞㛭ࡌࡾ▩ㆉࠈࠈࠈࠈࠈࠈQ ⹦ߒߊ⍮ߞߡ޿ࠆ. ዋߒ⍮ߞߡ޿ࠆ. ޽߹ࠅ⍮ࠄߥ޿. ోߊ⍮ࠄߥ޿. *+8#+&5. . . . . ࡋ࡞ࡍࠬ. . . . . ࠢ࡜ࡒࠫࠕ. . . . . ᶷ∛. . . . . ࠦࡦࠫࡠ࡯ࡑ. . . . . ࡂ▩ࡼ࡝࠷ࠕெ㸝㸞࡚࠵ࡖࡒ㸣 ࠔࢠ࣐ࣚࢩ࢓ࠕ. ࣭ࢹࢻ࣭ࡡ㐛ཡࡡ┞ᡥ࠿㛭౿ࡌࡾࠕ࡚ெ㸝. ࡢ㸡 ࠔリࡊࡂ▩ࡖ࡙࠷ࡾࠕெ㸝㸞㸡 ࠔᑛࡊ▩. 㸚㸞㸡 ࠔ↋⑍≟ࡡࡆ࡛࠿࠵ࡾࠕ࡚ெ㸝㸚㸞㸡 ࠔ≁. ࡖ࡙࠷ࡾࠕெ㸝㸞࡚࠵ࡖࡒ㸣 ࠔ࠵ࡱࡽ▩ࡼ. ᏽࡡ┞ᡥ࡛ࡡᛮ⾔Ⅵ࡚វ᯹ࡌࡾࠕ࡚ெ㸝㸚㸞㸡. ࡝࠷ࠕெ㸝㸚㸞㸡 ࠔධࡂ▩ࡼ࡝࠷ࠕெ㸝. ࠔࢤࣤࢺ࣭࣑࡚஢㜭࠿࡚ࡀࡾࠕ࡚ெ㸝㸚㸞 ࠔ 㸡୘. 㸚㸞࡚࠵ࡖࡒ㸣 ࠔᾷ⑋ࠕࡢ㸡 ࠔリࡊࡂ▩ࡖ࡙࠷ࡾࠕ. ዲ⑍࡞࡝ࡾࣛࢪࢠ࠿࠵ࡾࠕ࡚ெ㸝㸚㸞࡚࠵. ெ㸝㸞㸡 ࠔᑛࡊ▩ࡖ࡙࠷ࡾࠕெ㸝㸚㸞㸡 ࠔ࠵. ࡖࡒ㸣ḿ➽⋙࠿㸚ᮅ‫ࡒࡖ࠵࡚‮‬㡧┘ࡢࠔ࢛࣭ࣚ. ࡱࡽ▩ࡼ࡝࠷ࠕெ㸝㸞㸡 ࠔධࡂ▩ࡼ࡝࠷ࠕ. ࣜࢬࢴࢠࢪ࡚វ᯹ࡌࡾࠕ࠿ெ㸝㸚㸞㸡 ࠔࢤࣤ. ெ㸝㸞࡚࠵ࡖࡒ㸣 ࠔࣉࣜ࣋ࢪࠕ ࠔࢠ࣐ࣚࢩ࢓ࠕ ࠔᾷ. ࢺ࣭࣑௧አ࡚஢㜭ࡢ࡚ࡀ࡝࠷ࠕ࠿ெ㸝㸚㸞㸡. ⑋ࠕ࡞ࡗ࠷࡙ࡢ㸡 ᑊ㇗⩽ࡡ༖ᩐ௧୕࠿ࠔ▩ࡖ࡙࠷ࡾࠕ. ࠔHIV᪾វ᯹ࡡࣛࢪࢠ࠿࠵ࡾࠕ࠿ெ㸝㸚㸞࡚. ࡛ࡊ࡙࠷ࡒ㸣ࡊ࠾ࡊ㸡 ࠔࢤࣤࢩ࣭࣏ࣞࠕ࡞ࡗ࠷࡙ࡢ㸡. ࠵ࡖࡒ㸣. ࠔリࡊࡂ▩ࡖ࡙࠷ࡾࠕெ㸝㸞 ࠔ 㸡ᑛࡊ▩ࡖ࡙࠷ࡾࠕ. 㸨㸞ᛮវ᯹⑍࡞ᑊࡌࡾណㆉ㸝⾪㸩㸞. ெ㸝㸞 ࠔ 㸡࠵ࡱࡽ▩ࡼ࡝࠷ࠕெ㸝㸞 ࠔ 㸡ධ. ࠈࠔᜅᛟវࠕ࡞ࡗ࠷࡙ࡢ㸡 ࠔ㟸ᖏ࡞࠵ࡾࠕ࠿ெ. ࡂ▩ࡼ࡝࠷ࠕெ㸝㸞࡚࠵ࡽ㸡 ࠔ▩ࡖ࡙࠷ࡾࠕ. 㸝㸞 ࠔᑛࡊ࠵ࡾࠕ࠿ெ㸝㸞㸡 ࠔ࠵ࡱࡽ࡝࠷ࠕ 㸡. ࡛ࡊࡒᑊ㇗⩽ࡢ㸚࡛༖ᩐ௧ୖ࡚࠵ࡖࡒ㸣. ࠿ெ㸝㸚㸞㸡ࠔධࡂ࡝࠷ࠕ࡛ᅂ➽ࡊࡒᑊ㇗⩽ࡢ. 㸝㸞ᛮវ᯹⑍ࡡវ᯹ࡷ஢㜭࡝࡜࡞㛭ࡌࡾ▩ㆉ㸝⾪㸞. ࠷࡝࠾ࡖࡒ㸣ࠔ⮤ฦ࠿វ᯹ࡌࡾྊ⬗ᛮࠕ࡞ࡗ࠷࡙ࡢ㸡. ࠈᛮវ᯹⑍ࡡវ᯹ࡷ஢㜭࡝࡜࡞㛭ࡌࡾ▩ㆉ࡞ࡗ࠷. ࠔ㟸ᖏ࡞࠵ࡾࠕ࠿ெ㸝㸞㸡ࠔᑛࡊ࠵ࡾࠕ࠿. ࡙ࡢ㸡᭩ࡵḿ➽⋙࠿㧏࠾ࡖࡒ㡧┘ࡢ㸡 ࠔㄙ࡚ࡵវ. ெ㸝㸞㸡 ࠔ࠵ࡱࡽ࡝࠷ࠕ࠿ெ㸝㸚㸞㸡 ࠔධ. ᯹ࡌࡾࠕ࠿ெ㸝㸚㸞࡚࠵ࡖࡒ㸣ḗ࠷࡚ࠔࣂ. ࡂ࡝࠷ࠕ࠿ெ㸝㸚㸞࡚࠵ࡖࡒ㸣. ⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞. .

(5) ┫㆜ኬᏕ⏍࡞࠽ࡄࡾᛮវ᯹⑍ࡡ▩ㆉ࡛ណㆉࡡᐁឺ. ⾪ࠈវ᯹ࡷ஢㜭࡝࡜࡞㛭ࡌࡾ▩ㆉ ߘ߁ᕁ߁ ߘ߁ᕁࠊߥ޿ ⺕ߢ߽ᗵᨴߔࠆ P. . . ࡄ࡯࠻࠽࡯ߩㆊ෰ߩ⋧ᚻ߇㑐ଥߔࠆ P. . . ή∝⁁ߩߎߣ߇޽ࠆ P. . . ․ቯߩ⋧ᚻߣߩᕈⴕὑߢᗵᨴߔࠆ P. . . ࠦࡦ࠼࡯ࡓߢ੍㒐߇ߢ߈ࠆ P. . . ਇᅧ∝ߦߥࠆ࡝ࠬࠢ߇޽ࠆ P. . . ࠝ࡯࡜࡞࠮࠶ࠢࠬߢᗵᨴߔࠆ P. . . ࠦࡦ࠼࡯ࡓએᄖߢ੍㒐ߪߢ߈ߥ޿ P. . . *+8ᤃᗵᨴߩ࡝ࠬࠢ߇޽ࠆ P. . . ⾪ࠈᑊ㇗⩽ࡡᛮវ᯹⑍࡞ᑊࡌࡾណㆉࠈQ 㗄⋡. ᕟᔺᗵ. ࠞ࠹ࠧ࡝࡯. 㧔㧕. ዋߒ޽ࠆ. 㧔㧕. ᗵᨴࠍ⇼ߞߚᤨߩ⋧⺣. 㧔㧕. ోߊߥ޿. ⥄ಽ߇ᗵᨴߔࠆน⢻ᕈ. 㗄⋡. P . 㕖Ᏹߦ޽ࠆ ޽߹ࠅߥ޿. ⾪ࠈᑊ㇗⩽ࡡᛮវ᯹⑍࡞㛭ࡌࡾ⾔ິࠈQ . . ࠞ࠹ࠧ࡝࡯. P . ᦭. . ή. . කᏧ. . ⷫ. . 㕖Ᏹߦ޽ࠆ. . ෹ੱ࡮⍮ੱ. . ዋߒ޽ࠆ. . ࡄ࡯࠻࠽࡯. . ޽߹ࠅߥ޿. . ోߊߥ޿. ⋧⺣⋧ᚻ. . ࠗࡦ࠲࡯ࡀ࠶࠻ ఱᒉᆌᆂ. . ଻ஜቶ. . 㔚⹤⋧⺣. . ᜂછ. . ߘߩઁ ᗵᨴࠍ⇼ߞߚᤨߩฃ⸻. . ᦭. . ή. . 㸩㸞ᛮវ᯹⑍࡞㛭ࡌࡾ⾔ິ㸝⾪㸪㸞. ⩄ࡡ⩄࡞ฦࡄࡒ㸣Ꮥ⩞ᅂᩐ࡞ࡻࡾ▩ㆉ㸡ណㆉ࡞. ࠈវ᯹ࢅ␪ࡖࡒ᫤ࡡ┞ㄧࡡ᭯↋࡞ࡗ࠷࡙ࡢ㸡 ࠔ᭯ࠕ. 㐢࠷࠿࠵ࡾ࠾ࢅฦᯊࡊࡒ㸣. ࠿ெ㸝㸚㸞㸡 ࠔ↋ࠕ࠿ெ㸝㸞࡚࠵ࡖࡒ㸣. 㸦㸞⑄ᝀࡡ⑍≟࡞㛭ࡌࡾ▩ㆉ࡞ࡗ࠷࡙㸝⾪㸫㸞. ࠈ┞ㄧ┞ᡥࡢ㸡᭩ࡵኣ࠾ࡖࡒࡡ࠿ࠔ༈ᖅࠕ࡚ெ. ࠈ ࠔࢠ࣐ࣚࢩ࢓ࠕ࡞ࡗ࠷࡙ࡢ㸡Ꮥ⩞ᅂᩐ 㹳 ᅂ. 㸝㸚㸞㸡ḗ࠷࡚ࠔのࠕࡡெ㸝㸚㸞㸡 ࠔཪெ࣬. ࡚ࠔ▩ࡖ࡙࠷ࡾࠕ⩄ࡢெ㸝㸚㸞㸡Ꮥ⩞ᅂᩐ. ▩ெࠕெ㸝㸚㸞㸡 ࠔࣂ࣭ࢹࢻ࣭ࠕெ㸝㸚㸞㸡. 㹳 ᅂ࡚ࠔ▩ࡖ࡙࠷ࡾࠕ⩄ࡢெ㸝㸞࡚࠵. ࠔ࢕ࣤࢰ࣭ࢾࢴࢹࠕெ㸝㸚㸞࡚࠵ࡽ㸡ᑊ㇗. ࡽ㸡Ꮥ⩞ᅂᩐ࠿ኣ࠷ᑊ㇗⩽࡞ࠔ▩ࡖ࡙࠷ࡾࠕ๪ྙ. ⩽ࡡ༖ᩐ௧୕࠿༈ᖅ࡫ࡡ┞ㄧࢅ⩻࠻࡙࠷ࡒ㸣. ࠿᭯ណ࡞㧏࠾ࡖࡒ㸝p 㸞㸣 ࠔᾷ⑋ࠕ࡞ࡗ࠷࡙ࡢ㸡. ࠈវ᯹ࢅ␪ࡖࡒ᫤ࡡུタࡡ᭯↋࡞ࡗ࠷࡙ࡢࠔ᭯ࠕ. Ꮥ⩞ᅂᩐ 㹳 ᅂ࡚ࠔ▩ࡖ࡙࠷ࡾࠕ⩄ࡢெ㸝. ࠿ெ㸝㸚㸞㸡ࠔ↋ࠕ࠿ெ㸝㸞࡚࠵ࡖࡒ㸣. 㸚㸞㸡Ꮥ⩞ᅂᩐ 㹳 ᅂ࡚ࠔ▩ࡖ࡙࠷ࡾࠕ⩄ࡢெ 㸝㸞 ࡚㸡 Ꮥ⩞ᅂᩐ࠿ኣ࠷ᑊ㇗⩽࡞ࠔ▩ࡖ࡙࠷ࡾࠕ. 㸧㸣Ꮥ⩞ᅂᩐ࡛▩ㆉ㸡ណㆉࡡ㛭㏻࡞ࡗ࠷࡙. ๪ྙ࠿᭯ណ࡞㧏࠾ࡖࡒ㸝p 㸞㸣 ࠔࢤࣤࢩ࣭ࣞ. ࠈᛮវ᯹⑍࡞㛭ࡌࡾ▩ㆉࡡ࠹ࡔ㸡ᛮវ᯹⑍ࡡ⑄ᝀ. ࣏ࠕ࡞ࡗ࠷࡙ࡢ㸡Ꮥ⩞ᅂᩐ 㹳 ᅂ࡚ࠔ▩ࡖ࡙࠷. ࡡ⑍≟࡞㛭ࡌࡾ▩ㆉࡢ㸡ࠔリࡊࡂ▩ࡖ࡙࠷ࡾࠕࠔᑛ. ࡾࠕ⩄ࡢெ㸝㸚㸞㸡Ꮥ⩞ᅂᩐ 㹳 ᅂ࡚ࠔ▩. ࡊ▩ࡖ࡙࠷ࡾࠕࢅྙࢂࡎࡒࠔ▩ࡖ࡙࠷ࡾࠕ⩄࡛ࠔ࠵. ࡖ࡙࠷ࡾࠕ⩄ࡢெ㸝㸞㸡࡚㸡Ꮥ⩞ᅂᩐ࠿ኣ. ࡱࡽ▩ࡼ࡝࠷ࠕ ࠔධࡂ▩ࡼ࡝࠷ࠕࢅྙࢂࡎࡒࠔ▩. ࠷ᑊ㇗⩽࡞ࠔ▩ࡖ࡙࠷ࡾࠕ๪ྙ࠿᭯ណ࡞㧏࠾ࡖࡒ. ࡼ࡝࠷ࠕ⩄ࡡ⩄࡞ฦࡄࡒ㸣ᛮវ᯹⑍࡞ᑊࡌࡾណ. 㸝p 㸞㸣. ㆉࡢ㸡 ࠔ㟸ᖏ࡞࠵ࡾࠕࠔᑛࡊ࠵ࡾࠕࢅྙࢂࡎࡒࠔ᭯ࠕ. ࠈ ࠔHIV/AIDSࠕ 㸡 ࠔࣉࣜ࣋ࢪࠕ࡞ࡗ࠷࡙ࡢ㸡 ࠔHIV/. ⩄㸡࡛ࠔ࠵ࡱࡽ࡝࠷ࠕ ࠔධࡂ࡝࠷ࠕࢅྙࢂࡎࡒࠔ↋ࠕ. AIDSࠕࡢ㸡Ꮥ⩞ᅂᩐ 㹳 ᅂ࡚ࠔ▩ࡖ࡙࠷ࡾࠕ⩄ . Seisen J. Nurs. Stud., Vol. 2. 2013.

