在宅褥瘡の実態と問題点把握のための全国調査研究
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(3) ᗎ ᩥ . ᪥ࡲ࡛ᅾᏯ〟⒔ࡢ≧ἣࡀศࡽࡎࠊ᪥ᮏᅾᏯ〟⒔യࢣ᥎㐍༠ࡋ࡚ ࡣᅾᏯ〟⒔⒪࣭ࢣࡢᨵၿࡸᑗ᮶ィ⏬ࡀ❧࡚ࡽࢀࡎᅔࡗ࡚࠸ࡓࠋᅇࡢබ┈ ㈈ᅋἲேᅾᏯ་⒪ຓᡂຬ⨾グᛕ㈈ᅋࡢຓᡂ㔠ࡢ࠾ࡆ࡛ᅾᏯ〟⒔ࡢ⌧≧ࢆᇉ㛫 ぢࡿࡇࡀ࡛ࡁࡓࠋ ࡋࡋࠊຓᡂ㔠ࡢ࠶ࡿࡇࢆ▱ࡗࡓࡢࡀ㐜ࡗࡓࡓࡵ‽ഛᮇ㛫ࡀ࡞ࡃࡪࡗࡘ ࡅᮏ␒࡞ࡾࠊⰍࠎ࡞㠃࡛ഛ࣭‶ࡀṧࡗ࡚ࡋࡲࡗࡓࠋࡋࡋࠊ᪥ᮏ࠾ࡅ ࡿᅾᏯ〟⒔࠾࠸࡚ࡣࡇࡢࡼ࠺࡞ࣥࢣ࣮ࢺㄪᰝࡣึࡵ࡚࡛࠶ࡾࠊᅇࡢㄪᰝ ࡛ᚓࡿࡇࢁ࡛࠶ࡗࡓࠋ ≉ࠊ〟⒔ࢆⓎ⏕ࡉࡏࠊᝏࡉࡏࡿࡢࡣᅾᏯ࡛࠶ࡿ୍⯡ⓗỴࡵࡘࡅࡽࢀ ࡚࠸ࡓࡀࠊ〟⒔ࡢⓎ⏕ࡸᝏࡘ࠸࡚ࡣᛴᛶᮇ㝔ࡸ㛗ᮇ⒪㣴㝔ࡸࢩ࣮ࣙࢺ ࢫࢸ࡛ࡢⓎ⏕ࡀ ࢆ༨ࡵ࡚࠸ࡓࡇࡀศࡗࡓࠋࡲࡓ་ᑐࡍࡿ‶ࡸ ၥ㢟ࡀᩘከࡃᥦ㉳ࡉࢀ࡚࠾ࡾࠊࡇࢀࡘ࠸࡚ࡣఱゎỴࡢ㐨ࢆᶍ⣴ࡋࡓ࠸ ᛮࡗ࡚࠸ࡿࠋࡇࢀ௨እࡶⰍࠎ࡞௳ࡀᾋୖࡋ࡚ࡁ࡚࠸ࡿࡢ࡛᪩ᛴฎ⌮⮫ ࡴࡘࡶࡾ࡛࠶ࡿࠋ ࠸ࡎࢀࡋ࡚ࡶᅇࡢබ┈㈈ᅋἲேᅾᏯ་⒪ຓᡂຬ⨾グᛕ㈈ᅋࡢຓᡂ㔠ࡢ࠾ ࡆ࡛ᅾᏯ〟⒔ࡢᐇែࡀ୍㒊࡛ࡣ࠶ࡿࡀึࡵ࡚ゎ࡛᫂ࡁࡓࡇࡣ⮳ᴟ࡛࠶ ࡾࠊᅾᏯ〟⒔་⒪ࢣ㈉⊩ࡍࡿࡇ࡛࠶ࡿࠋ ᖺ ᭶ ᪥ ᪥ᮏᅾᏯ〟⒔യࢣ᥎㐍༠ ⌮㛗 ᾆ Ṋᙪ.
(4)
(5) ┠ ḟ . ➨Ϩ㒊͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐ ࠕᅾᏯ〟⒔ࢣ㛵ࡍࡿࣥࢣ࣮ࢺࠖ㸫⤫ィࢹ࣮ࢱ࣮. ➨ϩ㒊͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐ ࠕᅾᏯ〟⒔ࢣ㛵ࡍࡿࣥࢣ࣮ࢺࠖ㸫᥈⣴ⓗ࡞᳨ウࢥ࣓ࣥࢺ࣮. ➨Ϫ㒊͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐ ᅾᏯ࠾ࡅࡿ〟⒔ࢣ࡛ࠊ୍␒ᝎࢇ࡛࠸ࡿࡇࡣࢇ࡞ࡇ࡛ࡍ㸽 㸿ࡲࡵ㸯㸦ᩘ㸧 㹀ࡲࡵ㸰㸦ෆᐜ㸧. ➨ϫ㒊͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐ ㉁ၥ࣭ពぢᑐࡍࡿ᪥ᮏᅾᏯ〟⒔യࢣ᥎㐍༠ࡢぢゎ 㸯㸧༠ࡢぢゎ㸯 ୍⯡ⓗ࡞㉁ၥࡘ࠸࡚ 㸰㸧༠ࡢぢゎ㸰 ࢻࣞࢵࢩࣥࢢᮦࡘ࠸࡚ 㸱㸧༠ࡢぢゎ㸱 ㋖〟⒔ࡀฟ᮶ࡿ 㸲㸧༠ࡢぢゎ㸲 ࣇ࣒ࣝᮦࡀ㧗࠸ 㸳㸧༠ࡢぢゎ㸳 ᅾᏯ࡛ά㌍ࡍࡿ⟶⌮ᰤ㣴ኈࡀᑡ࡞࠸ 㸴㸧༠ࡢぢゎ㸴 ἥࡀከ࠸ࡁࠊ⊂ᒃࡢሙྜㄡࡀࡍࡿ 㸵㸧༠ࡢぢゎ㸵 ୗ⫥⾑ὶ࣭㊊㛵ಀࡢ㉁ၥ . ➨Ϭ㒊͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐͐ ཌ⏕ປാ┬࠾㢪࠸ ࣭ᅾᏯ〟⒔ࣥࢣ࣮ࢺㄪᰝ᳨ウጤဨ ࣭බ┈㈈ᅋἲேᅾᏯ་⒪ຓᡂຬ⨾グᛕ㈈ᅋຓᡂ㔠ሗ࿌᭩⦅㞟ᢸᙜ ⌮ 㛗 ᾆ Ṋᙪ ᖺᗘᅜ㛗 ୗඖ ెᏊ ᗢົᢸᙜᖖ௵⌮ ሯ⏣ 㑥ኵ ᑗ᮶ィ⏬ᖖ௵⌮ ᇼ⏣ ⏤ᾈ ㈈ົᢸᙜᖖ௵⌮ ษᡭ ಇᘯ.
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(7) ➨Ϩ㒊ࠕᅾᏯ〟⒔ࢣ㛵ࡍࡿࣥࢣ࣮ࢺࠖ 㸫⤫ィࢹ࣮ࢱ㸫. 2014 ᖺᗘ බ┈㈈ᅋἲேᅾᏯ་⒪ຓᡂຬ⨾グᛕ㈈ᅋ ◊✲ຓᡂ ᪥ᮏᅾᏯ〟⒔യࢣ᥎㐍༠ ᐇ.
(8) 㻞㻜㻝㻡㻛㻤㻛㻞㻠⌧ᅾ 䜰䞁䜿䞊䝖⏝⣬㓄ᕸ䛸ᅇ⤖ᯝ ᅋయྡ. ㏦௳ᩘ. ㏦᪉ἲ. ㏉㏦ᩘ. ୍⯡♫ᅋἲே᪥ᮏᅾᏯ་Ꮫ ௦⾲⌮㻌๓⏣᠇ᚿ. 㻝㻠㻢㻟௳ 㻔䝯䞊䝹Ⓩ㘓ဨ䠅. 䝯䞊䝹䠄㻲㻭㼄䠅. 㻞㻠௳㻔㻲㻭㼄㻕. ୍⯡♫ᅋἲேᅜゼၥ┳ㆤᴗ༠ 㛗㻌ఀ⸨㞞 ົᒁ㛗䚷ᐑᓮ䚷ຍᏊ. 㻞㻜㻜㻜௳ 䠄↓సⅭᢳฟ䠅. 㒑㏦. ᪥ᮏᅾᏯ〟⒔യ䜿䜰᥎㐍༠ ⌮㛗㻌ᾆṊᙪ. 㻤㻡㻟௳ 䠄ဨ䠅. 㒑㏦ 䠄㻞㻠㻜௳䠅 䝯䞊䝹㻔㻲㻭㼄㻕 䠄㻢㻝㻟௳䠅. ྜィ㻣㻤㻡௳ 㻔㒑㏦㻕. 㻟㻤௳䠄㻲㻭㼄䠅. 䚷䚷䚷䚷㻲㻭㼄䠖㻢㻞௳㻔㻞㻠௳䠇㻟㻤௳㻕䊹䛂ᅾᏯ་Ꮫ䛃䛂᥎㐍༠䛃ΰᅾ䛾ᅇ⟅ᩘ䛸ᛮ䜟䜜䜛䚹 䚷䚷䚷䚷䛧䛯䛜䛳䛶䚸㻲㻭㼄䛷㏦䜙䜜䛶䛝䛯䛾䜒䛾䛿䚸⫋✀䛜᫂䛷䛒䜚䛹䛱䜙䛾Ꮫ䛻ᡤᒓ䛩䜛䛛᫂䛷䛒䛳䛯䚹 䚷䚷䚷䚷ᅇ䛿㒑㏦䛷㏦䜚䚸㒑㏦䛷ᅇ⟅䛧䛶䛝䛯䜒䛾䛾䜏䜢᥇⏝䛧䛯䚹 䚷䚷䚷䚷᭷ຠᅇ⟅䚷㻣㻤㻡㻛㻞㻞㻠㻜䚸ᅇ⋡㻟㻡㻚㻜㻑䛷䛒䛳䛯䚹. 䠉㻞䠉.
(9) ㉁ၥ㸯㸧 㸦㸯㸧࠶࡞ࡓ㸦グධ⪅㸧ࡢ⫋✀ࢆᩍ࠼࡚ࡃࡔࡉ࠸ࠋ㸦ᩘ✀ࡢ㈨᱁ࢆᣢࡗ࡚࠸ࡿ᪉ࡣࡓࡿ⫋✀ࠐ࡛ᅖࢇ ࡛ࡃࡔࡉ࠸ࠋ⫋✀ࡣࡅࡘ࠾ࢆڹୗࡉ࠸㸧ࠋ ་ᖌࠊ┳ㆤᖌ㸦タ࣭ゼၥ┳ㆤ㺛㺡㺎㺚㺌㺻㸧ࠊࢣ࣐ࢿࢪ࣮ࣕ㸦་Ꮫ࣭┳ㆤ⣔ࠊ⚟♴⣔ࠊࡑࡢ㸧ࠊ ࡑࡢ㸦 㸧. 0.6% 0.6%. 91.9%. 6.9%. ་ᖌ ┳ㆤᖌ ࢣ࣐ࢿ ࡑࡢ. 0%. 20%. 40%. 60%. 80%. 100%. ᅗ㸯 ⫋✀(」ᩘᅇ⟅)(n=783). 1.7%. 78.0%. タ. 20.3%. ゼၥ┳ㆤST ᫂. 0%. 20%. 40%. 60%. 80%. 100%. ᅗ㸰 ⫋✀࣭┳ㆤᖌࡢෆヂ(」ᩘᅇ⟅)(n=765) 0.0% 89.7%. 0.0%. ་Ꮫ࣭┳ㆤ ⚟♴. 10.3%. ࡑࡢ ᫂ 80%. 85%. 90%. 95%. 100%. ᅗ㸱 ⫋✀࣭ࢣ࣐ࢿ࣮ࢪ࣮ࣕࡢෆヂ(」ᩘᅇ⟅)(n=57). 0.0%. ་ᖌ. 8.4%. 85.5%. 6.0%. ┳ㆤᖌ ࢣ࣐ࢿ ࡑࡢ. 0%. 20%. 40%. 60%. 80%. ᅗ㸲 ⫋✀(」ᩘᅇ⟅)(n=83). 䠉㻟䠉. 100%.
(10) 0.0% 28.6%. 71.4%. タ ゼၥ┳ㆤST ᫂. 0%. 20%. 40%. 60%. 80%. 100%. ᅗ㸳 ⫋✀࣭┳ㆤᖌࡢෆヂ(」ᩘᅇ⟅)(n=7) 0.0%. 0.0%. 42.3%. ་Ꮫ࣭┳ㆤ ⚟♴. 57.7%. ࡑࡢ ᫂ 0%. 20%. 40%. 60%. 80%. 100%. ᅗ㸴 ⫋✀࣭ࢣ࣐ࢿ࣮ࢪ࣮ࣕࡢෆヂ(」ᩘᅇ⟅)(n=71) 㸦㸰㸧͆〟⒔ࢣࡸᅾᏯ⒪࣭ࢣ㛵ࢃࡗ࡚࠸ࡿᅾᏯࢳ࣮࣒͇㸦௨ୗ ᅾᏯࢳ࣮࣒㸧ࡣఱே࡛⾜ࡗ࡚࠸ࡲ ࡍ㸽 ձ 3 ே௨ୗ ղ 4㹼6 ே ճ7㹼10 ே մ11 ே௨ୖ 3ே௨ୗ 30.7%. 45.4%. 19.5%. 4.3%. 4㹼6ே 7㹼10ே 11ே௨ୖ. 0%. 20%. 40%. 60%. 80%. 100%. ᅗ㸵 ᅾᏯࢳ࣮࣒࣭ேᩘ(n=742) ㉁ၥ㸰㸧 ࠶࡞ࡓࡀ⒪࣭ࢣ㛵ࢃࡗ࡚࠸ࡿ〟⒔ಖ᭷⪅ࡢᩘࡣቑ࠼࡚࠸ࡲࡍ㸽ῶࡗ࡚࠸ࡲࡍ㸽㸦ࠐ࡛ᅖࢇ࡛ࡃ ࡔࡉ࠸㸧 մ ῶࡗ࡚࠸ࡿ ձ 㠀ᖖቑ࠼࡚࠸ࡿ յ 㠀ᖖῶࡗ࡚࠸ࡿ ղ ቑ࠼࡚࠸ࡿ ճ ኚࢃࡽ࡞࠸ 㠀ᖖῶࡗ࡚࠸ࡿ 3.1%. 33.2%. 51.8%. 11.8%. ῶࡗ࡚࠸ࡿ ኚࢃࡽ࡞࠸ ቑ࠼࡚࠸ࡿ. 0%. 20%. 40%. 60%. 80%. 100%. ᅗ㸶 〟⒔ಖ᭷⪅ᩘࡢቑῶ(n=763). 䠉㻠䠉. 㠀ᖖቑ࠼࡚࠸ࡿ.
(11) ㉁ၥ㸱㸧 ࠶࡞ࡓࡢ͆ᅾᏯࢳ࣮࣒͇࡛ࡣ 2014 ᖺ 6 ᭶㹼㸶᭶ࡢ͆3 ࣨ᭶͇ࡢ㛫ఱேࡢ〟⒔ᝈ⪅ࡉࢇࢆ⒪ or ࢣࡋ ࡲࡋࡓ㸽㸦ࠐ࡛ᅖࢇ࡛ࡃࡔࡉ࠸㸧 ࠋ 㸦ᘏᩘ࡛ࡣ࡞ࡃᐇᩘ㸧 ձ 0 ே ղ 1㹼10 ே ճ11㹼20 ே մ21㹼30 ே յ31 ே௨ୖ 0.7% 0.4% 6.7%. 89.0%. 3.3%. 0ே 1㹼10ே 11㹼20ே 21㹼30ே. 0%. 20%. 40%. 60%. 80%. 100%. 31ே௨ୖ. ᅗ㸷 ࠶࡞ࡓࡢᅾᏯࢳ࣮࣒ࡢ〟⒔ᝈ⪅⒪࣭ࢣᩘ(2014 ᖺ 6㹼8 ᭶) (n=765) ㉁ၥ㸲㸧 ࠶࡞ࡓࡀ⌧ᅾ⒪࣭ࢣࢃࡗ࡚࠸ࡿᅾᏯ〟⒔ᝈ⪅ࡉࢇࡘ࠸࡚ࠊ࠾࠺ࡀ࠸ࡋࡲࡍࠋ 㸦㸯㸧〟⒔ࡀⓎࡋࡓሙᡤ㸦᥎ᐃࡉࢀࡿ㸧ࡘ࠸࡚㈗タ࡛ከ࠸᪉ࡽ㡰 2 ࣨ㡯┠ۑ༳ࡘࡅ࡚ ୗࡉ࠸ࠋ 㸦 㸧㧗ᗘᛴᛶᮇ㝔 㸦 㸧⚟♴タ 㸦 㸧ᛴᛶᮇ㝔㸦ᆅᇦໟᣓࢣᗋ㸧 㸦 㸧ࢧ࣮ࣅࢫ㧗㱋⪅ఫᏯ 㸦 㸧་⒪⒪㣴ᗋ 㸦 㸧ᅾᏯ 㸦 㸧ᅇᮇࣜࣁࣅࣜᲷ 㸦 㸧ࡑࡢ 㸦 㸧≉ู㣴ㆤ⪁ே࣮࣒࣍,ㆤ⪁ேಖタ. 㝔 31.5%. 20.9%. 45.0%. タ. 2.6%. ᅾᏯ ࡑࡢ 0%. 20%. 40%. 60%. 80%. 100%. ᅗ 10 〟⒔Ⓨ⏕ሙᡤ(n=1330). 52.3%. 45.0%. 2.6%. 㝔㸩タ ᅾᏯ ࡑࡢ. 0%. 20%. 40%. 60%. 80%. ᅗ 11 〟⒔Ⓨ⏕ሙᡤ(n=1330). 䠉㻡䠉. 100%.
