⪯ἠ┫㆜Ꮥ◂✪ࠈSeisen J. Nurs. Stud., Vol. 2. pp.41-49, 2013
研究ノート
࣭࣭࢞࣠ࢺࠈ㆜⩹ெ⚗♬᪃シ㸡こ㆜㧏㱃⩽㸡┫㆜Ꮥ⏍㸡ᥴຐ㐛⛤㸡╌╉Ⅴ㸡㈹Ⓩ◂✪ Key Words nursing home for the elderly㸡the elderly for in need of nursing care㸡
ࠈࠈࠈࠈࠈࠈnursing students㸡processes of assistance㸡the opinions of nursing㸡qualitative study
抄 録
⫴ᬊࠈ┫㆜ᇱ♇ᩅ⫩࣑࢜ࣛ࢞ࣖࣚࡡᨭḿ⾔ࢂࡿ㸡⩹ᖳ┫㆜Ꮥ࡚ࡢ㸡Ꮥ⏍㧏㱃⩽ཀྵࡦࡐࡡ⏍Ὡᶭ⬗ࢅ⌦ゆࡊ㸡㧏㱃 ⩽ࡡ┫㆜ᐁ㊮⬗ງࢅ㧏ࡴࡾᣞᑙịࡴࡼࡿ࡙࠷ࡾ㸣ࡐࡆ࡚㸡Ꮥ⏍㧏㱃⩽࡛㛭ࢂࡾ㛣ࡷ⏍Ὡᥴຐࡡᶭఌኣ࠷࡛ ᛦࢂࡿࡾ⏍Ὡࡡሔ࡛ࡊ࡙ࡡࠔ㆜⩹ெ⚗♬᪃シࠕ࡚㸡Ꮥ⏍㧏㱃⩽࡛㛭ࢂࡾ㐛⛤ࢅฦᯊࡌࡾࡆ࡛࡚㸡ᐁ⩞ᣞᑙࡡ♟ြ ࢅᚋࡒ࠷࡛⩻࠻ࡒ㸣 ┘Ⓩࠈ㆜⩹ெ⚗♬᪃シ࡞࠽ࡄࡾ⩹ᖳ┫㆜Ꮥᐁ⩞࡚㸡Ꮥ⏍ࡡこ㆜㧏㱃⩽ࡡᥴຐ㐛⛤࡞࠽ࡄࡾ╌╉Ⅴࢅ᪺ࡼ࠾࡞ࡌࡾ㸣 ᪁Ἢࠈ◂✪ࢸࢧࣤࡢ㸡㈹Ⓩᖉ⣙Ⓩ◂✪࡚࠵ࡾ㸣ᑊ㇗ࡢ㸡◂✪࡞ྜྷណࡡᚋࡼࡿࡒ㆜⩹ெ⚗♬᪃シ࡚⩹ᖳ┫㆜Ꮥᐁ⩞ ࢅ⾔ࡖࡒᏕ⏍㸝⏠Ꮔ㸞ྞ࡚࠵ࡾ㸣ࢸ࣭ࢰ㞗ࡢ㸡㧏㱃⩽࡞㛭ࢂࡾᏕ⏍ࢅཤຊびᐳ㸝びᐳ⩽࡛ࡊ࡙㸞ࡊ㸡ᐁ⩞⤂ᚃ ࡞༖ᵋᠺ㈹ၡ⣤࡞ࡻࡾ㟻ࢅ⾔ࡖࡒ㸣ฦᯊࡢ㸡ཤຊびᐳ࡛㟻࠽ࡻࡦᏕ⏍ࡡᐁ⩞エ㘋ࢅ⤣ྙࡊ࡙⾔ࡖࡒ㸣 ⤎ᯕࠈᚋࡼࡿࡒࢸ࣭ࢰࡢ㸡Ꮥ⏍ྞ㧏㱃⩽ྞ࡞㛭ࢂࡖࡒሔ㟻࡚࠵ࡖࡒ㸣ᐁ⩞⤊㐛࡚ࡢ㸡ิࡡᏕ⏍ࡢ㸡㧏㱃⩽࡛ ࡡ㛭ࢂࡽ࡞ᡖᝠ࠷㸡ࡐࡡ㛭ࢂࡽࢅᶅ⣬ࡊ࡙࠷ࡒ㸣┘ࡢ㸡エ㘋ࡷᩅ⫃ဤࡡຐゕ➴ࢅཤ⩻࡞㸡㧏㱃⩽ࡡ┫㆜ࢼ࣭ࢺࢅ ᢍᥩࡊᥴຐࡊࡒ㸣᭩⤂ࡢ㸡Ꮥ⏍మⓏ࡞㧏㱃⩽ࡡ⮤❟ࢅᨥᥴࡊࡒ㸣ࡆࡿࡼࡡᥴຐ㐛⛤࡞ࡢ㸡Ꮥ⏍㧏㱃⩽ࡡᥴ ຐࡡ㛭ࢂࡽ࡞╌╉ࡊࡒちⅤ࠵ࡽ㸡ࡐࡡ㢦ᆵࢅฦ㢦ࡊࡒ࡛ࡆࢀ㸡㸞㧏㱃⩽ࡡṟᏋᶭ⬗࡞഼ࡀ࠾ࡄࡾ㸡㸞㧏㱃⩽࡛ࡡ ெ㛣㛭౿ࢅ㔔ちࡌࡾ㸡㸞㧏㱃⩽ࡡ⏍Ὡ⾔ິࢅ㔔ちࡌࡾ㸡㸞㧏㱃⩽ࡡᗛⓏཬᚺࢅᘤࡀฝࡌ㸡㸞㧏㱃⩽ࡡវࢅ 㔔ちࡌࡾ㸡ࡡ㢦ᆵฝࡈࡿࡒ㸣 ⤎ㄵࠈᏕ⏍㧏㱃⩽ࢅᥴຐࡌࡾ╌╉Ⅴࡢ㸡㢦ᆵヾࡴࡼࡿࡒ㸣ᣞᑙ⩽ࡢ㸡ฝࡈࡿࡒᏕ⏍ࡡ㧏㱃⩽ࡡᥴຐࡡ㢦ᆵ ࢅὩ⏕ࡊ࡙㸡ᩅ⫩Ⓩᨥᥴࢅ⾔࠹ࡆ࡛㔔こ࡛⩻࠻ࡾ㸣Abstract
BackgroundࠈFollowing revisions of the curricula for basic nursing education㸡students in geriatric nursing
receive instruction on understanding elderly individuals and their daily functioning㸡and enhancing their nursing skills when working with them㸣And we sought to determine which suggestions are necessary for practicum instruction by analyzing the processes of students when interacting with elderly care recipients at a nursing home in geriatric nursing practicum㸣
Purpose To explore the opinions of nursing of students interacting with elderly care recipients at a nursing
home in a geriatric nursing practicum㸣
Methods This study employed a qualitative and inductive study design㸣Participants were six students 㸝one