(6) ⾪ࠈᏕ⩞ᅂᩐ࡛⑄ᝀࡡ⑍≟࡞㛭ࡌࡾ▩ㆉࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈQ 㨪࿁. P ⍮ߞߡ޿ࠆ. 㨪࿁. P ⍮ࠄߥ޿. ⍮ߞߡ޿ࠆ. 㧞. 㨜. ǿ ୯ ⍮ࠄߥ޿. 㧴㧵㨂㧭㧵㧰㧿. . . . . . PU. ࡋ࡞ࡍࠬ. . . . . . PU. ࠢ࡜ࡒࠫࠕ. . . . . .

(7). ᶷ∛. . . . . .

(8)

(9). ࠦࡦࠫࡠ࡯ࡑ. . . . . .

(10). (KUJGTߩ⋥ធᴺ‫

(11) ޓ‬R

(12)

(13) R. ⾪ࠈᏕ⩞ᅂᩐ࡛វ᯹ࡷ஢㜭࡝࡜࡞㛭ࡌࡾ▩ㆉ 㨪࿁. P. 㨪࿁. P. 䈠䈉ᕁ䈉䈠䈉ᕁ䉒䈭䈇. 㨜. 䈠䈉ᕁ䈉䈠䈉ᕁ䉒䈭䈇. ⺕ߢ߽ᗵᨴߔࠆ P. . . . PU. ࡄ࡯࠻࠽࡯ߩㆊ෰ߩ⋧ᚻ߇㑐ଥߔࠆ P. . . . PU. ή∝⁁ߩߎߣ߇޽ࠆ P. . . . PU. ․ቯߩ⋧ᚻߣߩᕈⴕὑߢᗵᨴߔࠆ P. . . . PU. ࠦࡦ࠼࡯ࡓߢ੍㒐߇ߢ߈ࠆ P. . . . PU. ਇᅧ∝ߦߥࠆ࡝ࠬࠢ߇޽ࠆ P. . . . PU. ࠝ࡯࡜࡞࠮࠶ࠢࠬߢᗵᨴߔࠆ P. . . . PU. ࠦࡦ࠼࡯ࡓએᄖߢ੍㒐ߪߢ߈ߥ޿ P. . . . PU. *+8ᤃᗵᨴߩ࡝ࠬࠢ߇޽ࠆ‫ ޓ‬P. . PU (KUJGTߩ⋥ធᴺ‫

(14) ޓ‬R

(15)

(16) R. ⾪ࠈᏕ⩞ᅂᩐ࡛វ᯹࡞ᑊࡌࡾណㆉࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈࠈQ 㨪࿁. P ᦭. 㨪࿁. P ή. ᦭. 㨜 ή. ᕟᔺᗵ. . PU. ⥄ಽ߇ᗵᨴߔࠆน⢻ᕈ. PU (KUJGTߩ⋥ធᴺ‫

(17) ޓ‬R

(18)