(12) 㸦㸰㸧࠶࡞ࡓࡢᅾᏯࢳ࣮࣒࠾࠸࡚⫵⅖ࠊ⭤⬔⅖⒪ or PEG 㐀タᡭ⾡࡞ࡢࡓࡵࠊࡢᛴᛶᮇ㝔㏦ ࡾࠊ〟⒔ࡀⓎࡋࡓࡾ〟⒔ࡀᝏࡋࡓ⤒㦂ࡣ࠶ࡾࡲࡍ㸽㸦ࠐ࡛ᅖࢇ࡛ࡃࡔࡉ࠸㸧 a㸸 ࠶ࡾ ࡞ࡋ. 43.8%. ࠶ࡾ. 56.2%. ࡞ࡋ 0%. 20%. 40%. 60%. 80%. 100%. ᅗ 12 ࡢᛴᛶᮇ㝔㏦ࡾ〟⒔ࡀᝏࡋࡓ⤒㦂 (n=713) b㸸 2014 ᖺ 6 ᭶㹼8 ᭶ࡢ͆3 ࣨ᭶͇ࡢ㛫⒪࣭ࢣࢆࡋࡓᩘ ձ 0 ճ 4㹼7 ղ 1㹼3 մ 8 ௨ୖ 1.4% 49.3%. 41.9%. 0 1㹼3. 7.4%. 4㹼7 8௨ୖ 0%. 20%. 40%. 60%. 80%. 100%. ᅗ 13 2014 ᖺ 6㹼8 ᭶⒪࣭ࢣࢆࡋࡓࢣ࣮ࢫᩘ (n=566) 㸦㸱㸧ࢩ࣮ࣙࢺࢫࢸ〟⒔ᝈ⪅ࡉࢇࢆ㏦ࡗ࡚〟⒔Ⓨ or 〟⒔ࡀᝏࡋࡓ⤒㦂ࡀ࠶ࡾࡲࡍ㸽 㸦ࠐ࡛ᅖࢇ࡛ࡃࡔࡉ࠸㸧 a㸸 ࠶ࡾ ࡞ࡋ. 55.3%. ࠶ࡾ. 44.7%. ࡞ࡋ 0%. 20%. 40%. 60%. 80%. ᅗ 14 ࢩ࣮ࣙࢺࢫࢸ㏦ࡾ〟⒔ࡀᝏࡋࡓ⤒㦂 (n=730). 䠉㻢䠉. 100%.
(13) b㸸 2014 ᖺ 6 ᭶㹼8 ᭶ࡢ͆3 ࣨ᭶͇ࡢ㛫ఱ࠶ࡾࡲࡋࡓ㸽 ձ 0 ղ 1㹼5 . ճ 6㹼10 մ 11 ௨ୖ 0.0% 0. 50.8%. 48.3%. 0.9%. 1㹼5 6㹼10 11௨ୖ. 0%. 20%. 40%. 60%. 80%. 100%. ᅗ 15 2014 ᖺ 6㹼8 ᭶⒪࣭ࢣࢆࡋࡓࢣ࣮ࢫᩘ (n=551) ㉁ၥ㸳㸧 ͆ᐷࡓࡁࡾ͇ᝈ⪅ࡉࢇࡘ࠸࡚࠾࠺ࡀ࠸ࡋࡲࡍࠋ 㸦㸯㸧యኚࡘ࠸࡚㸦࣭ኪ ୧᪉ࡶ୍␒ከࡃ⾜ࢃࢀ࡚࠸ࡿࡶࡢࢆۑࡅ࡚ࡃࡔࡉ࠸ࠋ㸧 A 㛫 A-1) 2 㛫ẖ⾜ࡗ࡚࠸ࡿ A-2) 2㹼4 㛫ẖ⾜ࡗ࡚࠸ࡿ A-3) 4 㛫௨ୖ 1 ᅇ⾜ࡗ࡚࠸ࡿ A-4) ࡸࡗ࡚࠸࡞࠸ 2㛫ࡈ 12.1%. 58.0%. 18.8%. 11.1%. 2㹼4㛫ࡈ 4㛫௨ୖ1ᅇ ࡸࡗ࡚࡞࠸. 0%. 20%. 40%. 60%. 80%. 100%. ᅗ 16 ᐷ䛯䛝䜚ᝈ⪅䛥䜣䛾య㛫䠄䠅 (n=719) B ኪ㛫 B -1) 2 㛫ẖ⾜ࡗ࡚࠸ࡿ B -2) 2㹼4 㛫ẖ⾜ࡗ࡚࠸ࡿ B -3) 4 㛫௨ୖ 1 ᅇ⾜ࡗ࡚࠸ࡿ B -4) ࠾ࡴࡘࡢ㝿⾜ࡗ࡚࠸ࡿ B -5) ࡃࡸࡗ࡚࠸࡞࠸ 2㛫ࡈ 5.9%. 18.7%. 12.2%. 45.6%. 2㹼4㛫ࡈ. 17.6%. 4㛫௨ୖ1ᅇ ࣒࢜ࢶࡢ㝿. 0%. 20%. 40%. 60%. 80%. 100%. ᅗ 17 ᐷ䛯䛝䜚ᝈ⪅䛥䜣䛾య㛫䠄ኪ䠅 (n=706)㻌. 䠉㻣䠉. ࡸࡗ࡚࡞࠸. .
(14) 㸦㸰㸧యᅽศᩓ࣐ࢵࢺࣞࢫࡘ࠸࡚㸦୍␒ከࡃ⏝ࡋ࡚࠸ࡿࡶࡢࢆۑࡅ࡚ࡃࡔࡉ࠸ࠋ㸧 A. 㟼Ṇᆺ࣐ࢵࢺࣞࢫ⏝ B. ᅽษ࠼ᆺ࣐ࢵࢺࣞࢫࢥࣥࣆ࣮ࣗࢱ࣮ไᚚ A-1 ཌࡉ 9cm ௨ୗࡢ࣐ࢵࢺࣞࢫ B-1 ࢥࣥࣆ࣮ࣗࢱ࣮ไᚚ࡞ࡋ A-2 ཌࡉ 10cm ௨ୖࡢ࣐ࢵࢺࣞࢫ B-1-1 ཌࡉ 14cm ௨ୗ B-1-2 ཌࡉ 15cm ௨ୖ C. ᅽษ࠼ᆺ࣐ࢵࢺࣞࢫࢥࣥࣆ࣮ࣗࢱ࣮ไᚚ C-2 ࢥࣥࣆ࣮ࣗࢱ࣮ไᚚ࠶ࡾ C-2-1 ཌࡉ 14cm ௨ୗ C-2-2 ཌࡉ 15cm ௨ୖ A. 㟼Ṇᆺ࣐ࢵࢺࣞࢫ⏝. *2.9% **4.7% ***2.2% 25.7%. 0%. 11.0%. 20%. 28.5%. 40%. B. ᅽษ࠼ᆺ࣐ࢵࢺࣞࢫ ࢥࣥࣆ࣮ࣗࢱ࣮ไᚚ C. ᅽษ࠼ᆺ࣐ࢵࢺࣞࢫ ࢥࣥࣆ࣮ࣗࢱ࣮ไᚚ AཬࡧB. 11.9% 13.2%. 60%. 80%. 100%. *㸸A ཬࡧ B **A ཬࡧ C ***㸸B ཬࡧ C ᅗ 18 యᅽศᩓ࣐ࢵࢺࣞࢫࡘ࠸࡚(n=783). A-1 ཌࡉ 9cm௨ୗࡢ ࣐ࢵࢺࣞࢫ 30.4%. 69.0%. 0.6%. A-2 ཌࡉ 10cm௨ୖࡢ ࣐ࢵࢺࣞࢫ A1ཬࡧA2. 0%. 20%. 40%. 60%. 80%. 100%. ᅗ 19 㟼Ṇᆺ࣐ࢵࢺࣞࢫ(n=342). 0.9% 10.0%. 36.4%. 50.6%. 2.2%. B-1 ࢥࣥࣆ࣮ࣗࢱ࣮ไᚚ ࡞ࡋ B-1-1 ཌࡉ 14cm௨ୗ B-1-2 ཌࡉ 15cm௨ୖ. 0%. 20%. 40%. 60%. 80%. 100%. ᅗ 20 ᅽษࡾ᭰࠼ᆺ࣐ࢵࢺࣞࢫࢥࣥࣆ࣮ࣗࢱไᚚ࡞ࡋ(n=231). 0.3% 36.0%. 17.4%. 42.5%. 3.9%. C-2 ࢥࣥࣆ࣮ࣗࢱ࣮ไᚚ ࠶ࡾ C-2-1 ཌࡉ 14cm௨ୗ C-2-2 ཌࡉ 15cm௨ୖ. 0%. 20%. 40%. 60%. 80%. 100%. ᅗ 21 ᅽษࡾ᭰࠼ᆺ࣐ࢵࢺࣞࢫࢥࣥࣆ࣮ࣗࢱไᚚ࠶ࡾ(n=386). 䠉㻤䠉.
(15) ㉁ၥ㸴㸧 ௨ୗࡢ㉁ၥࡣࠊぢᮏࢆཧ⪃ኴ⥺࡛᭩࠸࡚ࡃࡔࡉ࠸ࠋ 㸦5 Ⅼ㸸᭱㝈ຊࢆධࢀ࡚࠸ࡿࠋ 0 Ⅼ㸸ࡃຊࢆධࢀ࡚࠸࡞࠸ࠋ㸧 㸦㸯㸧࠶࡞ࡓࡣ〟⒔ண㜵ᑐ⟇ࡋ࡚ࡢࡃࡽ࠸ຊࢆධࢀ࡚࠸ࡲࡍ㸽 0. *0.4% **0.8% ***4.6%. 1. 26.6%. 41.1%. 2. 26.6%. 3 4 0%. 20%. 40%. 60%. 80%. 100%. 5. *㸸0 ** 㸸1 ***㸸2 ᅗ 22 య㻌. 䠄䛒䛺䛯䛿〟⒔ண㜵ᑐ⟇䛸䛧䛶䛹䜜䛟䜙䛔ຊ䜢ධ䜜䛶䛔䜎䛩䛛䠛㻛㻢 ẁ㝵ホ౯䞉㻜䋻㻡䠅(n=767) 㻌 0. *0.1% **0.0% ***0.7% 4.9%. 1. 31.6%. 2. 62.7%. 3 4 0%. 20%. 40%. 60%. 80%. 100%. 5. *㸸0 ** 㸸1 ***㸸2 ᅗ 23 యᅽศᩓ䝬䝑䝖䝺䝇䛾⏝㻌. 䠄䛒䛺䛯䛿〟⒔ண㜵ᑐ⟇䛸䛧䛶䛹䜜䛟䜙䛔ຊ䜢ධ䜜䛶䛔䜎䛩䛛䠛㻛㻢 ẁ㝵ホ౯䞉㻜䋻㻡䠅(n=769). 0. *0.0% **0.4% ***2.0%. 1. 20.6%. 49.2%. 2. 27.9%. 3 4 0%. 20%. 40%. 60%. 80%. 100%. 5. *㸸0 ** 㸸1 ***㸸2 ᅗ 24 ᰤ㣴⟶⌮㻌. 䠄䛒䛺䛯䛿〟⒔ண㜵ᑐ⟇䛸䛧䛶䛹䜜䛟䜙䛔ຊ䜢ධ䜜䛶䛔䜎䛩䛛䠛㻛㻢 ẁ㝵ホ౯䞉㻜䋻㻡䠅(n=768). 䠉㻥䠉.
(16) 0. *0.1% **2.8%. 1. 18.3%. 50.7%. 22.8%. 5.2%. 2 3 4. 0%. 20%. 40%. 60%. 80%. 100%. 5. *㸸0 ** 㸸1 ***㸸2 ᅗ 25 ㌴䛔䛩䛾⏝㻌. 䠄䛒䛺䛯䛿〟⒔ண㜵ᑐ⟇䛸䛧䛶䛹䜜䛟䜙䛔ຊ䜢ධ䜜䛶䛔䜎䛩䛛䠛㻛㻢 ẁ㝵ホ౯䞉㻜䋻㻡䠅(n=763) 㻌 0. *0.0% **0.0% ***0.4% 4.8%. 1. 31.1%. 2. 63.7%. 3 4 0%. 20%. 40%. 60%. 80%. 100%. 5. *㸸0 ** 㸸1 ***㸸2 ᅗ 26 䝇䜻䞁䜿䜰㻌. 䠄䛒䛺䛯䛿〟⒔ண㜵ᑐ⟇䛸䛧䛶䛹䜜䛟䜙䛔ຊ䜢ධ䜜䛶䛔䜎䛩䛛䠛㻛㻢 ẁ㝵ホ౯䞉㻜䋻㻡䠅(n=769) *0.4% **0.8% ***4.6% యኚ 26.6% *0.1% **0.0% ***0.7% యᅽศᩓ࣐ࢵࢺࣞࢫ͐4.9% 31.6% **2.8% *0.1% ㌴࠸ࡍࡢ⏝ 18.3% *0.0% **0.4% ***2.0% ᰤ㣴⟶⌮ 20.6% *0.0% **0.0% ***0.4% ࢫ࢟ࣥࢣ 4.8% 31.1% 0%. 20%. 41.1%. 26.6%. 0. 62.7% 50.7%. 1 22.8%. 49.2%. 5.2%. 3. 27.9%. 4. 63.7% 40%. 60%. 5 80%. 100%. *㸸0 ** 㸸1 ***㸸2. ᅗ 27㻌 䛒䛺䛯䛿〟⒔ண㜵ᑐ⟇䛸䛧䛶䛹䜜䛟䜙䛔ຊ䜢ධ䜜䛶䛔䜎䛩䛛䠛㻌 䠄㻢 ẁ㝵ホ౯䞉㻜䋻㻡䠅㻔㼚㻩㻣㻢㻥㻕㻌. 䠉㻝㻜䠉. 2.
(17) 㸦㸰㸧࠶࡞ࡓࡀ㛵ࢃࡗࡓ〟⒔ࢣࡢ୰࡛ၥ㢟Ⅼࢆ㸳ẁ㝵࡛㑅ᢥࡋ࡚ࡃࡔࡉ࠸ࠋ 0. *0.0% **2.4% 7.0%. 1. 19.0%. 37.0%. 2. 34.6%. 3 4 0%. 20%. 40%. 60%. 80%. 100%. 5. *㸸0 ** 㸸1 ***㸸2 ᅗ 28 䛛䛛䜚䛴䛡་䛸䛾㛵ಀ㻌. 䠄⮬㌟䛜䛛䛛䜟䛳䛯〟⒔䜿䜰䛾୰䛾ၥ㢟Ⅼ㻛㻢 ẁ㝵ホ౯䞉㻜䋻㻡䠅 (n=738). 0. *0.0% **2.5%. 1. 10.4%. 26.6%. 36.4%. 2. 24.1%. 3 4 0%. 20%. 40%. 60%. 80%. 100%. 5. *㸸0 ** 㸸1 ***㸸2 ᅗ 29 㐃ᦠデ⒪ᶵ㛵䛸䛾㛵ಀ㻌. 䠄⮬㌟䛜䛛䛛䜟䛳䛯〟⒔䜿䜰䛾୰䛾ၥ㢟Ⅼ㻛㻢 ẁ㝵ホ౯䞉㻜䋻㻡䠅 (n=730) 㻌 0. *0.1% 7.5%. 1. 17.8%. 37.3%. 27.5%. 9.8%. 2 3 4. 0%. 20%. 40%. 60%. 80%. 100%. *㸸0 ** 㸸1 ***㸸2 ᅗ 30 䝸䝝䝡䝸䝔䞊䝅䝵䞁䛸䛾㛵ಀ㻌. 䠄⮬㌟䛜䛛䛛䜟䛳䛯〟⒔䜿䜰䛾୰䛾ၥ㢟Ⅼ㻛㻢 ẁ㝵ホ౯䞉㻜䋻㻡䠅 (n=732). 䠉㻝㻝䠉. 5.
(18) 0. *0.0% **1.1% 7.5%. 1. 21.3%. 33.6%. 2. 36.6%. 3 4 0%. 20%. 40%. 60%. 80%. 100%. 5. *㸸0 ** 㸸1 ***㸸2 ᅗ 31 ᐙ᪘䛸䛾㛵䜟䜚㻌. 䠄⮬㌟䛜䛛䛛䜟䛳䛯〟⒔䜿䜰䛾୰䛾ၥ㢟Ⅼ㻛㻢 ẁ㝵ホ౯䞉㻜䋻㻡䠅 (n=724). 0. *0.0% **1.1% 9.1%. 1. 20.3%. 42.4%. 2. 27.2%. 3 4 0%. 20%. 40%. 60%. 80%. 100%. 5. *㸸0 ** 㸸1 ***㸸2 ᅗ 32 ་⒪䞉ㆤ⪅䛾ᢏ⾡㻌. 䠄⮬㌟䛜䛛䛛䜟䛳䛯〟⒔䜿䜰䛾୰䛾ၥ㢟Ⅼ㻛㻢 ẁ㝵ホ౯䞉㻜䋻㻡䠅 (n=740) 0. *0.0% 5.0%. 1. 15.3%. 32.6%. 29.3%. 2. 17.8%. 3 4 0%. 20%. 40%. 60%. 80%. 100%. *㸸0 ** 㸸1 ***㸸2 ᅗ 33 ་⒪ಖ㝤ไᗘ㻌. 䠄⮬㌟䛜䛛䛛䜟䛳䛯〟⒔䜿䜰䛾୰䛾ၥ㢟Ⅼ㻛㻢 ẁ㝵ホ౯䞉㻜䋻㻡䠅 (n=737). 䠉㻝㻞䠉. 5.
(19) *0.0% **2.4% ࡾࡘࡅ་ࡢ㛵ಀ 7.0% 19.0% 37.0% 34.6% **2.5% *0.0% 㐃ᦠデ⒪ᶵ㛵ࡢ㛵ಀ 10.4% 26.6% 36.4% 24.1% *0.1% **7.5% ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢ㛵ಀ 17.8% 37.3% 27.5% 9.8% *0.0% **1.1% ᐙ᪘ࡢࢃࡾ 7.5% 21.3% 33.6% 36.6% *0.0% **1.1% ་⒪࣭ㆤ⪅ࡢᢏ⾡ 9.1% 20.3% 42.4% 27.2% *0.0% **5.0% ་⒪ಖ㝤ไᗘ 15.3% 32.6% 29.3% 17.8% 0%. 20%. 40%. 60%. 80%. 0 1 2 3 4 5. 100%. *㸸0 ** 㸸1 ***㸸2 ᅗ 34 ⮬㌟ࡀࢃࡗࡓ〟⒔ࢣࡢ୰ࡢၥ㢟Ⅼ (6 ẁ㝵ホ౯࣭0э5㸧 (n=740) 㸦㸱㸧ᅾᏯ࠾ࡅࡿ〟⒔ࡢฎ⨨ࡘ࠸࡚ࠊᐇ㝿⾜ࡗ࡚࠸ࡿ㛵ᚰࡀ࠶ࡿࡶࡢࢆ 5 ẁ㝵࡛㑅ᢥࡋ࡚ୗࡉ࠸ࠋ 0. *0.1% **0.9% ***0.7% 6.7%. 1. 24.2%. 2. 67.4%. 3 4 0%. 20%. 40%. 60%. 80%. 100%. 5. *㸸0 ** 㸸1 ***㸸2 ᅗ 35 䝗䝺䝑䝅䞁䜾㻌. 䠄ᅾᏯ䛻䛚䛡䜛〟⒔ฎ⨨䛷ᐇ㝿䛻⾜䛳䛶㛵ᚰ䛾䛒䜛䜒䛾㻛㻌㻢 ẁ㝵ホ౯䞉㻜䋻㻡䠅 (n=751). *0.0% **0.7%. 0. ***2.3%. 16.6%. 1. 33.2%. 2. 47.3%. 3 4 0%. 20%. 40%. 60%. 80%. 100%. *㸸0 ** 㸸1 ***㸸2 ᅗ 36 䜸䝮䝒䛾ྲྀ䜚ᢅ䛔㻌. 䠄ᅾᏯ䛻䛚䛡䜛〟⒔ฎ⨨䛷ᐇ㝿䛻⾜䛳䛶㛵ᚰ䛾䛒䜛䜒䛾㻛㻢 ẁ㝵ホ౯䞉㻜䋻㻡䠅 (n=747). 䠉㻝㻟䠉. 5.
(20) 0. *0.0% **3.1% ***5.0% 18.1%. 1. 30.6%. 2. 43.3%. 3 4 0%. 20%. 40%. 60%. 80%. 100%. 5. *㸸0 ** 㸸1 ***㸸2 ᅗ 37 䝫䜿䝑䝖䛾⒪㻌. 䠄ᅾᏯ䛻䛚䛡䜛〟⒔ฎ⨨䛷ᐇ㝿䛻⾜䛳䛶㛵ᚰ䛾䛒䜛䜒䛾㻛㻢 ẁ㝵ホ౯䞉㻜䋻㻡䠅 (n=742). 0. *0.0% **0.5% ***1.3%. 1. 31.0%. 11.7%. 2. 55.4%. 3 4 0%. 20%. 40%. 60%. 80%. 100%. 5. *㸸0 ** 㸸1 ***㸸2 ᅗ 38 ឤᰁ䛾᭷↓㻌. 䠄ᅾᏯ䛻䛚䛡䜛〟⒔ฎ⨨䛷ᐇ㝿䛻⾜䛳䛶㛵ᚰ䛾䛒䜛䜒䛾㻛㻢 ẁ㝵ホ౯䞉㻜䋻㻡䠅 (n=751) 0. *0.0% **3.0% ***4.6% 20.3%. 1. 34.1%. 2. 38.1%. 3 4 0%. 20%. 40%. 60%. 80%. 100%. *㸸0 ** 㸸1 ***㸸2 ᅗ 39 ቯṚ⤌⧊䛾ᥐ⨨㻌. 㻔ᅾᏯ䛻䛚䛡䜛〟⒔ฎ⨨䛷ᐇ㝿䛻⾜䛳䛶㛵ᚰ䛾䛒䜛䜒䛾㻛㻢 ẁ㝵ホ౯䞉㻜䋻㻡䠅 (n=740). 䠉㻝㻠䠉. 5.
(21) 0. *0.1% **5.3% 6.1%. 1. 18.3%. 29.1%. 2. 41.1%. 3 4 0%. 20%. 40%. 60%. 80%. 100%. 5. *㸸0 ** 㸸1 ***㸸2 ᅗ 40 ㌾⭯ฎ⨨㻌. 㻔ᅾᏯ䛻䛚䛡䜛〟⒔ฎ⨨䛷ᐇ㝿䛻⾜䛳䛶㛵ᚰ䛾䛒䜛䜒䛾㻛㻢 ẁ㝵ホ౯䞉㻜䋻㻡䠅 (n=739) *0.1% **0.9%***0.7% ࢻࣞࢵࢩࣥࢢ 6.7% 24.2% *0.0% **0.7% ***2.3% ࣒࢜ࢶࡢྲྀࡾᢅ࠸ 16.6% 33.2% *0.0% **3.1% ***5.0% ࣏ࢣࢵࢺࡢ⒪ 18.1% 30.6% *0.0% **0.5% ***1.3% ឤᰁࡢ᭷↓ 11.7% 31.0% **3.0% ***4.6% *0.0% ቯṚ⤌⧊ࡢᥐ⨨ 20.3% 34.1% *0.1% **5.3% ***6.1% ㌾⭯ฎ⨨ 18.3% 29.1% 0%. 20%. 40%. 67.4% 0. 47.3%. 1. 43.3%. 2. 55.4%. 3 4. 38.1%. 5. 41.1% 60%. 80%. 100%. 㻖䠖㻜㻌 㻖㻖㻌 䠖㻝㻌 㻖㻖㻖䠖㻞㻌 ᅗ 㻠㻝 ᅾᏯ䛻䛚䛡䜛〟⒔ฎ⨨䛷ᐇ㝿䛻⾜䛳䛶㛵ᚰ䛾䛒䜛䜒䛾㻌 㻔㻢 ẁ㝵ホ౯䞉㻜䋻㻡䠅㻌 㻔㼚㻩㻣㻟㻥㻕㻌 ㉁ၥ㸵㸧 㸦㸯㸧2014 ᖺ 6 ᭶㹼8 ᭶ࡢ͆㸱ࣨ᭶͇ࡢ㛫࠶࡞ࡓࡀデࡓ〟⒔ᝈ⪅ࡉࢇࡘ࠸࡚ࡢ㉁ၥ࡛ࡍࠋ 〟⒔ࢫࢸ࣮ࢪูࡢேᩘࢆグධࡋ࡚ୗࡉ࠸ࠋ ࢫࢸ࣮ࢪϨ㸦⓶ෆⓎ㉥ࡣ࠶ࡿࡀ⾲⓶ࡣಖࡓࢀ࡚࠸ࡿ㸧 㸦 ே㸧 ࢫࢸ࣮ࢪϩ㸦⾲⓶㞳ࠊ࠶ࡿ࠸ࡣỈ⑁ᛶ〟⒔㸧 㸦 ே㸧 ࢫࢸ࣮ࢪϪ㸦⓶ୗ⤌⧊ࡲ࡛ࡢᦆയࠊ➽⭷ࡢ㟢ฟࡣ࡞࠸㸧 㸦 ே㸭ෆ㺬㺽㺗㺍㺢᭷ ே㸧 ࢫࢸ࣮ࢪϫ㸦➽ᒙࡼࡾ῝ࡃࡲ࡛ᦆയࡋ࡚࠸ࡿ㸧 㸦 ே㸭ෆ㺬㺽㺗㺍㺢᭷ ே㸧. ࢫࢸ࣮ࢪϨ. 34.7%. 33.2%. 23.3%. ࢫࢸ࣮ࢪϩ. 37.1%. ࢫࢸ࣮ࢪϪ ࢫࢸ࣮ࢪϫ 0%. 20%. 40%. 60%. 80%. 100%. ᅗ 42 〟⒔䝇䝔䞊䝆ูேᩘ䠄㻞㻜㻝㻠 ᖺ 㻢 ᭶䡚㻤 ᭶䠅 (n=3367). 䠉㻝㻡䠉.
(22) 㸦㸰㸧ࣛࢵࣉ⒪ἲ㸦ᩱ⌮࠺ࢧࣛࣥࣛࢵࣉ࡞ࢆ⏝ࡋ࡚⒪ࡍࡿ᪉ἲ㸧ࡘ࠸࡚࠾࠺ࡀ࠸ࡋࡲࡍࠋ 㸦ࠐ࡛ᅖࢇ࡛ࡃࡔࡉ࠸㸧 ձ ࣛࢵࣉ⒪ἲࢆ࡚ࡢࡗ࡚࠸ࡿ ճ ࡃࡗ࡚࠸࡞࠸ ղ ࡼࡗ࡚ࠊ࠸ศࡅ࡚࠸ࡿ. 1.2%. 59.9%. ࡚ࡢ࡛ᐇ. 38.9%. ࡼࡗ࡚࠸ศࡅࡿ ࡃ⏝ࡋ࡞࠸. 0%. 20%. 40%. 60%. 80%. 100%. ᅗ 43 䝷䝑䝥⒪ἲ䛾ᐇ (n=756)㻌 ͤ௨ୗࠊ㸦㸱㸧㸦㸲㸧ࡣ་ ་ᖌᑐࡍࡿ㉁ၥ࡛ࡍࠋ 㸦㸱㸧࣏ࢣࢵࢺࡘ࠸࡚㸦ࠐ࡛ᅖࢇ࡛ࡃࡔࡉ࠸㸧 1㸧࣏ࢣࢵࢺษ㛤࣭ษ㝖⾡ࢆ࠶࡞ࡓ⮬㌟࡛ᅾᏯ࠾࠸࡚⾜࠸ࡲࡍ㸽 ձࡍࡿ ղࡋ࡞࠸. 4.9%. ⾜࠺. 95.1%. ⾜ࢃ࡞࠸ 0%. 20%. 40%. 60%. 80%. 100%. ᅗ 44 䝫䜿䝑䝖ษ㛤䞉ษ㝖䜢⮬㌟䛷ᅾᏯ䛻䛚䛔䛶⾜䛖 (n=244) 2㸧1㸧࡛͆ղࡋ࡞࠸͇ࢆ㑅ᢥࡉࢀࡓ᪉࠾࠺ࡀ࠸ࡋࡲࡍࠋ ษ㛤࣭ษ㝖ࡢࡁࡣእ᮶ or ࢡࣜࢽࢵࢡ᮶࡚ࡶࡽࡗ࡚⾜࠺ ձࡶࡽ࠺ ղࡶࡽࢃ࡞࠸. 82.8%. 17.2%. ᮶࡚ࡶࡽ࠺ ᮶࡚ࡶࡽࢃ࡞࠸. 0%. 20%. 40%. 60%. 80%. 100%. ᅗ 45 ษ㝖䞉ษ㛤䛾䛥䛔䛿እ᮶ 㼛㼞 䜽䝸䝙䝑䜽᮶䛶䜒䜙䛔䛚䛣䛺䛖 (n=227)㻌. 㻌 㻌. 䠉㻝㻢䠉.
(23) 3㸧࣏ࢣࢵࢺࡢษ㝖ࡣᑓ㛛་ ձ㢗ࡴ ղ㢗ࡲ࡞࠸㸦㺬㺽㺗㺍㺢ษ㝖ࡣࡋ࡞࠸㸧. 89.1%. ౫㢗ࡍࡿ. 10.9%. ౫㢗ࡋ࡞࠸ 0%. 20%. 40%. 60%. 80%. 100%. ᅗ 46 䝫䜿䝑䝖䛾ษ㝖䛿ᑓ㛛་䛻౫㢗䛩䜛 (n=230)㻌 㸦㸲㸧ቯṚ⤌⧊ࡢࢹࣈ࣮ࣜࢻ࣐ࣥࡘ࠸࡚࠾࠺ࡀ࠸ࡋࡲࡍࠋ㸦ࠐ࡛ᅖࢇ࡛ࡃࡔࡉ࠸㸧 1㸧ࢹࣈ࣮ࣜࢻ࣐ࣥࢆࡈ⮬ศ࡛⾜࠸ࡲࡍ㸽 ձࡍࡿ ղࡋ࡞࠸. 18.9%. ⾜࠺. 81.1%. ⾜ࢃ࡞࠸ 0%. 20%. 40%. 60%. 80%. 100%. ᅗ 47 䝕䝤䝸䞊䝗䝬䞁䜢⮬㌟䛷⾜䛖 (n=280)㻌 2㸧1㸧࡛͆ղࡋ࡞࠸͇ࢆ㑅ᢥࡉࢀࡓ᪉࠾࠺ࡀ࠸ࡋࡲࡍࠋ ձ ᑓ㛛་ or 㝔㢗ࡴ ղಖᏑⓗ⒪࡛ቯṚ⤌⧊ࢆ㝖ཤࡍࡿ ճࡑࢀ௨እ ᑓ㛛་࣭㝔 ౫㢗ࡍࡿ. 77.8%. 19.7% 2.5%. ಖᏑⓗ⒪ἲ࡛ቯṚ⤌⧊ ࢆ㝖ཤࡍࡿ ࡑࡢ. 0%. 20%. 40%. 60%. 80%. 100%. ᅗ 48 䝕䝤䝸䞊䝗䝬䞁䛾ฎ⨨ (n=198) ㉁ၥ㸶㸧 ᅾᏯ࠾ࡅࡿ〟⒔ࢣ࡛ࠊ୍␒ᝎࢇ࡛࠸ࡿࡇࡣࢇ࡞ࡇ࡛ࡍ㸽᭱ 3 ࢣ⡆₩࠾᭩ࡁࡃࡔࡉ࠸ࠋ 1㸧 2㸧. Ѝࠕ➨Ϫ㒊ࠖ. 3㸧. 䠉㻝㻣䠉.
(24)
(25) ➨ϩ㒊ࠕᅾᏯ〟⒔ࢣ㛵ࡍࡿࣥࢣ࣮ࢺࠖ 㸫᥈⣴ⓗ࡞᳨ウࢥ࣓ࣥࢺ㸫.
(26) ᥈⣴ⓗ䛺᳨ウ䛾ᐇ⌮⏤ • 䜰䞁䜿䞊䝖ᅇ⟅⪅䛾⣙80%䛿ゼၥ┳ㆤ䝇䝔䞊䝅䝵䞁䛾┳ㆤᖌ 䛷䛒䛳䛯䚹䛩䛺䜟䛱䚸ᅾᏯᝈ⪅䛾〟⒔䛻䜒䛳䛸䜒㏆䛔་⒪ᚑ ⪅䛾⏕䛾ពぢ䛷䛒䜛䚹 • 䛣䛾㈗㔜䛺ពぢ䜢↓㥏䛻䛧䛺䛔䛯䜑䚸䝕䞊䝍䜢ྍ⬟䛺㝈䜚᥇ ⏝䛩䜛᪉㔪䛷ㄞ᭰䛘䚸䛥䜎䛦䜎䛺ゅᗘ䛛䜙㞟ィ䞉᳨ウ䜢⾜䛳 䛯䚹 • ᮏ⤖ᯝ䛿䚸᥈⣴ⓗ䛺䜒䛾䛷䛒䜛䚹 • ᭷ຠᅇ⟅785䠋2240䠖ᅇ⋡35.0%. ㉁ၥ䠍䠅䠄䠍䠅 䛒䛺䛯䠄グධ⪅䠅䛾⫋✀䜢ᩍ䛘䛶䛟䛰䛥䛔䚹 䠄ᩘ✀䛾㈨᱁䜢ᣢ䛳䛶䛔䜛᪉䛿䛯䜛⫋✀䜢㑅䜣䛷䛟䛰䛥䛔䠅. 䜿䜰䝬䝛 䝆䝱䞊 4%. 䛭䛾 0%. ་ᖌ 1%. ⫋✀. ㄞ᭰䛘ᚋ䠋๓. ་ᖌ. 5. ┳ㆤᖌ. 741䠋766 ෆヂ. 䜿䜰䝬䝛䝆䝱䞊 ෆヂ. ┳ㆤᖌ 95%. N=781. 䞉 ↓ᅇ⟅4 䞉 ┳ㆤᖌ䛸䜿䜰䝬䝛䝆䝱䞊䛾2䛴䜢䛂䛯䜛⫋✀䛃䛸䛧䛯 ᅇ⟅50௳䛿䛭䜜䛮䜜䜢0.5ே䛻ㄞ᭰䛘ᚋ䜾䝷䝣䛧䛯䚹. ෆヂ. 䠉㻞㻜䠉. タ. 13. ゼၥ┳ㆤ䝇䝔䞊䝅䝵䞁. 601. 䠄㔜」ᅇ⟅䠅. 䠄4䠅. ↓ᅇ⟅. 156. 31䠋56 ་Ꮫ䞉┳ㆤ⣔. 38. ⚟♴⣔. 6. 䠄㔜」ᅇ⟅䠅. 1. ↓ᅇ⟅. 13. 4. 䛭䛾. ↓ᅇ⟅. ෆヂ. ㆤ⫋ဨ䚸⚟♴⏝ලᑓ㛛┦ㄯဨ䚸⚟♴ ⏝ල䝥䝷䞁䝘䞊䚸⟶⌮ᰤ㣴ኈ. 4.