male㸞 who consented to participate and who were completing their geriatric nursing practicum at a nursing home for the elderly㸣 Data were collected through participatory observations of the students interacting with the elderly care recipients and semi-structured interviews after practicum completion㸣For analysis㸡we created transcripts by integrating materials from the observations㸡interviews㸡and practicum records㸣
Results/Discussion We obtained data from 38 scenes where the six students interacted with eight care
recipients㸣In terms of processes㸡on the first day they tended to be confused and struggled in their interactions with the individuals㸣 On Day 3㸡they were likely to look at records and seek advice from their instructors㸡and attempted to understand the nursing needs of the care recipients and assist them㸣On the final day of their practicum㸡the students were actively supporting the independence of the care recipients㸣In the processes of assistance㸡we extracted five categories of particular perspectives the students had while assisting the care recipients : 㸝1㸞 working on the care recipients’ remaining functions㸡㸝2㸞 emphasizing interpersonal relationships
介護老人福祉施設に入居する要介護高齢者に対する
看護学生の援助過程における着眼点
Student Opinions of Nursing Care for the Elderly Those Requiring Home Care
୕⨶Ờ
㸞㸟㸡ኯ⏛⟿Ꮔ
㸞Miyoe Inoue㸡Setsuko Ota
㸞⪯ἠኬᏕࠈ┫㆜Ꮥ㒂ࠈSchool of Nursing㸡Seisen University ＊E-mail：[email protected]
⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞
Ϩ㸣⥬ࠈゕ
ࠈ ᖳ㸡┫㆜ᇱ♇ᩅ⫩࣑࢜ࣛ࢞ࣖࣚࡢ㸡┫㆜Ꮥ ⏍㸝௧ᚃᏕ⏍㸞ࡡ┫㆜ᐁ㊮⬗ງࢅᙁࡌࡾ┘Ⓩ࡚ ᨭḿ⾔ࢂࡿࡒ㸣⩹ᖳ┫㆜Ꮥࡢ㸡≁࡞⏍Ὡᶭ⬗ࡡ びⅤ࠾ࡼࢬࢪ࣒ࣤࢹࡊ㸡┫㆜ࢅᒈ㛜ࡌࡾ᪁Ἢࢅ ᣞᑙࡌࡾࡆ࡛♟ࡈࡿ࡙࠷ࡾ㸣ᩅဤࡢ㸡Ꮥ⏍ᐁ ⩞ᣞᑙ࡞࠽࠷࡙㸡㧏㱃⩽ࢅ⌦ゆࡊ㸡㧏㱃⩽࡞ᑊࡊ ࡙㸡┫㆜ᐁ㊮⬗ງࢅ㧏ࡴࡾᣞᑙịࡴࡼࡿࡾ㸣 ࠈ⾔◂✪࡞࠽࠷࡙㸡Ꮥ⏍ࡢ㸡⩹ᖳ┫㆜Ꮥᐁ⩞࡞ ࠽࠷࡙こ㆜㧏㱃⩽㸝௧ᚃ㧏㱃⩽㸞࡛㛭ࢂࡾᶭఌ ኣ࠷≟Ἓࡡ୯࡚㸡㧏㱃⩽ࢅ⌦ゆࡊ㸡Ⰳ࠷㛭ࢂࡽ ࢅᣚࡗࡆ࡛ᅏ㞬࡚࠵ࡾ࡛ሒ࿈ࡈࡿ࡙࠷ࡾ㸝ᮿ⏛ ࡼ㸡㸡ᖲᮄࡼ㸡㸡ᐋᆀࡼ㸡㸡⏛୯ࡼ㸡 㸞㸣 ࠈᏕ⏍ࡢ㸡ᏕහࡡᏕ⩞࡞࠽࠷࡙㸡ࣄࢸ࢛ち⫀➴࡚ ヾ▩㧏㱃⩽ࢅ⌦ゆࡊ࡙࠷ࡾ㸣ࡊ࠾ࡊ㸡Ꮥ⏍ࡢ㸡 㧏㱃⩽࡛㛭ࢂࡾࡆ࡛ᖏⓏ࡞ᑛ࠷㸣ࡐࡡࡒࡴ㸡 ᐁ⩞࡚ࡢ㸡ヾ▩ࢅྱࡳこ㆜㧏㱃⩽࡞ᑊࡊ㸡ᐁ ⩞ิ࡞㸡㧏㱃⩽࡛ࡡ㛭ࢂࡽ࡞ᡖᝠ࠷ࡷᅏ㞬វࢅ セ࠻࡙࠷ࡒ㸣ࡐࡡୌ᪁࡚➱⩽ࡢ㸡ᐁ⩞⤊㐛࡛࡛ࡵ ࡞Ꮥ⏍㸡㧏㱃⩽࡞ᑊࡊ࡙㸡ࡐࡡሔ࡞ᚺࡋࡒᑊᚺ ࡚ࡀࡾࡻ࠹࡞ᠺ㛏ࡌࡾࡆ࡛ࢅ⤊㥺ࡊ࡙ࡀࡒ㸣ࡐ ࡆ࡚㸡Ꮥ⏍ࡡࡻ࠹࡞ࡊ࡙㧏㱃⩽ࢅ⌦ゆࡊ㸡┫ ㆜ᥴຐ࡞㛭ࢂࡖ࡙࠷ࡂࡡ࠾࡛࠷࠹㐛⛤࡞㛭ᚨࢅᣚ ࡖࡒ㸣⾔◂✪ࡢ㸡⩹ᖳ┫㆜Ꮥᐁ⩞࡞࠽ࡄࡾᏕ⏍ ࡛㧏㱃⩽࡛ࡡ㛭ࢂࡽ࡞ࡗ࠷࡙㸡ᐁ⩞୯ࡡᏕ⏍ࡡエ 㘋ࡷ⤂ᚃࡡࣤࢢ࣭ࢹㄢᰕࡡฦᯊࡷ㟻හᐖࡡ ฦᯊࡢ᪺ࡼ࠾࡞ࡈࡿ࡙࠷ࡒ㸣ࡊ࠾ࡊ㸡Ꮥ⏍ࡡびᐳ ࡡちⅤࡷ↋ណㆉࡡ⾔ິࡢ᳠ゞࡈࡿ࡙࠷࠾ࡖࡒ㸣 ࡐࡡࡒࡴ㸡Ꮥ⏍ࡡࡻ࠹࡞㧏㱃⩽ࢅ⌦ゆࡊ㸡 ࡡࡻ࠹╌╉Ⅴࢅᣚࡔ㸡ᥴຐ㛭౿ࢅᙟᠺࡊ࡙࠷ࡂ ࡡ࠾ࢅ᪺ࡼ࠾࡞ࡊࡒ࠷࡛⩻࠻ࡒ㸣 ࠈࡐࡆ࡚㸡ᮇ◂✪࡚ࡢ㸡Ꮥ⏍㧏㱃⩽࡛㛭ࢂࡾ୕ ࡚㸡Ẓ㍉Ⓩ㛣࠵ࡽ㸡びᐳࡊ᪾࠷࡛ᛦࢂࡿࡾ⏍ Ὡࡡሔ࡛ࡊ࡙ࡡࠔ㆜⩹ெ⚗♬᪃シࠕ࡞࠽ࡄࡾ㸡 Ꮥ⏍ࡡ㧏㱃⩽࡛㛭ࢂࡾᥴຐ㐛⛤ࢅฦᯊࡌࡾࡆ࡛࡚㸡 ᐁ⩞ᣞᑙࡡ♟ြᚋࡼࡿࡾ࡛⩻࠻ࡒ㸣ϩ㸣◂✪┘Ⓩ
ࠈᮇ◂✪ࡡ┘Ⓩࡢ㸡㆜⩹ெ⚗♬᪃シ࡞࠽ࡄࡾ⩹ ᖳ┫㆜Ꮥᐁ⩞࡚㸡Ꮥ⏍ࡡ㧏㱃⩽ࡡᥴຐ㐛⛤࡞࠽ ࡄࡾ╌╉Ⅴࢅ᪺ࡼ࠾࡞ࡌࡾࡆ࡛࡚࠵ࡾ㸣Ϫ㸣ᐁ⩞ࡡᴣこ
ࠈᮇ◂✪ࡡᐁ⩞ᴣこࡢḗࡡ㏳ࡽ࡚࠵ࡾ㸣㸦㸣ᐁ⩞ࡡ┘Ⓩ
ࠈ┘Ⓩࡢ㸡⩞ࡡ▩ㆉ࣬ᢇ⾙࣬ឺᗐࢅ⤣ྙࡊ㸡㧏 㱃⩽ࡡ┫㆜ࡡᐁ㊮ࢅ㏳ࡊ࡙ᇱ♇Ⓩ⮣ᗃ⬗ງࢅ㌗ ࡞ࡗࡄࡾࡆ࡛࡛ࡌࡾ㸣㸧㸣ᐁ⩞᪃シ࡛ᣞᑙమโ
ࠈᐁ⩞᪃シࡢ㸡A┬ࡡ㆜⩹ெ⚗♬᪃シ㸝௧ୖ᪃ シ㸞࡚㸡ࢢమโࡢᅖᏽᆵࣗࢼࢴࢹࢢ࡚࠵ࡾ㸣 ࣗࢼࢴࢹ࡞ࡢ㸡ྞࡡ㧏㱃⩽ථᑽࡊ࡙࠷ࡒ㸣ࡐ ࡊ࡙㸡㧏㱃⩽ࡡ㆜ᗐࡢ㸡 㹳 ኣ࠾ࡖࡒ㸣 ࠈᣞᑙమโࡢ㸡ᢰᙔᩅဤ㸝௧ᚃᩅဤ㸞ᐁ⩞㛜ጙ ࡡ๑㐄࡞ᐁ⩞࢛࢙ࣛࣤࢷ࣭ࢨࣘࣤࢅ⾔࠹㸣ᩅဤ ࡢ㸡㛣ࡡᐁ⩞㛣୯㸡ิ㸡┘㸡᭩⤂㸝 ┘㸞࡞᪃シ࡞࠽࠷࡙ᣞᑙࢅ⾔࠹㸣᪃シᣞᑙ⩽ࡢ㸡 ㆜ㄚ㛏ᣞᑙࡡ⟮⌦ࢅ⾔࠷㸡ࢢ࣭࣭࣠࢜㸝௧ ୖCW㸞ࠍࡡ㣏㸡ᤴἝ㸡⛛ິ➴ࡡࢢࡡᣞ ᑙࢅ⾔ࡖࡒ㸣ࡱࡒ㸡᪃シࡡᣞᑙ᪁㔢ࡡࡗ࡛ࡊ࡙㸡 Ꮥ⏍ࡡẴࡘࡀࢅ㧏ࡴࡾࡒࡴ㸡Ꮥ⏍ࡢ᭩ิ࡞㧏㱃⩽ ࡡࢢࣈࣚࣤࢅ㛸ぬࡊ࡙㛭ࢂࡾࡡ࡚ࡢࡂ㸡CW ࠾ࡼ㧏㱃⩽ࡡㄕ᪺ࢅུࡄ࡙ᖏ⏍Ὡᥴຐࢅᐁ᪃ࡊ ࡒ㸣Ꮥ⏍ࡢ㸡ུࡄᣚࡔࡡ㧏㱃⩽ࢅỬࡴ࠷࡚㸡ࣗ ࢼࢴࢹහ࡚⮤⏜࡞々ᩐࡡ㧏㱃⩽࡛㛭ࢂࡖ࡙࠷ࡒ㸣ϫ㸣◂✪᪁Ἢ
㸦㸣⏕ㄊࡡ᧧షⓏᏽ⩇
㸦㸞こ㆜㧏㱃⩽ ࠈ㆜ಕ㝜Ἢ࡞ࡻࡾこ㆜ヾᏽᇱ‵࡚㸡こ㆜ᗐ 㹳 ࡞ヾᏽࡈࡿ㸡㆜⩹ெ⚗♬᪃シ࡞ථᑽࡊ࡙ ㆜ࢦ࣭ࣄࢪࢅུࡄ࡙࠷ࡾ⩽࡚࠵ࡾ㸣ᮇ◂✪࡚ࡢ㸡 ➠ྒ⿍ಕ㝜⩽ࡡࡲ࡛ࡌࡾ㸣Conclusion There were five categories of the student opinions of nursing for elderly㸣We suggest that
Seisen J. Nurs. Stud., Vol. 2. 2013 㸧㸞ᥴຐ㐛⛤ ࠈᏕ⏍㧏㱃⩽࡞ᚪこᥴຐࢅ⾔࠹ࡒࡴ࡞㸡㧏㱃 ⩽࡛ࡡ㛭ࢂࡽࡷࡗࡽࢅᣚࡗୌ㏻ࡡ┫㆜ᥴຐࡡ 㐠➵࡛ࡌࡾ㸣
㸧㸣◂✪ࢸࢧ࡛ࣤ◂✪᪁Ἢ
ࠈ◂✪ࢸࢧࣤࡢ㸡㈹Ⓩᖉ⣙Ⓩ◂✪᪁Ἢ࡚㸡ཤຊ びᐳἪ࡛༖ᵋᠺⓏ㟻Ἢࢅ⏕ࡊࡒ㸣㸨㸣◂✪ᑊ㇗
ࠈBኬᏕࡡ┫㆜⣌ࡡᖳ⏍ࡡᏕ⏍ࡡ࠹ࡔ㸡⩹ᖳ┫ ㆜Ꮥᐁ⩞㸝༟న㸞ࡡᐁ⩞⏍࡚㸡ᮇ◂✪࡞ྜྷណࢅ ᚋࡒᏕ⏍ྞ㸝ዥᏄྞ㸡⏠Ꮔྞ㸞࡚࠵ࡾ㸣㸩㸣◂✪ᑊ㇗ࡡᏕ⏍ᐁ⩞㛣࡞㛭ࢂࡖࡒ
ࠈ㧏㱃⩽ࡡᴣこ㸝⾪㸦㸞
ࠈᏕ⏍㸡ᐁ⩞㛣࡞㛭ࢂࡖࡒ㧏㱃⩽ࡡ࠹ࡔ㸡◂ ✪༝ງ࡞ྜྷណᚋࡼࡿࡒࡡࡢ㸡⏠ᛮྞ㸡ዥᛮྞ ࡡ゛ྞ࡚࠵ࡖࡒ㸣㧏㱃⩽ࡡᖳ㱃ࡢ㸡 㹳 ṋ㸝ᖲ ᆍṋ㸞࡚࠵ࡖࡒ㸣こ㆜ᗐࡢ 㹳 ᗐ࡚࠵ࡖ ࡒ㸣㧏㱃⩽ࡡヾ▩ᶭ⬗ࡢ㸡᪃シ࠾ࡼࡡሒ࡞ࡻࡾ ࡛㸡ᨭᏽ㛏ㆺᕖᘟ⠾᪾▩⬗ビ౮ࢪࢢ࣭ࣜ㸝HDS−R㸞 ࡞࠽࠷࡙㔔ᗐྞ㸡୯➴ᗐྞ࡚࠵ࡽ㸡ྞ࡞ࡗ ࠷࡙ࡢථᡜࡡ㒌ྙ࡚᪺࡚࠵ࡖࡒ㸣㸪㸣ࢸ࣭ࢰ㞗㛣
ࠈᖲᠺᖳ᭮㹳 ᭮㸫㸣ࢸ࣭ࢰࡡ㞗᪁Ἢ
㸦㸞ཤຊびᐳἪ ࠈ◂✪⩽ࡢ㸡ᮇ◂✪࡞࠽࠷࡙㸡びᐳ⩽࡛ࡊ࡙ཤຊ びᐳࢅ⾔ࡖࡒ㸣ࡱࡒ㸡᪃シ࡞౪㢏ࡊ࡙㸡Ꮥ⏍ࡡᐁ ⩞㛜ጙࡱ࡚࡞びᐳሔᡜ࡛ࡾࣗࢼࢴࢹ࡚ࢪࢰࢴࣆ ࡛ୌ⥬࡞ࢢ࡞ཤຊࡊ㸡๑࡞㧏㱃⩽࡞ฝఌࡖ࡙ ࠷ࡒ㸣Ꮥ⏍ࡡ㛣ࡡᐁ⩞㛣୯࡞㸡◂✪⩽ࡡྜྷ ᖆ࡞ࡻࡾᏕ⏍ࡷ㧏㱃⩽ࡡㇿᢰࢅ⩻៎ࡊ㸡びᐳࡡ ሔᡜ࡛㛣ᖈ࠽ࡻࡦሔ㟻ࢅ㐽ᢝࡊࡒ㸣びᐳሔᡜࡢ㸡 㣏ᇸࢸ࣭࣑࡛ࣜࡊ㸡びᐳࡌࡾ㛣ᖈࡢ㸡ิ࣬ ┘࣬᭩⤂㸝┘㸞ࡡ ࠾ࡼ㣏ຐ⤂ ࡌࡾࡱ࡚࡛ࡊࡒ㸣びᐳሔ㟻ࡢ㸡Ꮥ⏍࡛㧏㱃⩽ࡡࢤ ࣐ࣖࢼࢢ࣭ࢨࣘࣤ㸡㣏ຐ㸡ࣝࢠ࢙࣭ࣛࢨࣘࣤ Ὡິ㸡ᩅဤࡷ᪃シࡡᐁ⩞ᣞᑙ⩽㸡CW㸡ࡡᏕ⏍ ࡛ࡡ㛭ࢂࡽࡡሔ㟻࡛ࡊࡒ㸣ࡒࡓࡊ㸡㧏㱃⩽ࡡࣈࣚ ࣁࢨ࣭࡞㛭ࡌࡾᤴἝࡷฌ⨠ࡡሔ㟻ࡢአࡊࡒ㸣 ࡐࡊ࡙㸡びᐳࡡちⅤࡢ㸡Ꮥ⏍࠽ࡻࡦ㧏㱃⩽ࡡ⾪㸡 ఌヨ㸡⾔ິ㸡Ꮥ⏍ࡡᑊᚺ➴࡛ࡊࡒ㸣ᐁ⩞୯ࡡᏕ⏍ ࠽ࡻࡦ㧏㱃⩽ࡡㇿᢰ࡞ࡼ࠷ࡻ࠹࡞㒼៎ࡊ࡙び ᐳࡊࡒ㸣Ꮥ⏍ࡥ࡛ࡽ࠵ࡒࡽࡡཤຊびᐳ㛣ࡢ㸡ᖲ ᆍฦ㸤㸡᭩ኬฦ㸡᭩ᑚฦ࡚࠵ࡖࡒ㸣 㸧㸞㟻Ἢ ࠈ◂✪⩽ࡢ㸡Ꮥ⏍࡞ᑊࡊ࡙㸡ᐁ⩞⤂ᚃ࡞༖ᵋᠺ Ⓩ㟻ࢅ⾔ࡖࡒ㸣Ꮥ⏍࡞ཤຊびᐳ࡚ᚋࡒࢸ࣭ࢰࢅ ☔ヾࡊ࡙ࡵࡼ࠷㸡ᐁ⩞࡚㧏㱃⩽࡞㛭ࢂࡖ࡙࠷ࡒ ࡡᏕ⏍ࡡᛦ⩻ࡷึ᩷ࢅ☔ヾࡊࡒ㸣㟻㛣ࡡᖲᆍ ࡢ㸡ฦ㸡᭩ኬࡢ ฦ㸡᭩ᑚࡢฦ࡚࠵ࡖࡒ㸣 㸨㸞ᐁ⩞エ㘋ࡡ㛸ぬࠈ ࠈᐁ⩞エ㘋ࡢ㸡ࢸ࣭ࢰࡡ☔ヾࢅࡌࡾࡒࡴ࡞Ꮥ⏍ࡡ スྊ࠽ࡻࡦᐁ⩞ᣞᑙ⩽ࡡスྊࢅᚋ࡙㛸ぬࡊࡒ㸣㸬㸣ࢸ࣭ࢰฦᯊ࡛ಘ㢏ᛮ
