⪯ἠ┫㆜Ꮥ◂✪ࠈSeisen J. Nurs. Stud., Vol. 2. pp.59-67, 2013
研究ノート
࣭࣭࢞࣠ࢺࠈᚃ㧏㱃⩽㸡㆜⩹ெ⚗♬᪃シ㸡⎌ሾን㸡⏍Ὡ⎌ሾ㸡㐲ᚺこᅄ Key Words very elderly people㸡special nursing homes for the elderly㸡
ࠈࠈࠈࠈࠈࠈchange in environment㸡living environment㸡the factors of adaptation
抄 録
⫴ᬊࠈ㎾ᖳ㸡こ㆜≟ឺࡡᚃ㧏㱃⩽ࡢ᛬ቌࡊ㸡᪃シฺ⏕ࢅ⮤ࡼ㐽ᢝࡌࡾណྡྷࡵࡲࡼࡿࡾ㸣ࡊ࠾ࡊ 㧏㱃⩽࡞࡛ࡖ࡙ ᪃シථᡜ࡞ࡻࡾ⎌ሾንࡢ㸡㔔ኬࣛࢪࢠ࡞ࡗࡾ㸣 ┘Ⓩࠈ㆜⩹ெ⚗♬᪃シථᡜ࡞ࡻࡾᚃ㧏㱃⩽ࡡ⏍Ὡ⎌ሾን࡞㐲ᚺࡌࡾࡒࡴࡡこᅄࢅ᪺ࡼ࠾࡞ࡌࡾ㸣 ᪁Ἢࠈྜྷណᚋࡼࡿࡒ㆜⩹ெ⚗♬᪃シ࡞ථᡜ࢜᭮ࡡ ṋࡡᑊ㇗Cࡈࢆ࡞㸡ࣤࢰࣄ࣭ࣖㄢᰕࢅ⾔ࡖࡒ㸣ࡐࡊ࡙㏪ㄊ 㘋ࢅషᠺࡊࡒᚃ㸡KJἪࡡᡥἪࢅ⏕࠷࡙㈹Ⓩ࡞ฦᯊࡊࡒ㸣 ⤎ᯕ࣬⩻ᐳࠈKJἪࡡ⤎ᯕࡡཱིࣚ࣊ࣜࡽฝࡈࡿ㸡ࣚ࣊ࣜࡢࡡᓞ࡞ฦ㢦ࡈࡿࡒ㸣ࡱࡒࡆࡿࡼࡡᓞ࠾ࡼࡡ⾪ ᮈࢅฝࡊࡒ㸣ࡆࡿࡼࡡฦᯊࡻࡽ㸡⏍Ὡ⎌ሾࡡ㐲ᚺ≟ឺ࡞ࡢ࠘⏍Ὡࡡ▩ᜠࡷึ᩷ງ࡞ᇱࡘ࠷࡙ᑊฌ⾔ິ࡛ࡿࡾ࠙࠘⮤ ฦࡡᑽሔᡜỬࡴࡼࡿࡾ࠙࠘⫃ဤࡡࢢ㐲ว࡚࠵ࡾ࠙࠘㟴࠾࡚⮤↓ࢅវࡋࡾ⎌ሾ࠵ࡾ࠙࠘ᐓ᪐ᨥ࠻࡞ࡖ࡙࠷ࡾ࠙ ࡡࡗࡡこᅄ㛭㏻ࡊ࡙࠷ࡾࡆ࡛᪺ࡼ࠾࡞ࡖࡒ㸣 ⤎ㄵࠈ㆜⩹ெ⚗♬᪃シථᡜ࡞ࡻࡾᚃ㧏㱃⩽ࡡ⏍Ὡ⎌ሾࡡ㐲ᚺ≟ឺࢅ㈹Ⓩ࡞ฦᯊࡊࡒ⤎ᯕ㸡 ࡗࡡ㐲ᚺこᅄࡡ㛭 ㏻᪺ࡼ࠾࡞ࡖࡒ㸣Abstract
BackgroundࠈAs the aging of society progresses rapidly in Japan㸡the number of elderly with care needs is rising
sharply㸣Yet㸡living in a facility brings about a change in environment㸡which can have serious risks for the elderly㸣
ObjectiveࠈThe purpose of this study was to reveal the status of adapting to the living environment among the
very elderly in special nursing homes㸣
MethodsࠈThe 94-year-old woman living at a special nursing home for the elderly in Prefecture A for 8 months
was interviewed after providing consent to participate㸣Verbatim transcripts of the interview were made㸡and the content was qualitatively analyzed using the KJ method㸣
Results/DiscussionࠈThe total of 66 labels were extracted from the analysis㸡 and the labels were classified into
20 islands㸣From these islands㸡11 nameplates were extracted㸣The analysis revealed that the 94-year-old woman had adapted to her living environment㸡and this adaptation was correlated with the following five factors: “can adopt coping behavior based on wisdom regarding living and judgment,” “can make decisions about where to live,” “care provided is appropriate,” “presence of a natural environment in which one can live at peace and quiet,” and “family is a source of support.”
ConclusionsࠈWe analyzed using the KJ method adaptation to the living environment among the very elderly
in special nursing homes㸣The 94-year-old woman had adapted to her living environment㸡and this adaptation was correlated with the five factors㸣
介護老人福祉施設入所による生活環境変化に適応するための要因
−後期高齢者のインタビュー調査より−
Elderly Adjusting to the Living Environment in Special Nursing Homes
− The Elderly Were Interviewed −
⏛ཋࠈ⫩ᜠ
㸞㸟㸡ᇷහࠈ⨶⏜⣎
㸞㸡
Ꮽ⏛ࠈ༐ᑋ
㸞㸡
➼ࠈᏄ
㸞㸡
ኯ⏛ࠈ⟿Ꮔ
㸞Ikue Tahara㸡Miyuki Horiuchi㸡Chizu Yasuda㸡Sachiko Tsutsui㸡 Setsuko Ota
㸞⪯ἠኬᏕ┫㆜Ꮥ㒂ࠈSchool of Nursing㸡Seisen University
*E-mail㸯tahara-i㸵seisen.ac.jp
Ϩ㸣⥬ࠈゕ
ࠈ᛬⃥㧏㱃㐅ࡳࢂᅗ࡚ࡢ㸡㧏㱃࡞࠽ࡄ ࡾ༈⒢࣬㆜ࡢ♣ఌⓏၡ㢗࡛ࡖ࡙࠷ࡾ㸣 ᖳ⌟ᅹ㸡ࢂᅗࡡ㧏㱃⩽ୠᖈᵋᠺࡢ㧏㱃⩽ኰ፦ୠ ᖈ࡛༟≺ୠᖈ༖ᩐࢅ㉰࠻㸡ᚃࡈࡼ࡞ᚃ㧏㱃 ⩽ቌ࠻ࡾࡆ࡛ず㎰ࡱࡿ࡙࠷ࡾ㸝㧏㱃⩽♣ఌⓉ ᭡㸡㸞㸣ࡐࡊ࡙ᅆምࡡୠࡢ⌟ᅹࡡ㧏㱃⩽࡛ ࡡណㆉ␏ࡽ㸡ெ㔔ちࡡ౮ೋびࡷ⚗♬ࢦ࣭ࣄ ࢪࡡུ⤝⩽࡛ࡊ࡙ࡡᶊฺណㆉࢅᣚࡖࡒ᩺ࡊ࠷㧏㱃⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞 ࡾណㆉࡢኣᵕࡊ࡙࠽ࡽ㸡㆜ࢅུࡄࡾሔᡜ࡛ࡊ ࡙⮤Ꮹ௧አ࡞ࡵ᪃シࡷ㝌ࢅ㐽ᢝࡌࡾណྡྷ♟ࡈ ࡿ࡙࠷ࡾ㸝හ㛮ᗋ᪃➿⤣ᣋᏻ㸡㸞㸣ࡊ࠾ࡊ᪃ シථᡜࢅ㐽ᢝࡊࡒሔྙࡡ⎌ሾን㸡㧏㱃⩽࡞࡛ ࡖ࡙㔔ኬࣛࢪࢠ࡛ࡾሔྙ࠵ࡾ㸣 ࠈࡆࡡ⎌ሾን࡞ᑊࡌࡾ㐲ᚺࡢ㸡Lawtonࡼࡡ⎌ ሾ㐲ᚺ⬗ງ࡛⎌ሾᅸࡡ⌦ㄵ࡚ㄕ᪺ࡈࡿ࡙࠷ࡾ㸣ࡆ ࡡ⌦ㄵ࡞࠽ࡄࡾ⎌ሾ㐲ᚺ⬗ງ࡛ࡢᗛ࡛វつᶭ ⬗࣬ヾ▩⬗ງ࣬⮤ᠻࡡᙁࡈࢅ♟ࡊ㸡ࡱࡒ⎌ሾ ᅸ࡛ࡢ≁ᏽࡡ⎌ሾ࡚ெ࡞ịࡴࡼࡿࡾ⾔ິࡡこ ịࡡ⛤ᗐࢅ♟ࡌ㸣ࡐࡊ࡙ࡆࡡ⎌ሾ㐲ᚺ⬗ງ࡛⎌ሾ ᅸ࡛ࡡ┞பࡡ㛭౿࠾ࡼ㸡⎌ሾን࡞ᑊࡌࡾ㐲ᚺ 㐅ࡳ㸝ఫࠍᮄ㸡㸞㸣ࡊ࠾ࡊ᪃シ࡞ථᡜࡌࡾᚃ 㧏㱃⩽ࡡኣࡂࡢ㸡ᗛࡷヾ▩⬗ງࡡୖヾࡴ ࡼࡿ࡙࠽ࡽ㸡⎌ሾࡡ㐲ᚺ⬗ງࡢࡂࡾࡆ࡛ ῼࡈࡿࡾ㸣≁࡞ヾ▩ࡡ࠵ࡾெࡢ㸡⎌ሾን࡞ ࡻࡖ࡙ࢪࢹࣝࢪࡷ⢥♼Ⓩࢱ࣒࣭ࢩ㸝௧ᚃ㸡ࣛࣞࢢ ࣭ࢨࣘࣤࢱ࣒࣭ࢩ࡛♟ࡌ㸞ࢅུࡄࡷࡌࡂ㸡ࡆࡿ࡞ ࡻࡽヾ▩ࡡࡈࡼࡾ㐅⾔ࡷΊࢅᘤࡀ㉫ࡆࡌ࡛ ⩻࠻ࡼࡿ࡙࠽ࡽ㸡ヾ▩㜭ࡷヾ▩ࢢࡢ㔔こ ㄚ㢗࡛ࡖ࡙࠷ࡾ㸣ࡗࡱࡽ⎌ሾࡡ㐲ᚺ⬗ງ ࠷㧏㱃⩽࡞࡛ࡖ࡙㸡㐲ᚺ࡚ࡀࡾ⎌ሾࡢ㝀ࡼࡿࡒࡵ ࡡ࡚࠵ࡽ㸝ఫࠍᮄ㸡㸞㸡㐲ᚺࢅ㉫ࡆࡌࣛࢪ ࢠ㧏ࡂࡾࡆ࡛ࢅណࡊ࡙࠷ࡾ㸣 ࠈ ⩹ ᖳ ࡡ 㐲 ᚺ ࡞ 㛭 ࡊ ࡙ ࡢ㸡 ࢤ ࣭ ࣅ ࣤ ࢡ ⌦ ㄵ 㸝 ௴ Ꮔ㸡㸞 ࡷࡗ ࡡ ᗛ ࣓ ࢸ ࣜ㸝Sumith㸡 㸞ࡡ୯࡚㐲ᚺ࣓ࢸࣜ♟ࡈࡿ࡙࠷ࡾ㸣ࡐࡊ࡙ ⩹ᖳࡡⓆ㐡ㄚ㢗㸝Havighurst㸡 㸰Erikson㸡 㸞ࢅゆỬࡊ㸡ࡱࡒ⩹ᖳࡓࡄ࡚ࡂ୯ᖳ࠾ ࡼࡡንࡵ࡛ࡼ࠻㸝けᮟ㸡 㸰㧏ᶣ㸡ἴኣ㔕㸡 㸞㐲ᚺࡊ࡙࠷ࡂࡆ࡛࡞ࡻࡖ࡙ࢦࢠࢬࢪࣆ࢙ࣜ ࢩࣤࢡ࡞⮫ࡾኣࡂࡡ▩ず♟ࡈࡿ࡙࠷ࡾ㸣 ࡈࡼ࡞⩹ᖳࡡ㐲ᚺこᅄ࡞㛭ࡌࡾ◂✪࡚ࡢ㸡ெ ࡡࣂ࣭ࢮࢻࣛࢷ࣭ኬࡀࡂᙫ㡢ࡊ࡙࠽ࡽࠔ⏍Ꮛ࣬ ᗛ࣬㊂ᗐ࣬ᖶ⚗ᗐࠕࡡこᅄ㛭౿ࡊ࡙࠷ࡾ࡛ ㏑ࡼࡿ࡙࠷ࡾ㸝palmore㸡 㸞㸣ࡱࡒᮇ࡞ ࠽ࡄࡾẒ㍉Ⓩᗛ≟ឺࡡⰃይ㧏㱃⩽ࢅᑊ㇗࡛ࡊ ࡒᖶ⚗វࡡㄢᰕ࠾ࡼࡲࡒ㐲ᚺᵋ㏸ࡡ◂✪࡚ࡢ㸡ࠔὩ ິ⬗ງ࣬ᚨ⌦Ⓩᖳ㱃࣬⮤ᕤࡡ⤣ྙ࣬⏍Ὡ㊂ᗐࠕ ࡛࠷࠹ᴣᛍ᭯ណ࡞㛭㏻ࡊࡒ࡛ሒ࿈ࡈࡿ࡙࠷ࡾ 㸝㯦⏛㸡㸞㸣ࡊ࠾ࡊᐁチⓏ◂✪ࡢᑛࡂ㸡⌟ᅹ ࡡᮇࡡᚃ㧏㱃⩽࡞㐲ࡊ࡙࠷ࡾ࠾ࡢ᪺ࡼ࠾࡛ࡢ ࠷࠻࠷㸣 ࡋࡲࡡ⏍Ὡ㸝⎌ሾ࣬㛭౿࣬ᬵࡼࡊ᪁㸞ࡡ⤽⤾ࡷ ࡻ࠷វࢅᘤࡀ㉫ࡆࡌࡀࡖ࠾ࡄ࡛ࡾᛦ࠷ฝࡡဗ ᭯ຝ࡚࠵ࡾࡆ࡛ሒ࿈ࡈࡿ࡙࠷ࡾ㸝୷ᒜࡼ㸡㸰 ᓞ㸡㸰Brooker㸡㸞㸣 ࡊ ࠾ ࡊ ࡼ㸡 ࡆࡿࡼࡢ㧏㱃⩽ࡡᖏ⏍Ὡ⾔ິࢅびᐳࡊࡒᐂびⓏ ሒࢅㄢᰕࡊࡒᐁ㊮ሒ࿈ኣࡂ㸡ኣᵕ⏍Ὡ Ṍ࣬౮ೋびࢅᣚࡗᙔ⩽⎌ሾንࢅࡡࡻ࠹࡞ ࡛ࡼ࠻࡙࠷ࡾࡡ࠾ᙔ⩽ちⅤ࠾ࡼࡡ◂✪ሒ࿈ࡢ ࡛ࢆࡲࡼࡿ࠷㸣ୌ᪁㆜⩹ெ⚗♬᪃シࡡᚃ 㧏㱃⩽ࢅᑊ㇗࡛ࡊࡒ◂✪࡚ࡢ㸡⌟ᅹࡡ⏍Ὡ࡞ᑊࡊ ࡙㸡ࠔᐓ᪐࡛ୌ⥬࡞ᬵࡼࡊࡒ࠷ᐓ᪐ࡡ࠽Ⲭ∸࡞ ࡢࡽࡒࡂ࠷ࠕ࡛࠷࠹⮤ᕤࡡḟị࡛ᐓ᪐ࡡẴ 㐭࠷㸡ࠔ᪃シ⏍Ὡ࡞ᑊࡊ᪃シ⏍Ὡࡼ࡚ࡢࡡᏭᚨ វ࠵ࡾུࡄ㌗࡚ࡊ࠾࠷᪃シࡡ⏍Ὡࡢណ࡞Ἒ ࢂ࠷ࠕ࡛┞ཬࡌࡾᛦ࠷ࢅᢢࡀࡼ⏍Ὡࡊ ࡙࠽ࡽ㸡ࡐࡡᛦ࠷ࢅᛍ㢄࡞⨠࠷ࡒ⌟ᐁࡡណࡘࡄ ࡡ㛭ࢂࡽ㔔こ࡚࠵ࡾࡆ࡛࡛♟ࡈࡿ࡙࠷ࡾ㸝⸠ ᕬ㸡㸞㸣ࡆࡿࡼࡻࡽ᪃シථᡜࡊ࡙࠷ࡾᚃ㧏 㱃⩽ࡢᮇᚨࢅᢒ࠻ࡼ⌟ᐁࡡ⏍Ὡ࡛ྡྷࡀྙࡖ࡙ ࠷ࡾࡆ࡛᥆ᐳ࡚ࡀࡾ㸡ථᡜ࡞ࡻࡾ⎌ሾን ࡡ㐲ᚺࡢ᪺ࡼ࠾࡚ࡢ࠷㸣 ࠈࡊࡒࡖ࡙㐲ᚺࢅ㉫ࡆࡊࡷࡌ࠷ᚃ㧏㱃⩽ࡡ ᪃シථᡜ࡞ࡻࡾ㐲ᚺこᅄࢅ᪺ࡼ࠾࡞ࡌࡾࡆ࡛ࡢ㸡 ᚃࡵቌຊず㎰ࡱࡿࡾᚃ㧏㱃⩽ࡡ᪃シථᡜ࡞ ఔ࠹⎌ሾ㐲ᚺࢅ㍅΅ࡈࡎᏭᚨࡊ࡙㐛ࡇࡎࡾ⏍Ὡ ⎌ሾࡡᥞ౩࡞ᙲ❟ࡗ࡛⩻࠻ࡾ㸣ࡐࡆ࡚ᮇ◂✪࡚ࡢ㸡 ௧୕ࡡࡻ࠹びⅤ࠾ࡼᏭᏽࡊࡒථᡜ⏍Ὡࢅ㏞ࡖ࡙ ࠷ࡾ ṋࡡᚃ㧏㱃⩽ࢅᑊ㇗࡛ࡊࡒ㸣ࡐࡊ࡙㸡 ㆜⩹ெ⚗♬᪃シ࡞࠽ࡄࡾᚃ㧏㱃⩽ࡡ⏍Ὡ⎌ሾን ࡞㐲ᚺࡌࡾࡒࡴࡡこᅄࢅ᪺ࡼ࠾࡞ࡌࡾࡆ࡛ࢅ┘ Ⓩ࡛ࡊࡒ㸣ࠈࠈࠈ ࠈ
ϩ㸣◂✪┘Ⓩ
ࠈ㆜⩹ெ⚗♬᪃シࡡථᡜ࡞ࡻࡾ⏍Ὡ⎌ሾࡡን ࡞ᚃ㧏㱃⩽㐲ᚺࡌࡾࡒࡴࡡこᅄࢅ᪺ࡼ࠾࡞ ࡌࡾ㸣㹐⏕ㄊࡡ᧧షⓏᏽ⩇㹒
㸦㸣
ࠔ⏍Ὡ⎌ሾࠕ
ࠈࠔ⏍Ὡ⎌ሾࠕ࡛ࡢ᪃シࡡᩔᆀහአࡢၡࢂࡍ㸡ᑊ ㇗⩽ࡡᖏ⏍Ὡ⾔ິࡲࡼࡿࡾ᪃シ⏍Ὡᅥᇡࡡெ Ⓩࡱࡒࡢ∸Ⓩ⎌ሾ࡛ᏽ⩇ࡘࡄࡒ㸣Seisen J. Nurs. Stud., Vol. 2. 2013
㸧㸣
ࠔ㐲ᚺ≟ឺࠕ
ࠈࠔ㐲ᚺ≟ឺࠕ࡛ࡢ᪃シථᡜᚃࡡ⏍Ὡ⎌ሾࡡᵕࠍ ๆ⃥ࢅུࡄḾࡴ㸡ࠍࡡᬵࡼࡊࢅᏭᏽࡈࡎࡻ࠹ ࡛ຑງࡊ㸡ெ࡛⮤↓Ⓩ࣬♣ఌⓏ⎌ሾ࡛ࡡ㛣࡞ይࡱ ࡊ࠷㛭౿⥌ᣚࡈࡿ㸡ெࡡḟịࡐࡿࡼࡡ⎌ሾ ࡛ㄢࡊ㸡ⴘࡔ╌࠷࡙ᬵࡼࡎࡾࡆ࡛࡚ࡀࡾ≟ឺ ࡛ᏽ⩇ࡘࡄࡒ㸝ᮄᓞࡼ㸡㸰ᮇ⩹ᖳ⾔ິ⛁Ꮥ Ꮥఌ㸡㸞㸣Ϫ㸣◂✪᪁Ἢ
㸦㸣ࢸ࣭ࢰࡡ㞗᪁Ἢ
㸦㸞ㄢᰕ㛣 ࠈㄢᰕ㛣ࡢ㸡ᖳ᭮㹳 ࡚᭮࠵ࡖࡒ㸣 㸧㸞◂✪ᑊ㇗ ࠈA┬B㆜⩹ெ⚗♬᪃シ࡞ථᡜࡊ㸡㸝㸞㹳㸝㸞 ࡡ᮪௲ࢅࡒࡊㄢᰕ࡞ྜྷណᚋࡼࡿࡒྞࡡ⩽࡛ ࡊࡒ㸣㸝㸞⩹ᖳࡢெᕣኬࡀࡂ⎌ሾ㐲ᚺ࡞㛏 㛣ࢅこࡌࡾࡆ࡛ኣ࠷ࡒࡴථᡜᚃᖳ௧හ࡛ࡊ ࡒ㸝㸞మㄢᏭᏽࡊ࡙࠷ࡾ㸝㸞⛛ິິష⮤❟ ࡊ࡙࠷ࡾ㸝㸞ఌヨ࡞ࡻࡾណᛦ㏳࡚ࡀࡾ 㸨㸞ᑊ㇗⩽ࡡᴣこ ࠈᑊ㇗ࡡCࡈࢆࡢ ṋ㸡ዥᛮ㸡こ㆜ᗐ㸡ヾ▩ 㧏㱃⩽ᖏ⏍Ὡ⮤❟ᗐึᏽᇱ‵Ϩ㹳ϩ࡚࠵ࡖࡒ㸣 ⌟Ṍࡢ♼⤊ᅄᛮ⭜⬌㸝⭜⬌හ⏻⨠࢜ࢷ࣭ࢷࣜ ථ㸞࡛⢶ᑺ࡚࠵ࡖࡒ㸣⛛ິᡥṹࡢ㌬Ꮔࢅ⏕ ࡊ㸡⛛ິࡢ⮤ງ࡚ྊ⬗࡚࠵ࡖࡒ㸣ථᡜ๑ࡢᅹᏩ࡚ ≺ᑽ⏍Ὡࢅ㏞ࡖ࡙࠽ࡽ㸡ㄢᰕⅤ࡚ࡢථᡜᚃ⣑ ࠾᭮⤊㐛ࡊ࡙࠷ࡒ㸣㎾ᡜ࡞ፃᐓ᪐ᅹపࡊ㢎⦶ ࡞㟻ఌ࡞ᮮ࡙࠽ࡽ㸡ᑽᐄ࡞ࡢᏘ࣬ࡥᏘࡒࡔࡡ┷ 㣥ࡼࡿ࡙࠷ࡒ㸣ࣆ࣭࡚ࣞୌ⥬࡞ఌヨࡌࡾ≁ᏽ ࡡථᑽ⩽ࡵ࠽ࡽ㸡Ꮽᏽࡊࡒ⏍Ὡ≟Ἓࡓࡖࡒ㸣 㸩㸞ᑊ㇗⩽ࡡ⏍Ὡ⫴ᬊ㸝᪃シᴣこ㸞 ࠈA┬B㆜⩹ெ⚗♬᪃シࡢ㸡㇇࠾⮤↓࡞ᅑࡱ ࡿࡒᆀᇡ࡞࠽࠷࡙ධᐄᐄࡡࣗࢼࢴࢹࢢ㸝 ᖳ࡞โᗐࡈࡿࡒᴏ࡚㸡ᑛெᩐ࡚ᐄ࡛ࣛࣄࣤ ࢡࡡࡻ࠹භ᭯✭㛣ࢅᣚࡔࡼ㸡⏍Ὡ༟న࡛ ㆜༟నࢅୌ⮬ࡈࡎࡒࢢ㸞ࢅᐁ᪃ࡊ࡙࠷ࡾ㸣 ᐖᏽဤᩐࡢྞ࡚㸡㛏ථᡜ࣬▯ථᡜ࣬㏳ᡜ ㆜ࡡᴏࢅ⾔ࡖ࡙࠷ࡾ㸣᪃シᵋ㏸ࡢ㝭ᖲᒁ࡚ ࠵ࡽ㸡ᑽపࢪ࣭࣋ࢪࡢࣗࢼࢴࢹ࡞ฦ࠾ࡿ࡙࠷ࡾ㸣 ࡐࡡ㸡᪃シහ࡞࠽࠷࡙ࡵῺ࠾ࡲវࡋࡼࡿࡾࡻ ࠹ᮄࡷ➁ࢅኣࡂ࠷㸡⮤↓ࡡකវࡋࡼࡿࡾࡻ ࠹ኮ✾ࡡ࠵ࡾ㏳㊨࠵ࡾ㸣ࡱࡒࣗࢼࢴࢹࡡථࡽཾ ࢅฝࡾ࡛㸡᪃シහࡡᗧୖࡡࡼࡦ࡞ᑽ㒿ᒁࡷ㖱… ࡡᬦ⡐ず࠻ࡾ㸣㣏࡞ࡾ࡛ྋᡜ࠾ࡼ㤮ࡾ⅍ ࡀࡒ࡙ࡡࡇ㣜ࡡ࠷ࡌࡾ㸣ࡈࡼ࡞ࡢ≗࡛よࡿྙ ࠻ࡾሔᡜࡷ㸡⋖㛭๑࡞ࡢ┷ᒈ࠵ࡖࡒ㸣ᐓᗖ࡛ ⏣හវࡋࡼࡿࡾࡻ࠹⎌ሾㄢᩒᅒࡼࡿ࡙࠷ࡒ㸣 㸪㸞ࢸ࣭ࢰ㞗ࡡ᪁Ἢ࡛⏻ណⅤ ࠈࢸ࣭ࢰ㞗ࡢ༖ᵋ㏸Ⓩ㟻Ἢࢅᐁ᪃ࡊࡒ㸣ࣤ ࢰࣄ࣭ࣖࡡ㡧┘ࡢ㸡㸝㸞ࡆ࡞࠷ࡾࡆ࡛ⴘࡔ╌ ࡂࡡ࠾㸝㸞∸ᚸࡿ࡚ᅏࡖ࡙࠷ࡾࡆ࡛㸝㸞࡞ ᛦ࠹ࡆ࡛㸝㸞ᚨ㒼࡞ᛦ࠹ࡆ࡛㸝㸞ࡐࡡᅏࡖ࡙ ࠷ࡾࡆ࡛࡛ࡊࡒ㸣ᑊ㇗⩽ࡡమㄢⰃࡷΊࢅᣅࡂ ᖏ⏍Ὡ࡞ᨥ㝸࡚࠷ࡻ࠹㒼៎ࡊࡼ㸡 ᛦ࠷ࢅ⮤⏜࡞ㄊࡿࡾࡆ࡛ࢅណㆉࡊࡒ㸣ࣤࢰࣄࣖ ࣭හᐖࡢᢆㅑࢅᚋ࡙㘋㡚ࡊࡒ㸣㟻ሔᡜࡢᏭࡷ Ίࢅᢢ࠾ࡎ࠷ࡻ࠹ࡋࡲ࡚࠵ࡾᑽᐄ࡚⾔ࡖࡒ㸣 ᑊ㇗⩽ࡡ⏍Ὡ⎌ሾ㸡ᗛ≟Ἓ㸡ᖏ⏍Ὡິషࡷ⏍ Ὡࢪࢢࢩ࣭ࣖࣜࡡᇱ♇ሒࡢ㸡᪃シ⫃ဤ࠾ࡼ ሒ㞗ࢅ⾔ࡖࡒ㸣㸧㸣ฦᯊ᪁Ἢ
ࠈ㘋㡚හᐖ࠾ࡼ㏪ㄊ㘋ࢅషᠺࡊࡒᚃ㸡ᑊ㇗⩽ࡡ⮤ ᕤỬᏽ࣬⮤ᕤ㐽ᢝࡈࡿࡾ⾔ິሔ㟻ࡷ⏍Ὡ⎌ሾ ࡞㛭ࡌࡾ㔔こሔ㟻࡛ណහᐖࢅ㏪ㄊ㘋࠾ࡼฝ ࡊࡒ㸣ࡈࡼ࡞KJἪࡡᡥṹࢅ⏕࠷࡙◂✪⩽㛣࡚⧖ ࡽ㏁ࡊ᳠ゞࡊ㸡ࣚ࣊ࣜࡊࡒ㸣ḗ࡞ཱིࡽฝࡊࡒࣚ ࣊ࣜ࠾ࡼ㢦జࡊࡒࡵࡡࢅฦ㢦࣬ᩒ⌦ࡊ࡙ᓞࢅฝ ࡊ㸡ᓞࡡࢾ࣭࣐ࣤࢡࢅࡄࡒ㸣ࡐࡊ࡙ᓞࡡභ㏳ ᛮࢅ⾪ᮈ࡞⾪ࡊ㸡ெⓏᅄᏄ࡛⎌ሾⓏᅄᏄ࡞ฦ㢦 ࡊ⾪ᮈࡡ㛭㏻ᅒࢅషᠺࡊࡒ㸣ฦᯊ㐛⛤ࡢ㈹Ⓩ◂ ✪ࡡࢪ࣭ࣂ࣭ࣁࢧ࣭࡛࡛ࡵ࡞᳠ゞࡊ㸡ಘ㢏ᛮ࡛ ጂᙔᛮࢅ☔ಕࡊࡒ㸣 ࠈ㸨㸣⌦Ⓩ㒼៎
ࠈ๑࡞᪃シ⫃ဤ࠾ࡼᑊ㇗⩽࠽ࡻࡦࡐࡡᐓ᪐࡞ᑊ ࡊ࡙㸡ㄢᰕࡡ┘Ⓩ࣬༝ງࡡ౪㢏࣬༌ྞᛮࡡಕᣚ࣬ ◂✪┘Ⓩ௧አ࡞⏕ࡊ࠷ᩝ᭡࠽ࡻࡦཾ㢄 ࡚ㄕ᪺ࡊ࡙ࡵࡼ࠷㸡⮤ࡼࡡ⮤⏜ណᛦ࡞ᇱࡘࡀᮇெ ࡛ᐓ᪐࠾ࡼྜྷណ᭡࠽ࡻࡦㅑࢅᚋࡒ㸣ࡱࡒㄢᰕᙔ ࡞ࡵ㸡ᑊ㇗⩽࡞ࡆࡡㄢᰕࡡྜྷណࢅᚋ࡙࠾ࡼ㘋 㡚ࡊࡒ㸣࠽㸡ᮇ◂✪ࡢ◂✪⩽ࡡᡜᒌࡌࡾኬᏕࡡ ⌦ጟဤఌࡡᢆヾࢅᚋ࡙ᐁ᪃ࡊࡒ㸣㸝⪯ἠኬᏕ ⌦ᐼᰕఌѸ㸞 ࠈ ㆜⩹ெ⚗♬᪃シථᡜ࡞ࡻࡾ⏍Ὡ⎌ሾን࡞㐲ᚺࡌࡾࡒࡴࡡこᅄ⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞
㸦㸣ฦᯊ⤎ᯕ
ࠈ㟻㛣ࡢ⣑ฦ࡚࠵ࡖࡒ㸣㟻ࡡ㏪ㄊ㘋㸝 ᩝᏊ㸞࠾ࡼ㸡ᩝ⬞ࡡណහᐖ࡞ᇱࡘࡀᯓࡡࣚ࣊ ࣜࢅཱིࡽࡓࡊࡒ㸣ࡐࡡࣚ࣊ࣜࡡහᐖ㢦జࡊࡒࡵ ࡡࢅฦ㢦࣬ᩒ⌦ࡊࡒ⤎ᯕ㸡ࡡᓞฝࡈࡿ ࡒ㸣ࡐࡊ࡙ᓞࡡභ㏳ᛮࢅ⾪ࡊ࡙࠷ࡾ⾪ᮈࡢ㸡 ฝࡈࡿࡒ㸣ࡆࡿࡼࡡරమⓏහᐖࡡ⤎ᯕࢅ⾪ ࡞♟ࡊࡒ㸣ࡈࡼ࡞ࡐࡡ⾪ᮈྜྷኃࡡ㛭౿ᛮࢅ᳠ゞࡊ㸡 ✭㛣㒼⨠ࡊࡒ㛭౿ᅒࢅᅒ࡞♟ࡊࡒ㸣࠽⾪ᮈࡢ ࠘ࠈ࠙㸡ᓞࡢࠜࠈࠝ㸡ࣚ࣊ࣜࡢࠔࠈࠕ࡚♟ࡊࡒ㸣 㸦㸞࠘㛣ࢅ࠾ࡄ࡙㤾ࢆࡓ᩺ࡊ࠷పࡱ࠷࠙ ࠈࡆࡡ⾪ᮈ࡚ࡢࠜ㛣ࢅ࠾ࡄ࡙ៈࡿ࡙ࡀࡒࠝࠜ⮤ ฦࡡᐓ࡛ୌ⥬࡞ᛦ࠻ࡾࡻ࠹࡞ࡖࡒࠝࡡࡗࡡᓞ ࡲࡼࡿࡒ㸣ࠜ㛣ࢅ࠾ࡄ࡙ៈࡿ࡙ࡀࡒ࡚ࠝࡢ㸡 ࠔථᡜࡢୌெࡽ㎰ࡱࡿᐜࡊࡂᛦࡖࡒࠕࠔ㛣ࡢ ࠾࠾ࡾ㸡⏍Ὡ࡞ៈࡿࡒࡼ⮤ฦࡡᐓ࡛ୌ⥬ࠕࠔ ࡢៈࡿࡒ࠾ࡼኬኰࠕࡡࡗࡡࣚ࣊ࣜࡲࡼࡿࡒ㸣 ࡆࡆ࡚ࡢ᪃シථᡜ࡞ࡻࡽንࡊࡒᚨ⾪⌟ࡈ ࡿ࡙࠷ࡒ㸣ࠜ⮤ฦࡡᐓ࡛ୌ⥬࡞ᛦ࠻ࡾࡻ࠹࡞ࡖ ࡒ࡚ࠝࡢ㸡ࠔ⮤ฦࡡᐓ࡛ୌ⥬ࠕࠔ⮤ฦࡡ㒂ᒁࡢᚒẂ ࡛វࡋ࡙࠷ࡾࠕࠔእ㸡┸ࡿࡾࠕࠔ㣏ࡢ⨶ࡊ࠷ࠕࠔ ⮤⏜ࡢ࠷ࠕࠔᐜࡊ࠷࡛ᛦࡖ࡙࠷࠷ࠕࡡࡗࡡࣚ ࣊ࣜࡲࡼࡿࡒ㸣ࡆࡆ࡚ࡢࡡ⏍Ὡ࡞࠽࠷࡙ᇱ♇ Ⓩḟịࡒࡈࡿ࡙࠷ࡾහᐖࡲࡼࡿࡒ㸣 㸧㸞࠘⮤㌗ࡡ⩹࠷ࢅུࡄ࠷ࡿࡾ࠙ ࠈࡆࡡ⾪ᮈ࡚ࡢࠜᖳ㱃࡛࡛ࡵ࡞࡚ࡀࡂࡖ࡙ࡀ ࡒࠝࠜᖳ㱃ࢅ㔔ࡠ࡙ࡵ࡚ࡀ࡙࠷ࡾࠝࠜᖳ㱃┞ᚺࡡࡆ ࡛ࠝࡡࡗࡡᓞࡲࡼࡿࡒ㸣ࠜᖳ㱃࡛࡛ࡵ࡞࡚ࡀ ࡂࡖ࡙ࡀࡒ࡚ࠝࡢ㸡ࠔ╉㙶ࡡ⨠ࡀሔࢅᚸࡿࡾ㸝㸞ࠕ ࠔ㛏㛣ࡡఌヨࡢࡿࡾࠕࠔྜྷࡋິషࢅ⧖ࡽ㏁ࡌ࡛ エ᠀ງࡂࡾࠕࠔᖳ┞ᚺࡡࡵࡡᚸࡿࡢ࠵ࡾࠕ ࡡࡗࡡࣚ࣊ࣜࡲࡼࡿࡒ㸣ࡆࡆ࡚ࡢ㌗మⓏᶭ⬗ ୖࡷヾ▩ᶭ⬗ງࡡୖࢅណㆉࡊ࡙࠷ࡾහᐖࡲ ࡼࡿࡒ㸣ࠜᖳ㱃ࢅ㔔ࡠ࡙ࡵ࡚ࡀ࡙࠷ࡾ࡚ࠝࡢ㸡ࠔࢹ ࣝࡢ࢜ࢷ࣭ࢷࣜࡡථ࡚ࡷࡾ㸝ᤴᑺࡢ࢜ࢷ࣭ࢷ ࣜࢅථࡊ࡙࠷ࡾ㸞ࠕࠔ࣒࢝ࢾࢅአࡊ࡙ࡵㄖࡴࡾࠕ ࠔ┘ࡢず࠻࡞ࡂ࠷⪝ࡢ㐡⩽㸡ᖳࢅ࡛ࡖ࡙ࡵエ᠀ ງࡢ☔࠾ࠕࡡࡗࡡࣚ࣊ࣜࡲࡼࡿࡒ㸣ࡆࡆ࡚ࡢ ㌗మⓏᶭ⬗ୖࡷヾ▩ᶭ⬗ୖࡢ࠵ࡾ࡚ࡀ࡙࠷ ࡾࡆ࡛ࡵណㆉࡊ࡙࠷ࡾහᐖࡲࡼࡿࡒ㸣ࠜᖳ㱃┞ ᚺࡡࡆ࡛࡚ࠝࡢ㸡ࠔ⮤ฦ࡚ࡢ࣍ࢢ࡙࠷ࡾ࡛ࡆࢀࡱ ࡚࠷࠾࠷࡛ᛦࡖ࡙࠷ࡾࠕࠔெࡈࢆずࡒࡼゕࡖ ࡙࠷ࡾࡆ࡛࠽࠾ࡊ࠷ࡆ࡛ࡵ࠵ࡾ࠾ࡵࡊࡿ࠷ ࡲࡼࡿࡒ㸣 㸨㸞࠘⮤ฦࡡᑽሔᡜỬࡴࡼࡿࡾ࠙ ࠈࡆࡡ⾪ᮈ࡚ࡢࠜ⮤ฦࡡᑽሔᡜࢅ㐽ᢝࡊ⛛ິ࡚ࡀ ࡾࠝࡡࡗࡡᓞࡲࡼࡿࡒ㸣ࡆࡡᓞ࡚ࡢ㸡ࠔḯ࡞ࡗ ࠾ࡿࡾ࡛ྡྷࡆ࠹࡞ฝࡾ㸝ྋᡜ㸞ࠕࠔ㛣ࡢᑽᐄ࡚ TVࢅずࡒࡽ㸡㌬࠷ࡌࢅ㐘㌷ࡊ࡙ᛦࡖ࡙࠷ࡾ࡛ࡆ ࢀ࡞⾔ࡂࠕࡡࡗࡡࣚ࣊ࣜࡲࡼࡿࡒ㸣ࡆࡆ࡚ࡢ ᖏ⏍Ὡ࡞࠽ࡄࡾὩິࢅ⮤ᕤ㐽ᢝࡷ⮤ᕤỬᏽࡈࡿ ࡙࠷ࡾහᐖࡲࡼࡿࡒ㸣 㸩㸞࠘⏍Ὡࡡ▩ᜠࡷึ᩷ງ࡞ᇱࡘ࠷࡙ᑊฌ⾔ິ ࠈ࡛ࡿࡾ࠙ ࠈࡆࡡ⾪ᮈ࡚ࡢࠜࢪࢹࣝࢪᅂ㑂⾔ິࠝࠜᴞࡊࡲࢅ ✒ᴗⓏ࡞࡛ࡽࡆࡳࠝࡡࡗࡡᓞࡲࡼࡿࡒ㸣ࠜࢪࢹ ࣝࢪᅂ㑂⾔ິ࡚ࠝࡢ㸡ࠔ࣍ࢢ࠷ࡻ࠹࡞⮤ฦࡡࡆ ࡛ࡢ⮤ฦ࡚ࡌࡾࠕࠔ࠽㔘ࢅᣚࡗ࡛ᚸࡿ࡙ெࡡࡎ࠷ ࡞ࡌࡾ࡛ᛟ࠷ࡡ࡚ࡵࡒ࠷ࠕࠔெ࡛ᥛࡴ࠷ࡒࡴ ࡞ᝇࡂࡢゕ࠹ࡆ࡛ࡢࡊ࠷ࠕࠔ࠷ࡼ࠷ࡢヨࡈ ࠷࡚ᚪこࡆ࡛ࢅఎ࠻ࡿࡣᛄ㐲࡞⏍Ὡ࡚ࡀࡾࠕ ࠔ㉻࠵ࡾ࡛࠷࠷࡛ࡢᛦ࠹㸡ᮅࡓずࡗ࠾ࡖ࡙ ࠷࠷ࠕࡡࡗࡡࣚ࣊ࣜࡲࡼࡿࡒ㸣ࡆࡆ࡚ࡢᑊ ெ㛭౿ࡡࢹࣚࣇࣜࢅ㜭ࡃࡒࡴࡡᑊ㇗⾔ິ࡞㛭ࡌࡾ හᐖࡲࡼࡿࡒ㸣ࠜᴞࡊࡲࢅ✒ᴗⓏ࡞࡛ࡽࡆࡳࠝ ࡚ࡢ㸡ࠔࡾࡂࡲࢆ࡛ࡊࡶࡖ࡙Ẵฦ㌷ᥦࠕࠔࣛ ࣄࣤࢡ࡚ࡲࢆ࡚ヨࢅࡌࡾࡡୌ␊࠷࠷ࡆ࡛࡛ᛦ ࡖ࡙࠷ࡾࠕࠔᪿࡡḯࡢ࠹ࢀつ࠻ࡓḯ࠻ࡾࠕࠔḯࡢ ୌெ࡚࡚ࡀࡾ㸡ḯࡢẴᣚࡔᬍࡿࡾࠕࠔୌᅂ࡚⤂ ࢂࡽࡌࡖࡀࡽࡌࡾࡵࡡࡡTVይࡀࠕࡡࡗࡡ ࣚ࣊ࣜࡲࡼࡿࡒ㸣ࡆࡆ࡚ࡢᖏ⏍Ὡ୕ࡡᴞࡊࡲ ࡞㛭ࡌࡾහᐖࡲࡼࡿࡒ㸣 㸪㸞࠘ெࡡಘᛍ࣬౮ೋびࢅኬว࡞ࡊ࡙࠷ࡾ࠙ ࠈࡆࡡ⾪ᮈ࡚ࡢࠜヺࡽ⾪ࡿ࡙࠷ࡾࠝࡡࡗࡡᓞ ࡲࡼࡿࡒ㸣ࡆࡡᓞ࡚ࡢࠔẴࡢ࠵ࡾࡄࡿᴞࡊ ࡲࡢ࠵ࡾࠕࠔྜྷࡋࡆ࡛ࢅరᅂࡵ⪲࠾ࡿࡾ࡛ⱖ࡚ ࠵ࡾࠕࠔெ࡛ヨࡌࡾࡡ㉻ࠕࠔ∸ᚸࡿࢅᖳࡡࡎ࠷ ࡷ࡛ᛦࡖࡒࡼ࠵࠾ࢆࠕࠔፃࡡࡻ࠹࡞のᏏ⾔ࡌࡾࡆ ࡛ࡢሒࢂࡿࡾࠕࠔፃ⾿࡞ࡊࡒࡽ✲ࡀᨲࡊࡒࡽࡌ ࡾࡆ࡛ࡢ⤧ᑊ࡞࠷ࠕࠔெࢅኬ࡞ࡌࡾࡆ࡛ࡢࡌ ࡃ࡞ࡢሒࢂࡿ࠷࠷ࡍࡿࡢ⮤ฦ࡞㏁ࡖ࡙ࡂࡾࠕ ࡡࡗࡡࣚ࣊ࣜࡲࡼࡿࡒ㸣ࡆࡆ࡚ࡢCࡈࢆࡡ⏍ ࡀᵕࡷಘ᮪ࡡࡻ࠹හᐖࡲࡼࡿࡒ㸣 㸫㸞࠘㔘㖱⟮⌦ࡡណㆉ࠵ࡾ࠙ ࠈࡆࡡ⾪ᮈ࡚ࡢࠜ࠽㔘ࡡᚨ㒼ࡢࡊ࡙࠷ࡾࠝࡡࡗ ࡡᓞ࡞ࠔ࠽㔘ࡡᚨ㒼ࡢࡊ࡙࠷ࡾࠕ࡛ࡡࡗࡡࣚ࣊Seisen J. Nurs. Stud., Vol. 2. 2013 ࣜࡲࡼࡿࡒ㸣ࡆࡆ࡚ࡢ᪃シ⏍Ὡ࡞࠽࠷࡙⮤ฦ࡚ ࡢ⾔ࡖ࡙࠷࠷㸡ୌ⯙♣ఌࡡ⏍Ὡ࡚ࡢᚪこ࡛ ࡾ㔘㖱⟮⌦ࡡណㆉࡲࡼࡿࡒ㸣 㸬㸞࠘ᐓ᪐ᨥ࠻࡞ࡖ࡙࠷ࡾ࠙ ࠈࡆࡡ⾪ᮈ࡚ࡢࠜፃࡡኇ࠾ࡄᨥ࠻࡞ࡖ࡙࠷ࡾࠝ ࠜፃࡡ㟻ఌ㢎ᅂ࡞࠵ࡾࠝࠜᚪこࡵࡡࢅ⏕ណࡊ࡙ ࡂࡿࡾፃ࠷ࡾࠝࠜᐓ᪐ࡢ㞫ࡿࡒሔᡜ࡞࠷࡙ࡵ㎾ ࠷Ꮛᅹ࡚࠵ࡾࠝࡡࡗࡡᓞࡲࡼࡿࡒ㸣ࠜፃࡡኇ࠾ ࡄᨥ࠻࡞ࡖ࡙࠷ࡾ࡚ࠝࡢ㸡ࠔፃ࠾ࡼ㛏⏍ࡀࢅ ᭻ࢆ࡚࠷ࡾ࡛ኇࢅ࠾ࡄ࡙ࡵࡼࡖ࡙࠷ࡾࠕࠔථᡜࡌ ࡾࡆ࡛ࡢ࠾࠾࡚ࡀ࠷࡛⪲࠷࡙࠷ࡾࠕࠔፃ࠾ ࡼࡆࡆ࡚Ẵᴞ࡞⏍Ὡࡌࡾࡻ࠹࡞ゕࢂࡿ࡙࠷ࡾࠕࡡ ࡗࡡࣚ࣊ࣜࡲࡼࡿࡒ㸣ࡆࡆ࡚ࡢᐓ᪐ࡡ㛭ࢂࡽ ⢥♼Ⓩᨥ࠻࡛ࡖ࡙࠷ࡾහᐖずࡼࡿࡒ㸣ࡱࡒ ࠜፃࡡ㟻ఌ㢎ᅂ࡞࠵ࡾ࡚ࠝࡢ㸡ࠔᏓ≺ࡓࡄࡿፃ ࡢᮮ࡙ࡂࡿࡾࠕࠔፃ㟻ず࡙ࡂࡿࡾࠕࠔፃࡻࡂ ࡊ࡙ࡂࡿࡾ㸝㸞ࠔ࡞ୌᗐࡡ㟻ఌ࠵ࡾࠕࡡ ࡗࡡࣚ࣊ࣜࡲࡼࡿࡒ㸣ࡐࡊ࡙ࠜᚪこࡵࡡࢅ⏕ ណࡊ࡙ࡂࡿࡾፃ࠷ࡾ࡚ࠝࡢ㸡ࠔፃ⾨᭱ࡡㄢ㐡 ࢅࡊ࡙ࡂࡿࡾࠕࠔይࡀ࠽ࡷࡗࡢፃ㈑ࡖ࡙ࡀ࡙ ࡂࡿࡾࠕࠔፃ㟻ఌ࡞ᮮ࡙࠽ࡷࡗࢅࡵࡖ࡙ࡀ࡙ࡂ ࡿࡾࡡ᭯ࡽࡒ࠷ࠕࡡࡗࡡࣚ࣊ࣜࡲࡼࡿࡒ㸣 ࡆࡆ࡚ࡢፃࡡᨥ࠻ࡻࡖ࡙∸Ⓩ⎌ሾᩒ࠻ࡼࡿ࡙࠷ ࡾහᐖࡲࡼࡿࡒ㸣ࠜᐓ᪐ࡢ㞫ࡿࡒሔᡜ࡞࠷࡙ࡵ ㎾࠷Ꮛᅹ࡚࠵ࡾ࡚ࠝࡢ㸡ࠔ࠷ࡗ࡚ࡵᐓ᪐࡞ఌ࠻ࡾ ࡛វࡋ࡙࠷ࡾ㸝㸞ࠕࡡࡗࡡࣚ࣊ࣜࡲࡼࡿࡒ㸣 㸭㸞࠘ᏄᏘ⦶ᰜࡡႌࡦ࠵ࡾ࠙ ࠈࡆࡡ⾪ᮈ࡚ࡢࠜᏘࡷࡥᏘࡡᠺ㛏ࡢᴞࡊࡲࠝࡡ ࡗࡡᓞࡲࡼࡿࡒ㸣ࡐࡊ࡙ࡆࡡᓞ࡚ࡢ㸡ࠔኬເࡡ Ꮨ࠷࡙ᖶࡎࠕࠔ♣ఌ࡚Ὡ㌅ࡊ࡙࠷ࡾ⮤ះࡡᏘ ࠷ࡾࠕࠔᏘࡷࡥᏘ࠾ࢂ࠷࠷┊ࡽࠕࠔፃ࣬Ꮨ࣬ࡥᏘ 㟻ఌ࡞ᮮ࡙ᠺ㛏ࡌࡾጶᴞࡊࡲࠕࡡࡗࡡࣚ࣊ ࣜࡲࡼࡿࡒ㸣ࡆࡆ࡚ࡢᏘࡷࡥᏘࡡᏋᅹࢅႌࡩහ ᐖࡲࡼࡿࡒ㸣ࠈࠈࠈ 㸮㸞࠘⫃ဤࡡࢢ㐲ว࡚࠵ࡾ࠙ ࠈࡆࡡ⾪ᮈ࡚ࡢࠜ⮤ฦ࡚⫃ဤࡡຐࡄᚋࡼࡿࡾࠝ ࠜ⫃ဤࡡࢢ࡞㊂ࡊ࡙࠷ࡾࠝࡡࡗࡡࣚ࣊ࣜࡲ ࡼࡿࡒ㸣ࠜ⮤ฦ࡚⫃ဤࡡຐࡄᚋࡼࡿࡾ࡚ࠝࡢ㸡ࠔ⫃ ဤ࡞⏕࠵ࡿࡣࡦ㕝ࢅᢪࡌࠕࠔࡦ㕝ࢅࡖ࡙㸡 ᚪこࢢࢅ⫃ဤ࡞ఎ࠻ࡼࡿࡾࠕࡡࡗࡡࣚ࣊ࣜ ࡲࡼࡿࡒ㸣ࡆࡆ࡚ࡢᚪこࢢུࡄࡼࡿࡾࡻ ࠹⫃ဤࢅ࠻ࡾ࡛ࡡහᐖずࡼࡿࡒ㸣ࡱࡒࠜ⫃ဤ ࡡࢢ࡞㊂ࡊ࡙࠷ࡾ࡚ࠝࡢ㸡ࠔ⏕ῥࡴࡣ⫃ ဤࡢࡌࡃ࡞ᖉࡾ᭯ࡽ㞬࠷ࠕࠔⰴࡡୠヨࢅࡊ࡙࠷ ࡾ⫃ဤࡵず࡙࠷ࡾࠕࠔ⫃ဤ㢴ࡷ✭Ẵࡡㄢᩒࢅ⣵ࡷ ࠾࡞ࡊ࡙ࡂࡿࡾࠕࡡࡗࡡࣚ࣊ࣜࡲࡼࡿࡒ㸣ࡆࡆ ࡚ࡢ⫃ဤࡡࢢࢅびᐳࡊ࡙࠷ࡾහᐖࡲࡼࡿࡒ㸣 㸞࠘㟴࠾࡚⮤↓ࢅវࡋࡾ⎌ሾ࠵ࡾ࠙ ࠈࡆࡡ⾪ᮈ࡚ࡢࠜ⏍Ὡࡡሔࡢ㟴࠾࡚࠵ࡾࠝࠜ࿔㎮ ࡡ⮤↓ࢅវࡋ࡙࠷ࡾࠝࡡࡗࡡᓞࡲࡼࡿࡒ㸣ࠜ⏍ Ὡࡡሔࡢ㟴࠾࡚࠵ࡾ࡚ࠝࡢ㸡ࠔᘋ∸ࡡ㡚㟴࠾ࠕ ࡡࡗࡡࣚ࣊ࣜࡲࡼࡿࡒ㸣ࡆࡆ࡚ࡢᑊ㇗⩽ࡡᑽ ప⎌ሾ࡞㛭ࡌࡾහᐖࡲࡼࡿࡒ㸣ࡱࡒࠜ࿔㎮ࡡ⮤ ↓ࢅវࡋ࡙࠷ࡾ࡚ࠝࡢ㸡ࠔېېࡡⰴဋ࠷࡙࠷ࡾ ࡡࢅず࡙࠷ࡾࠕࡡࡗࡡࣚ࣊ࣜࡲࡼࡿࡒ㸣ࡆࡆ ࡚ࡢᑊ㇗⩽᪃シ࿔㎮ࡡ⮤↓ࡡ㛭ᚨࡲࡼࡿࡒ㸣 㸞࠘ࡋࡲ࠵ࡾᆀᇡࡡ㛭ᚨ࠙ ࠈࡆࡡ⾪ᮈ࡚ࡢࠜᆀᇡ♣ఌ࡛ࡡࡗࡽណㆉ࡚ ࡀࡾࠝࡡࡗࡡᓞ࡞㸡ࠔ࣭࡚࣌ࣜࡀ㥈๑࡞ࡁࡷ ࠾࡞ࡖ࡙࠷ࡾࠕࡡࡗࡡࣚ࣊ࣜࡲࡼࡿࡒ㸣ࡆ ࡆ࡚ࡢᐓ᪐పࢆ࡚࠷ࡾᆀᇡ࡞ᑊࡌࡾ㛭ᚨࡲࡼ ࡿࡒ㸣ࠈ
Ϭ㸣⩻ࠈᐳࠈ
ࠈ௧୕ࡡ⤎ᯕ࠾ࡼ㸡࠘㛣ࢅ࠾ࡄ࡙㤾ࢆࡓ᩺ࡊ ࠷పࡱ࠷࠙ࡡ⾪ᮈࡢCࡈࢆࡡ⏍Ὡ⎌ሾࡡ㐲ᚺ≟ ឺࢅ♟ࡊ࡙࠽ࡽ㸡ࡆࡆ࡚ࡢࡆࡡ㐲ᚺ≟ឺ࡞ᙫ㡢ࡊ ࡙࠷ࡾ㐲ᚺこᅄ࡛ࡐࡡ㛭౿ᛮ࡞ࡗ࠷࡙ெⓏᅄᏄ ࡛⎌ሾⓏᅄᏄ࡞ฦࡄ࡙⩻ᐳࡌࡾ㸝ᅒཤ↯㸞㸣ࠈ㸦㸣ெⓏᅄᏄ࠾ࡼฝࡈࡿࡒ㐲ᚺこᅄ
ࠈCࡈࢆࡡ㐲ᚺ≟ឺ࡞ࡢ㸡࠘⏍Ὡࡡ▩ᜠࡷึ᩷ງ ࡞ᇱࡘ࠷࡙ᑊฌ⾔ິ࡛ࡿࡾ࡛࠙࠘⮤ฦࡡᑽሔᡜ Ửࡴࡼࡿࡾ࠙ࡡࡗࡡெⓏᅄᏄ࠾ࡼฝࡈࡿ ࡒ㐲ᚺこᅄᙫ㡢ࡊ࡙࠷ࡒ㸣ࡈࡼ࡞࠘⏍Ὡࡡ▩ᜠ ࡷึ᩷ງ࡞ᇱࡘ࠷࡙ᑊฌ⾔ິ࡛ࡿࡾ࡚࠙ࡢ㸡࠘⮤ ㌗ࡡ⩹࠷ࢅུࡄ࠷ࡿࡾ࠙࠘ெࡡಘᛍ࣬౮ೋびࢅ ኬว࡞ࡊ࡙࠷ࡾ࠙࠘㔘㖱⟮⌦ࡡណㆉ࠵ࡾ࠙ࡡࡗ ࡡ⾪ᮈ㛭㏻ࡊ࡙࠷ࡒ㸣 ࠈࡗࡴࡡ㐲ᚺこᅄ࡛ࡊ࡙㸝㸞࠘⏍Ὡࡡ▩ᜠࡷึ ᩷ງ࡞ᇱࡘ࠷࡙ᑊฌ⾔ິ࡛ࡿࡾ࠙ࡆ࡛ࠍ ࡡᬵࡼࡊࡡᏭᏽ࡞ࡗࡖࡒ࡛⩻࠻ࡾ㸣࠘⮤㌗ࡡ ⩹࠷ࢅུࡄථࡿ࡙࠷ࡾ࠙ெ⏍⤊㥺㇇࠾Cࡈࢆࡢ㸡 ࠔ࠷ࡼ࠷ࡆ࡛ࡢヨࡈ࠷࡚ᚪこࡆ࡛ࢅఎ࠻ࡿ ࡣᛄ㐲࡞⏍Ὡ࡚ࡀࡾࠕࡷࠔ࠽㔘ࢅᣚࡗ࡛ᚸࡿ࡙ெ ࡡࡎ࠷࡞ࡌࡾ࡛ᛟ࠷ࡡ࡚ᣚࡒ࠷ࠕࡡࠜࢪࢹ ࣝࢪᅂ㑂⾔ິࠝ㸝௴㸡㸞ࡷࠔࡾࡂࡲࢆ ࡛ࡊࡶࡖ࡙Ẵฦ㌷ᥦࠕࠔḯࡢẴᣚࡔᬍࡿࡾࠕ ࠜᴞࡊࡲࢅ✒ᴗⓏ࡞࡛ࡽࡆࡳࠝⰃይᑊ ㆜⩹ெ⚗♬᪃シථᡜ࡞ࡻࡾ⏍Ὡ⎌ሾን࡞㐲ᚺࡌࡾࡒࡴࡡこᅄ⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞 ࡾࠕ࠾ࡼฦ࠾ࡾࡻ࠹࡞㸡࠘ெࡡಘᛍ࣬౮ೋ びࢅኬว࡞ࡊ࡙࠷ࡾ࠙ࡆ࡛ࡷᖏ⏍Ὡ࡚ᵕࠍሔ 㟻࡞࠽࠷࡙ࠜ⮤ฦࡡᑽሔᡜࢅ㐽ᢝࡊ⛛ິ࡚ࡀࡾࠝ ࡛ࡡ⮤ᕤỬᏽࢅ⾔ࡖ࡙࠷ࡾࡆ࡛᥆ᐳࡈࡿࡒ㸣 ⩽࡛㐲ᗐᑊெ㊝㞫ࢅಕࡗࡆ࡛ࡢ㸡⮤ᕤ࡛⩽ࡡ ሾ⏲ࢅ᪺ࡼ࠾࡞ࡊ㸡ࣈࣚࣁࢨ࣭ࢅᏬࡽ㸡⮤ᕤࡡ ᑕཚࢅᏬࡾ࡛♟ࡈࡿ࡙࠷ࡾ㸝ᮇ⩹ᖳ⾔ິ⛁Ꮥ㸡 㸞㸣ࡆࡡࡆ࡛࠾ࡼ㸡㌬Ꮔࢅ⏕ࡊࡒ⮤ງ⛛ ິ⬗ງಕᣚࡈࡿ࡙࠷ࡾࡆ࡛࡞ࡻࡖ࡙㸝㸞࠘⮤ฦ ࡡᑽሔᡜỬࡴࡼࡿࡾ࠙ࡆ࡛ࡗࡴࡡ㐲ᚺこᅄ ࡛⩻࠻ࡾ㸣