(27) ㉁ၥ䠍䠅䠄䠎䠅 䇾〟⒔䜿䜰䜔ᅾᏯ⒪䞉䜿䜰䛻㛵䜟䛳䛶䛔䜛ᅾᏯ䝏䞊䝮䇿䠄௨ୗ ᅾᏯ䝏䞊䝮䠅䛿 ఱே䛷⾜䛳䛶䛔䜎䛩䛛䠛 11ே௨ୖ. ༊ศ. 4%. 7䡚10ே. 20%. 3ே௨ୗ. 31%. 4䡚6ே 45%. 3ே௨ୗ. 228. 4䡚6ே. 337. 7䡚10ே. 145. 11ே௨ୖ. 32. ↓ᅇ⟅. 43. N=742. 䞉 ↓ᅇ⟅43. ᅾᏯ〟⒔䜿䜰䛻䛿ከ䛟䛾ே㛫䛜䇾ᅾᏯ䝏䞊䝮䇿䛸䛧䛶㛵䜟䛳䛶䛔䜛䚹 䇾ᅾᏯ䝏䞊䝮䇿䛾༢䠄䝇䝔䞊䝅䝵䞁ẖ orᝈᐙẖ䠅䛾⪃䛘᪉䛻䜘䛳䛶ᅇ⟅ᖜ䛜ᗈ䛜䛳䛯ྍ⬟ᛶ䛜䛒䜛䚹. ㉁ၥ䠎䠅 䛒䛺䛯䛜⒪䞉䜿䜰䛻㛵䜟䛳䛶䛔䜛〟⒔ಖ᭷⪅䛾ᩘ䛿ቑ䛘䛶䛔䜎䛩䛛䠛ῶ䛳䛶䛔䜎 䛩䛛䠛 㠀ᖖ䛻 ῶ䛳䛶 䛔䜛 3%. ῶ䛳䛶 䛔䜛 33%. ቑ䛘䛶 䛔䜛 12%. 㠀ᖖ䛻 ቑ䛘䛶 䛔䜛 0%. ኚ䜟䜙 䛺䛔 52%. ༊ศ 㠀ᖖ䛻ቑ䛘䛶䛔䜛. 1. ቑ䛘䛶䛔䜛. 90. ኚ䜟䜙䛺䛔. 395. ῶ䛳䛶䛔䜛. 253. 㠀ᖖ䛻ῶ䛳䛶䛔䜛. 24. ↓ᅇ⟅. 22. N=763 䞉 ↓ᅇ⟅22. ⣙䠎䠋䠏䛾ᅇ⟅䛜䛂ቑ䛘䛶䛔䜛䛃䜎䛯䛿䛂ኚ䜟䜙䛺䛔䛃䛷䛒䜚䚸ᅾᏯ〟⒔䜿䜰䛻ᑐ䛧䛶䜘䜚୍ᒙ䛾ດຊ 䛜ᚲせ䛰䛸ᛮ䜟䜜䛯䚹 タၥ䛻㝿䛧䛶ఱ䛻ẚ䜉䛶ቑ䛘䛶䛔䜛䛾䛛䛸䛔䛖ᇶ‽䜢♧䛥䛺䛛䛳䛯䛣䛸䛿Ⰻ䛟 䛺䛛䛳䛯䚹. 䠉㻞㻝䠉.
(28) ㉁ၥ䠏䠅 䛒䛺䛯䛾䇾ᅾᏯ䝏䞊䝮䇿䛷䛿2014ᖺ6䡚8᭶䛾䇾3䞄᭶䇿䛾㛫䛻ఱே䛾〟⒔ᝈ⪅䛥䜣䜢 ⒪ or 䜿䜰䛧䜎䛧䛯䛛䠛䠄ᘏᩘ䛷䛿䛺䛟ᐇᩘ䠅 ༊ศ. 30ே௨ୖ 20䡚30ே. 1%. 0%. 0ே 7%. 11䡚20ே. 3%. 0ே. 51. 1䡚10ே. 681. 11䡚20ே. 25. 21䡚30ே. 5. 31ே௨ୖ. 3. ↓ᅇ⟅. 20. 1䡚10ே. 89%. N=765 䞉 ↓ᅇ⟅20. ㉁ၥ䠎䠅䛷〟⒔䛜䛂ῶ䛳䛶䛔䜛䛃䛸䛩䜛ᅇ⟅䛜䠐㏆䛟䛒䛳䛯䛜䚸ῶ䛳䛯䛸⟅䛘䛯᪉䛾䝏䞊䝮䛷䜒䜟䛪 䛛䇾䠏䞄᭶䇿䛾㛫䛻䠍䛴䛾ᅾᏯ䝏䞊䝮䛷䛂䠍䡚䠍䠌ே䛃䛾〟⒔ᝈ⪅䜢⒪䞉䜿䜰䛧䛶䛔䜛⌧≧䛜䛒䜛䚹. ㉁ၥ䠐䠅 䛒䛺䛯䛜⌧ᅾ⒪䞉䜿䜰䛻䛛䛛䜟䛳䛶䛔䜛ᅾᏯ〟⒔ᝈ⪅䛥䜣䛻䛴䛔䛶䚸䛚䛖䛛䛜䛔䛧䜎䛩䚹 䠄䠍䠅〟⒔䛜Ⓨ䛧䛯ሙᡤ䠄᥎ᐃ䛥䜜䜛䠅䛻䛴䛔䛶ከ䛔᪉䛛䜙㡰䛻2㡯┠䜢㑅ᢥ䛧䛶ୗ䛥䛔䚹 ༊ศ. 䛭䛾 2%. 㝔 29% ᅾᏯ 50%. タ 19%. 㧗ᗘᛴᛶᮇ㝔. 74.2. ᛴᛶᮇ㝔䠄ᆅᇦໟᣓ䜿䜰Ჷ䠅. 196.7. ་⒪⒪㣴ᗋ. 135.3. ᅇᮇ䝸䝝䝡䝸Ჷ. 33.7. ≉ู㣴ㆤ⪁ே䝩䞊䝮䚸ㆤ⪁ேಖ タ. 119.2. ⚟♴タ. 102.5. 䝃䞊䝡䝇㧗㱋⪅ఫᏯ. 59. ᅾᏯ. 749.5. 䛭䛾. 36. ↓ᅇ⟅. 32. 439.9. 280.7. 㑅ᢥ䛜1㡯┠䛰䛡ሙྜ䚸3㡯┠䛾ሙྜ䚸4㡯┠䛾ሙྜ䛿䚸䛭䜜䛮䜜 2௳䚸0.66௳䚸0.5௳䛻ㄞ᭰. 䞉 ↓ᅇ⟅32௳. N=1506䠄N=753㽢2䠅. 〟⒔䛾Ⓨ⏕ඖ䛸䛧䛶䛂ᅾᏯ䛃䛜ከ䛔䛸ゝ䜟䜜䛶䛔䜛䛜䚸ᅾᏯ䛻ᒃ䜛〟⒔ᝈ⪅䛾Ⓨ䛿༙ศ䛜ᅾᏯ䛷 䛒䜚䚸ᚋ䛾༙ศ䛿㝔䞉タ䛷䛒䛳䛯䚹ᅾᏯ་⒪ᚑ⪅䛾ពぢ䛸䛧䛶䛿䚸㝔䜔タ䜒〟⒔䛾Ⓨ⏕ ඖ䛸ㄆ㆑䛥䜜䛶䛚䜚䚸⥭ᛴ䛷ධ㝔䛧䛯ᚋ〟⒔䜢䜒䜙䛳䛶ᖐ䛳䛶䛟䜛䛣䛸䛜ከ䛔䛸䛔䛖䚹. 䠉㻞㻞䠉.
(29) ㉁ၥ䠐䠅䛒䛺䛯䛜⌧ᅾ⒪䞉䜿䜰䛻䛛䛛䜟䛳䛶䛔䜛ᅾᏯ〟⒔ᝈ⪅䛥䜣䛻䛴䛔䛶䚸䛚ఛ䛔䛧䜎䛩䚹 䠄䠎䠅䛒䛺䛯䛾ᅾᏯ䝏䞊䝮䛻䛚䛔䛶⫵⅖䚸⭤⬔⅖⒪ orPEG㐀タᡭ⾡䛺䛹䛾䛯䜑䚸䛾ᛴᛶᮇ 㝔䛻㏦䜚䚸〟⒔䛜Ⓨ䛧䛯䜚〟⒔䛜ᝏ䛧䛯⤒㦂䛿䛒䜚䜎䛩䛛䠛 䠄䠎䠅ᛴᛶᮇ㝔䛷䛾〟⒔Ⓨ䞉ᝏ䛾⤒㦂 䛒䜚407䠋䛺䛧329 䠄↓ᅇ⟅49䠅 ⤒㦂䛒䜚䛾ሙྜ䛾䇾3䞄᭶䇿䛷䛾ලయⓗ䛺ᝈ⪅ᩘ 8௨ୖ 2%. ᫂ 2%. 4䡚7 10%. 0 28%. 1䡚3 58% N=407 〟⒔䛾Ⓨ⏕ඖ䛸䛧䛶䛂ᅾᏯ䛃䛜䜽䝻䞊䝈䜰䝑䝥䛥䜜䛶䛔䜛䛜䚸ᅾᏯ་⒪ᚑ⪅䛾ពぢ䛸䛧䛶䛿䚸⫵⅖ ⒪䛾Ⅽ䜔PEGᡭ⾡䛾䛯䜑䛻㌿㝔䛧䛯ᛴᛶᮇ㝔䚸㛗ᮇ⒪㣴ᆺ㝔䜔䝅䝵䞊䝖䝇䝔䜱䛻䛚䛔䛶䛾Ⓨ 䞉ᝏ⤒㦂䛜ከ䛛䛳䛯䚹 ⤒㦂䛂䛺䛧䛃䛾ᅇ⟅䛷䛒䛳䛶䜒䚸ලయⓗ䛺ᝈ⪅ᩘ䛜㑅ᢥ䛥䜜䛶䛔䛯ሙྜ䛿䚸⤒㦂䛂䛒䜚䛃䛻ㄞ᭰. ㉁ၥ䠐䠅䛒䛺䛯䛜⌧ᅾ⒪䞉䜿䜰䛻䛛䛛䜟䛳䛶䛔䜛ᅾᏯ〟⒔ᝈ⪅䛥䜣䛻䛴䛔䛶䚸䛚ఛ䛔䛧䜎䛩䚹 䠄䠏䠅䝅䝵䞊䝖䝇䝔䜲䛻〟⒔ᝈ⪅䛥䜣䜢㏦䛳䛶〟⒔Ⓨor〟⒔䛜ᝏ䛧䛯⤒㦂䛜䛒䜚䜎䛩䛛䠛 䠄䠏䠅䝅䝵䞊䝖䝇䝔䜱䛷䛾〟⒔Ⓨ䞉ᝏ䛾⤒㦂 䛒䜚427䠋䛺䛧320 䠄↓ᅇ⟅38䠅 ⤒㦂䛒䜚䛾ሙྜ䛾䇾3䞄᭶䇿䛷䛾ලయⓗ䛺ᝈ⪅ᩘ. ᫂ 2%. 6䡚10 1%. 0 35%. 1䡚5 62% N=427 䝅䝵䞊䝖䝇䝔䜲䛾⫋ဨ䛜〟⒔䛾䛣䛸䜢▱䜙䛺䛔䚹䛫䛳䛛䛟䛳䛯〟⒔䛜ᝏ䛧䛯䚹 ⤒㦂䛂䛺䛧䛃䛾ᅇ⟅䛷䛒䛳䛶䜒䚸ලయⓗ䛺ᝈ⪅ᩘ䛜㑅ᢥ䛥䜜䛶䛔䛯ሙྜ䛿䚸⤒㦂䛂䛒䜚䛃䛻ㄞ᭰. 䠉㻞㻟䠉.
(30) ㉁ၥ䠑䠅䇾ᐷ䛯䛝䜚䇿ᝈ⪅䛥䜣䛴䛔䛶䛚䛖䛛䛜䛔䛧䜎䛩䚹 䠄䠍䠅యኚ䛻䛴䛔䛶䠄୍␒ከ䛟⾜䜟䜜䛶䛔䜛䜒䛾䠅. 㛫 䜔䛳䛶 䛔䛺䛔 11%. ኪ㛫. 2㛫ẖ 12%. 䜔䛳䛶 䛔䛺䛔 17%. 4㛫௨ ୖ䛻1ᅇ 19%. 2㛫ẖ 6% 2䡚4 㛫ẖ 19% 4㛫௨ ୖ䛻1ᅇ 12%. 䛚䜐䛴 䛾㝿 46%. 2䡚4 㛫ẖ 58%. N=719 䞉 ↓ᅇ⟅66. N=706 䞉 ↓ᅇ⟅79. యኚ䛿㛫䛿2䡚4㛫ẖ䚸ኪ㛫䛿䜸䝮䝒䛾㝿䛻䛒䜟䛫䛶⾜䛖䛣䛸䛜ከ䛛䛳䛯䚹. ㉁ၥ䠑䠅䇾ᐷ䛯䛝䜚䇿ᝈ⪅䛥䜣䛴䛔䛶䛚䛖䛛䛜䛔䛧䜎䛩䚹 䠄䠎䠅యᅽศᩓ䝬䝑䝖䝺䝇䛻䛴䛔䛶䠄୍␒ከ䛟⏝䛧䛶䛔䜛䜒䛾䠅. ேᡭ㊊䛾ᅾᏯ䛾⌧≧ 䛜䜘䛟䜟䛛䜛䚹ᅾᏯ䛷䛿 ẚ㍑ⓗ㧗ᶵ⬟䝬䝑䝖䝺䝇 䜒䛘䜛䛾䛷䚸యኚ 䜢2䡚4㛫ẖ䛒䜛䛔䛿䚸 䛟䛧䛺䛔タ䛸䛹䛾ᵝ 䛺䝬䝑䝖䝺䝇䜢䛳䛶䛔䜛 䛛ၥ䛖䜉䛝䛷䛒䛳䛯䚹. ᅇ⟅⪅ 782. 15cm௨ୖ. ᅽษ䛘ᆺ 61%. 㔜」ᅇ⟅194 ↓ᅇ⟅57. ไᚚ䛒䜚. 70%. 63%. 14cm௨ୗ. 㔜」ᅇ⟅147. ↓ᅇ⟅176. 30% 15cm௨ୖ. ไᚚ䛺䛧. 57%. 37%. 14cm௨ୗ 43%. ↓ᅇ⟅54. 10cm௨ୖ 㟼Ṇᆺ. 䠉. 39%. 69% 9cm௨ୗ. ↓ᅇ⟅15. 31%. 䝬䝑䝖䝺䝇䛾✀㢮. 䝁䞁䝢䝳䞊䝍ไᚚ. ཌ䛥. 䛂ཌ䛥䛃䛻ᅇ⟅䛜䛒䜛ሙྜ䚸ᑐᛂ䛩䜛䛂䝬䝑䝖䝺䝇䛾✀㢮䛃䛂䝁䞁䝢䝳䞊䝍ไᚚ䛃䛾ᅇ⟅䜒䛂䛒䜚䛃䛻ㄞ᭰ 䛂ཌ䛥䛃䛾㑅ᢥ⫥2䛴䛸䜒䠄ཌ䛔䠋ⷧ䛔䠅䛻ᅇ⟅䛜䛒䜛ሙྜ䚸0.5䛪䛴䛻ศ. 䠉㻞㻠䠉.