ࠈࢸ࣭ࢰࡡฦᯊ㐛⛤㸝ᅒ㸞࡞࠽࠷࡙ࢸ࣭ࢰࡢ㸡 ิ㸡┘㸡᭩⤂ࡡ༔๑୯࡞ཤຊびᐳ࡚ᚋࡼ ࡿࡒࢸ࣭ࢰࢅ⤊Ⓩ࡞びᐳࢿ࣭ࢹ࡞ᩒ⌦ࡊࡒ㸣ࡱ ࡒ㸡᭩⤂ࡡ㟻࡚ᚋࡼࡿࡒࢸ࣭ࢰࡢ㏪ㄊ㘋࡞࠽ ࡆࡊࡒ㸣ḗ࡞㸡Ꮥ⏍ࡇ࡛࡞ཤຊびᐳࡊࡒහᐖ࡞ࡗ ࠷࡙㏪ㄊ㘋࠾ࡼࡐࡡ࡞Ꮥ⏍ࡡᵕ࡞ちⅤ ㆜⩹ெ⚗♬᪃シ࡞ථᑽࡌࡾこ㆜㧏㱃⩽࡞ᑊࡌࡾ┫㆜Ꮥ⏍ࡡᥴຐ㐛⛤࡞࠽ࡄࡾ╌╉Ⅴ ⾪ࠈ◂✪ᑊ㇗⩽㛭ࢂࡾこ㆜㧏㱃⩽ࡡᒌᛮ 㜞㦂⠪ ᕈ ᐕ㦂 㧔ᱦઍ㧕 ᚲᦼ㑆 㧔ᐕ㧕 ᡷ⸓㐳⼱Ꮉᑼ◲ᤃ ⍮⢻⹏ଔࠬࠤ࡞ ⷐ ⼔ᐲ ᣣᏱ↢ᵴߩ⁁ᴫ 㧔㘩ឃᴭ⒖േ㧕Ԙ
ᅚ ㊀ᐲ ㇱಽഥ㧘ゞሶ↪
ԙ
ᅚ ਛ╬ᐲ ㇱಽഥ㧘ゞሶ↪Ԛ
↵ ㊀ᐲ ฝ 㤗∽㧘ㇱಽഥ㧘ゞሶ↪ԛ
ᅚ ਛ╬ᐲ ㇱಽഥ㧘ゞሶ↪
Ԝ
ᅚ ㊀ᐲ ฝ 㤗∽㧘ㇱಽഥ㧘ゞሶ↪ԝ
ᅚ ਛ╬ᐲ ฝ 㤗∽㧘ㇱಽഥ㧘ゞሶ↪Ԟ
ᅚ ਇ ฝ 㤗∽㧘ㇱಽഥ㧘ゞሶ↪
ԟ
ᅚਛ╬ᐲ ฝ 㤗∽㧘ㇱಽഥ㧘ゞሶ↪
⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞 ࢅ⨠࠷࡙㛭ࢂࡖ࡙࠷ࡒࡡ࠾㸡⩻࠻࡙࠷ࡒࡆ࡛ࡷវ ࡋ࡙࠷ࡒහᐖࢅຊ࠻්࡙ᵋᠺࡊࡒ㸣ࡱࡒ㸡༎ฦ ᡜࡢᐁ⩞エ㘋࠾ࡼ㊂ࡊ㸡ᥴຐ㐛⛤ࡡ≁ᚡࢅ᪺ ࡼ࠾࡞ࡊࡒ㸣ࡈࡼ࡞㸡Ꮥ⏍㧏㱃⩽㛭ࢂࡾ㝷࡞㸡 Ꮥ⏍╌╉ࡊ࡙࠷ࡾ㛭ࢂࡽࡡちⅤࡡ≁ᚡࢅฦ㢦ࡊ ࡙㢦ᆵࡊࡒ㸣ࡱࡒฦᯊ㐛⛤ࡢ㸡㈹Ⓩ◂✪ࡡࢪ࣭ ࣂ࣭ࣁࢧ࣭ࡷ┫㆜ᖅ࡛ࡡ᳠ゞఌࢅ⾔ࡖ࡙හᐖࡡ ጂᙔᛮࢅ☔ಕࡊࡒ
㸭㸣⌦Ⓩ㒼៎
ࠈᏕ⏍࠽ࡻࡦ᪃シ⟮⌦⩽࡞ࡢ㸡◂✪༝ງࡡ௴ណ ᛮࡡಕ㝸㸡᪃シྞࡷᏕ⏍Ắྞࡡ༌ྞᛮࡡཚᏬ㸡ࣈ ࣚࣁࢨ࣭ࡡཚᏬ㸡ࢸ࣭ࢰࡡཚᐠ⟮⌦ࡷ㸡ࢸ࣭ ࢰࡢ◂✪௧አ࡞⏕ࡊ࠷➴㸡⌦Ⓩ㒼៎ࢅྱࡳ ㄢᰕࡡㄕ᪺ࢅ⾔࠷ྜྷ࡞᭡㟻࡞࡙ྜྷណࢅᚋࡒ㸣ࡐ ࡡᚃ㸡᪃シ⟮⌦⩽࠾ࡼ㧏㱃⩽ࡡ⣺ࢅᚋ㸡ᐁ⩞㛜 ጙ๑࡞ࡢ◂✪⩽᪃シ◂ಞࢅ⾔࠷㸡㧏㱃⩽࡞◂✪ ┘Ⓩ࣬᪁Ἢ➴ࡡㄕ᪺ࢅ⾔࠷㸡◂✪ཤຊࢅ౪㢏ࡊ ྜྷណࢅᚋࡒ㸣ᮇ◂✪ࡢ㸡ᖲᠺᖳ᭮࡞⁘㈙ ༈⛁ኬᏕ⌦ጟဤఌࡡᢆヾࢅᚋࡒᚃ࡞ᐁ᪃ࡊࡒ 㸝㸞㸣 ࠈࢸ࣭ࢰࡢ㸡Ꮥ⏍ྞ㧏㱃⩽ྞ࡞㛭ࢂࡖࡒሔ 㟻࠾ࡼᚋࡼࡿࡒ㸣Ꮥ⏍㸡ྜྷୌ㧏㱃⩽࡛௧୕ 㛭ࢂࡖࡒ㐛⛤ࡢౚ࡚࠵ࡖࡒ㸣㸝⾪㸞 ࠈࡆࡿࡼࡡᥴຐ㐛⛤࡞ࡢ㸡Ꮥ⏍㧏㱃⩽ࡡ㛭ࢂ ࡽ࡞╌╉ࡊࡒちⅤ࠵ࡽ㸡ࡐࡡ㢦ᆵࢅฝࡊࡒ࡛ ࡆࢀ㸡㸞㧏㱃⩽ࡡᣚ࡙ࡾງ㸡㸞㧏㱃⩽࡛ࡡெ㛣 㛭౿㸡㸞㧏㱃⩽ࡡ㣏⏍Ὡ⾔ິ㸡㸞㧏㱃⩽ࡡᗛ Ⓩཬᚺ㸡㸞㧏㱃⩽ࡡវࡡ㢦ᆵཱིࡽฝࡈࡿ ࡒ㸣௧ୖ㸡㢦ᆵࢅㄕ᪺ࡌࡾ㸣㸦㸣㧏㱃⩽ࡡᣚ࡙ࡾງ
㸦㸞Ꮥ⏍㸶ࡡ㧏㱃⩽ձẮ㸝௧ᚃ㧏㱃⩽ձ㸞ࡡᥴຐ ࠈ㐛⛤ ࠈᏕ⏍Aࡢ㸡ิࡡ㣏ຐሔ㟻࡞࠽࠷࡙㸡CW ࠾ࡼ㧏㱃⩽ձࡢ⮤ฦ࡚ᦜཱི࡚ࡀࡾࡡ࡚ずᏬࡾࡻ ࠹࡞ㄕ᪺ࢅུࡄࡒ㸣ࡊ࠾ࡊ㸡㣏ሔ㟻࡞࠽ࡄࡾ ሒᑛ࠷ࡒࡴ≟Ἓࢂ࠾ࡼࡍຐࡡ᪁࡞ᅏ㞬 ࢅវࡋ࡙࠷ࡒ㸣ࡐࡊ࡙㸡㏁➽࠷㧏㱃⩽ձࡢ㸡 ណᚷ㏳࡚ࡀ࠷ெ࠾࡛ᛦ࠷㸡⾪࠾ࡼណᛦࢅ ㄖࡲཱིࢀ࠹࡛ࡊࡒ㸣ࡊ࠾ࡊ㸡Ꮥ⏍Aࡢ㸡㣏ᚃࡡ ⷾ࡞ᩅဤࡡᣞᑙ࡚㸡㧏㱃⩽ձ࡞ᑊࡊ࡙㸡ྞ๑ ࡡ☔ヾࡡࡒࡴࠖ࠽ྞ๑ࢅゕࡖ࡙ୖࡈ࠷࡛ࠗヨࡊ࠾ ࡄࡒ࡛ࡆࢀ㸡㧏㱃⩽ձࡢ㸡ᑚኇ࡚⮤ฦࡡẮྞࢅḿ ☔࡞➽࠻ࡒ㸣Ꮥ⏍Aࡢ㸡ࠔࡐࡿࡱ࡚㧏㱃⩽ࡡᑊ ᚺ࠾ࡲྙࢂࡍヾ▩࡚ズࢂ࠾ࡼ࠷࡛ᛦࡖ࡙ ࠷ࡒ㸡⏍㸝ᩅဤ㸞ࡡᑊᚺ࠾ࡼ㸡ゕⴝ࡚➽࠻ࡾ ࡆ࡛࡚ࡀࡾࠕ࡛ヾㆉࡊࡒ㸣┘㸡Ꮥ⏍Aࡢ᪃ シฺ⏕⩽ࡡエ㘋࠾ࡼሒ㞗ࢅ⾔࠷㸡㧏㱃⩽ձࡡ ථᑽࡡᵕᏄ㸡⌟ᅹࡢヾ▩≟㐅ࢆ࡚࠷ࡾࡆ࡛ ࡷࡐࡿࡱ࡚࡞ᚋࡒሒ࡚㸡ḿ☔ࡵࡡ࡛㐢ࡖ࡙࠷ ࡒࡵࡡ࡞Ẵࡘࡀࡻࡽ⌦ゆࢅࡴࡒ㸣ࡱࡒ㸡Ꮥ⏍A ࡢ㸡ᚋࡒሒࢅὩ⏕ࡊ㧏㱃⩽ձࡡずᙔㆉ㝸ᐐ㸡エ 㖥ງࣝ࣊ࣜࢅびᐳࡊࡒ࠷࡛⩻࠻ࡒ㸣᭩⤂ࡢ๑ ࡡࣝࢠ࢙࣭ࣛࢨࣘࣤὩິ࠾ࡼ㸡㧏㱃⩽ձ┘Ⓩࢅ ࡵࡖ࡙⾔ິ࡚ࡀࡾᏋᅹ࡚࠵ࡾࡆ࡛ࢂ࠾ࡖ࡙࠷ࡒ㸣 ࡐࡡࡒࡴ㸡Ꮥ⏍Aࡢ㸡㧏㱃⩽ձࡹࡖࡂࡽ࡛ࡊࡒ ິష࡚ࡢ࠵ࡾ㸡⮤ງ࡚㌬࠷ࡌࢅ᧧షࡌࡾ≟Ἓࢅ ず࡙㸡୕༖㌗ࡡິࡀ࡞╌┘ࡊࡒ㸣㧏㱃⩽ձ୦୕ ⫝ࢅ࠷㸡㌬࠷ࡌࢅ᧧ష࡚ࡀࡾࡻ࠹࡞ゕⴝ࠾ࡄࢅ ᕝኰࡊ㸡㛣ࡢこࡊࡒࢹࣝࡱ࡚ࡡᙸᚗ࡚ࡀ ࡾࡻ࠹࡞഼ࡀ࠾ࡄࡒ㸣 1㧙Ԙታ⠌႐㕙 㧝㧙ԙቇ↢ࠞࡦࡈࠔࡦࠬ ⷰኤࡁ࠻ ㅙ⺆㍳ ⋴⼔ቇ↢ߏߣߦࡊࡠࠬࠦ࠼ߦౣ᭴ᚑߔࠆ ⋴⼔ቇ↢ߏߣߦⷐ⼔㜞㦂⠪߳ߩេഥㆊ⒟ ߣߘߩ․ᓽࠍᢛℂ 㧔38 ႐㕙㧕 ⋴⼔ቇ↢ߩⷐ⼔㜞㦂⠪߳ߩេഥㆊ⒟ߣߘߩ․ᓽࠍㆬቯ ೋᣣࠍ㧞ᣣ㑆એߩ㑐ࠊࠅߩࡊࡠࠬࠍㆬቯ 㧔11 ႐㕙㧕 ⎇ⓥ⋡⊛ߦᾖࠄߒᢛℂߒߚ․ᓽߩㅢᕈߣ⋧㆑ᕈߩ ቇ↢ߩេഥㆊ⒟ߩ㘃ဳൻ 㧔㧡㘃ဳ㧕 ᅒࠈࢸ࣭ࢰࡡฦᯊ㐛⛤Seisen J. Nurs. Stud., Vol. 2. 