㸧㸣⎌ሾⓏᅄᏄ࠾ࡼฝࡈࡿࡒ㐲ᚺこᅄ
ࠈCࡈࢆࡡ㐲ᚺ≟ឺ࡞ࡢ㸡࠘⫃ဤࡡࢢ㐲ว࡚ ࠵ࡾ࠙࠘㟴࠾࡚⮤↓ࢅវࡋࡾ⎌ሾ࠵ࡾ࠙࠘ᐓ᪐ ᨥ࠻࡞ࡖ࡙࠷ࡾ࠙ࡡࡗࡡ⎌ሾⓏᅄᏄ࠾ࡼฝ ࡈࡿࡒ㐲ᚺこᅄᙫ㡢ࡊ࡙࠷ࡒ㸣ࡈࡼ࡞࠘ᐓ᪐ ᨥ࠻࡞ࡖ࡙࠷ࡾ࡚࠙ࡢ㸡࠘ᏄᏘ⦶ᰜࡡႌࡦ࠵ࡾ࠙ ࠘ࡋࡲ࠵ࡾᆀᇡࡡ㛭ᚨ࠙ࡡࡗࡡ⾪ᮈ㛭㏻ࡊ ࡙࠷ࡒ㸣 ࠈࡱࡍ᪃シ࡞࠽ࡄࡾ⎌ሾᅄᏄ࡞࠽࠷࡙㸡ࠔࡦ㕝 ࢅࡖ࡙㸡ᚪこࢢࢅ⫃ဤ࡞ఎ࠻ࡼࡿࡾࠕ ࠜ⮤ฦ࡚⫃ဤࡡຐࡄᚋࡼࡿࡾࠝ㸝௴㸡㸞ࡻ࠹ ࡞⏍Ὡ⎌ሾᩒ࠻ࡼࡿ࡙࠷ࡾࡆ࡛ࡷ㸡ࠔ⫃ဤ㢴 ࡷ✭Ẵࡡㄢ⟿ࢅ⣵ࡷ࠾࡞ࡊ࡙ࡂࡿࡾࠕ㸝㸞 ࠘⫃ဤࡡࢢ㐲ว࡚࠵ࡾ࠙ࡆ࡛ࡗࡴࡡ㐲ᚺこ ᅄ࡛⩻࠻ࡾ㸣ࢨ࣭ࣘࢹࢪࢷࢅฺ⏕ࡌࡾヾ▩㧏 㱃⩽ࡡᬵࡼࡊࡡㄢᰕ࠾ࡼ㸡㟴ᐜ⎌ሾࡌ࡙ࡡ ᑊ㇗⩽࡞ୌᚂ࡚ࡻ࠷ࡡ࡚ࡢࡂ㸡⮤Ꮹ࡚ᏽᖏࡈ ࡿࡒๆ⃥ࡡ㔖ࡷ㈹᪃シ࡞࠽࠷࡙ࡵྜྷᵕ࡞ಕࡒࡿ ࡾࡆ࡛᭻ࡱࡊ࠷࡛ࡡሒ࿈࠵ࡾ㸝ᮄᓞ㸡㸞㸣 ᮇㄢᰕࢅᐁ᪃ࡊࡒ᪃シࡢࣗࢼࢴࢹࢢ࡚ධᐄᐄ ࡚࠵ࡽ㸡࠷ࡗ࡚ࡵࠜ⏍Ὡࡡሔࡡ㟴ࡄࡈࠝࢅវࡋࡾ ࡆ࡛࡚ࡀࡾ㸣ࡱࡒ⏍Ὡࡡᴞࡊࡲ࣬Ὡິࡓࡄ࡚ ࡂ㸡✾ࡡአࢅ╈ࡴࡾ࡛ⰴࡷ⏛ࢆず࠻ࠜ࿔ᅑࡡ ⮤↓ࢅវࡋࡾࠝࡆ࡛࡚ࡀࡾ㸣ࡆࡡࡻ࠹⮤↓࡛ ࡡㄢࢅវࡋࡾࡆ࡛࡚ࡀࡾᬵࡼࡊࡡ⤽⤾࡞ࡻࡽ㸡 ࠔ⮤ฦࡡᐓ࡛ୌ⥬ࠕ࡚ࠔእࡵࡻࡂᐱࡿࡾࠕࡻ࠹࡞ ࡽ㸡࠘㛣ࢅ࠾ࡄ࡙㤾ࢆࡓ᩺ࡊ࠷పࡱ࠷࡛࠙ ヾㆉ࡚ࡀࡾࡻ࠹࡞ࡖࡒ࡛ᛦࢂࡿࡾ㸣ࡹ࠻࡞㸝㸞 ࠘㟴࠾࡚⮤↓ࢅវࡋࡾ⎌ሾ࠵ࡾ࠙ࡆ࡛ࡗࡴࡡ 㐲ᚺこᅄ࡛⩻࠻ࡾ㸣ࡈࡼ࡞ࡢࡆࡿࡼࡡこᅄ࡞ࡻࡖ ࡙㸡ࡐࡡࠍࡡCࡈࢆ࡞࡛ࡖ࡙ᚨᆀࡻ࠷ࠜ⮤ฦࡡ ࢢ࠵ࡾ࠙ࡆ࡛⎌ሾᅸງࢅ΅ᑛࡈࡎ㸝ఫࠍᮄ㸡 㸞㸡ࡆࡡ┞பష⏕࡞ࡻࡖ࡙㐲ᚺࡊࡷࡌ࠷⏍Ὡ ⎌ሾ࡞㎾ࡘࡂ࡛࡛ࡵ࡞Cࡈࢆ⮤㌗ࡡ㐲ᚺ⬗ງࢅ㧏 ࡴࡒࡡ࡚ࡢ࠷࠾࡛⩻࠻ࡾ㸣ࡗࡱࡽCࡈࢆࡡ≟ឺ ࡷADL࡞ᚺࡋࡒࢤ࣐ࣖࢼࢢ࣭ࢨࣘࣤࡷࢢ ᥞ౩ࡈࡿ㸡ࠜ⮤ฦ࡚⫃ဤࡡຐࡄᚋࡼࡿࡾࠝࠜ⫃ ဤࡡࢢ࡞㊂ࡊ࡙࠷ࡾࠝࡡࡻ࠹⏍Ὡࡡమ⩽ ࡛ࡊ࡙ࡡ㊂វ㸝ఫ⸠㸡 㸰⸠ᕖ㸡㸞㧏 ࡱࡾࡻ࠹࡞᪃シ⎌ሾᩒ࠻ࡼࡿࡒࡆ࡛࡞ࡻࡖ࡙㸡 㐲ᚺ㐅ࢆࡓ࡛⩻࠻ࡾ㸣 ࠈ᭩ᚃ࡞Cࡈࢆ࡞࡛ࡖ࡙㸝㸞࠘ᐓ᪐ᨥ࠻࡞ࡖ ࡙࠷ࡾ࠙ࡆ࡛ࡗࡴࡡ㐲ᚺこᅄ࡛⩻࠻ࡾ㸣㎾ᖳ Ꮔࡵ࡛ࡡྜྷᑽ⋙ࡢ⣑࡛΅ᑛࡊ࡙ࡀࡒ㸡㧏 㱃⩽ࡡᚨࡡᨥ࠻࡞Ꮔࡵࢅᣪࡅࡾெࡢ⣑ᘽ࡛ ࡡሒ࿈࠵ࡾ㸝㧏㱃♣ఌⓉ᭡㸡㸞㸣᪃シࡡ ථᡜࢅ㐽ᢝࡊࡒCࡈࢆࡡሔྙ㸡ࠜፃࡡ㟻ఌ㢎ᅂ ࡞࠵ࡾࠝࡆ࡛ࡷࠜᐓ᪐ࡢ㞫ࡿࡒሔᡜ࡞࠷࡙ࡵ㎾࠷ Ꮛᅹ࡚࠵ࡾࠝᐓ᪐࡛Ⰳይ㛭౿ᛮచ࠻ࡾ㸣 ࡐࡊ࡙ᑽᐄ࡞㣥ࡼࡿ࡙࠷ࡾᏘ࣬ࡥᏘࡒࡔࡡ┷ ࠵ࡾࡆ࡛࡚㸡࠷ࡗ࡚ࡵᏘࡡᠺ㛏ࡷ࠘ᏄᏘ⦶ᰜࡡႌ ࡦ࠵ࡾ࠙ࢅវࡋࡼࡿࡾࡻ࠹⎌ሾ࡛ࡖ࡙࠷ ࡒ㸣⾔ᩝ⊡࡞ࡻࡾ࡛㸡ࢡ࣭ࣜࣈ࣭࣑࣌ࡡ㌷ᑽ࡞ ࡻࡾථᑽ⩽ࡡᙫ㡢ࢅびᐳࡊࡒ◂✪࠾ࡼ㸡∸Ⓩ⎌ሾ ንࢂࡖ࡙ࡵெⓏ⎌ሾ⤽⤾ࡈࡿࡾሔྙ࡞ࡢථᑽ ⩽ࡡᙫ㡢ᑛ࠷ࡆ࡛♟ြࡈࡿ࡙࠷ࡾ㸝୯ᓞ㸡 㸞㸣Cࡈࢆࡢࠜථᡜࡢୌெࡽ㎰ࡱࡿᐜࡊ ࡂᛦࡖࡒ࡛ࠝ㸡᪃シථᡜ࡞ᑊࡌࡾᡖᝠ࠷ࢅវࡋ࡙ ࠷ࡒ㸣ࡊ࠾ࡊථᡜᚃࡵ⤽⤾ࡈࡿࡒᐓ᪐࡛ࡡ㛭౿ᛮ ࡞ࡻࡖ࡙㸡Cࡈࢆ⮤㌗ᖶ⚗វࡷᐓᗖ࡚ࡡᙲࢅ ណㆉࡌࡾࡆ࡛㸝Sumith㸡 㸞ᗛⓏ⏍Ὡ ࡞ࡗࡽ㸡Cࡈࢆࡡ⎌ሾࡡ㐲ᚺ⬗ງࢅ㧏ࡴࡒ ࡡ࡚ࡢ࠷࠾㸣ࡈࡼ࡞ࡢ㸡ᐓ᪐పࡳᆀᇡࢅ㌗㎾ ࡞វࡋࡾࡆ࡛࡞ࡻࡖ࡙࠘ࡋࡲ࠵ࡾᆀᇡࡡ㛭ᚨ࠙ ࢅ♟ࡊࡒࡡ࡚ࡢ࠷࠾㸣ࡗࡱࡽCࡈࢆࡢ㸡ࡋࡲ ࡡᆀᇡ࡞࠵ࡾ᪃シࡡථᡜ࡚࠵ࡖࡒࡆ࡛ࡷථᡜᚃ ࡵ⤽⤾ࡊࡒᐓ᪐࡛ࡡ㛭౿ᛮᙁࡲ࡛ࡖࡒ࡛⩻࠻ ࡾ㸣ࡐࡊ࡙Cࡈࢆࡡ⏍Ὡ⎌ሾࡡ㐲ᚺࡢ㸡ᐓ᪐࡛ ⫃ဤࡡཫ᪁࠾ࡼࢮ࣭ࢨࣔࣜࢦ࣭࣎ࢹࢅịࡴࡼࡿࡾ 㸝௴㸡㸞ࡻ࠹࡞ெⓏ⎌ሾᩒ࠻ࡼࡿࡒࡆ࡛ 㔔ここᅄ࡛ࡖࡒ࡛᥆ᐳࡌࡾ㸣௧୕ࡡࡆ࡛ࡻࡽ㸡 ࠈCࡈࢆࡡ⏍Ὡ⎌ሾࡡ㐲ᚺこᅄࡢ㸡ࡐࡿࡑࡿ࡞ ┞பష⏕࠵ࡖࡒ㸣ࡐࡊ࡙ᚃ㧏㱃⩽ࡡ㆜⚗♬ ᪃シථᡜ࡞࠽ࡄࡾ⏍Ὡ⎌ሾࡡ㐲ᚺ࡞ࡢ㸡ெࡡSeisen J. Nurs. Stud., Vol. 2. 