(19) R. ࡢெ㸝㸞㸡Ꮥ⩞ᅂᩐ 㹳 ᅂ࡚ࠔ▩ࡖ࡙࠷ࡾࠕ. ⑍࡞࡝ࡾࣛࢪࢠ࠿࠵ࡾࠕ ࠔࢤࣤࢺ࣭࣑௧አ࡚஢㜭ࡢ. ⩄ࡢெ㸝㸞࡚࠵ࡽ㸡ࠔࣉࣜ࣋ࢪࠕࡢ㸡Ꮥ⩞. ࡚ࡀ࡝࠷ࠕࡡ㡧┘ࡢ㸡Ꮥ⩞ᅂᩐ 㹳 ᅂࡡ᪁࠿ḿ. ᅂᩐ 㹳 ᅂ࡚ࠔ▩ࡖ࡙࠷ࡾࠕ⩄ࡢெ㸝㸞㸡. ➽⋙ࡢ఩࠾ࡖࡒ㸣ᛮវ᯹⑍࡞ᑊࡌࡾណㆉ࡚ࡢ㸡Ꮥ. Ꮥ⩞ᅂᩐ 㹳 ᅂ࡚ ࠔ▩ࡖ࡙࠷ࡾࠕ⩄ࡢெ 㸝㸞. ⩞ᅂᩐ࡛ࡡ㛭౿࡞᭯ណᕣࡢヾࡴࡼࡿ࡝࠾ࡖࡒ㸣. ࡚࠵ࡽ㸡Ꮥ⩞ᅂᩐ࠿ኣ࠷ᑊ㇗⩽࡞ࠔ▩ࡖ࡙࠷ࡾࠕ ๪ྙ࠿㧏࠷ലྡྷࡢずࡼࡿࡒ࠿㸡᭯ណ࡝ᕣࡢヾࡴࡼ. ϫ㸣⩻ࠈᐳ. ࡿ࡝࠾ࡖࡒ㸣㸧㸞វ᯹ࡷ஢㜭࡝࡜࡞㛭ࡌࡾ▩ㆉ࡛ណㆉ࡞ࡗ࠷࡙. ࠈ┫㆜ኬᏕ⏍࡞࠽ࡄࡾᛮវ᯹⑍ࡡ▩ㆉ࡛ណㆉࡡᐁ. ࠈ㸝⾪㸬㸡㸭㸞. ឺ࠾ࡼ㸡ኬᏕ⏍࡫ࡡຝᯕⓏ࡝ᛮវ᯹⑍஢㜭ᩅ⫩ࡡ. ࠈវ᯹ࡷ஢㜭࡝࡜࡞㛭ࡌࡾ▩ㆉ࡚ࡢ㸡Ꮥ⩞ᅂᩐ࡛. ᪁Ἢࢅ᳠ゞࡊࡒ㸣. ࡡ㛭㏻࡞࠽࠷࡙㸡᭯ណ࡝ᕣࡢヾࡴࡼ࡝࠾ࡖࡒ㸣 ࠔ↋ ⑍≟ࡡࡆ࡛࠿࠵ࡾࠕ ࠔ≁ᏽࡡ┞ᡥ࡛ࡡᛮ⾔Ⅵ࡞ࡻࡾ. 㸦㸣⑄ᝀࡡ⑍≟࡞㛭ࡌࡾ▩ㆉ࡞ࡗ࠷࡙. វ᯹ࠕ ࠔࢤࣤࢺ࣭࣑࡚஢㜭࠿࡚ࡀࡾࠕ ࠔ࢛࣭ࣚࣜࢬࢴ. ࠈ⑄ᝀࡡ⑍≟࡞㛭ࡌࡾ▩ㆉ࡚ࡢ㸡㸚ࡡᑊ㇗. ࢠࢪ࡚វ᯹ࡌࡾࠕ ࠔHIV᪾វ᯹ࡡࣛࢪࢠ࠿࠵ࡾࠕࡡ. ⩽࠿HIV/AIDS࡞ࡗ࠷࡙㸡ࠔ▩ࡖ࡙࠷ࡾࠕ࡛ᅂ➽. 㡧┘ࡢ㸡Ꮥ⩞ᅂᩐ 㹳 ᅂࡡ᪁࠿ḿ➽⋙ࡢ㧏࠾ࡖࡒ. ࡊ࡙࠷ࡒ㸣ࠔධࡂ▩ࡼ࡝࠷ࠕ࡛ᅂ➽ࡊࡒᑊ㇗⩽ࡢ. ࠿㸡 ࠔࣂ࣭ࢹࢻ࣭ࡡ㐛ཡࡡ┞ᡥ࠿㛭౿ࡌࡾࠕ ࠔ୘ዲ. ࠽ࡼࡍ㸡ධ࡙ࡡᑊ㇗⩽࠿HIV/AIDS࡞ࡗ࠷࡙▩ࡖ. ⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞. .

(20) ┫㆜ኬᏕ⏍࡞࠽ࡄࡾᛮវ᯹⑍ࡡ▩ㆉ࡛ណㆉࡡᐁឺ. ࡙࠽ࡽ㸡ᖲᠺᖳᗐࡡᠻ࠿ᅗࡡᩝᩅ᪃➿࡞࠽࠷࡙㸡. ྜྷᵕࡡ⤎ᯕ࡚࠵ࡖࡒ㸣Ꮥ⩞ᅂᩐ࡛វ᯹ࡷ஢㜭࡝࡜. ࢙࢕ࢫ஢㜭࡞㛭ࡌࡾᣞᑙࡡඖᐁ࠿ᅒࡼࡿࡒࡆ࡛. ࡞㛭ࡌࡾ▩ㆉࡡ㛣࡞᭯ណ࡝ᕣࡢヾࡴࡼࡿ࡝࠾ࡖࡒ. ࡞ࡻࡾ࡛⩻࠻ࡼࡿࡾ㸝ᩝ㒂⛁Ꮥ┤㸡㸞㸣ࡱࡒ㸡. ࡆ࡛࠾ࡼ㸡វ᯹ࡷ஢㜭࡞㛭ࡌࡾᩅ⫩࠿୘༎ฦ࡚࠵. ࢠ࣐ࣚࢩ࢓㸡ࣉࣜ࣋ࢪࡢ㸡㸚௧୕ࡡᑊ㇗⩽࠿. ࡾࡆ࡛࠿⩻࠻ࡼࡿࡒ㸣ࡱࡒ㸡Ꮥ⩞ᅂᩐ࠿ᑛ࡝ࡂ࡙. ▩ࡖ࡙࠷ࡾ࡛ᅂ➽ࡊ࡙࠽ࡽ㸡 ࠔධࡂ▩ࡼ࡝࠷ࠕ࡞. ࡵ㸡វ᯹ࡷ஢㜭࡞㛭ࡌࡾ▩ㆉࢅ⋋ᚋࡊ࡙࠷ࡾᑊ㇗. ᅂ➽ࡊ࡙࠷ࡒᑊ㇗⩽࠿㸚⛤ᗐ࡛ᑛ࡝࠾ࡖࡒ㸣ࡊ. ⩽ࡵᏋᅹࡌࡾࡆ࡛࠾ࡼ㸡វ᯹ࡷ஢㜭࡞㛭ࡌࡾ▩ㆉ. ࠾ࡊ㸡ᾷ⑋࡞ࡗ࠷࡙ࡢ㸡 ࠔ▩ࡖ࡙࠷ࡾࠕ࡛ᅂ➽ࡊ. ࡡ⋋ᚋ࡞ࡢ㸡Ꮥ⩞ࡡහᐖࡷ᫤᭿࠿ᙫ㡢ࡌࡾྊ⬗ᛮ. ࡒᑊ㇗⩽ࡢ㸚࡚㸡ࠔධࡂ▩ࡼ࡝࠷ࠕ࡛ᅂ➽ࡊ. ࡵ࠵ࡾ࡛᥆ᐳࡈࡿࡾ㸣. ࡒ⩽࠿㸚㸡ࢤࣤࢩ࣭࣏ࣞ࡞ࡗ࠷࡙ࡢ㸡ࠔ▩ࡖ. ࠈវ᯹ࡷ஢㜭࡞㛭ࡌࡾ▩ㆉ࡚ࡢ㸡ᛮវ᯹⑍࡞ࡢ ࠔㄙࡵ࠿វ᯹ࡌࡾྊ⬗ᛮ࠿࠵ࡾࠕ࡛ධဤ࠿ᅂ➽ࡊ. ࡙࠷ࡾࠕ࡛ᅂ➽ࡊࡒᑊ㇗⩽ࡢ㸚࡛༖ᩐ௧ୖ࡚㸡. ࡙࠷ࡒ࠿㸡ᛮវ᯹⑍࡞ᑊࡌࡾណㆉ࡚ࡢ㸡 ࠔ⮤ฦ࠿. ࠔධࡂ▩ࡼ࡝࠷ࠕ࡛ᅂ➽ࡊࡒᑊ㇗⩽࠿㸚࡚࠵ ࡖࡒ㸣ᚉࡖ࡙㸡ᾷ⑋࡛ࢤࣤࢩ࣭࣏ࣞ࡞ࡗ࠷࡙ࡢ㸡. ᛮវ᯹⑍࡞វ᯹ࡌࡾ࠾ࡵࡊࡿ࡝࠷ࠕ࡛ᅂ➽ࡊࡒࡡ. ᤭ᴏ➴࡚▩ㆉࢅᚋࡾᶭఌ࠿ᑛ࡝࠷≟Ἓ࠿᥆ᐳࡈࡿ. ࡢ㸚࡚࠵ࡖࡒ㸣ࡱࡒ㸡඙⾔◂✪㸝๩㸡㸰. ࡒ㸣௑ᅂࡡㄢᰕ࡚ࡢ㸡ᛮវ᯹⑍⑄ᝀࡡ⑍≟࡞㛭. ᑚᯐࡼ㸡㸰ᮄཋ㸡㸞࠾ࡼࡵᛮஹ⤊㥺࡞ࡢ. ࡌࡾ▩ㆉࡡࣝ࣊ࣜࢅၡ࠹ࡒ࠿㸡⑄ᝀ࡞ࡻࡖ࡙㸡▩. ಴ெᕣ࠿࠵ࡽ㸡ࡆࡡࡆ࡛࠾ࡼᛮវ᯹⑍ࡡវ᯹ࡡྊ. ㆉࡡ࠵ࡾ⩽ࡡ๪ྙ࠿␏࡝ࡖ࡙࠷ࡒࡆ࡛࠾ࡼ㸡᪺☔. ⬗ᛮࡡ▩ㆉࡢ࠵ࡖ࡙ࡵ㸡⮤ฦ࠿វ᯹ࡌࡾࡆ࡛ࢅណ. ࡞ᩅ᤭ࡌࡾࡻ࠹࡞ᣞᏽࡈࡿ࡙࠷࡝࠷⑄ᝀ࡞ࡗ࠷࡙. ㆉࡌࡾࡆ࡛ࡢᅏ㞬࡚࠵ࡾࡆ࡛࠿⩻࠻ࡼࡿࡾ㸣ࡱࡒ㸡. ࡢ㸡ᢰᙔࡌࡾᩅဤ࡞ࡻࡖ࡙㸡ᩅ᤭ࡌࡾ⑄ᝀ࠿␏࡝. Ꮥ⩞ᅂᩐ࡛ᛮវ᯹⑍࡞ᑊࡌࡾណㆉ㡧┘ࡡ㛭㏻࡞ࡗ. ࡾࡆ࡛࠿⩻࠻ࡼࡿࡾ㸣ࢠ࣐ࣚࢩ࢓㸡ᾷ⑋㸡ࢤࣤࢩ. ࠷࡙ࡵ㸡Ꮥ⩞ᅂᩐ࡛ᛮវ᯹⑍࡞ᑊࡌࡾណㆉࡡ㛣࡞. ࣭࣏ࣞ࡞ࡗ࠷࡙ࡢ㸡Ꮥ⩞ᅂᩐ࠿ኣ࠷ᑊ㇗⩽࡞ࠔ▩. ᭯ណ࡝ᕣࡢヾࡴࡼࡿ࡝࠾ࡖࡒ㸣ᚉࡖ࡙㸡ࡆࡿࡱ࡚. ࡖ࡙࠷ࡾࠕ࡛ࡊࡒ๪ྙ࠿㧏࠾ࡖࡒࡆ࡛࠾ࡼ㸡Ꮥ⩞. ࡡᏕ⩞࡚ࡢ⮤ฦ࠿វ᯹ࡌࡾྊ⬗ᛮ࡞ࡗ࠷࡙ណㆉࡘ. ᶭఌ࠿ኣ࠷࡛ኣᩐࡡ⑄ᝀࡡᏕ⩞⤊㥺ࢅᚋ࡙࠷ࡒ࡛. ࡄ࠿࡚ࡀ࡙࠷࡝࠷ࡆ࡛࠿⩻࠻ࡼࡿࡒ㸣ᛮ⾔Ⅵࢅ㛜. ᥆ᐳࡈࡿࡒ㸣. ጙࡌࡾ᫤᭿ࡢ಴ெᕣ࠿ኬࡀ࠷ࡒࡴ㸡ᛮ⾔Ⅵࢅ⤊㥺 ࡌࡾ௧๑࡞⮤ฦ࡫ࡡវ᯹ࢅ㌗㎾࡝ࡆ࡛࡛ࡊ࡙⩻࠻. 