(31) ㉁ၥ䠒䠅 䠄䠍䠅䛒䛺䛯䛿〟⒔ண㜵ᑐ⟇䛸䛧䛶䛹䛾䛟䜙䛔ຊ䜢ධ䜜䛶䛔䜎䛩䛛䠛 䠄6ẁ㝵ホ౯䞉䞉䞉5Ⅼ䠖᭱㝈䛻ຊ䜢ධ䜜䛶䛔䜛䚹 0Ⅼ䠖䛟ຊ䜢ධ䜜䛶䛔䛺䛔䚹䠅. 5. N=769. 4. ↓ᅇ⟅16. 600 500 400 300 200 100 0 䝇䜻䞁䜿䜰. యᅽศᩓ䝬䝑䝖䝺䝇. ᰤ㣴⟶⌮. యኚ. ᖹᆒ. 4.6. 4.6. 4.0. 3.9. ㌴䜲䝇 3.1. 0䡚2ྜィ. 3. 6. 19. 46. 168. 䝇䜻䞁䜿䜰䚸యᅽศᩓ䝬䝑䝖䝺䝇䛻ᑐ䛧䛶≉䛻ຊ䜢ධ䜜䛶䛔䜛≧ἣ䛷䛒䜛䚹䝇䜻䞁䜿䜰䜔యᅽศᩓ 䝬䝑䝖䝺䝇䛻䛴䛔䛶䛿ᣦᑟ䛜䛛䛺䜚ᾐ㏱䛧䛶䛔䜛䛣䛸䛜䜟䛛䜛䚹㌴䜲䝇䛻ᑐ䛩䜛㛵ᚰ䛜䛒䜎䜚䛺䛔䛾 䛿ၥ㢟䛷䛒䜛䚹㌴䜲䝇䛿㌴䜲䝇ᝈ⪅䛸䛾㛵䜟䜚䛾᭷↓䛻䜘䜚ホ౯䛜␗䛺䜛䜒䛾䛸ᛮ䜟䜜䛯䚹 ୍㒊↓ᅇ⟅䛿↓ᅇ⟅䛾⟠ᡤ䜢0䛻ㄞ᭰䚸↓ᅇ⟅䛿↓ᅇ⟅䛾䜎䜎. ㉁ၥ䠒䠅 䠄䠎䠅䛒䛺䛯䛜㛵䜟䛳䛯〟⒔䜿䜰䛾୰䛷ၥ㢟Ⅼ䜢5ẁ㝵䛷㑅ᢥ䛧䛶䛟䛰䛥䛔䚹 䠄6ẁ㝵ホ౯䞉䞉䞉5Ⅼ䠖᭱㝈䛻ຊ䜢ධ䜜䛶䛔䜛䚹 0Ⅼ䠖䛟ຊ䜢ධ䜜䛶䛔䛺䛔䚹䠅 4. 5. N=745. ↓ᅇ⟅40. 400 300 200 100 0. ᐙ᪘䛸䛾 㛵䜟䜚᪉. 䛛䛛䜚䛴䛡་ 䛸䛾㛵ಀ. ་⒪䞉ㆤ⪅ 䛾ᢏ⾡㠃. 㐃ᦠデ⒪ᶵ㛵 䛸䛾㛵ಀ. ་⒪ಖ㝤 ไᗘ. ᖹᆒ. 3.9. 3.9. 3.8. 3.6. 3.4. 3.1. 0䡚2ྜィ. 83. 77. 80. 109. 158. 199. 䝸䝝䝡䝸䝔䞊 䝅䝵䞁䛸䛾㐃ᦠ. ᐙ᪘䞉䛛䛛䜚䛴䛡་䛸䛾㛵䜟䜚᪉䚸་⒪䞉ㆤ⪅䛾ᢏ⾡㠃䛻ၥ㢟Ⅼ䜢ឤ䛨䛶䛔䜛ᅇ⟅⪅䛜ከ䛔䚹䛣䛣 䛷䛿ฟ䛶䛔䛺䛔䛜䚸➨3㒊䛾ⱞ䜔ⱞゝ䚸䜎䛯ၥ㢟Ⅼ䛾୰䛷་䛜〟⒔䜢▱䜙䛺䛔䛣䛸䚸〟⒔䛻 ᑐ䛧㍍ど䛧䛶䛔䜛䛣䛸䛾‶䛜㠀ᖖ䛻ከ䛛䛳䛯䚹䝸䝝䝡䝸䛸䛾㐃ᦠ䛿ᚲせᛶ䛜༑ศ䛻ㄆ㆑䛥䜜䛶䛔 䛺䛔ྍ⬟ᛶ䛜䛒䜛䚹 ୍㒊↓ᅇ⟅䛿↓ᅇ⟅䛾⟠ᡤ䜢0䛻ㄞ᭰䚸↓ᅇ⟅䛿↓ᅇ⟅䛾䜎䜎. 䠉㻞㻡䠉.
(32) ㉁ၥ䠒䠅 䠄䠏䠅ᅾᏯ䛻䛚䛡䜛〟⒔䛾ฎ⨨䛻䛴䛔䛶䚸ᐇ㝿䛻⾜䛳䛶䛔䜛㛵ᚰ䛜䛒䜛䜒䛾䜢5ẁ㝵䛷㑅ᢥ䛧䛶 ୗ䛥䛔䚹 4. N=751. 5. ↓ᅇ⟅34. 600 500 400 300 200 100 0. 䝗䝺䝑䝅䞁䜾. ឤᰁ䛾᭷↓. 䜸䝮䝒䛾ྲྀᢅ䛔. 䝫䜿䝑䝖䛾⒪. ㌾㦵ฎ⨨. ቯṚ⤌⧊䛾ฎ⨨. ᖹᆒ. 4.6. 4.4. 4.2. 4.0. 3.9. 3.9. 0䡚2ྜィ. 13. 14. 26. 69. 97. 67. 䛔䛪䜜䛾㡯┠䜒ẚ㍑ⓗ㛵ᚰ䛜㧗䛔䚹䝫䜿䝑䝖䛾⒪䚸㌾㦵ฎ⨨䚸ቯṚ⤌⧊䛾ฎ⨨䛿་ᖌ䛜⾜䛖⾜ Ⅽ䛷䛒䜛䛯䜑䚸ᮏ䜰䞁䜿䞊䝖䛾䛺ᅇ⟅⪅䛷䛒䜛┳ㆤᖌ䛾㛵ᚰ䛜ప䜑䛻ฟ䛶䛔䜛䚹➨3㒊䛻ฟ䛶䛟䜛 䛜䝫䜿䝑䝖䛾ᢅ䛔䛻䛴䛔䛶䛿䝫䜿䝑䝖ษ㛤䜢䛧䛶䛟䜜䛺䛔䚹ቯṚ⤌⧊㝖ཤ䜢䛧䛶䛟䜜䛺䛔䛸䛔䛖‶䛜 㠀ᖖ䛻ከ䛛䛳䛯䚹 ୍㒊↓ᅇ⟅䛿↓ᅇ⟅䛾⟠ᡤ䜢0䛻ㄞ᭰䚸↓ᅇ⟅䛿↓ᅇ⟅䛾䜎䜎. ㉁ၥ䠓䠅 䠄䠍䠅2014ᖺ6᭶䡚8᭶䛾䇾3䞄᭶䇿䛾㛫䛻䛒䛺䛯䛜デ䛯〟⒔ᝈ⪅䛥䜣䛻䛴䛔䛶䛾㉁ၥ䛷 䛩䚹〟⒔䝇䝔䞊䝆ู䛾ேᩘ䜢グධ䛧䛶ୗ䛥䛔䚹 ⤒㦂䛒䜚䛾ሙྜ䛾䇾3䞄᭶䇿䛷䜒䛳䛸䜒㔜ᗘ䛜㧗䛔〟⒔. Ϩ 6%. 䛺䛧 9%. ϩ 23%. Ϫ䡚ϫ 䝫䜿䝑䝖 䛒䜚. 44%. 䛒䜚 91% N=782. ϫ 4%. Ϫ 19% N=715. 䞉 ↓ᅇ⟅3. 〟⒔䝇䝔䞊䝆ูேᩘ䛾ᅇ⟅䛛䜙䚸䇾䠏䞄᭶㛫䇿䛷䛾〟⒔⤒㦂䜢㞟ィ䛧䛯䚹䛭䛾⤖ᯝ䚸䜟䛪䛛䇾䠏䞄᭶䇿 䛾㛫䛻䠕䠍䠂䜒䛾ᅾᏯ་⒪ᚑ⪅䛜〟⒔䜢⤒㦂䛧䛶䛔䛯䚹䛧䛛䜒䝫䜿䝑䝖䛒䜚䛾ྜ䛜㧗䛛䛳䛯䚹 ✵ḍ䜢䝊䝻䛻ㄞ᭰䚹〟⒔䛾ᩘ䜘䜚䝫䜿䝑䝖䛾ᩘ䛜ከ䛔ሙྜ䛿䚸〟⒔䛾ᩘ䜢䝫䜿䝑䝖䛾ᩘ䛸ྠ୍䛻ㄞ᭰. 䠉㻞㻢䠉.
(33) ㉁ၥ䠓䠅 䠄䠎䠅䝷䝑䝥⒪ἲ䛻䛴䛔䛶䛚ఛ䛔䛧䜎䛩䚹 䠄ᩱ⌮䛻䛖䝃䝷䞁䝷䝑䝥䛺䛹䜢⏝䛧䛶⒪䛩䜛᪉ἲ䠅 䛶䛾 䛻䛳 䛶䛔䜛 1%. 䛟䛳 䛶䛔䛺 䛔 39%. 䞉 ↓ᅇ⟅29. 䛻 䜘䛳䛶 䛔ศ䛡 䛶䛔䜛 60%. ༊ศ. య. 䛶䛾䛻䛳䛶䛔䜛. 9. 䛻䜘䛳䛶䚸䛔ศ䛡䛶䛔䜛. 453. 䛟䛳䛶䛔䛺䛔. 294. ↓ᅇ⟅. 29. 䛂䛶䛾䛻䛳䛶䛔䜛䛃䛸ᅇ⟅䛧䛯9ྡ䛾 䛂䇾3䞄᭶䇿䛾〟⒔⤒㦂䛃䛾ᅇ⟅. N=756. 䝇䝔䞊䝆. Ϩ. ϩ. Ϫ. ϫ. ྜィಶᩘ. 15. 13. 8. 2. 䝫䜿䝑䝖ᩘ. 䠉. 䠉. 5. 2. 䛔䜟䜖䜛䇾䝷䝑䝥⒪ἲ䇿䛾ᐇ⋡䛿⣙䠒䠍䠂䛷䛒䛳䛯䚹䝇䝔䞊䝆Ϫ䚸ϫ䛷䝫䜿䝑䝖䜒䛒䜛ᝈ⪅䛻ᑐ䛧䛶 䜒䚸┣┠ⓗ䛻䝷䝑䝥⒪ἲ䛜⾜䜟䜜䛶䛚䜚䚸ὀពႏ㉳䛜ᚲせ䛷䛒䜛䚹〟⒔䛿⠊ᅖ䛜⊃䛔䛾䛷䛝䛺ၥ 㢟䛸䛺䛳䛶䛔䛺䛔䛜ᩋ⾑䜢ᘬ䛝㉳䛣䛩䛜䛒䜚䚸䝷䝑䝥䛿≉ู䛺䛸䛝௨እ䛖䜉䛝䛷䛺䛔䚹 ⠊ᅖ䛜ᗈ䛔⇕യ䛷䛿䝷䝑䝥䛜ᘬ䛝㉳䛣䛧䛯ᩋ⾑䛷Ṛஸ䛜ฟ䛶䛚䜚䝷䝑䝥⚗Ṇ䛸䛺䛳䛶䛔䜛䚹. 䠉㻞㻣䠉.
(34)
(35) ➨Ϫ㒊 ᅾᏯ࠾ࡅࡿ〟⒔ࢣ࡛ ࠊ୍␒ᝎࢇ࡛࠸ࡿࡇࡣࢇ࡞ࡇ࡛ࡍ㸽.
(36) $ ࡲࡵ㸯㸦ᩘ㸧 㸯
(37) ་ᖌᑐࡍࡿⱞ࣭ࢥ࣓ࣥࢺ㸦୍␒ከࡃ ௳㸧 㸰
(38) ㌾⭯ࡘ࠸࡚㸦 ௳㸧 㸱
(39) ࣛࢵࣉᑐࡋ࡚㸦 ௳㸧 㸲
(40) ᅾᏯ࠾ࡅࡿ͆ 㛫ẖࡢయኚ͇㸦 ௳㸧 㸳
(41) ࢹࢧ࣮ࣅࢫ࣭ࢩ࣮ࣙࢺࢫࢸ㏦ࡿ〟⒔ࡀᝏࡍࡿ㸦 ௳㸧 㸴
(42) 㝔ࡸタ࡛〟⒔⒪↓㛵ᚰࡢ⫋ဨࡀቑຍࡋ࡚࠸ࡿ㸦 ௳㸧 㸵
(43) ⚟♴⏝ලࢆཷࡅධࢀ࡚ࡃࢀ࡞࠸㸦 ௳㸧 㸶
(44) ⤒῭ᛶ㸦 ௳㸧 㸷
(45) ᰤ㣴㸦 ௳㸧
(46) ࢣ࣐ࢿࢪ࣮ࣕ㸦 ௳㸧
(47) ㆤ⫋ࡢຮᙉ㊊㸦 ௳㸧
(48) :2& ࢼ࣮ࢫࡘ࠸࡚㸦 ௳㸧 . % ࡲࡵ㸰㸦ෆᐜ㸧 ࠙་ᖌ࣭་ᑐࡍࡿⱞࢥ࣓ࣥࢺࠚ ࣭〟⒔ࢆࡏ࡞࠸་ᖌࡀከࡍࡂࡿ ࣭〟⒔ࡢࡇࢆ▱ࡽ࡞࠸ࠊ▱㆑ࡀ↓࠸ࠊຮᙉࡋ࡚࠸࡞࠸㸟 ࣭㐺ษ࡞ᣦ♧ࡀ↓࠸ࠊᣦ♧ࡀ࠶ࡗ࡚ࡶࢇ࡛ࡶ࡞࠸ྂࡵࡋ࠸ᣦ♧࡛ᅔࡿ ࣭ᛴ⃭ኚࡋࡓࡢᑐᛂࡀ㐜࠸ ࣭㝔ࡢ་ᖌࡣᅾᏯࢆࡃ▱ࡽ࡞࠸ ࣭⓶⛉ࡢඛ⏕㸸㌾⭯ࡤࡗࡾẼࡋ࡚͆ᅽࡎࢀ͇ࢆ⪃࠼࡞࠸ ࣭ᅾᏯࢆデ࡚ࡃࢀࡿ⓶⛉་ࡀᑡ࡞࠸ ࣭Ⓨࡋ࡚ࡶᠬࡾࡎఱᗘࡶᡭ⾡ࢆࡍࡿ་ᖌࡀ࠸ࡿ ࡑࡢ㸸௨ୗࡢࡼ࠺࡞་ᖌ࣭་ᑐࡍࡿᝎࡳࡀ࠶ࡗࡓ 㛵ᚰࡀ↓࠸࣭⥅⥆ᛶࡀ↓࠸࣭⒪᪉㔪ࡘ࠸࡚ၥᛮࢃࢀࡿฎ⨨ࡀከ࠸࣭ฎ⨨ࢆ┳ㆤ ᖌᢞࡆ࣭ෆ⛉་ࡀ㥏┠࣭⌧ሙㄆ㆑ࡀ↓࠸࣭་ࡢඛ⏕ࡢゝ࠺㏻ࡾࡸࡗ࡚ࡶࡽ࡞ ࠸࣭ᝏࡍࡿ㸟ฎ⨨ࡋ࡚ࡶࡽ࠼࡞࠸࣭࣐ࢵࢧ࣮ࢪࡋ࡚࠸ࢀࡤࡿ࠸࠺་ᖌࡀ࠸ࡿ࣭་. 䠉㻟㻜䠉.
(49) ᖌࡀࢣࡢࡇࢆࡃศࡗ࡚࠸࡞࠸㸟 . ࠙ᑓ㛛་㐃ᦠࢆࡗ࡚ࡃࢀ࡞࠸ࠚ ࣭་ࡣᑓ㛛་┦ㄯࡍࡿࡇࢆᛌࡃᛮࡗ࡚࠸࡞࠸ ࣭ デࡋ࡚ࡃࢀࡿᑓ㛛་ࡀᑡ࡞࠸㸦⓶⛉་࣭ᙧᡂእ⛉་ࡀᑡ࡞࠸㸧 ࣭ධ㝔タࡢ㐃ᦠࢆࡗ࡚ࡃࢀ࡞࠸ ࣭㞴ᛶ࡞ࡗ࡚ࡶ┦ㄯࡢࡗ࡚ࡃࢀ࡞࠸ࠊ〟⒔ࡢ⒪ࢆ▱ࡽ࡞࠸ࡼ࠺ࡔ ࣭〟⒔ࢆⰋࡃศࡗࡓᑓ㛛ࡢேぢ࡚ࡶࡽ࠸ࡓ࠸ . ࣏࠙ࢣࢵࢺ࣭ࢹࣈ࣮ࣜࢻ࣐ࣥࡘ࠸࡚ࠚ ࣭࣏ࢣࢵࢺษ㛤࣭ษ㝖ࡋ࡚ࡃࢀ࡞࠸ࠊධࡾཱྀࡀ⊃ࡃ࡞ࡗ࡚ᅔࡿ ࣭⓶⛉་௨እࢹࣈ࣮ࣜࢻ࣐ࣥࢆࡋ࡚ࡃࢀ࡞࠸ ࣭࣏ࢣࢵࢺࡀ⏕ࡌࡿࡽ࡞࠸ ࣭࣏ࢣࢵࢺෆࡢ⫗ⱆࡀୖࡀࡽ࡞࠸ࠊ࣏ࢣࢵࢺࡀᕧࡍࡿ ࣭㝖ᅽࡣࡋ࡚࠸ࡿࡀ࣏ࢣࢵࢺࡀࡽ࡞࠸ ࣭ቯṚ⤌⧊ࢆ㝖ཤࡋ࡚ฟ⾑࡛ࡤࢀࡓ ࣭㟁Ẽ࣓ࢫࡀḧࡋ࠸㸦་ᖌ㸧 ୍࠙⯡ⓗ࡞㉁ၥࡘ࠸࡚ࠚ ࣭ᅾᏯࢳ࣮࣒ࡀ↓࠸ ࣭ᐙ᪘ࡢ⤒῭〟⒔⒪ࡢࢪ࣐ࣞࣥࡀ࠶ࡿ ࣭⌧ᅾࡸࡗ࡚࠸ࡿ⒪ࡀ࠸࠸᪉ྥ࡞ࡢࠊᝏ࠸᪉ྥࢆྥ࠸࡚࠸ࡿࡢࢃࡽ࡞࠸ ࣭ඛ㍮㸦⇍ᖺ㸧ࡢ┳ㆤᖌࡣ᪂ࡋ࠸ࡇࢆᏛࡤ࡞࠸ࡋࠊࡸࡽ࡞࠸ࠊ ᖺ㱋ࡀୖࡔࡽࡗ࡚࠸ࡤࡿ࡞㸟㸟 ࣭ᖺ༢࡛ࡶࡽ࡞࠸〟⒔࠶ࡾ ࣭ᐷࡓࡁࡾᝈ⪅ࡢእ᮶ཷデࡀኚ ࣭タ࡛యᅽศᩓ࣐ࢵࢺࣞࢫࠊ⮬ືయኚ࣐ࢵࢺࣞࢫࡀ࠼࡞࠸ ࣭⮬ศ㐩ࡢࡋ࡚࠸ࡿࢣࡀⰋ࠸᪉ྥఛࡗ࡚࠸ࡿࡀ࠺ࢃࡽ࡞࠸ ࣭࣏ࢪࢩࣙࢽࣥࢢ࣭⚟♴⏝ලࡢ࠸᪉ࡀ༑ศࠊ㔜せᛶࡢㄆ㆑㊊ ࣭ẖ᪥デࡓ࠸ ࣭ᛴᛶᮇ㝔࡛〟⒔ᝈ⪅ཷࡅධࢀ࡚ࡃࢀ࡞࠸࣮ฎ⨨ኚ᭦ࢆồࡵ࡚ࡶᛂࡌ࡚ࡃࢀ࡞࠸. 䠉㻟㻝䠉. 㸦༠ࡢぢゎ㸯㸧.