2013 㸧㸞Ꮥ⏍㸷ࡡ㧏㱃⩽ղẮ㸝௧ᚃ㧏㱃⩽ղ㸞ࡡᥴຐ ࠈ㐛⛤ ࠈᏕ⏍Bࡢ㸡ิᑊ㟻ࡡ㧏㱃⩽ղ࡞ᑊࡊ࡙ヾ▩≟ ࢅវࡋࡼࡵఌヨࢅ୯᩷ࡌࡾࡆ࡛ࡂ㐅ࡴࡒ㸣 ┘㸡CW࡞⏞ࡊฝ࡙᪃シࡡエ㘋࠾ࡼሒ㞗 ࢅ⾔࠷㸡ᐁ㝷࡞㧏㱃⩽ղ࡛㛭ࢂࡽ㞗ࡊࡒሒ࡛ エ㘋ࡡሒࢅ⤣ྙࡈࡎ㸡ヾ▩ࣝ࣊ࣜࢅびᐳࡊࡒ㸣 ᭩⤂㸡Ꮥ⏍Bࡢ㸡ࣝࢠ࢙࣭ࣛࢨࣘࣤὩິ࡚ୌ⥬ ࡞ὩࡄࡒⰴࡡⰅྙ࠷࡞ࡗ࠷࡙㧏㱃⩽ղࢅ㈱㈮ࡊࡒ ࡛ࡆࢀ㧏㱃⩽࠾ࡼᏕ⏍࡛ࡡ༝ྜྷషᴏࡓ࡛࠷࠹┞ᡥ ࡡᛦ࠷ࡷࡽࡡẴᣚࡔࢅᘤࡀฝࡎࡒ㸣ࡱࡒ㸡࠷ࡗ ࡵ᥅࠻ࡴ㧏㱃⩽ղࡡ㧏㱃⩽࡞ᑊࡊ࡙㸡ࠔ ࡡࡱࡱ࡚ࡢ࠷ࡄ࠷ࠕࡷ㸡ࠔࡊࡖ࠾ࡽࡊࡻ࠹ࠕ࡛ ྌ⃥ທࡊ࡙࠷ࡾࡡࢅല⫀ࡌࡾࡆ࡛࡚㸡㧏㱃⩽ղ ⮤ฦࡡᚃࡡ࠵ࡽ᪁࡞ࡗ࠷࡙ㄊࡽ㸡⮤❟ࡊࡻ࠹ ࡛࠷࠹Ẵᣚࡔࡡ⢥♼࣬♣ఌ㟻ࡡᣚ࡙ࡾງࢅᘤ ࡀฝࡎࡒ㸣 㸞Ꮥ⏍㸸ࡡ㧏㱃⩽ճẮ㸝௧ᚃ㧏㱃⩽ճ㸞ࡡᥴຐ ࠈ㐛⛤ ࠈᏕ⏍Cࡢ㸡ิ࡞↋⾪࡚㌬Ꮔ࡞ᗑࡖࡒࡱࡱ ࠵ࡱࡽິ࠾࠷㧏㱃⩽ճ࡞㎾ࡘࡀኇ࠾ࡄࢅࡊࡒ㸣 Ꮥ⏍Cࡢ㸡㧏㱃⩽ճ࡞ᑊࡊ࡙㸡రࡡཬᚺࡵࡂን ࡵ࠷ெࡓ࡛វࡋࡒ㸡⮤ฦࡡࢤ࣐ࣖࢼࢢ࣭ࢨ ࣘࣤᢇ⾙ࢅ☳ࡀࡒ࠷࡛ᛦ࠷㧏㱃⩽ճ࡞㛭ࢂࡖࡒ㸣 ┘㸡Ꮥ⏍Cࡢ㢎ᅂ࡞㧏㱃⩽ճ࡞ヨ࠾ࡄࡒࡡ࡚㸡㧏 㱃⩽ճࡢᚆࠍ࡞Ꮥ⏍Cࡡ㢞ࢅつ࠻࡙㧏㱃⩽ճ࠾ࡼ ኇࢅ࠾ࡄࡾࡆ࡛ቌ࠻ࡒ㸣᭩⤂㸡Ꮥ⏍Cࡢ㧏㱃⩽ ճ࡞ࡦḾࡴࡼࡿࡒሔ㟻࡚㸡㧏㱃⩽ճࡡᅏࡖࡒ⾪ ࢅវࡋཱིࡽ㸡∏の࠾ࡼ㆙ࡽུࡄࡒኬว゛ࢅ ᥀ࡊ࡙࠷ࡾࡡ࡚ࡢ࠷࠾࡛ᑖࡠࡒ࡛ࡆࢀࠔࡐ࠹ࡷ㸖ࠕ ࡛ཬᚺ㏁ࡖ࡙ࡀࡒ㸣Ꮥ⏍Cࡢ㧏㱃⩽ࡡ㛏エ᠀ ࡞ࡗ࠷࡙ᣚ࡙ࡾງ࡞഼ࡀ࠾ࡄࡾࡆ࡛࡚ࡀࡒ㸣
㸧㸣㧏㱃⩽࡛ࡡெ㛣㛭౿
㸦㸞Ꮥ⏍㸶ࡡ㧏㱃⩽մẮ㸝௧ᚃ㧏㱃⩽մ㸞ࡡᥴຐ ࠈ㐛⛤ ࠈᏕ⏍Aࡢ㸡ࡡ㧏㱃⩽ࡡ㣏ຐࡡ‵ങ࡞▦ ⤽ࡁ᪡࡞セ࠻ࡾ㧏㱃⩽մ࡞ࡦḾࡴࡼࡿࡒ㸣㧏㱃 ⩽մࡢ㸡ᩐ๑ࡱ࡚⭰㛭⟿ࡡ㦭ᢙ࡚⛛ິࡷ⛛㏞ࡡ ຐࢅུࡄ࡙࠷ࡒ㸡්ࡦ⮤ฦ࡚㌬Ꮔࢅ⏕ࡊ ࡙⛛ິ࡚ࡀࡾ⛤࡞ᅂᚗࡊ࡙࠷ࡒ㸣Ꮥ⏍Aࡢ๑࡞ CW࠾ࡼ㸡㧏㱃⩽մ࡚ࡀࡾࡆ࡛ࡢᮇெ࡞ࡊ࡙ࡵ ࡼ࠹ࡻ࠹࡞ㄕ᪺ࢅུࡄ࡙࠷ࡒ㸣ࡊ࠾ࡊ㸡㧏㱃⩽մ ࡞ࡣࡿࡾ࡛ࡌࡃ࡞㌬Ꮔ⛛㏞ࡡຐࢅ⾔ࡖࡒ㸣 ㆜⩹ெ⚗♬᪃シ࡞ථᑽࡌࡾこ㆜㧏㱃⩽࡞ᑊࡌࡾ┫㆜Ꮥ⏍ࡡᥴຐ㐛⛤࡞࠽ࡄࡾ╌╉Ⅴ ⾪ࠈこ㆜㧏㱃⩽࡞ᑊࡊ࡙Ꮥ⏍╌╉ࡊࡒࡡሔ㟻㸝ิ㸡┘㸡᭩⤂㸞࡛ࡐࡡ㢦ᆵ 㘃 ဳ ႐ 㕙 ታ⠌⚻ㆊ ೋᣣ 3 ᣣ⋡ ᦨ⚳ᣣ 1)㜞㦂 ⠪ߩᜬߡ ࠆജ ࠕ ቇ↢A ߪ㧘㘩ഥ႐㕙ߢ㧘⸒⺆⊛ࠦࡒࡘ࠾ࠤ ࡚ࠪࡦ߇ߣࠇߥߩߢࠇ߫ᖱߦ⌕⌒ߒߡᗧ ᔒࠍ⺒ߺขࠈ߁ߣߒߚ㧚 ቇ↢A ߪ㧘㜞㦂⠪Ԙߩᚲᤨ߆ࠄߦ⥋ࠆ⚻ㆊߦߟ ߡ⌕⌒ߒߡᣉ⸳ߩ↪⠪⸥㍳ࠍ㑛ⷩߒኻ⽎ℂ⸃ࠍᷓߚ㧚 ߹ߚ㧘㜞㦂⠪Ԙߩ㘩േߦ⌕⌒ߒߡഥߒߚ㧚 ࠢࠚ࡚ࠪࡦᵴേ߆ࠄ㜞㦂⠪Ԙ߇⋡⊛ࠍ߽ߞߡⴕ േߢ߈ࠆߣℂ⸃ߒߚቇ↢A ߪ㧘㜞㦂⠪Ԙߩඨりߩേ߈ ߦ⌕⌒ߒゞሶߩ⥄ᠲࠍଦߒߚ㧚 ࠗ ቇ↢B ߪ㧘㜞㦂⠪ԙߩࠦࡒࡘ࠾ࠤ࡚ࠪࡦ⢻ജ ߦ⌕⌒ߒ㧘ળࠍਛᢿߒߥߢㅴߚ㧚 ቇ↢B ߪ㧘㜞㦂⠪ԙߩ⍮ࡌ࡞ߦ⌕⌒ߒ㧘⸒േߣᣉ⸳ ߩ↪⠪⸥㍳ࠍ⛔วߒߡℂ⸃߇ᷓࠄࠇߚ㧚 ቇ↢B ߪ㧘ប߃ߥ㜞㦂⠪ԙ߆ࠄ⥄┙ߒࠃ߁ߣ߁᳇ ᜬߜࠍᒁ߈ߒߚ㧚 ࠙ ቇ↢C ߪ㧘⥄ಽ⥄りߩࠦࡒࡘ࠾ࠤ࡚ࠪࡦ⢻ജ ߦ⌕⌒ߒ㧘ήᖱߥ㜞㦂⠪Ԛߦኻߒߡ⥄ಽࠍ⏴߈ ߚߣᕁ㑐ࠊߞߚ㧚 ቇ↢C ߪ㧘㜞㦂⠪Ԛߩࠦࡒࡘ࠾ࠤ࡚ࠪࡦ⢻ജߦ⌕⌒ߒ㧘 ᭉߒߐࠍᗵߓߥ߇ࠄ߈߆ߌߚ㧚 ቇ↢C ߪ㧘㜞㦂⠪Ԛߦ߮ᱛࠄࠇߚ႐㕙ߢ㧘㜞㦂⠪ ߩ㐳ᦼ⸥ᙘߦ⌕⌒ߒߡࠦࡒࡘ࠾ࠤ࡚ࠪࡦࠍߣࠅߥ߇ࠄ ৻✜ߦតߒ⊒ߒߚ㧚 2)㜞㦂⠪ ߣߩੱ㑆 㑐ଥ ࠛ ቇ↢A ߪ㧘㜞㦂⠪ԛߩ⸷߃ߣᜰዉ⠪ߩᜰዉߣߩ ᧼ߺߢㄆߐࠍᗵߓߚ߇㜞㦂⠪ߣߩੱ㑆㑐ଥߦ⌕ ⌒ߒ㜞㦂⠪ߣߩੱ㑆㑐ଥᚑ┙ࠍఝవߒߚ㧚 ቇ↢A ߪ㧘ታ⠌ࡔࡦࡃߩ㜞㦂⠪ԛ߳ߩኻᔕߦ⌕⌒ߒ㧘 ⷰኤߒߚ⚿ᨐ㧘⥄┙ࠍଦߔេഥ߇ℂ⸃ߢ߈㧘ଐሽᐲ߇㜞 㜞㦂⠪ߣṖߦ㑐ࠊࠆߎߣ߇ߢ߈ߚ㧚 3)㜞㦂⠪ ߩ㘩↢ᵴ ⴕേ ࠝ ቇ↢D ߪޔ㜞㦂⠪Ԝߩ㘩േߦ⌕⌒ߒ㧘ㇱಽ ഥߪฃߌࠇࠆ߇ჿ߆ߌߦήᖱߥ㜞㦂⠪ߦᚭ ᖺࠍᗵߓή⸒ߢഥߒߚ㧚 ቇ↢D ߪ㧘㜞㦂⠪Ԝߦኻߒߡ CW ߩ㘩ഥࠍⷰኤߒࡕ ࠺࡞ߦߒߡេഥߦᵴ↪ߒߚ㧚 ࠞ ቇ↢E ߪ㧘㜞㦂⠪ԝߩ㘩േߦ⌕⌒ߒഥߒ ߚ㧚㜞㦂⠪ԝߩญ߳ㆇ߱࠲ࠗࡒࡦࠣ߇ࠊߕ㜞㦂 ⠪ߩ᳇ಽࠍኂߒߡ࿎ᖺߒߚ㧚 ቇ↢E ߪ㧘㜞㦂⠪ԝߩ㘩ਛߩᖱ߿േߦ⌕⌒ߒߡ⺋ ྚ߿⥝ᅗ⁁ᘒߥߊഥ߇ߢ߈ߚ㧚 ࠠ ቇ↢B ߪ㧘⌁ߞߡࠆ㜞㦂⠪ԝߩ㘩ഥߢ㜞 㦂⠪ߩ↢ᵴࡄ࠲ࡦ߇ಽ߆ࠄߥ߆ߞߚߩߢⷡ㉕ࠍ ଦߔߎߣࠍਛᢿߒߚ㧚 ቇ↢B ߪ㧘ᢔᱠߩ႐㕙߆ࠄ㜞㦂⠪ԝߪᗧᔒ⇹ㅢ߇࿑ࠇࠆ ߣℂ⸃᧪ߡߚߩߢ㧘㘩႐㕙ߢߪ㜞㦂⠪ߩᖱേߦ ⌕⌒ߒ⺋ྚ⥝ᅗ⁁ᘒߥߊഥߒߚ㧚 ࠢ ቇ↢C ߪ㧘㜞㦂⠪ԝߩ㘩േߦ⌕⌒ߒഥߒ ߚ߇㧘✕ᒛߒߡ㓸ਛߢ߈ߕ㧘⥝ᅗ⁁ᘒߦߥߞߚ㜞 㦂⠪Ԟߦᚭᖺ㧘ഥࠍਛᢿߒߚ㧚 ቇ↢C ߪ㧘㜞㦂⠪ԝߩ㘩ഥߢ㘩േߦ⌕⌒ߒⷰ ኤߒߥ߇ࠄេഥߒߚ⚿ᨐ㧘೨ᣣ߹ߢోഥߛߞߚ㜞㦂⠪ԝ ߇⥄ಽߢ៨ขߒߚߚࠅߥ߇ࠄഥߒߚ㧚 4)㜞㦂⠪ ߩஜᐽ⊛ ߥᔕࠍ ᒁ߈ߔ 㑐ࠊࠅ ࠤ ቇ↢F ߪ㧘㜞㦂⠪ߩ⸒⺆⊛ࠦࡒࡘ࠾ࠤ࡚ࠪࡦ ⢻ജߦ⌕⌒ߒ㧘ࠦࡒࡘ࠾ࠤ࡚ࠪࡦ߇ߣࠇࠆ㜞㦂 ⠪ԙߣ㑐ࠊࠅᖱႎ㓸ߒߚ߇ળ߇⛯߆ߕߦ࿎ߞ ߚ㧚 ቇ↢F ߪ㧘㜞㦂⠪ߣߩㆆ߮ߦ⌕⋡ߒ㜞㦂⠪ԙࠍ⺃㧘 㜞㦂⠪ԙߩஜᐽ⊛ߥ♖ᵴേࠍᒁ߈ߖߚ㧚ߐࠄߦൎߜߚ ߣ߁ੱ㑆⊛ߥᵴേࠍᒁ߈ߒߚ㧚 ࠦ ቇ↢F ߪ㧘㜞㦂⠪ߩ⸒⺆⊛ࠦࡒࡘ࠾ࠤ࡚ࠪࡦ ⢻ജߦ⌕⌒ߒ㧘㜞㦂⠪ԙߣ㑐ࠊࠅ㧘⸒⪲߇ߖߥ 㜞㦂⠪Ԟߦߟߡᖱႎ㓸ߒߚ㧚 ቇ↢F ߪ㧘㜞㦂⠪Ԟ߇⸒⪲ߪߖߥ߇ℂ⸃ജߪࠆ ߣಽ߆ߞߡߚߩߢㆆ߮ߦ⌕⌒ߒ⊖ੱ৻㚂ࠍⴕޔ㜞㦂⠪ Ԟߩஜᐽ⊛ߥ♖ᵴേࠍᒁ߈ߖߚ㧚 5)㜞㦂⠪ ߩᗵᖱࠍ ㊀ⷞ ࠨ ቇ↢E ߪ㧘㜞㦂⠪ߩࠦࡒࡘ࠾ࠤ࡚ࠪࡦ⢻ജߦ ⌕⌒ߒ㧘㜞㦂⠪ԟߣળߒ⡬ߒߚߣߎࠈ㧘㜞㦂 ⠪ԟ߆ࠄ⧯㗃ߩࠍᒁ߈ߔߎߣ߇ߢ߈ߚ㧚 ቇ↢E ߪ㧘㜞㦂⠪ԟߣ CW ߩ߿ࠅߣࠅࠍⷰኤߒߥ߇ࠄ㧘 ᗵᖱߦ⌕⌒ߒ㧘߈ᄦߣߩᕁߩࠆ⥄ቛࠍᄁළߔࠆߎ ߣߢ㜞㦂⠪ԟ߇♖⊛ߦ⪭ߜㄟࠎߢࠆߣ㗴ⷞߒߚ㧚 ቇ↢E ߪ㧘㜞㦂⠪ԟߩᗵᖱߦ⌕⌒ߒ㧘㜞㦂⠪ԟ߇↢ᶦ ⧞ߢ↢ᵴߔࠆⷡᖗࠍㄼࠄࠇߚߣᗵߓჿ߆ߌߦ࿎ᖺߒߚ㧚⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞 ࢅ⾔ࡖࡒࡻ࠹࡞ず࠻ࡒ㸣Ꮥ⏍Aࡢ㸡㧏㱃⩽մࡡセ ࠻࡛CWࡡㄕ᪺࡛ࡡᯀࡣࡈࡲ࡞ᡖᝠ࠷㸡࠹㛭ࢂ ࡾ࠾ᝆࢆࡓᮆ㸡ิᑊ㟻ࡡᏕ⏍㧏㱃⩽࡞㛭ࢂࡾࡆ ࡛ࡢ㸡ಘ㢏㛭౿⠇ࡄ࡙࠷ࡾCWࡡ㛭ࢂࡽ᪁࡛ࡢ 㐢࠹࡛ึ᩷ࡊ㸡㧏㱃⩽մ࡛ࡡெ㛣㛭౿ᠺ❟ࢅඁ ࡊ࡙㸡㧏㱃⩽ࡡᗐ㔔ࡾ౪㢏࡞ᚺࡋࡒࡆ࡛㟻 ࠾ࡼࢂ࠾ࡖࡒ㸣┘㸡Ꮥ⏍Aࡢ㸡ࡡᏕ⏍ࡡ㧏 㱃⩽մࡡ㛭ࢂࡽࢅཤ⩻࡞ࡊࡼ⮤❟ࢅಀࡌᥴ ຐ࡚ࡀࡒ㸣ࡐࡊ࡙㸡౪㢏ኣ࠾ࡖࡒ㧏㱃⩽մ࡞ ᑊࡌࡾᥴຐᴞࡊࡂࡽළ⁝࡞ᥴຐฝᮮࡒ㸣
㸨㸣㧏㱃⩽ࡡ㣏⏍Ὡ⾔ິ
㸦㸞Ꮥ⏍㸹ࡡ㧏㱃⩽յẮ㸝௧ᚃ㧏㱃⩽յ㸞ࡡᥴຐ ࠈ㐛⛤ ࠈᏕ⏍Dࡢ㸡CW࠾ࡼ㧏㱃⩽յࡡ㣏ິష࡞ࡗ࠷ ࡙㸡ྎ∞㯖⑯࠵ࡽᕞᡥ࡚ࢪࣈࣤࢅࡖ࡙㣏ࢅ ᦜཱི࡚ࡀࡾ㸡ཾඔ㐘ࡩ࡞ࡆࡿ࡙ࡊࡱ࠹࡛ ㄕ᪺ࢅུࡄࡒ㸣ࡱࡒ㸡ずᏬࡽࢅ୯ᚨ࡞㣏ຐࢅ ࡌࡾࡻ࠹࡞౪㢏ࡈࡿࡒ㸣Ꮥ⏍Dࡢ㸡CW࡞ಀࡈࡿ ࡙⟺ࢅ⏕࠷࡙㧏㱃⩽յࡡࢪࣈࣤ࡞ࡀࡉࡲ㣏ࢅࡡࡎ ࡙ᦜཱིࢅ㐅ࡴࡒ㸣Ꮥ⏍Dࡢ㧏㱃⩽յࡡ㣏ິష࡞ ╌╉ࡊ࡙ຐࡊࡒ㸣Ꮥ⏍Dῼࡊ࡙࠷ࡒࡻࡽࡵ 㧏㱃⩽յ⮤ฦ࡚ᦜཱི࡚ࡀࡒࡡ࡚㸡Ꮥ⏍Dࡢຐ ࡡᚪこᛮ࡞ၡࢅវࡋࡒ㸣ࡐࡊ࡙㸡├ᡥࢅฝࡈ ࠷࡚㸡㧏㱃⩽յࢪࣈ࡚ࣤࡌࡂ࠷ࡷࡌ࠷ࡻ࠹࡞ ຐࢅࡊࡒ㸣Ꮥ⏍Dࡢ㧏㱃⩽յ㣏ࡡ࠽⢓㸡็ ࡲ㣏ࡡ㣏ࢅୌ⓸ࡇ࡛࡞Ᏸ㣏ࡊ࡙࠷ࡒࡒࡴ㸡ᑛࡊ ࡍࡗⰅࠍ㣏ࢅ㣏ࡾࡻ࠹ゕⴝ࡚ಀࡊࡒ㏁➽ ࢅ㏁ࡈ࠷ࡱࡱ㣏ࡢ⤂ࡊࡒ㸣Ꮥ⏍Dࡢ㸡࢜ࣤ ࣆࣝࣤࢪ࡞ၡ㢗ࢅᥞ㉫ࡊ㸡ᐁ⩞࣒ࣤࣁ࣭࠾ࡼຐ ゕࢅᚋࡒ㸣Ꮥ⏍Dࡢ㸡ᐁ⩞┘࡞ࡢ࢜ࣤࣆࣝ ࣤࢪࡡណずࢅཤ⩻࡞ࡊ࡙㧏㱃⩽յࡡ㣏⾔ິࡡ ืᛮࢅኬว࡞ࡊ഼࡙ࡀ࠾ࡄࡒ㸣 㸧㸞Ꮥ⏍㸺ࡡ㧏㱃⩽նẮ㸝௧ᚃ㧏㱃⩽ն㸞ࡡᥴຐ ࠈᏕ⏍Eࡢ㸡CW࠾ࡼ㧏㱃⩽նࡡ㣏ຐࢅ౪㢏 ࡈࡿࡒ㸣ิᑊ㟻ࡡ㧏㱃⩽࡚≟ឺࢂ࠾ࡼࡍ㸡㣏 ິష࡞╌╉ࡊ࡙㧏㱃⩽նࡡ≟Ἓ࠾ࡼධຐᚪこ ࡓ࡛ึ᩷ࡊ࡙ຐࡊࡒ㸣Ꮥ⏍Eࡢ㸡㧏㱃⩽նࡡᄚ ୖ≟ឺࢂ࠾ࡼ࠾ࡖࡒࡡ࡚㸡ຐ࡚ࡢㄏᄚࡊ ࠷ࡆ࡛ࢅ➠ୌ࡞⩻࠻㸡ࡹࡖࡂࡽ࡛ࡊࡒࢪࣅ࣭ࢺ࡚ 㣏ࢅ㐅ࡴࡒ㸣Ꮥ⏍Eࡡ㣏ຐ࡚㧏㱃⩽նࡢㄏ ᄚࡊ࠾ࡖࡒ㸡Ꮥ⏍Eཾඔࢪࣈࣤࢅ㐘ࡩࢰ ࣐ࣤࢡ࡛㧏㱃⩽նࡡᄚୖࡡ㛣ྙ࠷࠵ࢂ࠾ࡖ ࣆࣝࣤࢪ࡞ၡ㢗ᥞ㉫ࡊ࡙ຐゕࢅᚋࡒ㸣Ꮥ⏍Eࡢ㸡 ┘࡞㧏㱃⩽ն࡞ᑊࡊ࡙࢜ࣤࣆࣝࣤࢪࡡຐゕ ࢅὩ࠾ࡊ࡙㸡ᄚୖ≟ឺ࡞ຊ࠻⾪ࡷິషࢅびᐳࡊ ࡙㸡㧏㱃⩽ն⮤㌗ᣚࡖ࡙࠷ࡾࢪࣈࣤ࡞㣏ࢅࡡ ࡎ࡙ᦜཱིࢅಀࡌࡆ࡛࡚ࡀࡒ㸣 㸨㸞Ꮥ⏍㸷ࡡ㧏㱃⩽նẮ㸝௧ᚃ㧏㱃⩽ն㸞ࡡᥴຐ ࠈ㐛⛤ ࠈᏕ⏍Bࡢ㸡᛬࡞㧏㱃⩽նࡡ㣏ຐࢅ౪㢏ࡈࡿ ┸ࡖ࡙࠷ࡾ㧏㱃⩽ࡡࡐࡣ࡞⾔ࡀ㸡&W࡛ୌ⥬࡞‵ ങࢅࡊࡒ㸣Ꮥ⏍Bࡢ㸡㧏㱃⩽նࡢつ㓨ࡊ࡙㣏ࢅ ᦜཱིࡌࡾࡆ࡛ᚪこࡓ࡛ᛦࡖࡒ㸡ิᑊ㟻࡚ࡐࡡ ெࡡ⏍Ὡධࡂࢂ࠾ࡼ࠾ࡖࡒࡒࡴ㸡㉫ࡆࡈࡄ ࡿࡣ࡛ᛦ࠷ࡼࡵ⾔ິ࡞⛛ࡎ࠾ࡖࡒ㸣┘㸡 Ꮥ⏍%ࡢ㸡㧏㱃⩽նࡡ㣏ິష࡞╌╉ࡊ࡙ࡌࡂ࠷ ࡷࡌ࠷ࡻ࠹࡞㣏ჹࡡన⨠࡛ぽᗐࢅ⩻࠻࡙⬒ඔ࡞㣏 ჹࢅᣚࡖ࡙ᨥ࠻ࡒ㸣㣏ࡢ㣏࡛㣏ࢅࣁࣚࣤࢪ ࡻࡂᦜཱིࡌࡾࡡ᭻ࡱࡊ࠷㸡ୌ⥬࡞ᦜཱིࡌࡾࡒ ࡴ࡞ࡢࡇ㣜ࡡ୕࡞࠽࠾ࡍࢅࡎ࡙ᦜཱིࡊ࡙ࡵࡼ࠹ ࡊ࠾᪁Ἢ࠷࡛ึ᩷ࡊຐࡊࡒ㸣Ꮥ⏍Bࡢ㧏㱃 ⩽նࡡᄚୖᶭ⬗ࡡ⛤ᗐࡡ࠾ฦ࠾ࡼ࠷ࡱࡱ ࡹࡖࡂࡽ࡛ຐࡊࡒ㸣Ꮥ⏍Bࡢ㧏㱃⩽ն㣏ࢅ ࡌࡂࡖ࡙࠷ࡾᵕᏄࢅびᐳࡊ࡙࣭࣋ࢪ㏷࠷ெࡓ࡛ ࢂ࠾ࡽ㸡ㄏᄚ࡞Ἰណࡊࡼ㧏㱃⩽նࡡ࣭࣋ࢪࢅ ኬว࡞ࡊ࡙ຐࡊࡒ㸣 㸩㸞Ꮥ⏍㸸ࡡ㧏㱃⩽նẮ㸝௧ᚃ㧏㱃⩽ն㸞ࡡᥴຐ ࠈ㐛⛤ ࠈᏕ⏍Cࡢ㸡ิ࡞㧏㱃⩽նࡡ㣏ຐࢅCW࠾ ࡼಀࡈࡿຐࡊࡒ㸡᛬࡞㧏㱃⩽շ⮾ዢ≟ឺ࡚ ྆ࢆࡓࡒࡴ㸡㦣ࡀᡖᝠ࠷ࢅវࡋࡒ㸣ࡐࡡᚃᏕ⏍C ࡢ㸡ࡐࡡࡡ࢜ࣤࣆࣝࣤࢪ࡚ၡ㢗ࢅᥞ㉫ࡊ㸡ᩅ ဤࡷᐁ⩞࣒ࣤࣁ࣭࠾ࡼຐゕࢅᚋࡒ㸣᭩⤂㸡Ꮥ⏍ Cࡢ㸡㧏㱃⩽նࡡ㣏ິష࡞╌┘ࡊ㸡㧏㱃⩽ն ࢪࣈࣤࢅ⏕࠷࡙㣏ࡻ࠹࡛ࡌࡾᵕᏄࢅびᐳࡊ࡙ず Ꮼࡽࡼ㛣ࢅ࠾ࡄ࡙ຐࢅ⾔ࡖࡒ⤎ᯕ㸡ᫎ ࡱ࡚ධຐࡓࡖࡒ㧏㱃⩽ն㸡᭩ᚃࡱ࡚ࢪࣈࣤࢅ ᣚࡔ㣏ᦜཱི࡚ࡀࡒ㸣Ꮥ⏍Cࡢ㸡ࡆࡡమ㥺Ꭺ ࡊ࠾ࡖࡒ㸣㸩㸣㧏㱃⩽ࡡᗛⓏཬᚺ
㸦㸞Ꮥ⏍㸻ࡡ㧏㱃⩽ղẮ࡛շẮ㸝௧ᚃ㧏㱃⩽ղࡼ ࠈࡦ࡞㧏㱃⩽շ㸞ࡡᥴຐ㐛⛤ ࠈᏕ⏍Fࡢ㸡ิ࡞⬳ᱶራ࡚ㄊ࡛ᵋ㡚㝸ᐐࡡ ࠵ࡾ㧏㱃⩽շ࡛ゕㄊⓏࢤ࣐ࣖࢼࢢ࣭ࢨࣘࣤࢅムࡲSeisen J. Nurs. Stud., Vol. 2. 2013 ሔྙࡢࡈࡼ࡞ᡖᝠ࠷ᙁࡂࡖ࡙࠷ࡾࡆ࡛⩻࠻ ࡼࡿࡾ㸣ࡊ࠾ࡊ㸡ᐁ⩞⤊㐛࡛࡛ࡵ࡞Ꮥ⏍⮤㌗ࡡ⏍ Ὡమ㥺ࡷ⩞ࡡ▩ㆉࡷᢇ⾙ࢅὩ⏕ࡊ࡙ᥴຐࢅᐁ᪃ ࡚ࡀ࡙࠷ࡒ㸣ࡆࡡࡒࡴิ㸡┘㸡᭩⤂➴ࡡ Ꮥ⩞㐛⛤࡞Ἒࡖࡒ㐲วᩅ⫩Ⓩᨥᥴᚪこ࡛⩻࠻ ࡾ㸣ࡐࡆ࡚㸡㢦ᆵ࡛ᐁ⩞ᣞᑙ࡞ࡗ࠷࡙⩻ᐳࡌࡾ㸣
㸦㸣㧏㱃⩽ࡡᣚ࡙ࡾງ
ࠈࡆࡡ㢦ᆵࡢ㸡ิ࡞ᡖᝠ࠷ࢅវࡋ࡙࠷ࡾ≟Ἓ࡚ ࡵࡐࡡ├ᚃ࠾ࡼ㧏㱃⩽࡞㛭ᚨࢅᐞࡎ࡙ሔ㟻ࡇ࡛࡞ ᚪこሒ㞗ࢅ⾔࠷㸡㧏㱃⩽࡚ࡀࡾࡆ࡛ࢅず ࡄᨥᣚࡊ࡙࠷ࡒ㸣Ꮥ⏍ࡢ㸡ᖏ࡞㧏㱃⩽࡞㛭ᚨ ྡྷࡄࡼࡿ࡙࠷ࡒ㸣Ꮥ⏍ࡢ㸡⤽⤾ࡊ࡙㛭ࢂࡾࡆ࡛࡞ ࡻࡽ㸡㧏㱃⩽ࡡᣚ࡙ࡾງ࡞Ẵࡘࡀ഼ࡀ࠾ࡄࡾࡆ࡛ ࡚ࡀࡒ࡛⩻࠻ࡾ㸣Ꮥ⏍ࡢ㸡㛣ࡡ▯࠷ᐁ⩞ 㛣࡞㧏㱃⩽ࡡ㌗మ㟻㸡⢥♼࣬♣ఌ㟻ࡡᣚ࡙ࡾງࢅ ᘤࡀฝࡊࡒᥴຐ⾔࠻࡙࠷ࡒ㸣Ꮥ⏍ࡡᥴຐ࡞ࡻࡖ ࡙㧏㱃⩽ࡢ㸡࠷ࡀ࠷ࡀ࡛ࡊࡒ⒢㣬⏍Ὡࢅ㏞ࡾࡆ࡛ ฝᮮ࡙࠷ࡒ࡛⩻࠻ࡾ㸣ࡆࡡ㢦ᆵࡡᏕ⏍࡞ᑊࡌࡾ ᐁ⩞ᣞᑙࡢ㸡ᡖᝠ࠷ࡼࡵ㧏㱃⩽ࡡ࡚ࡀࡾࡆ࡛ ࢅずࡗࡄࡒᏕ⏍࡞ᑊࡊ㸡ࡈࡼ࡞㸡Ꮥ⏍㧏㱃⩽ࡡ ྊ⬗ᛮࢅಘࡋ㸡ᣚ࡙ࡾງ࡞഼ࡀ࠾ࡄࢅ⾔࠻ࡾࡻ࠹ Ꮥ⏍ࡡᛦ⩻ࢅኬว࡞ずᏬࡽ㸡ᨥᥴࡌࡾࡆ࡛㔔こ ࡚࠵ࡾ࡛⩻࠻ࡾ㸣㸧㸣㧏㱃⩽࡛ࡡெ㛣㛭౿
ࠈࡆࡡ㢦ᆵࡢ㸡౪㢏ኣ࠷㧏㱃⩽࡞ᑊࡊ㸡㧏㱃⩽ ࡛Ꮥ⏍ࡡิࡡெ㛣㛭౿࡞╌╉ࡊ഼࡙ࡀ࠾ࡄ࡙࠷ ࡒ㸣Ꮥ⏍ࡢ㸡ᣞᑙ⩽࠾ࡼࡡຐゕ࡛㧏㱃⩽ࡡセ࠻ࡡ 㛣࡚ᡖᝠ࠷ࢅវࡋࡼࡵ㧏㱃⩽࡛Ꮥ⏍࡛ࡡิ ࡡெ㛣㛭౿ࢅ㔔ちࡊ㸡ᥴຐࢅ࠽ࡆࡖࡒ㸣ࡐࡊ࡙㸡 Ꮥ⏍ࡢ㸡┘࡞㧏㱃⩽࡛ළ⁝ஹὮࢅᣚࡗ᪁Ἢ ⌦ゆ࡚ࡀࡒ㸣ᐁ⩞ᣞᑙ⩽ࡢ㸡ิࡡᐁ⩞ᣞᑙ࡞ ࠽࠷࡙㸡Ꮥ⏍㧏㱃⩽ࡡᥴຐሔ㟻࡚㸡ᣞᑙࡡහ ᐖ⌦ゆ࡚ࡀ࡙࠷࠷ࡻ࠹࡞ずུࡄࡼࡿࡾ⾔ິ࡞ 㐴㐕ࡌࡾ㸣ࡊ࠾ࡊ㸡ᣞᑙ⩽ࡢ㸡Ꮥ⏍ᣞᑙࡡහᐖ ࢅ⌦ゆ࡚ࡀ࡙࠷࠷࡛Ửࡴࡗࡄࡾ࡚ࡢࡂ㸡Ꮥ⏍ ࡡ⾔ິࡡណࢅ☔ヾࡌࡾᣞᑙᚪこ࡚࠵ࡾ࡛⩻࠻ ࡾ㸣ࡆࡡࡒࡴ㸡ࡆࡡ㢦ᆵࡡᏕ⏍࡞ᑊࡌࡾᐁ⩞ᣞᑙ ࡢ㸡⾔ິࡡណࢅ☔ヾࡌࡾࡆ࡛࡞ࡻࡽ㸡Ꮥ⏍㧏 㱃⩽࡞ᥴຐ࡚ࡀࡾࡻ࠹࡞ᨥᥴࡌࡾࡆ࡛ኬว࡚࠵ ࡾ࡛⩻࠻ࡾ㸣㸨㸣㧏㱃⩽ࡡ㣏⏍Ὡ⾔ິ