㸧㸣វ᯹ࡡ஢㜭࡛ណㆉ࡞ࡗ࠷࡙. ࡾࡡࡢ㞬ࡊ࠷ࡆ࡛࠿⩻࠻ࡼࡿࡾ㸣ᚉࡖ࡙㸡ᛮវ᯹. ࠈវ᯹ࡷ஢㜭࡝࡜࡞㛭ࡌࡾ▩ㆉ㡧┘୯㡧┘࡞࠽. ⑍࡞㛭ࡌࡾහᐖࡢ㸡ᛮវ᯹⑍ࢅ㌗㎾࡝ࡆ࡛࡛វࡋ. ࠷࡙㸡㸚௧୕ࡡ㧏࠷ḿ➽⋙࡚࠵ࡽ㸡ᑊ㇗⩽ࡢ. ࡒ᫤࡞㸡ࢰ࢕࣑࣭ࣛ࡞Ꮥ⩞࠿࡚ࡀࡾࡻ࠹࡞㸡ᑚᏕ. វ᯹ࡷ஢㜭࡞㛭ࡌࡾ▩ㆉࢅ᭯ࡊ࡙࠽ࡽ㸡ᒜᓧࡼ. ᰧࡡ᫤᭿࠾ࡼ྘ᖳ௥࡞࠽࠷࡙⧖ࡽ㏁ࡊᏕ⩞ࡌࡾࡆ ࡛࠿ᚪこ࡚࠵ࡾ࡛⩻࠻ࡾ㸣. 㸝㸞࡛࡮࡯ྜྷᵕࡡ⤎ᯕ࡚࠵ࡖࡒ㸣 ࠈᑊ㇗⩽ࡡ㸚࠿HIV/AIDS࡞ࡗ࠷࡙㸡ࠔ▩ࡖ ࡙࠷ࡾࠕ࡛ᅂ➽ࡊ࡙࠷ࡒ࠿㸡 ࠔHIV᪾វ᯹ࡡࣛࢪ. 㸨㸣ᛮវ᯹⑍஢㜭ᩅ⫩ࡡ᪁Ἢ࡞ࡗ࠷࡙. ࢠ࠿࠵ࡾࠕ࡞ࡗ࠷࡙ࡢ㸡វ᯹ࡷ஢㜭࡝࡜࡞㛭ࡌࡾ. ࠈᛮវ᯹⑍࡞ࡗ࠷࡙Ꮥࢆࡓ⤊㥺ࡡ࠵ࡾᑊ㇗⩽ࡢ. ▩ㆉ㡧┘୯ḿ➽⋙࠿᭩ࡵ఩࠾ࡖࡒ㸣ᚉࡖ࡙㸡௑. 㸚࡚࠵ࡽ㸡࡮࡛ࢆ࡜ࡡᑊ㇗⩽࠿Ꮥ⩞ࡊࡒ⤊㥺. ࡱུ࡚ࡄࡒHIV/AIDSᩅ⫩ࡢ⑄ᝀࡡ⑍≟࡞㛭ࡌࡾ. ࠿࠵ࡖࡒ㸣ࡊ࠾ࡊ㸡Ꮥ⩞⤊㥺࠿ࠔ࡝࠷ࠕ࡛ᅂ➽ࡊ. ▩ㆉ࡫ࡡᩅ᤭࠿୯ᚨ࡚࠵ࡽ㸡វ᯹ࡡ▩ㆉ࠿༎ฦᩅ. ࡒᑊ㇗⩽ࡵᏋᅹࡌࡾ㸣Ꮥ⩞⤊㥺࠿࡝࠷࡛ᅂ➽ࡊࡒ. ᤭࡚ࡀ࡙࠷࡝࠷ࡆ࡛࠿᥆ᐳࡈࡿࡒ㸣 ࠔࢤࣤࢺ࣭࣑. ᑊ㇗⩽ࡡᖳ㱃࠾ࡼࡢᑚᏕᰧ㸡୯Ꮥᰧ㸡㧏➴Ꮥᰧ࡞. ௧አ࡚஢㜭ࡢ࡚ࡀ࡝࠷ࠕ ࠔ࢛࣭ࣚࣜࢬࢴࢠࢪ࡚វ. ࠽࠷࡙㸡࢙࢕ࢫ஢㜭࡞㛭ࡌࡾᣞᑙࡡඖᐁ࠿ࡌࡌࡴ. ᯹ࡌࡾࠕࡡ㡧┘࡞࠽࠷࡙ࡵḿ➽⋙࠿఩࠾ࡖࡒ㸣ᑊ. ࡼࡿࡒᏕ⩞ᣞᑙこ㡷࡞ᇱࡘ࠷ࡒᩅ⫩ࢅུࡄ࡙࠷ࡾ. ㇗⩽ࡢ㸡វ᯹⤊㊨ࡡ⌦ゆ࠿୘༎ฦ࡚࠵ࡾࡒࡴ㑂ዲ. ᖳ㱃࡚࠵ࡾࡆ࡛࠾ࡼ㸡ᑚᏕᰧ㸡୯Ꮥᰧ㸡㧏➴Ꮥᰧ. ᪁Ἢ࡛វ᯹஢㜭᪁Ἢ࡛ࡢ␏࡝ࡾࡆ࡛࠿⌦ゆ࡚ࡀ࡙. ࡚ࡡ᤭ᴏࢅᚸࡿ࡙࠷ࡾ࠾㸡᤭ᴏࡡḖᖆ➴࡞ࡻࡽᏕ. ࠽ࡼࡍ㸡ᛮវ᯹⑍ࡡ஢㜭⾔ິ࡞㛭ࡌࡾ▩ㆉ࠿୘㊂. ⩞ࡌࡾᶭఌ࠿࡝࠾ࡖࡒࡆ࡛࠿⩻࠻ࡼࡿࡾ㸣ᚉࡖ࡙㸡. ࡊ࡙࠷ࡾࡆ࡛࠿⩻࠻ࡼࡿࡒ㸣ࡆࡿࡢ㸡඙⾔◂✪㸝ᮿ. ᛮវ᯹⑍࡞㛭ࡌࡾᩅ⫩ࢅ✒ࡲ㔔ࡠࡾ࡞ࡢ㸡ධ࡙ࡡ. ὾㸡㸰ᮄཋ㸡㸰➪ᕖ㸡ᮟぽ㸡㸰➪ཋ. ᶭఌ࡞࠽࠷࡙㸡ᇱᮇⓏ࡝▩ㆉࢅᚗ⩞ࡊ㸡᩺ࡒ࡝▩. ࡼ㸡㸞࡚ࡵ㸡ኬᏕ⏍ࡡᛮវ᯹⑍࡞ᑊࡌࡾ஢㜭. ㆉࢅᩅ᤭ࡌࡾᚪこ࠿࠵ࡾ㸣ࡱࡒ㸡HIV/AIDS௧አ. ⾔ິࡡ▩ㆉࡷណㆉ࠿఩࠷ࡆ࡛ࡢᣞᦤࡈࡿ࡙࠽ࡽ㸡. ࡡ⑄ᝀ࡞㛭ࡌࡾ㡧┘࡞ࡗ࠷࡙ᑊ㇗⩽ࡡᏕ⩞ࣝ࣊ࣜ㸡 . Seisen J. Nurs. Stud., Vol. 2. 2013.