(50) ࣭࡞ࢇ࡛ࡶᣢࡕ㎸ࡳゝࢃࢀᛌ ㌟≧ែࡀᝏࡃධ㝔࣭యㄪࡀᝏࡃ࡚ධ㝔ࠊࡍࡿ͆〟⒔ᣢࡕ㎸ࡳ͇ゝࢃࢀࡿ ࣭〟⒔ࡀ࡞ࡾᝏࡋ࡚ࡽゼၥ┳ㆤࢫࢸ࣮ࢩࣙࣥ᮶ࡿ ࣭ࡶࡗ᪩ࡃࢇ࡛ࡋ࠸ ࣭⪃࠼ࡿ┳ㆤࢆࡋ࡚࠸ࡿ ࣭ඹ㏻ࡢ࣮ࣝࣝࢆసࡗ࡚࠸ࡿ ࣭⫠㛛࿘㎶ࡢࢫ࢟ࣥࢺࣛࣈࣝࡢࡋ᪉ ࣭㝽ࡀ࡞࡞ࡽ࡞࠸. ࠙㌾⭯ࡘ࠸࡚ࠚ ࣭་ࡣ㐺ษ࡞㌾⭯ࢆࢃ࡞࠸ ࣭㌾⭯ࡀ㧗࠸ ࣭Ⰻ࠸⸆ࡀ↓࠸ ࣭⌮ⓗ࡞㸦㐺ษ࡞㸧㌾⭯⒪ἲࢆ་ᖌࡀ▱ࡽ࡞࠸ ࣭ᮍࡔࢯࢪࣥᾘẘࢆࡉࡏࡽࢀࡿࠊ᫇࡞ࡀࡽࡢฎ⨨ࡋࡋ࡞࠸ ࣭ࢤࣥࢱࢩࣥࡋฟࡉ࡞࠸ࠊࣜࣥࢹࣟࣥ㹔㹅ࡋฟࡉ࡞࠸ . ࠙㐃ᦠ࣭㝔ࠊከ⫋✀ࡢ㐃ᦠࠚ ࣭Ⓨࢆ⧞ࡾ㏉ࡍ〟⒔ᑐࡋ࡚ண㜵ࡀᚲせࡔࡀࢣ࣐ࢿ࣮ࢪ࣮࣭ࣕ࣊ࣝࣃ࣮ ࡞࡞㐃ᦠࡋࡃ࠸ ࣭࠾࠸౯್ほࡢ㐪࠸ࡀ࠶ࡿ ࣭〟⒔ࡀឤᰁࡋࡓࡢཷࡅධࢀ㝔ࡀᚲせࡔࡀ࡞࡞࡞࠸ࠊ㐃ᦠ࡛ࡁ࡞࠸ ࣭ࢹ࣮ࢱࠊ౯್ほࢆඹ᭷࡛ࡁࡿ⫋ࡢ㐃ᦠࡀᚲせࡔࡀ㞴ࡋ࠸ . ࠙ࢻࣞࢵࢩࣥࢢࠚ ࣭ࢻࣞࢵࢩࣥࢢࡣฟࡏ࡞࠸࠸࠺་ᖌࡀ࠸ࡿ ࣭┳ㆤᖌࢻࣞࢵࢩࣥࢢࢆ㈇ᢸࡉࡏࡿ. 㸦༠ࡢぢゎ 2㸧. ࣭ࢻࣞࢵࢩࣥࢢࡀ㧗ࡃ࡚࠸࡙ࡽ࠸ ࣭≉ᐃᮦᩱ࡛࡞࠸ࢻࣞࢵࢩࣥࢢࡣࢫࢸ࣮ࢩࣙࣥࡢᣢࡕฟࡋ࡞ࡿ ࣭㝔࡛ࡗ࡚࠸ࡿ⌮ࡢࢻࣞࢵࢩࣥࢢࡀ࠼࡞࠸. 䠉㻟㻞䠉.
(51) ࣭ࣁࢻࣟࢧࢺࡸࣇ࣒ࣝࡣࡍࡄࡀࢀࡿ ࣭ࢻࣞࢵࢩࣥࢢᑐࡍࡿ⮬ᕫ㈇ᢸࡀࡁ࠸ ࣭ࢻࣞࢵࢩࣥࢢࡢኚ᭦ࡢᮇࡀศࡽ࡞࠸ ࣭ࡀࢻࣗ࢜ࢡࢸࣈ࡛ࢻࣟࢻࣟ࡞ࡾࠊぢࡡࡓ┳ㆤᖌࡀᡭࢆฟࡍᛣࡽࢀࡓࠋࡇࡢ ᝈ⪅ࡣᝏࡋṚஸࡋࡓ ࣭ࡢࢻࣞࢵࢩࣥࢢࡀࡼ࠸ࡢศࡽ࡞࠸㸦⤒῭ᛶࡶ⪃࠼ࡿ㸧 ࣭㢖ᅇࡢࢻࣞࢵࢩࣥࢢࢳ࢙ࣥࢪࡢሙྜࠊㄡࡀࡸࡿ㸽ఱࢆ⏝ࡍࡿ㸽 ࣭⊂ᒃࡢሙྜ〟⒔⒪ࢆㄡࡀ㈐௵ࡶࡗ࡚ࡸࡿ㸽 ࣭⾨⏕ᮦᩱࡢ☜ಖࡀ㞴ࡋ࠸㸸⮬ᕫ㈇ᢸ㧗࠸ࠊࣉࣛࢫࢳࢵࢡᡭ⿄Ѝゼၥ┳ㆤࡢ㈇ᢸ ࡞ࡿ ࣭࠸ࡲࡔ࣮࢞ࢮࢆ࠺ . ࠙ᅾᏯ࠾ࡅࡿ :2& ࢼ࣮ࢫࡘ࠸࡚ࠚ ࣭㠀ᖖⰋࡃᩍ࠼࡚ࡃࢀࡿ ࣭ᅾᏯࡢࡇࢆ▱ࡽ࡞࠸ :2&1 ࡀከ࠸ ࣭ᅾᏯ࡛ ே࡛యኚ࡛ࡁࡿᛮࡗ࡚࠸ࡿࡢ㸟 ࣭ᅾᏯᝈ⪅ࡢ⤒῭ࢆ⪃࠼ࡓࢻࣞࢵࢩࣥࢢࡢ㑅ᢥࢆ⪃࠼ࡿࡁ㸦㝔㐪࠺㸟㸧 ࣭ᅾᏯ࡛ࡣయᅽศᩓ࣐ࢵࢺࣞࢫࢆ㑅ᢥࡋࡓሙྜࠊࡑࡢ᰿ᣐࢆ♧ࡍᚲせࡀ࠶ࡿࡀࠊ ࣈ࣮ࣞࢹࣥࢫࢣ࣮࡛ࣝࡣ᰿ᣐ࡞ࡽ࡞࠸ ࣭㝔࡛Ⰻࡃ࡚ࡶᅾᏯ࡛࠼࡞࠸ࡇࢆ▱ࡽ࡞࠸࡛ᖹẼ࡛ᅾᏯ〟⒔ࡢㅮᖌࢆࡋ࡚࠸ࡿ㸟 ࠙᪥ᮏ〟⒔Ꮫദࡢࢭ࣑ࢼ࣮ࡘ࠸࡚ࠚ ࣭㝔࡛Ⰻࡃ࡚ࡶᅾᏯ࡛࠼࡞࠸ ࣭ࡶ࠺ᑡࡋᅾᏯࡇࡢࡇࢆຮᙉࡋ࡚ḧࡋ࠸㸟 ࣭ᅾᏯ࡛࠼࡞࠸ࡇࢆᘏࠎࡋࡷࡿ࡞㸟 ࣭࢚ࣅࢹࣥࢫࡀ࠶ࡗ࡚ࡶ࠼࡞࠸ࡶࡢࡣ࠼࡞࠸ . ࠙ࣛࢵࣉᑐࡋ࡚ࠚ ㈶ᡂពぢ㸸 ࣭ࣛࢵࣉ࡛ࡗࡓࢣ࣮ࢫࡀ࠶ࡿ ࣭ࣛࢵࣉࡢ᪉ࡀⰋ࠸㸟. 䠉㻟㻟䠉.
(52) ࣭㧗࠸ࢻࣞࢵࢩࣥࢢࡼࡾࣛࢵࣉࡢ᪉ࡀࡼ࠸ ᑐពぢ㸦⥆ࡅࡿࡇၥ㸧㸸 ࣭ᝏࡋࡓࢣ࣮ࢫࡀ࠶ࡿ ࣭ឤᰁࡀࡦࡃ࡞ࡗࡓ ࣭ឤᰁࡀ࠶ࡿࡢࣛࢵࣉࢆせồࡍࡿ་ᖌࡀ࠸ࡿ ࣭ࣛࢵࣉࢆዲࡴ་ᖌࡀ࠸ࡿࠋ⌧ᐇࡀࢃࡗ࡚࠸࡞࠸ ࣭ࣉࣟ࣌ࢺࣛࢵࣉࡢᣦ♧ࡔࡅࡢ་ᖌࡀ࠸࡚ᅔࡿ . ࠙ᅾᏯ࠾ࡅࡿ 㛫ẖࡢయኚࠚ ࣭ 㛫ẖࡢయኚࡀฟ᮶࡞࠸ ࣭ኪ㛫ࡢయኚࡀฟ᮶࡞࠸ ࣭ᐙ᪘ࡢㆤຊ㝈⏺ࡀ࠶ࡿ ࣭ᐙ᪘ࡣయኚ࡛ཧࡗ࡚ࡋࡲࡗ࡚࠸ࡿ࣭⮬ືయኚ࣐ࢵࢺࣞࢫ ༑ศά⏝ࡋ࡚࠸ࡿࠊ㠀ᖖࡼ࠸㸸 ࣭⮬ືయኚ࣐ࢵࢺࣞࢫ⏝࡛ຓࡗ࡚࠸ࡿ ࣭ேᡭࡀ࠸ࡽ࡞࠸ ࣭ᅾᏯ࡛ࡣ᭱㐺࡞⏝ᮦᩱ Ⰻࡃ࡞ࡗࡓ㸸 ࣭ᐙ᪘ࡀࠊᒀࡀ₃ࢀࡿゝࡗ࡚ࢃ࡞࠸ ࣭ࡇࢀࢆࡗ࡚⫼୰୰ኸ〟⒔ࡀฟ᮶ࡓ ࣭㋖〟⒔ࡀฟ᮶ࡓ. 㸦༠ࡢぢゎ 3㸧. ࣭యኚࢆ୍⏕ᠱࡸࡗ࡚࠸ࡿࡀ〟⒔ࡀࡽ࡞࠸ ࣭㝖ᅽࡀฟ᮶࡞࠸ ࣭యኚࡢࡁయ᱁ྜࡗࡓ㝖ᅽࢆ⪃࠼ࡿࡁ . ࠙ࢹࢧ࣮ࣅࢫ࣭ࢩ࣮ࣙࢺࢫࢸ⾜ࡗ࡚〟⒔ࡀᝏࡍࡿࠚ ࣭ࢩ࣮ࣙࢺࢫࢸ࡛〟⒔ࢆసࡗ࡚ᖐࡗ࡚ࡁࡓ ࣭ࢹࢧ࣮ࣅࢫࡸࢩ࣮ࣙࢺࢫࢸࡢ⫋ဨ〟⒔ࢣࡢඹ᭷ࡀฟ᮶࡞࠸ ࣭㐃⤡ࣀ࣮ࢺ᭩࠸࡚ࡶぢ࡚ࡃࢀ࡞࠸ ࣭ゼၥධᾎࡢ┳ㆤᖌࡢࣞ࣋ࣝࡀప࠸ࠊ⫋ဨࡢ〟⒔ᑐࡍࡿࢣࡀ࠾⢒ᮎ. 䠉㻟㻠䠉.
(53) ࣭ࡏࡗࡃࡾࡅ࡚࠸ࡓࡢࢩ࣮ࣙࢺࢫࢸ࡛ᝏࡋࡓ ࣭࣮࣌ࢫ࣓࣮࣮࢝ࢆධࢀධ㝔ࡋࡓᛴᛶᮇ㝔࡛〟⒔ࢆసࡗ࡚ࡁࡓ ࣭㝔ࡸタ࡛〟⒔⒪↓㛵ᚰࡢ⫋ဨࡀቑຍࡋ࡚࠸ࡿ ࣭ࢩ࣮ࣙࢺࢫࢸࡢ⫋ဨࡀࡃ〟⒔ࡢࡇࢆ▱ࡽ࡞࠸ ࣭ゼၥ┳ㆤࡢࢼ࣮ࢫࡀ࠸ࡃࡽゝࡗ࡚ࡶࢩ࣮ࣙࢺࢫࢸࡢタ࡛⪺࠸࡚ࡃࢀ࡞࠸ ࣭ࢩ࣮ࣙࢺࢫࢸࡢタࡢ࣐ࢵࢺࣞࢫࡸࢡࢵࢩࣙࣥࡀၥ㢟 ࣭㌴᳔Ꮚࡸᰤ㣴ࢆ࠼ࡿࡁࡢ≧ែࡀၥ㢟㸟 . ࠙ᐙ᪘ᑐࡍࡿពぢࠚ ࣭〟⒔ࢣࡢࡇ⌮ゎࡋ࡚ࡶࡽ࠼࡞࠸ ࣭ㆤຊ㊊㸸ᮏᙜㆤຊࡀ㊊ࡋ࡚࠸ࡿࠊ⪁ࠎㆤࠊ⊂ᒃࠊ⤒῭ⓗࡶవ⿱ࡀ↓࠸ ࣭ᐙ᪘ࡢ༠ຊࡀᚓࡽࢀ࡞࠸ Ѝయኚࡀฟ᮶࡞࠸ࠊᐙ᪘ࡀ⑂ປࡋ࡚࠸ࡿࠊ࣒࢜ࢶࡢᅇᩘࡀᑡ࡞࠸ࠊ ᐙ᪘ࡸࡽࡏ࡚〟⒔ࡀᝏࡋࡓࠊΎ₩ಖ࡚࡞࠸ࠊᣦᑟࡀ㞴ࡋ࠸㸦ጼໃ࣭⛣ື࡞㸧ࠊ ⪁⪁ㆤ࡛౫㢗ฟ᮶࡞࠸ࠊࡶࡗᝈ⪅ࡢᡤ⾜ࡁࡓ࠸ࡀỴࡲࡗࡓ᪥ࡋ⾜ࡅ࡞࠸ࠊ ᢏ⾡ࡀ㞴ࡋ࠸ࡼ࠺ࡔࠊ⌮ゎࡀ↓࠸ேࡀከ࠸ Ѝ⚟♴⏝ලࢆཷࡅධࢀ࡚ࡃࢀ࡞࠸ࠊయᅽศᩓ࣐ࢵࢺࣞࢫࡢ⏝ࡣ⌮ゎࡋ࡚ࡃࢀࡿࡀ⚟ ♴⏝ලࡢ⏝ࡣ⌮ゎࡀᚓࡽࢀ࡞࠸ࠊ ࣭〟⒔ࡀࡽ࡞࠸㸦ᐙ᪘ࡶㅉࡵ࣒࣮ࢻ㸧 ࣭⪁ࠎㆤ࣭⊂ᒃ࡛࠶ࡿ㸸࣭యኚ࡛ࡁ࡞࠸ࠊయኚ࡞౫㢗ࡶ࡛ࡁ࡞࠸ ࣭ㆤຊ㊊ ࣭⊂ᒃࡢሙྜẖ᪥ࡢࢻࣞࢵࢩࣥࢢ࠺ࡍࢀࡤࡼ࠸㸦ཌ⏕ປാ┬ ㉁ၥࡍࡿ㸧 ࣭ࢦ࣑ᒇᩜࡢ≧ែ ࣭࣊ࣝࣃ࣮ࡘ࠸࡚㸸࣭࣊ࣝࣃ࣮〟⒔ࢣࡢᩍ⫱ࡋ࡚ḧࡋ࠸ ࣭࠶ࡿ࣊ࣝࣃ࣮ࡢタ࡛ࡣ͆〟⒔ࢆ࠸ࡌࡿ࡞͇࠸࠺ 㸦⊂ᒃ࡛ࡶࡑ࠺࡞ࡿࡢ㸽㸧 ࣭࣊ࣝࣃ࣮ࡶ⡆༢࡞ฎ⨨ฟ᮶ࡿࡼ࠺ࡋ࡚ࡋ࠸㸦࠼ࡤㅮ⩦ࢆ ཷࡅ࡚ᢏ⾡ᣦᑟ࡛㈨᱁ࢆྲྀࡿ࡞ࡣ㸽㸧 ࣭࣊ࣝࣃ࣮デ࡚ࡶࡽࡗ࡚ᝏࡋࡓࡀ࠶ࡿ ࣭㝔ࡢᣦᑟ⪅ࡀᅾᏯࡢࢆศࡗ࡚࠸࡞࠸ࡇࡀከ࠸. 䠉㻟㻡䠉.