2013 ẗᮨᚽ⏜㸡㔘ᏄࡾࡽᏄ㸡ᮿᡛಆࡼ㸝 㸞㸯⏍Ὡ ⎌ሾࡡን⩹ெ࣭࣑࣌ථᡜ⩽࡞࠻ࡒᙫ㡢Ѹ GBSᑵᗐ࡞ࡻࡾ⑭࿄⩄࡛㟸⑭࿄⩄ࡡẒ㍉Ѹ㸡షᴏ ⒢Ἢ㸡㸝㸞㸡 ཉ⏍ຘ ഼ ┤㸝㸞㸯㧏㱃 ⩽ ㆜ ◂✪ఌሒ࿈᭡㸡 ᖳ㧏㱃⩽㆜㹳㧏㱃⩽ࡡᑕཚࢅᨥ࠻ࡾࢢ ࡡ☔❟࡞ྡྷࡄ࡙㸡㸡ཉ⏍ຘ഼┤⩹ᑻἪ◂ ᓞࢨࢫ㸝㸞㸯យࢅࡆࡴ࡙ヾ▩ࡡࢢ㸝㸞㸡 㸡┫㆜⛁Ꮥ♣㸡᮶ா㒌 ఫࠍᮄᚨᙤ㸡⩒⏍⣎㸡㛏ᔪ⣎ୌ㸝㸞㸯㧏㱃 ⩽ࡡ᪃シ㐲ᚺᗐῼᏽᣞᵾࡡ㛜Ⓠ㸡⩹ᖳ♣ఌ⛁Ꮥ㸡 㸝㸞㸡 ఫ⸠┶ୌ㸝 㸞㸯୯㧏ᖳ⩽ࡡ㐛⛤ఴᬜ࣬♣ఌὩ ິࡡ㊂ᗐᑵᗐࡡషᠺ࡛᳠ゞ㸡⩹ᖳ♣ఌ⛁Ꮥ㸡 ᮇ⩹ᖳ⾔ິ⛁Ꮥ㸝㸞㸯㐲ᚺ㸡୕ົஒ㸡ኬ ᕖୌ㑳⥽㞗㸡㧏㱃⩽ࡡࠔࡆࡆࢀࠕ㸡㸡 㸡୯ኳἪぜ㸡᮶ா㒌 Dawn Brooker㸝㸞 㸤 Ề 㔕 ┐ ಞ㸡 ᮟ ⏛ ᗛ Ꮔ㸡㕝ᮄ⍖ᯖ㸡୯ᮟᏄ㸡හ⏛㐡ズ㸝㸞㸯 ࣂ࣭ࢮࣤ࣬ࢬࣤࢰ࣭ࢺ࣬ࢢ㸡㸝㸞㸡㸡 㸡ࢠ࢙ࣛࢵ࠾ࡵࢂ㸡ா㒌ᕰ හ㛮ᗋ㸝㸞㸯㧏㱃♣ఌⓉ᭡㸡 හ㛮ᗋ㸝㸞㸯ࠔ㧏㱃⩽ࡡᗛ࡞㛭ࡌࡾណㆉㄢᰕࠕ ࠔ㆜ࢅུࡄࡒ࠷ሔᡜࠕࠔ᭩ࢅ㎼࠻ࡒ࠷ሔᡜࠕ㸡 㧏㱃♣ఌⓉ᭡㸡 ௴Ꮔ㸝㸞㸯ࢤ࣭ࣅࣤࢡ⌦ㄵ㸡ఫ⸠ᰜᏄ⥽㸡 ౚࢅ㏳ࡋ࡙ඁࡊࡂᏕࡩ୯⠂ᅑ⌦ㄵථ㛓㸡㸝㸞 㸡㸡⥪◂ࢡ࣭ࣜࣈ㸡ྞཿᒁᕰ㸣 ⸠ ⏛ ⥜ Ꮔ㸝㸞㸯 㧏 㱃 ⩽ ࡛ 㐲 ᚺ㸡㸝㸞㸡 㸡 㸡ࢻ࢜ࢼࢨฝ∟㸡ா㒌ᕰ ⸠ᕬᑠ⨶㸡Ὦ▴ࡹࡽᏄ㸡⏍⏛㈏Ꮔ㸝㸞㸯㆜⩹ெ ⚗♬᪃シࢅ⤂ࡡపฌ࡛ࡊ࡙࠷ࡾᚃ㧏㱃⩽ࡡ⌟ᅹ ࡡ⏍Ὡ࡞ᑊࡌࡾᛦ࠷㸡⩹ᖳ┫㆜Ꮥ㸝㸞 ḿᮄᜠ㸡┷⏛ᘧ⨶㸝㸞㸯⩹ᖳ┫㆜Ꮥᴣㄵࠔ⩹ ࠷ࢅ⏍ࡀࡾࠕࢅᨥ࠻ࡾ࡛ࡢ㸡༞Ờᇸ㸡᮶ா㒌㸡 㸝㸞㸡㸣 ୷ᒜ࠾࠽ࡽ㸡㧏ᶣ㸡ὰ⏛ࡆࡆࢀ㸝㸞㸯ࣛࣞࢢ ࣭ࢨࣘࣤࢱ࣒࣭ࢩࡡ㍅΅࡞㤾ࡲࡡᑚ∸࠻ࡾ ຝᯕ࡞ࡗ࠷࡙㸡ヾ▩ࢢౚࢩ࣭ࣔࢻࣜ㸡㸝㸞㸣 ୌᙢ㸝㸞㸯㧏㱃⩽ࡡ⎌ሾ㐲ᚺ࡛ᆀᇡ⎌ሾ㸡 ᮇᩒ⌦ெ㢦Ꮥఌヽ㸡㸝㸞㸡 ᒜཾᐍ㸝㸞㸯ヾ▩㧏㱃⩽㆜࡞࠽ࡄࡾࢡࣜ ࣭ࣈ࣭࣑࣌ࡡࢢࡡຝᯕ࡞㛭ࡌࡾᐁチⓏ᳠チ㸡 ♣ఌ⚗♬Ꮥ㸡 ᑊฌ⾔ິࡷ⮤㌗ࡡᑽሔᡜࢅ㐽ᢝ࡚ࡀࡾ⛛ິ⬗ງ࣬ ⮤ᕤỬᏽࢅᨥ࠻ࡾ᪃シࢢ⎌ሾࢅᩒ࠻ࡾ௧አ࡞ࡵ㸡 ᐓ᪐㛭౿ࢅ⤽⤾ࡊ࡙࠷ࡂࡆ࡛⢥♼Ⓩᨥ࠻࡛ࡊ ࡙㔔こ࡛ࡾྊ⬗ᛮ♟ြࡈࡿࡒ㸣ࠈ
ϭ㸣ᮇ◂✪ࡡ㝀⏲࡛ㄚ㢗
ࠈᮇ◂✪ࡡ㝀⏲ࡢ㸡ᑊ㇗⩽ࡡᖳ㱃ࡷᛮᕣ࡞ᑊࡌࡾ ᳠ゞ࡚ࡀ࡙࠷࠷࠵ࡅࡼࡿࡾ㸣ᚃࡡㄚ㢗 ࡢ㸡ᚃ㧏㱃⏠ᛮࢅྱࡴࡒࣤࢰࣄ࣭ࣖࡡᅂᩐࡷ ౚᩐࢅ㔔ࡠࡾࡆ࡛࡚ಘ㢏ᛮࢅ㧏ࡴ㸡ࡈࡼ࡞ヾ▩ ࢅࡵࡗ㧏㱃⩽ࡡ㐲ᚺ⬗ງ㧏ࡴࡼࡿࡾຝᯕ Ⓩࣈ࣭ࣞࢲࡡ◂✪ࢅ⤾ࡄ࡙࠷ࡀࡒ࠷㸣Ϯ㸣⤎ࠈㄊ
ࠈᚃ㧏㱃⩽ࡡCࡈࢆࡡ㆜⩹ெ⚗♬᪃シࡡ⏍Ὡ ⎌ሾࡡ㐲ᚺ≟ឺࢅ㈹Ⓩ࡞ฦᯊࡊࡒ⤎ᯕ㸡ࡐࡡ㐲 ᚺ≟ឺ࡞ࡢࡗࡡこᅄ㛭౿ࡊ࡙࠽ࡽ㸡ࠍ࡞┞ பష⏕࠵ࡾࡆ࡛᪺ࡼ࠾࡞ࡖࡒ㸣㸝㸞࠘⏍Ὡ ࡡ▩ᜠࡷึ᩷ງ࡞ᇱࡘ࠷࡙ᑊฌ⾔ິ࡛ࡿࡾ࠙㸝㸞 ࠘⮤ฦࡡᑽሔᡜỬࡴࡼࡿࡾ࠙㸝㸞࠘⫃ဤࡡࢢ 㐲ว࡚࠵ࡾ࠙㸝㸞࠘㟴࠾࡚⮤↓ࢅវࡋࡾ⎌ሾ࠵ࡾ࠙ 㸝㸞࠘ᐓ᪐ᨥ࠻࡞ࡖ࡙࠷ࡾ࠙ㅨࠈ㎙
ࠈᮇ◂✪ࢅ⾔࠹࡞ᙔࡒࡽ㸡ࡇ༝ງ࠷ࡒࡓࡀࡱࡊࡒ ᑊ㇗ࡡCᵕ㸡ࡇᐓ᪐ᵕ㸡࠽ࡻࡦᑊ㇗᪃シࡡ⫃ဤᵕ ࡞ࡂវㅨ⏞ࡊ୕ࡅࡱࡌ㸣ᩝࠈ⊡ࠈࠈ
ᮄᓞ㍜⨶㸡ฝィ㸝㸞㸯ࢨ࣭ࣘࢹࢪࢷࢅฺ⏕ࡌ ࡾヾ▩㧏㱃⩽Ꮽᏽࡊࡒᬵࡼࡊࢅ⥌ᣚࡌࡾࡒࡴ ࡡこ⣪㸡ᮇヾ▩ࢢᏕఌ㸡㸝㸞㸡 㯦 ⏛ ᩝ㸝㸞㸯 㧏 㱃 ♣ ఌ ࡞ ࠽ ࡄ ࡾࠔ ⩹ ࠷ ࠕ ࡡ ⌦ゆࡳࡄ࡙Ѹ㧏㱃⩽ࡡ㐲ᚺᵕᘟ࡞㛭ࡌࡾ⩻ᐳ㸡 ♣ఌ⚗♬Ꮥ㸡㸝㸞㸡 Christine Boden㸝 㸞㸤᱘ᇄ㝟Ꮔズ㸝㸞㸯 ⚶ࡢㄙ࡞ࡖ࡙࠷ࡂࡡ㸴ࣜࢵࣀ࣏࣭⩽࠾ ࡼࡲࡒୠ⏲㸡㸝㸞㸡㸡ࢠࣛࢵ࢙ࢵ࠾ࡵ ࢂ㸡ா㒌ᕰ ㆜⩹ெ⚗♬᪃シථᡜ࡞ࡻࡾ⏍Ὡ⎌ሾን࡞㐲ᚺࡌࡾࡒࡴࡡこᅄ㆜⩹ெ⚗♬᪃シථᡜ࡞ࡻࡾ⏍Ὡ⎌ሾን࡞㐲ᚺࡌࡾࡒࡴࡡこᅄ ᅒࠈ㆜⩹ெ⚗♬᪃シ࡞ථᡜࡊ࡙࠷ࡾ㸸ࡈࢆࡡ⏍Ὡ㐲ᚺ≟ឺࡡ㛭㏻ᅒ ⥄ಽ䈱ዬ႐ᚲ䈏䉄䉌䉏䉎㩷 ኅᣖ㩷 ᣉ⸳㩷 ⡯ຬ䈱䉬䉝䈏ㆡಾ䈪䈅䉎㩷 ኅᣖ䈏ᡰ䈋䈫䈭䈦䈩䈇䉎㩷 㩷 㕒䈎䈪⥄ὼ䉕ᗵ䈛䉎ⅣႺ䈏䈅䉎㩷 㩷 㩷 㩷 㩷 㩷 㩷 䋨‛⊛ⅣႺ䋩㩷 䋨ੱ⊛ⅣႺ䋩㩷 ↢ᵴ䈱⍮ᕺ䉇್ᢿജ 䈮ၮ䈨䈇䈩ኻಣⴕേ䈏 䈫䉏䉎㩷 䈭䈛䉂䈱䈅䉎ၞ䈻䈱㑐ᔃ㩷 ㊄㌛▤ℂ䈱ᗧ⼂䈏䈅䉎 ᤨ㑆䉕䈎䈔䈩㚔ᨴ䉖䈣ᣂ䈚 䈇䉁䈇㩷 ੱ䈱ାᔨ䊶ଔ୯ⷰ 䉕ᄢಾ䈮䈚䈩䈇䉎㩷 ⥄り䈱⠧䈇䉕ฃ䈔䉏䉎㩷