(21) ▩ㆉࣝ࣊ࣜ࡞ᕣ࠿࠵ࡖࡒࡆ࡛ࡷ㸡វ᯹ࡷ஢㜭࡝࡜. ᩝࠈ⊡. ࡞㛭ࡌࡾ▩ㆉࡷណㆉ࠿Ꮥ⩞ᅂᩐ࡞㛭౿࡝ࡂ୘༎ฦ. ᮄཋ㞖Ꮔ㸡ᮄཋḿ༡㸝㸞㸯ⱕ⩽ࡡᛮ⾔ິ࡛ᛮវ᯹. ࡚࠵ࡖࡒࡆ࡛࠾ࡼ㸡ኬᏕ࡚ࡡᩅ⫩࡞࠽࠷࡙ࡢ㸡ኬ Ꮥ⏍࠿ᛮវ᯹⑍ࢅ⮤ฦࡡࡆ࡛࡛ࡊ࡙⩻࠻㸡஢㜭⾔. ⑍஢㜭ᑊ➿㸡᪝ᮇ༈ᖅఌ㞟ヽ㸡㸝㸞㸡㸣. ິ࠿࡚ࡀࡾࡻ࠹࡞㸡ᛮវ᯹⑍ࡡ஢㜭⾔ິ࡝࡜රమ. ᮄཋ㞖Ꮔ㸝㸞㸯᪝ᮇࡡⱕ⩽ࡡᛮ⾔ິ࡛Sexual Health㸡ᛮ࡛೸ᗛ㸡๭ษ‵ങྒ㸡㸣. Ⓩ࡝හᐖࢅᩅ᤭ࡌࡾࡆ࡛࠿ᚪこ࡚࠵ࡾ㸣. ᑚᯐல⏜⨶㸡ᕖྙ᱀Ꮔ㸡㰳⸠⨶✉㸝㸞㸯ᛦ᫋ ᭿ࡡᛮវ᯹⑍࡞㛭ࡌࡾ▩ㆉ࣬ណㆉ࣬⾔ິࡡ⌟≟. Ϭ㸣⤎ࠈㄵࠈ. ࡛஢㜭ᩅ⫩ࡡ࠵ࡽ᪁㸡⩄㤷ࣂ࣭ࢪᏕᅧ▯᭿ኬᏕ. ࠈᛮវ᯹⑍࡞ᑊࡌࡾ▩ㆉ࡛ណㆉࡡᐁឺ࡛ᛮវ᯹ᩅ. ⣎こ㸡㸝㸞㸡㸣. ⫩࡛ࡡ㛭౿࡞ࡗ࠷࡙௧ୖࡡࡆ࡛࠿᪺ࡼ࠾࡛࡝ࡖࡒ㸣. ཉ⏍ຘ഼┤㸝㸞㸯វ᯹⑍Ⓠ⏍ິྡྷㄢᰕ㸡㸝. 㸣⑄ᝀࡡ⑍≟࡞㛭ࡌࡾ▩ㆉ࡞ࡗ࠷࡙ࡢ㸡ධ࡙. ࠈཱིᚋ㸡http㸯//www.mhlw.go.jp/topics/2005/. ࡡᑊ㇗⩽࠿Ꮥ⩞ᣞᑙこ㡷࡞న⨠ࡘࡄࡼࡿࡒHIV/. ࠈ04/tp0411-1.html㸞㸣. AIDSࡡ⑍≟ࢅ▩ࡖ࡙࠷ࡒ㸣ࡱࡒ㸡Ꮥ⩞ᅂᩐࡡኣ. ᮿ὾㈴㛏㸝㸞㸯໪ஐᕗ㒌ᕰᅥ࡞࠽ࡄࡾ㟯ᑛᖳ. ࠷⩽࠿ࢠ࣐ࣚࢩ࢓㸡ᾷ⑋㸡ࢤࣤࢩ࣭࣏ࣞࡡ⑍≟࡞. ࢅᑊ㇗࡛ࡊࡒᛮវ᯹⑍࡞ᑊࡌࡾヾㆉ࣬⾔ິㄢᰕ. ࡗ࠷࡙㸡ࠔ▩ࡖ࡙࠷ࡾࠕ๪ྙ࠿᭯ណ࡞㧏࠾ࡖࡒ㸣. 㸝㸞㸡ᛮ࡛೸ᗛ㸡㸡㸣. 㸣វ᯹ࡷ஢㜭࡝࡜࡞㛭ࡌࡾ▩ㆉ㸡ᛮវ᯹⑍࡞ᑊ. ᩝ㒂⛁Ꮥ┤㸝㸞㸯ᠻ࠿ᅗࡡᩝᩅ᪃➿㸡㸝. ࡌࡾណㆉ࡞ࡗ࠷࡙ࡢ㸡Ꮥ⩞ᅂᩐ࡛ࡡ㛣࡞᭯ណ࡝ᕣ. ࠈཱིᚋ㸡http㸯//www.mext.go.jp/b_menu/hakusho. ࡢヾࡴࡼࡿ࡝࠾ࡖࡒ㸣ᛮវ᯹⑍࡞㛭ࡌࡾᩅ⫩ࡢ㸡. 㸣 /html/hpad199201/㸞. ᛮវ᯹⑍ࢅ㌗㎾࡞វࡋࡒ᫤࡞㸡ࢰ࢕࣑࣭ࣛ࡞Ꮥ⩞. Ჯ᪁Ⓤ↻㸡➁⏛ᛥᏄ㸝㸞㸯ዥᏄኬᏕ⏍ࡡᛮវ. ࠿࡚ࡀࡾࡻ࠹࡞㸡྘ᖳ௥࡞࠽࠷࡙⧖ࡽ㏁ࡊᏕ⩞ࡌ. ᯹⑍஢㜭࡞ᑊࡌࡾឺᗐࠈᅂࡡ᤭ᴏ࡞ࡻࡾን໩㸡. ࡾࡆ࡛࠿ᚪこ࡚࠵ࡾ㸣. ᩅ⫩ಕ೸◂✪㸡㸡㸣. 