(54) . ࠙⤒῭ᛶࠚ ࣭࠾㔠ࢆຠᯝⓗ࠼࡞࠸㸸 ࣭ࢣ࣐ࢿ࣮ࢪ࣮ࣕࡢ⪃࠼᪉ࡀᝏ࠸ ࣭ᐙ᪘వ⿱ࡀ↓࠸ ࣭࢚࣐ࢵࢺ௦ࡀ㧗࠸࠸࠺ ࣭ᮏᙜ࠾㔠ࡀᡶ࠼࡞࠸ ࣭ᐙ᪘ࡀᣄྰࡍࡿ㸸࣭ࡇࡕࡽࡀᛮ࠺ࡼ࠺ఱᅇࡶゼၥ┳ㆤ࠸ࡅ࡞࠸ ࣭≀ရ㉎ධࠊ⏝⪅㈇ᢸࡢᅔࡿ ࣭ࣇ࣒ࣝᮦࡢ㈝⏝ᅔࡿ㸦㧗࠸ᛮ࠺㸧. 㸦༠ࡢぢゎ 4㸧. . ࠙ᰤ㣴ࠚ ࣭ᅾᏯ࡛ࡢᰤ㣴ᨵၿࡣ㞴ࡋ࠸ ࣭㧗࣮࢝ࣟࣜЍୗ⑩ࠊྤࠊㄗᄟࢆࡍࡿ ࣭పᰤ㣴ࡽࡢ⬺༷ࡀฟ᮶࡞࠸ ࣭ᮏேᐙ᪘ᰤ㣴ࡢ▱㆑ࡀ↓࠸ ࣭ᇶ♏ᝈࡀ࠶ࡿ㞴ࡋ࠸ ࣭〟⒔ࡢࡾࡀᝏ࠸ࡍ࡚ᰤ㣴ࡢࡏ࠸ࡍࡿ ࣭⊂ᒃࡢேࡢᰤ㣴ᨵၿࡀ㞴ࡋ࠸ ࣭⟶⌮ᰤ㣴ኈࢆࡧࡓ࠸ࡀ͐㸦⟶⌮ᰤ㣴ኈࡢᩘࡀᑡ࡞࠸ࡇࡶ࠶ࡿ㸧. 㸦༠ࡢぢゎ 5㸧. . ࠙ࢣ࣐ࢿ࣮ࢪ࣮ࣕࠚ ࣭ඃඛ㡰ࡀࢃࡗ࡚࠸࡞࠸ࢣ࣐ࢿ࣮ࢪ࣮ࣕࡀⰋࡃ࡞࠸㸦⫋✀ࡼࡗ࡚㸧 ࣭▱㆑㊊ࠊ〟⒔ࡢࡇࡀࢃࡗ࡚࠸࡞࠸ ࣭᭱ࡶษ࡞యᅽศᩓ࣐ࢵࢺࣞࢫࡢ࠸᪉㸦ධࢀ᪉㸧ࡀⰋࡃ࡞࠸ 㸦ᶵ⬟ࢆ⪃࠼ࡎ್ẁࡢᏳ࠸≀ࢆධࢀࡿ㸧 ࣭ㆤ⏝ရࡢ㔜せࡉࢆ▱ࡗ࡚࠸࡞࠸ ࣭ゼၥᅇᩘࢆไ㝈ࡍࡿ . ࠙ண㜵ࠚ ࣭᪩ᮇⓎぢࡀ㔜せࡔࡀࠊ࣊ࣝࣃ࣮ࡀ᭱ࡶ᪩ࡃぢࡘࡅࡿ❧ሙ࡛࠶ࡿࡢࠊࡇࢀࢆ͆⚗ࡎࡿ͇. 䠉㻟㻢䠉.
(55) ࢫࢸ࣮ࢩࣙࣥࡀ࠶ࡿࠋ࣊ࣝࣃ࣮ࢆᣢࡗ࡚࠸ࡿタࡶᩍ⫱ࡍࡁ ࣭ண㜵ࡢ㔜せᛶࢆ▱ࡽ࡞࠸ ࣭ᝏࡍࡿࡲ࡛┳ㆤᖌࢆࡤ࡞࠸ . ࣒࠙࢜ࢶࠚ ࣭࣒࢜ࢶࢆ⌮ⓗ࡛ࡁ࡞࠸㸦ᐙ᪘ࡢ⌮ゎ㊊ࠊࢣ࣐ࢿ࣮ࢪ࣮ࣕࡢᅇᩘࡀ㝈ࡽࢀࡿ㸧 ࣭ࡴࢀࠊởࢀࡀᨺ⨨ࡉࢀ࡚࠸ࡿ ࣭Ὑίࡢ࠺⸆ࡢ௦㔠ࡣ㸽 㸦༠ࡢぢゎ 6㸧. ࣭ἥࡀከ࠸ࠊ⊂ᒃࡢሙྜㄡࡀࡍࡿ㸽 ࣭ᒀኻ⚗ᑐ⟇ࢆᩍ࠼࡚ḧࡋ࠸ . ࠙ຮᙉࡋࡓ࠸ࠚ ࣭ࢫ࢟ࣝࢵࣉࡋࡓ࠸ ࣭࢚ࣅࢹࣥࢫࡢ㧗࠸ᅾᏯ࡛ฟ᮶ࡿ᪉ἲ ࣭ከⓎᛶࡢ〟⒔⒪ ࣭᪩ࡃ㸿㹂㹊ࢆⰋࡃࡋ࡚♫ᖐࡉࡏࡓ࠸ ࣭ࢥࢫࢱࢵࣇࡢࡣᴦࡋ࠸ ࣭ࢫࢱࢵࣇࡢຮᙉពḧࡀ↓࠸ ࣭ࢫࢱࢵࣇࡢពぢࡢ⤫୍ࡀ࡞࠸ ࣭〟⒔ࡀࡽࡎࣔࣖࣔࣖࡋࡓẼᣢࡕ࡛࠸ࡿ ࣭ㆤ⫋ࡢຮᙉ㊊ ࣭ゼၥධᾎࡢ┳ㆤᖌࡢࣞ࣋ࣝࡀప࠸ ࣭ ᪥ ᅇゼၥࡋࡓ࠸ ࣭࣏ࢣࢵࢺࡢ⒪ἲࢆ▱ࡾࡓ࠸ ͆㏫ㄝⓗ⾲⌧͇㸦་ࡢ⒪ࡼࡿಙឤࡀ࠶ࡿࡇࡼࡿ㸧 ࣭┿⳦ࡢ⒪᪉ἲࢆ▱ࡾࡓ࠸ ࣭㌾⭯⒪ἲࢆࡶࡗ▱ࡾࡓ࠸㸦㌾⭯ࡢሗࡀḧࡋ࠸㸧 . ࠙ࣜࣁࣅࣜࡢ㛵ಀࠚ ࣭ࣜࣁࣅࣜࡢ㹎㹒࣭㹍㹒ࡀධࡗ࡚࠸࡞࠸. 䠉㻟㻣䠉.
(56) ࣭ࣜࣁࣅࣜࡢࡇࡀⰋࡃศࡽ࡞࠸ ࣭㐃ᦠࡀྲྀࢀ࡞࠸ ࣭ࣜࣁࣅࣜࡢேࡀ〟⒔ࢆ▱ࡽ࡞࠸ࠊᝏࡍࡿ . ࠙ಖ㝤ࠊㆤಖ㝤ไᗘࠚ ࣭㝈ࡽࢀࡓ㛫ෆ࡛ࢆࡍࡿࡢࡣ㞴ࡋ࠸ ࣭་⒪⫋࡛࡞࠸ࢣ࣐ࢿ࣮ࢪ࣮ࣕⰋࡃ࡞࠸㸦ඃඛ㡰ࡀศࡗ࡚࠸࡞࠸㸧 ࣭ㆤࢢࢵࢬࢆ࠼࡞࠸ ࣭࣊ࣝࣃ࣮ࡀࢆ࠸ࡌࢀ࡞࠸ ࣭◊ಟࡉࡏ࡚࣒࢜ࢶࡢࡃࡽ࠸ࡣࡉࡏࡿࡁࠊࡋࡶ᪩ᮇ⒪⧅ࡀࡿ ࣭㞀ᐖ⪅ࡢሙྜ〟⒔ࢣࡀ㞴ࡋ࠸ ࣭㍍ᗘ〟⒔ࡢሙྜ㢖ᅇゼၥ࡛ࡁ࡞࠸ ࣭ከ⫋✀ࡢ㐃ᦠࡀྲྀࡾࡃ࠸ ࣭㞀ᐖ⪅ࡢሙྜࠊㆤಖ㝤ࡀ࠼࡞࠸㸦≉㝖ᅽ࣐ࢵࢺࣞࢫ㸧 . ࠙ୗ⫥ࡢ〟⒔ࠚ㸦㹎㸿㹂ࡢぢᴟࡵࡀฟ᮶࡚࠸࡞࠸ࡢࡀཎᅉ㸧 ࣭ࡽ࡞࠸ ࣭ᝏࡍࡿ ࣭㋖ࡢ〟⒔ࡀከ࠸ . ࠙ࢱ࣮࣑ࢼࣝࡢ〟⒔ࢣࠚ ࣭㞴ࡋ࠸ ࣭〟⒔ࡀⓎ⏕ࡍࡿ㞴ࡋ࠸ ࣭ᅔࡗ࡚࠸ࡿ . ࠙㌴᳔Ꮚࠚ ࣭㑅ᢥᇶ‽ࡘ࠸࡚▱ࡾࡓ࠸ ࣭ࡇࡲࡵ㸦 ᪥ ᅇ㸧ぢ࡚࠶ࡆࡓ࠸ࡀࠊぢࡽࢀ࡞࠸ ࣭ࢡࢵࢩࣙࣥ࡞ࡋ࡛ࡗ࡚࠸ࡿ ࣭ᆘ㦵㒊ࡢ〟⒔ࡀࡽ࡞࠸. 䠉㻟㻤䠉. 㸦༠ࡢぢゎ 7㸧.
(57) ➨ϫ㒊 ㉁ၥ࣭ពぢᑐࡍࡿ ᪥ᮏᅾᏯ〟⒔യࢣ᥎㐍༠ࡢぢゎ .
(58) 1㸧༠ࡢぢゎ㸯 ୍⯡ⓗ࡞㉁ၥࡘ࠸࡚ ࣭ᅾᏯࢳ࣮࣒ࡀ↓࠸ 㸦༠㸧ᝈ⪅ࡉࢇẖࢣࢳ࣮࣒ࢆసࡿᚲせࡀ࠶ࡾࠊࡇࢀࡣࢣ࣐ࢿ࣮ࢪ࣮ࣕࡢࠋ ୍⯡ⓗࡣே௵ࡏࡀከ࠸ࡢ࡛ࢳ࣮࣒ࡢ୰ᚰ࡞ࡿࡢ⇕ࢆᣢࡗ࡚ḧࡋ࠸ࠋ ࣭ᐙ᪘ࡢ⤒῭〟⒔⒪ࡢࢪ࣐ࣞࣥࡀ࠶ࡿ 㸦༠㸧ᐙ᪘ࡢ⤒῭ࡢవ⿱ࢆ⪃࠼ࡿ୰࡛࣋ࢫࢺ࣋ࢱ࣮ࢆ⪃࠼ࡿࡢࡀⰋ࠸ࠋ ᐙ᪘ࡢ⤒῭ࡀࡃ࡞࠸ሙྜࠊ࠸ࢁ࠸ࢁ࡞ไᗘࡢ⏝ࢆ⪃࠼࡚࠶ࡆࡿᚲせࡀ࠶ࡿࠋ ࡇࢀࡣᮏ᮶ࠊࢣ࣐ࢿ࣮ࢪ࣮ࣕࢯ࣮ࢩ࣮࣮ࣕࣝ࣡࢝ࡢࠋ ࣭ࢳ࣮࣒࣮࣡ࢡࡀྲྀࢀ࡞࠸ࠊ㐃ᦠࡀྲྀࢀ࡞࠸ 㸦༠㸧〟⒔ࢣࡣࢳ࣮࣒࣮࣡ࢡ࡞ࡢ୍࡛ே࡛ࡶ␗࡞ࡗࡓࢣࢆࡍࢀࡤ〟⒔ࡣᝏࡍ ࡿࠋྠࡌᝈ⪅ࢆ┳ࡿࢢ࣮ࣝࣉࡣࢳ࣮࣒࡛ဨࡀຮᙉࡋ࡚ྠࡌ࡛ࣞ࣋ࣝࡸࡿࡼ࠺ດຊࡍ ࡿࡁ࡛࠶ࡿࠋ ゼၥ┳ㆤࢫࢸ࣮ࢩࣙࣥࡢᡤ㛗ࠊ㝔ࡢᲷ࡞ࡽᖌ㛗௵ࡼࡃヰࡋྜࡗ࡚ࠊဨ࡛ ࢳ࣮࣒࣮࣡ࢡࡼࡃࡸࡿࡇࡀษࠋ 㸦୍㒊 ᮲ෆ⛉࣭⓶⛉ࢡࣜࢽࢵࢡ デ㒊 㕥ᮌ ⪽Ꮚ㸧 ࣭〟⒔ᑓ㛛་ࡢࣜࢫࢺ࣐ࢵࣉࡀḧࡋ࠸ 㸦༠㸧᪥ᮏᅾᏯ〟⒔യࢣ᥎㐍༠࡛⌧ᅾィ⏬୰ࠋ ࣭⌧ᅾࡸࡗ࡚࠸ࡿ⒪ࡀ࠸࠸᪉ྥ࡞ࡢࠊᝏ࠸᪉ྥࢆྥ࠸࡚࠸ࡿࡢࢃࡽ࡞࠸ 㸦༠㸧ᮏ᮶࡞ࡽࡤ་ࡀ〟⒔ࡢຮᙉࢆࡶࡗࡋࡗࡾࡸࡾࠊ〟⒔ࡢ⤒㐣ࡢ≧ἣࢆ ุ᩿ࡍࡁ࡛࠶ࡿࠋ ་ࡀ㥏┠࡛࠺ࡋ࡚ࡶᑓ㛛་ࡀぢࡘࡽ࡞࠸ሙྜ ⮬ศ࡛ࡸࡿࡍࢀࡤࡣ 'HVLJQ5 ࡛ẚ㍑ࡍࡿ ࡢ⫗ⱆẁᕪ࣭⁁࣭࣏ࢣࢵࢺࡀ↓ࡃ࡞ࡽ࡞࠸ࡢࡣࢣࡀᝏࡃࠊࡇ࡛ᅽࡎ ࢀࡀࡗ࡚࠸ࡿ ࡢ⾲㠃ฟ⾑ࡸቯṚ⤌⧊ࡀ࠶ࡿࡢࡣᅽࡎࢀࡀࡗࡓドᣐ ࣏ࢣࢵࢺࡀ࠶ࡿ῝࠸〟⒔ࡀ ࣨ᭶௨ୖࡽ࡞࠸ࡢࡣࠊ〟⒔ࢣࡀᝏ࠸ࡽ࡛ ᰿ᮏⓗࢣࢆぢ┤ࡍࡁ ༠࡛ฟࡋ࡚࠸ࡿ͆ᗋࡎࢀࢣࢼࣅ͇ࡣᅾᏯ≉ࡋ࡚ࠊᅾᏯࡢゼၥ┳ㆤᖌࠊ ࣊ࣝࣃ࣮⏝ࡘࡃࡽࢀࡓࡶࡢ࡛࠶ࡾࠊࢃࡾࡸࡍ࠸ࡢ࡛㠀ཧ⪃ࡋ࡚ḧࡋ࠸. 2㸧༠ࡢぢゎ 2 ࢻࣞࢵࢩࣥࢢࡘ࠸࡚ ࢻࣞࢵࢩࣥࢢࡘ࠸࡚ࡢ‶ࡀከ࠸ࡀࠊࡇࢀࡣ་ᖌࡀไᗘࢆࡼࡃ▱ࡽ࡞࠸ࠊ࠶. 䠉㻠㻜䠉.
(59) ࡿ࠸ࡣゼၥ┳ㆤᖌࡀไᗘࢆࡼࡃ▱ࡽ࡞࠸ࡓࡵ࡛࠶ࡿࠋ ཌ⏕ປാ┬ࡽࡢ㏻㐩࡛ࡣᢸᙜࡢ་ࡀᚲせ࡞ศࠊ㈇ᢸࡍࡁࡇ࡛࠶ࡿࠋ 㸦ࢻࣞࢵࢩࣥࢢࡢ㉁ࡘ࠸࡚ࡣ᮲௳ࡀ࠶ࡿࠋ㸧 ࡲࡓࠊࢻࣞࢵࢩࣥࢢࡢฎ᪉ࡘ࠸࡚ࠊཌ⏕ປാ┬ࡢデ⒪ሗ㓘ᨵᐃ㸦26 ᖺᗘ㸧ᣦ 㔪ࡀ࠶ࡾࠊ〟⒔ࡢ῝ࡉࠊᐷࡓࡁࡾࡢᗘྜ࠸࡞࡛ぢࡿࠋࣇ࣒ࣝᮦࡣฎ᪉ࡢᑐ㇟ እ࡛࠶ࡿࠋ. 3㸧༠ࡢぢゎ 3 ㋖〟⒔ࡀฟ᮶ࡿ 〟⒔ࡢⓎ⏕㢖ᗘࡣࠊ㦵㒊ḟ࠸࡛㋖ࡢ〟⒔ࡀከ࠸ࠋ ㋖ࡢ〟⒔ࡣⓎ⏕ࡍࡿ㝔ࡣྠࡌ㝔࡛ከࡃⓎ⏕ࡍࡿഴྥ࠶ࡿࠋ ࠸࠺ࡇࡣࠊࡑࡢ㝔࡛ࡣ〟⒔ࢣࡀᝏ࠸ࡽ㋖〟⒔ࡀฟ᮶ࡿࡢ࡛࠶ࡿࠋᝈ ⪅ࡢ㌟యࢆ⛣ືࡉࡏࡿࡁࠊࢠࣕࢵࢳࢵࣉࡢࡁ㋖ࢆᘬࡁࡎࡿࡑࡢᚋࡢ࣏ ࢪࢩࣙࢽࣥࢢࡢࡁ㋖ᅽࡀࡗ࡚࠸ࡿ࡛࠶ࡿࠋ ୗ⫥యࠊ≉⭸ࡢ࣏ࢪࢩࣙࢽࣥࢢࢆỴࡵࡓᚋᚲࡎ㋖ࡢୗᡭࢆධࢀ࡚ࡳ࡚ᅽࡀ ࡗ࡚࠸ࡿ ࠸࡞࠸ࢆࢳ࢙ࢵࢡࡋ࡞ࡅࢀࡤ࡞ࡽ࡞࠸ࠋ ࡲࡓࠊୗ⫥ࡢ࣏ࢪࢩࣙࢽࣥࢢ⤊ᚋࠊ㊊ᗏࢆᨭ࠼ࡿࡇࡶ㔜せ࡞ࢣ࡛࠶ࡿࠋ㊊ ᗏࢆᨭ࠼ࡿࡇࡼࡾ㋖ࡢⲴ㔜ࡀᑠࡉࡃ࡞ࡿࡽ࡛࠶ࡿࠋ. 4㸧༠ࡢぢゎ 4 ࣇ࣒ࣝᮦࡀ㧗࠸ ͆ᅽࡎࢀ͇ࡀࡽ࡞࠸ࡼ࠺ࠊ༴㝤࡞㒊࣏ࣜ࢘ࣞࢱࣥࣇࣝࢆ㈞ࡿࡇࡣ ᭷ຠ࡛࠶ࡿࠋ≉⾲㠃ࡢࡍࡾࡀ⌧Ꮡࡍࡿࣇ࣒ࣝࡢ୰࡛᭱ࡶࡼ࠸ࣇ࣒ࣝὀ㸦ࢫ ࣑ࢫ࣭ࣥࢻ࣭ࢿࣇ࣮ࣗࡢ࢜ࣉࢧࢺ TM ࣇࣞ࢟ࢩࣇࢵࢡࢫ㸧ࢆ⏝࠸ࡿࡢࡀⰋ࠸ࠋ ண㜵࡛࠶ࡿࡓࡵಖ㝤ࡢ་⒪㈝ࡀ࠼࡞࠸ࠋண㜵᭷ຠ࡞ࡇࡣ࢚ࣅࢹࣥࢫࡀ࠶ࡿ ࡢ࡛ண㜵࠺ࡢࡀࡼ࠸ࡇࢆཌ⏕ປാ┬ࣆ࣮ࣝࡍࡿࠋ. ὀ̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿̿ Ohura T, Takahashi M, Ohura N Jr. Influence of external forces (pressure and shear force) on superficial layer and subcutis of porcine skin and effects of dressing materials: are dressing materials beneficial for reducing pressure and shear force in tissues? Wound Rep Regen 2008;16:102-7.. 䠉㻠㻝䠉.
(60) 5㸧༠ࡢぢゎ 5 ᅾᏯ࡛ά㌍ࡍࡿ⟶⌮ᰤ㣴ኈࡀᑡ࡞࠸ ⟶⌮ᰤ㣴ኈࡢⓏ㘓ᩘࡣࠊ⣼ィ 18 ே࡛࠶ࡾࠊ10 ேࡢ⟶⌮ᰤ㣴ኈࡀാ࠸࡚࠸ࡿࡀࠊࡇࡢ ୰࡛⟶⌮ᰤ㣴ኈࡢ⤒㦂ࡀ࠶ࡿࡶࢃࡽࡎാ࠸࡚࠸࡞࠸᪉ࡀࠊ5 ேࡶ࠸ࡿࡇ࡞ࡿࠋ ⟶⌮ᰤ㣴ኈࡢ⾜࠺ᒃᏯ⒪㣴⟶⌮ᣦᑟࡢ௳ᩘࡣࠊ1 ࣨ᭶࠶ࡓࡾ⣙ 1800 ௳ኚᑡ࡞࠸ࠋ ⸆ᖌࡸṑ⛉⾨⏕ኈࡢ௳ᩘࡣቑຍࡋ࡚࠸ࡿࡢࠊ⟶⌮ᰤ㣴ኈࡢ௳ᩘࡢቑຍࡣ࡞࠸ࡢࡀၥ㢟 ࡛࠶ࡿࠋ ࡑࡇ࡛ᖹᡂ 24 ᖺࡽ᪥ᮏᰤ㣴ኈ᪥ᮏᅾᏯᰤ㣴⟶⌮ᏛࡣࠕᅾᏯゼၥ⟶⌮ᰤ㣴ኈࠖ◊ ಟࢆ㛤ጞࡋࠊ⌧ᅾྜ᱁⪅ᩘࡣ 595 ྡ࡞ࡗ࡚࠸ࡿࠋᖹᡂ 26 ᖺࡽࡣࠊᰤ㣴ࢣ㺃ࢫࢸ࣮ࢩ ࣙࣥㄆᐃไᗘࣔࢹࣝᴗࡀጞࡲࡾࠊྛ㒔㐨ᗓ┴ࡢᰤ㣴ኈᰤ㣴ࢣ㺃ࢫࢸ࣮ࢩࣙࣥࡢୗ」 ᩘࡢㄆᐃᰤ㣴ࢣ㺃ࢫࢸ࣮ࢩࣙࣥࢆタ⨨ࡋ࡚ࠊࡼࡾᆅᇦᐦ╔ࡋࡓࢿࢵࢺ࣮࣡ࢡసࡾࡀ㛤ጞ ࡉࢀࡓࡇࢁ࡛࠶ࡿࠋ 㹏㸯ࠊᅾᏯ࡛ᰤ㣴ࢆᑟධࡍࡿࠊᮏே࣭ᐙ᪘࣭ㆤ⪅ࡀ㧗㱋⪅ࡣ㣗࡞ࡃ࡞ࡗ࡚ࡶࡋࡻ࠺ ࡀ࡞࠸ࠊ↓⌮㣗ࡉࡏ࡞ࡃ࡚ࡶゝࡗࡓᵝᏊ࡛ᰤ㣴ࢆྲྀࡾධࢀࡿࡇࢆࡋ࡞࠸ࠊࡢ ᵝ࠾່ࡵࡍࡿ 㸦༠㸧୍ཱྀ࡛ࡶ㣗࡚࠸ࢀࡤࠊᏳᚰ࡛࠶ࡿࠋ㧗㱋ࡔࡽᑡ࡞ࡃ࡚Ⰻ࠸ࠋ 80 ṓࢆ㉸࠼ࡓ᪉ࡣ⭠࡛ࡢ྾ຊࠊචຊ➼ࡶపୗࡍࡿࠋ㢼㑧ࢆᘬ࠸ࡓ⛬ᗘ࡛ࡶ㣗ḧࡀ᭦ ⴠࡕᛴ⃭࡞య㔜ῶᑡ➽⫗పୗ⌧㇟ࡀ⏕ࡌࡿࠋ୍ᗘ㣗ḧࡀⴠࡕࡿᅇࡣ㠀ᖖ㞴ࡋࡃ〟 ⒔ࡀฟ᮶ࡿ༴㝤ࡶண ࡉࢀࡿࠋ ⚾㐩ࡢ㌟యࡢ⣽⬊ࡣయ 30 ᪥㸦ሙᡤࡶࡼࡿࡀ㸧࡛ቯࡉࢀࠊ᪂ࡋࡃࢥࣆ࣮ࡉࢀࡓ⣽⬊ࡣ Ỉᮦᩱࢆ࠸సࡿࡢ࡛ࠊⰋ࠸Ỉ㸦㔝⳯ࡽࡢỈࠊ⮬↛ࡢ⥡㯇࡞Ỉࠊ⏕㺚㺼㺋㺎㺛➼㸧Ⰻ࠸ᮦ ᩱ㸦㣗ࡽ㸧ࡀධࡿࡇࡼࡾඖẼ࡞㌟యࢆಖࡗ࡚࠸ࡿࠋ ᖖ㣗≀࡛㌟యࡣసࡽࢀ࡚࠸ࡿ࡞ᮏேࢆ▱ࡽࡏࡿࡇࡶษ࡛࠶ࡿࠋ ࡑࡋ࡚ࡑࡢᰤ㣴ࢆ㓟⣲୍⥴㐠ࡪᡭຓࡅࢆࡍࡿࡢࡀ➽⫗࡛ࠊ㐠ື࡛యࢆືࡍពࡶྠ ▱ࡽࡏࡿࡁ࡛࠶ࡿࠋཎⅬࢆ▱ࡽࡏ࡚ࠊ ࠕ㣗ࡗ࡚ᚲせ࡞ࢇࡔ㸟ࡶ࠺ᑡࡋ⪺࠸࡚ࡳࡓ࠸ࠖ ゝ࠺Ẽᣢࡕࠊືᶵ࡙ࡅࢆࡋ࡚ಙ㢗ࢆ῝ࡵࠊᑟධࡍࡁ࡛࠶ࡿࠋ 㹏㸰㸪ゼၥ⟶⌮ᰤ㣴ኈࡣࡇ⾜ࡅࡤ㐃ᦠ࡛ࡁࡿ 1㸧᪥ᮏᰤ㣴ኈ࣭ᮾி㒔ᰤ㣴ኈ࡛Ⓩ㘓࣭ᰤ㣴ࢣࢫࢸ࣮ࢩࣙࣥࡀⓏ㘓ࡉࢀ࡚࠸ࡿࡢ࡛ ၥྜࡏྍ⬟ࠋ 2㸧ᐇ⦼ࡢከ࠸ᅾᏯࢳ࣮࣒་⒪ᰤ㣴⟶⌮◊✲࣭ゼၥᰤ㣴ࢿࢵࢺ࣮࣡ࢡ࣭ࡽ᪥ᮏᅾᏯᰤ㣴 ⟶⌮Ꮫ㸦๓ᅜゼၥᰤ㣴◊✲㸧ၥ࠸ྜࢃࡏࡿࡼ࠸ࠋ 3㸧㹌㹎㹍ἲேすᮾி⢾ᒀ⒪㣴ኈࡸྛᆅᆅᇦ⢾ᒀ⒪㣴ኈ┦ㄯࡢࡇࠋ 4㸧⮬యࡢ୍㒊ࠊண㜵࡛ゼၥᰤ㣴ࢆᮇ㛫㝈ᐃ࡛ᐇࡍࡿࡇࡶ᭷ࡾᕷ⏫ᮧၥ࠸ྜࢃࡏ ࡍࡿࡇࠋ. 䠉㻠㻞䠉.
(61) 㠀࠾㏆ࡃࡢࢣ࣐ࢿ࣮ࢪ࣮ࣕࠊ1㸧2㸧3㸧4㸧ࡘ࠸࡚ࠊࡑࢀࡒࢀࡢ࣮࣒࣮࣍࣌ࢪ࡛☜ ࡵ࡚ၥ࠸ྜࢃࡏࡍࡿࡇࠋ(⟶⌮ᰤ㣴ኈ ᕝᡞ⏤⨾). 6㸧༠ࡢぢゎ 6 ἥࡀከ࠸ࡁࠊ⊂ᒃࡢሙྜㄡࡀࡍࡿ ࣭⊂ᒃ࡛࠶ࢀࡤࠊࡑࡢࢧ࣏࣮ࢺከ⫋✀ࡀ࠺ࡋ࡚ࡶಀࢃࡿ࡞ࡿࠋ ࣭ἥࡣᖖⓎ⏕ࡍࡿၥ㢟࡛࠶ࡿࡶࠊᇶᮏⓗ࡞ࢣ࡛࠶ࡿࠋ ࡓ࠼ࡤࠊࣜࣁࣅࣜࢆࡍࡿ㝿ࠊ౽ࡸᒀࡼࡿởᰁࡀ࠶ࢀࡤࠊࣜࣁࣅࣜࡇࢁ࡛ࡣ࡞࠸ࠋ ྠᵝࠊゼၥᰤ㣴㣗ᣦᑟࢆࡋ࡚ࡶࠊ࠾ࡋࡾࡀởࢀ࡚࠸ࢀࡤࠊᰤ㣴ᦤྲྀࡇࢁ࡛ࡣ࡞࠸ࠋ ࣭ከ⫋✀ࡀ㛵ࢃࡿࡁࡣࠊ┳ㆤᖌࡸ࣊ࣝࣃ࣮ࡔࡅ࡛ࡣ࡞ࡃࠊ㛵ࢃࡿ࡚ࡢ⫋✀ࡀἥࢣ ࡢᇶᮏᢏ⾡ࢆ㌟ࡅ࡚࠾ࡃࡇࡀᮃࡲࡋ࠸ࠊࡇࡢᵝከࡃࡢ⪅ࡀ㛵ࢃࢀࡤ㛵ࢃࡿ ࠊἥࢣࢆࢧ࣏࣮ࢺࡍࡿ⪅ࡀቑ࠼ࡿࠋ ࣭ᅾᏯ⒪㣴ࢆᢸᙜࡍࡿሙྜࠊἥࢣࡢᇶᮏᢏ⾡ࡢㅮ⩦ࡣᚲ㡲ࡍࢀࡤⰋ࠸ࡔࢁ࠺ࠋ ་ᖌጞࡲࡾࠊṑ⛉་ᖌࠊṑ⛉⾨⏕ኈࠊ⟶⌮ᰤ㣴ኈࠊPTࠊOTࠊSTࠊ⸆ᖌࠊࢣ࣐ࢿ ࣮ࢪ࣮ࣕࠊ⚟♴⏝ලᑓ㛛┦ㄯဨࠊࢣ࣮࣮࣡࢝ࠊ➼ࠎ ࡚ࡢ⪅ࡣἥࢣࡢㅮ⩦ཷㅮ ࢆດຊ┠ᶆࡍࡿⰋ࠸ࡔࢁ࠺ࠋ. 7㸧༠ࡢぢゎ 7 ୗ⫥⾑ὶ࣭㊊㛵ಀࡢ㉁ၥ ᗋࡎࢀࢣࢼࣅ 㹎162 ࡢ࣏ࣥࢺ ୗ⫥ᚠ⎔ჾ㸦⾑ὶ㸧ࡢ㊊ኚࢆ㏻ᖖࡢእയᛮࡗ࡚ᢅ࠺ࠊኚ࡞ࡇ࡞ࡿ㸦㔜 ࡀ㐍⾜ࡍࡿ㸧ࠋᚑࡗ࡚㊊ኚࡀ⾑ὶࡼࡿࡶࡢ࠺ࢆุᐃࡍࡿࡇࡀ➨୍࡛࠶ ࡿࠋヲ⣽ࡣ͆ᗋࡎࢀࢣࢼࣅ͇㹎162 ཧ↷ࡢࡇࠋ. 䠉㻠㻟䠉.
(62)
(63) ➨Ϭ㒊 ཌ⏕ປാ┬࠾㢪࠸.
(64) 1.ࡢ⿕そᮦࡢฎ᪉ࡘ࠸࡚ࡣ㹢3 ࡢ῝ࡉࡢᝈ⪅ࡋฎ᪉࡛ࡁ࡞࠸ࡀࠊ㹢2 ࠾࠸࡚ࡶฎ ᪉࡛ࡁࡿࡼ࠺࠾㢪࠸ࡋࡓ࠸ࠋ ࠼ࡤ⌧≧࡛ࡣࠊὸ࠸₽⒆ࡢሙྜࢹࣗ࢜ࢡࢸࣈࡸ᭱㏆ࡢࢻࣞࢵࢩࣥࢢࢆฎ᪉࡛ࡁ࡞ ࠸ࠋࡋࡋࠊࢹࣗ࢜ࢡࢸࣈࡸ᭱㏆ࡢࢻࣞࢵࢩࣥࢢࡢฎ᪉ࡀྍ⬟࡞ࢀࡤࠊ3-4 ᪥ᣢ ⥆㈞ࡀฟ᮶ࠊୟࡘࠊㆤ⪅ࡢ㈇ᢸࡢ㍍ῶࡘ࡞ࡀࡾࠊࢻࣞࢵࢩࣥࢢᮦࡢ㈝⏝ῶᑡࡶ ࡞ࡿࠋ 2.ᐷࡓࡁࡾᝈ⪅ࡋ⟬ᐃ࡛ࡁ࡞࠸ࡓࡵࠊ㌴᳔Ꮚࡸ㞀ᐖ⪅ฎ᪉࡛ࡁ࡞࠸ࠋ 3.ண㜵ⓗࣇ࣒ࣝᮦࡢ⏝ࡣຠᯝⓗ࡛࠶ࡿࡇࡣ࢚ࣅࢹࣥࢫࡀ࠶ࡿࠋ⌧ᅾࡣண㜵ࡋ࡚ ⏝࡛ࡁ࡞࠸ࠋ 㸦⮬㈝࡞ࡿ㸧〟⒔ࡢᝏࢆ㜵ࡄࡓࡵᚲせ࡛࠶ࡿࠋ 4.ᅾᏯᐷࡓࡁࡾᝈ⪅ຍ⟬ࡣࠊ デ୍࢝ᡤࡋ⟬ᐃ࡛ࡁ࡞࠸ࠋ ࡑࡢࡓࡵࠊෆ⛉ࡀ デࡋ࡚⟬ᐃࡋࡓሙྜࠊ⓶⛉ࡀ デࡋ࡚ࡶฎ᪉ࡍࡿࡓࡵࡣෆ⛉་ ࡢㄪᩚ➼ࡀᚲせ࡞ࡿࠋ. 䠉㻠㻢䠉.
(65)
(66)
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