㸣HIV/AIDS௧አࡡ⑄ᝀ࡞㛭ࡌࡾ㡧┘࡞ࡗ࠷࡙. け⏛㝟Ꮔ㸡ṂᨳዄಕᏄ㸡Ⳛ἗⃀Ờ㸝㸞㸯┫㆜. ᑊ㇗⩽ࡡᏕ⩞ࣝ࣊ࣜ㸡▩ㆉࣝ࣊ࣜ࡞ᕣ࠿࠵ࡖࡒ㸣. ⣌ኬᏕ⏍ࡡHIV࣬AIDS࡞㛭ࡌࡾᇱ♇Ⓩ▩ㆉࡡ. ᛮវ᯹⑍࡞㛭ࡌࡾᇱᮇⓏ࡝හᐖࢅᚗ⩞ࡊ㸡஢㜭⾔. ㄢᰕ㸡᮶㒌༈⒢ኬᏕ⣎こ㸡㸝㸞㸯㸣. ິ࡝࡜රమⓏ࡝හᐖࢅᩅ᤭ࡌࡾࡆ࡛࠿ᚪこ࡚࠵ࡾ㸣. ኬけ┷⏜⨶㸡ᒜඔ⏜⨶Ꮔ㸝㸞㸯┫㆜⣌ኬᏕ⏍ ࡞ᑊࡌࡾ⏍࡛ᛮࡡ⮤ᕤỬᏽ࡞㛭ࡌࡾᏕ⩞ఌࡡᐁ ᪃࡛ビ౮㸡Ⲁᇖ┬❟༈⒢ኬᏕ⣎こ㸡㸡㸣. ϭ㸣ᮇ◂✪ࡡ㝀⏲࡛ㄚ㢗. ➪ᕖᑋ஄㸡ᮟぽ├Ꮔ㸝㸞㸯⏠ᏄኬᏕ⏍ࡡᛮ࡞. ࠈᮇ◂✪࡚ࡢ㸡┫㆜ኬᏕ⏍ࢅᑊ㇗࡛ࡊ㸡ኬᏕࡡ. ᑊࡌࡾណㆉࡷ⾔ິ࡛㸽㹅㹋㸡ࢠ࣐ࣚࢩ࢓វ᯹ࡡ. Ꮥᖳࡡࡲ࡞ᐁ᪃ࡊࡒᶋ᩷ㄢᰕ࡚࠵ࡽ㸡ࢦࣤࣈࣜ. ᐁឺ㸡᪝ᮇᛮវ᯹⑍ఌヽ㸡㸝㸞㸡㸣. ᩐ࠿ᑛ࡝࠷ࡆ࡛࠾ࡼ㸡ୌ⯙ࡡኬᏕ⏍࡛ࡌࡾ࡞ࡢ㝀. ➪ཋ⌦ఌ㸡ᒷᮇ⋱ዄ㸡ᚠỄ᪺Ꮔ㸝㸞㸯ኬᏕ⏍. ⏲࠿࠵ࡾ㸣ࡱࡒ㸡ᮇㄢᰕ࡚ࡢࡆࡿࡱ࡚࡞ུࡄࡒᩅ. ࡡᛮវ᯹⑍࡞㛭ࡌࡾ▩ㆉ࡛ណㆉࡡ⌟≟㸡⚗ᒱ┬. ⫩ࡡහᐖࡱ࡚ࡢၡ࠹࡙࠷࡝࠷ࡆ࡛࠾ࡼ㸡ᩅ⫩ࡈࡿ. ❟┫㆜ᑍ㛓Ꮥᰧ┫㆜◂✪ㄵᩝ㞗㸡㸡㸣. ࡒහᐖ࡛ᑊ㇗⩽ࡡ▩ㆉ࣬ណㆉ࡛ࡡ㛭౿࡞ࡗ࠷࡙ࡢ. ກ㝟Ꮔ㸝㸞㸯໪ஐᕗ㎾㑱ᆀᇡ࡞࠽ࡄࡾ㧏ᰧ⏍ࡡ. ᳠ゞ࠿࡚ࡀ࡙࠷࡝࠷㸣௑ᚃࡢࢦࣤࣈࣜᩐࢅቌࡷࡊ㸡. ᛮ⾔ິ࣬ᛮណㆉࡡㄢᰕ࠾ࡼ㸡Quality Nursing㸡. ୌ⯙ࡡኬᏕ⏍࡛ࡡẒ㍉࠿ᚪこ࡚࠵ࡾ㸣ࡱࡒ㸡ᩅ⫩. 㸝㸞㸡㸣. ࡈࡿࡒහᐖࡡ᳠ゞࡵᚪこ࡚࠵ࡾ㸣. ᒜᓧ⿩⨶Ꮔ㸡㎾⸠↯ᨼ㸡ຊ⣙ல⣎㸝㸞㸯ዥᏄ ኬᏕ⏍ࡡ࢙࢕ࢫ࣬ᛮវ᯹⑍࡞㛭ࡌࡾណㆉ㸡ᅧ⏛ ᏕᅧዥᏄኬᏕㄵᩝ㞗㸡㸡㸣. ㅨࠈ㎙ ࠈᮇ◂✪ࢅ⾔࠹࡞࠵ࡒࡽ㸡ࡇ༝ງ࠷ࡒࡓࡀࡱࡊࡒA ኬᏕ┫㆜Ꮥ㒂㸡ᖳ⏍࡞ᚨࡻࡽវㅨ⏞ࡊ୕ࡅࡱࡌ㸣. ⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞. .

(22)