ࠈࡆࡡ㢦ᆵࡢ㸡ྜྷୌ㧏㱃⩽ࡡ㣏ຐሔ㟻࡚㣏 ࡒᅏ㞬࡚࠵ࡖࡒࡒࡴ㸡ࡐࡣ࡞࠷ࡒゕㄊⓏࢤ࣐ࣖ ࢼࢢ࣭ࢨ࡛ࣘࣤࡿࡾ㧏㱃⩽ղ࡞㧏㱃⩽շࡡࡆ࡛ ࢅᩅ࠻࡙ࡵࡼ࠽࠹࡛ࡊ࡙ெࡡ㧏㱃⩽࡞㛭ࢂࡖࡒ㸣 Ꮥ⏍Fࡢ㸡᭩⤂࡞๑࡞ཤຊࡊࡒ᪃シࡡࣝࢠࣛ ࢙࣭ࢨࣘࣤὩິ࡚㧏㱃⩽ࡡ➏㢞ࡷࢠࢫ࡞ୌ⏍ᠩ ➽࠻ࡾᵕᏄ࠾ࡼࣝࢠ࢙࣭ࣛࢨࣘࣤὩິࡡຝᯕࢅ ▩ࡽ㸡㐗ࡦ࡞╌╉ࡊ࡙㧏㱃⩽࡛㛭ࢂࡖࡒ㸣㧏㱃⩽ ղ࡛㧏㱃⩽շࢅㄇ࠷Ꮥ⏍ࡡྞ࡚Ⓤெୌ㤫ࢅ⾔ࡖ ࡒ㸣㧏㱃⩽㐡ࡢ㸡ࢷ࣭ࣇࣜࡡ୕࡞୩ࡒᮈࢅ࡛ࡽ ࡷࡌࡂࡌࡾࡒࡴᡥࢅఘࡣࡌ⾔ິずࡼࡿࡒ㸣Ꮥ⏍ )ࡢࡐࡡሔࢅᴞࡊ࠷㞲ᅑẴ࡞ࡊࡻ࠹࡛Ⓤெୌ㤫࡞ ཱིࡽ⤄ࡲ㸡㧏㱃⩽㐡ࡵࢣ࣭࣑࡞ୌႌୌࡊࡒ㸣ᮈ ࢅኣࡂ࡛ࡖࡒ㧏㱃⩽ղኬႌࡦ࡚CW࡞ሒ࿈ࡌࡾ ᵕᏄࢅず࡙㸡Ꮥ⏍ࡵ࠹ࡿࡊࡂᛦࡖࡒ㸣Ꮥ⏍ࡢⓊெ ୌ㤫ࢅ㞗ᅆ࡚࠽ࡆࡖࡒࡆ࡛࡚㧏㱃⩽ࡡ㌗మⓏ㸡 ⢥♼࣬♣ఌ㟻࡚ᗛⓏ㒂ฦᘤࡀฝࡎࡒ㸣㸪㸣㧏㱃⩽ࡡវ
㸦㸞Ꮥ⏍㸺ࡡ㧏㱃⩽ոẮ㸝௧ᚃ㧏㱃⩽ո㸞ࡡᥴຐ ࠈ㐛⛤ ࠈᏕ⏍Eࡢ㸡㧏㱃⩽ࡡវ࡞╌╉ࡊ࡙㛭ࢂࡖ࡙࠷ ࡒ㸣ิ࠾ࡼゕㄊⓏࢤ࣐ࣖࢼࢢ࣭ࢨ࡛ࣘࣤࡿ࡙ ළ⁝࡞㛭ࢂࡿ࡙࠷ࡒ㸣┘࡞CW࡛㧏㱃⩽ոఌ ヨࡌࡾሔ㟻࡞ྜྷᖆࡊ㸡㧏㱃⩽ոࡡ⮤Ꮹࢅฌฦࡌࡾ ヨ࠾ࡼ㧏㱃⩽ոࡡẴᣚࡔࢅ᥆ῼࡊ࡙ኬኰ࠾࡛ ᚨ㒼࡞ࡖࡒ㸣᭩⤂㸡Ꮥ⏍Eࡢ㸡⮤Ꮹࢅᩒ⌦ࡌ ࡾ┘Ⓩ࡚አฝࡌࡾࡒࡴ࡞㎼࠻ࢅᙽࡖ࡙࠷ࡒ㧏㱃⩽ ո࡛ฝఌࡖࡒሔ㟻࡚㸡ࠔᖉࡾᑽሔᡜࡆࡡ᪃シࡊ ࠾࠷ࠕ࡛࠹ࡗࡳࡀຊ΅࡚ヨࡌ㧏㱃⩽ոࡡヨࢅ㢌 ࠷࡙⪲࠷࡙࠷ࡒ⯑࡞ࡢᡖᝠࡖࡒᵕᏄ࡚ỷ㯪ࡊ ࡙ࡊࡱࡖࡒ㸣ࡆࡡࡡᏕ⏍Bࡢ㸡㧏㱃⩽ࡡࡻ ࠹ゕⴝࢅఎ࠻ࡿࡣࡻ࠷ࡡ࠾ᅏᝠࡊ㸡࠵࠷ࡘࡔࢅ ࠹ࡗࡡ⢥ୌ᮴ࡓࡖࡒ㸣ࡐࡡ㸡ࡐࡣ࡞࠷ࡒᐁ⩞ ࣒ࣤࣁ࣭㸡㧏㱃⩽ո࡞࠷ࡗࡵ㏳ࡽࡡᵕᏄ࡚㸡ࠔⱄ ࡢېېࡈࢆࡡ࠽ᐓ࡚ࡌࡻࡠ㸣ࠕ࡛ኇ࠾ࡄࡊࡒ࡛ࡆࢀ 㧏㱃⩽ոࡡ⾪Ꮽࡼ࠷ࡓ㸣㧏㱃⩽ոࡡᵕᏄࢅず ࡙Ꮥ⏍Eࡵヨ㢗ንࢂࡖࡒࡡ࡚ᑛࡊࡖ࡛ࡊࡒ㸣 ࠈϭ㸣⩻ࠈᐳ
ࠈᏕ⏍ࡡཤຊびᐳࡷ㟻➴࠾ࡼ㧏㱃⩽࡞ᑊࡌࡾᏕ ⏍ࡡᥴຐ㐛⛤࡞࠽ࡄࡾ╌╉Ⅴ࡞ࡗ࠷࡙ࡗࡡ㢦ᆵ ฝࡈࡿࡒ㸣Ꮥ⏍ࡡ㧏㱃⩽ࡡᥴຐ㐛⛤࡞ࡢ㸡 ิࡴ࡙ࡌࡾ㧏㱃⩽ࡡᥴຐ࡞ᡖᝠ࠷ࡷᏭ➴ ࠵ࡽ㸡ຊ࠻࡙ヾ▩≟࠾ࡼណᚷ㏳ᅏ㞬࡚࠵ࡾ ㆜⩹ெ⚗♬᪃シ࡞ථᑽࡌࡾこ㆜㧏㱃⩽࡞ᑊࡌࡾ┫㆜Ꮥ⏍ࡡᥴຐ㐛⛤࡞࠽ࡄࡾ╌╉Ⅴ⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞 ว㣏ຐฝᮮ࠾ࡖࡒ㸣ࡊ࠾ࡊ㸡Ꮥ⏍ࡢ㸡 ࢜ࣤࣆࣝࣤࢪࡡὩ⏕ࡷ㸡㣏ຐ௧አࡡሔ㟻࡚ ࡡሒࢅཤ⩻࡞ࡊ࡙㸡ḗࡡ㣏ຐࡡሔ㟻࡚㸡㧏 㱃⩽ࡡืᛮࢅ⩻៎ࡊࡒᥴຐࢅ⾔ࡖ࡙࠷ࡒ㸣ࠈࠈ ࠈࡗࡱࡽ㸡ิࡡᏕ⏍ࡡ㣏ຐࡢ㸡ᡖᝠ࠷ ࡼࡵ㸡ᐁ⩞ࡡ๑Ꮥ⩞࡞࠽࠷࡙㸡㧏㱃⩽ࡡ⏍Ὡ⾔ ິ࡞ᑊࡌࡾᥴຐ࡞ࡗ࠷࡙Ꮥ⩞ࡊࡒࡆ࡛ࢅ㉫ࡊࡒ ᥴຐ࡚࠵ࡖࡒ㸣Ꮥ⏍ࡢ㸡ᄚୖ࣬ᄩ≟ឺࢅびᐳࡊ࡙㸡 㧏㱃⩽ㄏᄚࡊ࠷ࡻ࠹࡞Ꮽධࢅඁࡊࡒᥴຐࢅ ⾔ࡖ࡙࠷ࡒ࡛⩻࠻ࡾ㸣ࡱࡒ㸡Ꮥ⏍ࡡ㛭ᚨࡢ㸡ࡔ ࡼ࠾࡛࠷࠹࡛㧏㱃⩽࡚ࡢࡂ࡙㣏ࢅຐࡌࡾᏕ ⏍⮤㌗࡞ྡྷࡄࡼࡿ࡙࠷ࡒ࡛⩻࠻ࡾ㸣ࡊ࠾ࡊ㸡Ꮥ⏍ ࡢ㸡ᅂ┘ࡡ㣏ຐ࡞࠽࠷࡙㧏㱃⩽ࡡ⾪ࡷセ ࠻㸡㣏⎌ሾ࡞Ẵࡘࡂࡹ࡛ࡽ࡚ࡀ㸡➏㢞࡚ຐ ࡚ࡀ࡙࠷ࡒ࡛⩻࠻ࡾ㸣ࡆࡡ㢦ᆵ࡞ᑊࡌࡾᏕ⏍ࡡ ᣞᑙࡢ㸡࢜ࣤࣆࣝࣤࢪ࡞࠽ࡄࡾᏕ⏍ࡡⓆゕࢅᘤ ࡀฝࡊ㸡㧏㱃⩽ࡡ㣏⏍Ὡ⾔ິ࡞ࡗ࠷࡙⩻࠻㸡ᥴຐ ࡡኣᵕᛮࢅ⩻࠻ࡾᶭఌࢅషࡾࡆ࡛ኬว࡚࠵ࡾ࡛ ⩻࠻ࡾ㸣
㸩㸣㧏㱃⩽ࡡᗛⓏཬᚺ
ࠈࡆࡡ㢦ᆵࡢ㸡㧏㱃⩽ࡡ㐗ࡦ࡞╌┘ࡊ࡙ࣝࢠ࢙ࣛ ࣭ࢨࣘࣤሔ㟻ࢅᥞ౩ࡊࡒ㸣ࡐࡊ࡙㸡ྞࡡ㧏㱃⩽ ࡡ❿ணᚨࢅ㧏ࡴ㸡㧏㱃⩽࡞ᑊࡊ࡙ᑊ➴࡞഼ࡀ࠾ࡄ ࡒᥴຐ㐛⛤ࢅヾࡴࡒ㸣ࡆࡿࡢ㸡Ꮥ⏍㸡⬳༛୯ࡷ ヾ▩㧏㱃⩽ࡡᗛⓏཬᚺࢅᘤࡀฝࡊࡒࡵࡡ࡚ ࠵ࡾ࡛⩻࠻ࡾ㸣ࡆࡡࡻ࠹Ꮥ⏍ࡡ㛭ࢂࡽࡢ㸡⒢ ࡷ᳠ᰕࡡ࠷㆜⩹ெ⚗♬᪃シࡡ⏍Ὡࡡሔ࡞㐲ࡊ ࡙࠷ࡾ࡛⩻࠻ࡾ㸣ᅂ㸡㟻࠾ࡼ㸡Ꮥ⏍ࡢ㧏㱃⩽ ᴞࡊࡴࡾ㞗ᅆࣝࢠ࢙࣭ࣛࢨࣘࣤᢇἪࢅ↋ណㆉࡡ ࡱࡱὩ⏕ࡊ࡙㸡々ᩐࡡ㧏㱃⩽ࡡᗛཬᚺࢅᘤࡀ ฝࡊࡒࡵࡡ࡚࠵ࡾࡆ࡛ࢂ࠾ࡖࡒ㸣ࡆࡡ㢦ᆵࡡᐁ ⩞ᣞᑙࡢ㸡Ꮥ⏍ࡡᥴຐ࡞ࡗ࠷࡙㸡࢜ࣤࣆࣝࣤࢪ ࢅὩ⏕ࡊណㆉࡌࡾࡆ࡛࡚ᥴຐࡡណࡘࡄࢅ ⾔࠹ࡆ࡛ኬว࡚࠵ࡾ࡛⩻࠻ࡾ㸣㸪㸣㧏㱃⩽ࡡវ
ࠈࡆࡡ㢦ᆵࡢ㸡ᐁ⩞ิ㸡┘㸡᭩⤂࡛ྜྷୌ 㧏㱃⩽࡞㛭ࢂࡖ࡙࠷ࡒ㸣ࡱࡒ㸡ࡆࡡ㢦ᆵࡢ㸡㸞 ࡡ㢦ᆵࡡᣚ࡙ࡾງ࡞╌┘ࡊࡒᥴຐ㐛⛤ࡡᏕ⏍࡛㛭 ࢂࡖࡒᩐࡢྜྷࡋ࡚࠵ࡖࡒ㸣ࡊ࠾ࡊ㸡ࡆࡡ㢦ᆵࡡ Ꮥ⏍ࡢ㸡᭩⤂࡞ᡖᝠ࠷ࢅវࡋ࡙࠷ࡒࡆ࡛ࢂ࠾ ࡖࡒ㸣Ꮥ⏍ࡢ㸡ิ࠾ࡼゕㄊⓏࢤ࣐ࣖࢼࢢ࣭ࢨࣘ 㱃⩽࡞ᑊࡌࡾᡖᝠ࠷ࡢヾࡴ࠾ࡖࡒ㸣ࡊ࠾ࡊ㸡Ꮥ ⏍ࡢ㸡㧏㱃⩽࡛ࡡெ㛣㛭౿㐅ࡳ࠾࡚㸡ḗ➠࡞ 㧏㱃⩽ࡡវ࡞ᑊࡊ࡙ິࡊ㸡᭩⤂࡞㧏㱃⩽࡞ ᑊࡊ࡙㸡ᡖᝠ࠷ࢅずࡎࡒ࡛⩻࠻ࡾ㸣ࡆࡡ㢦ᆵࡢ㸡 ᐁ⩞ᣞᑙ⩽㸡Ꮥ⏍ࡡゕິ࠾ࡼ㡨ㄢ࡞ᐁ⩞ࡊ࡙࠷ ࡾࡻ࠹࡞࡛ࡼ࠻࡙ࡊࡱ࠹ࡆ࡛ኣ࠷㸣ࡆࡡࡒࡴ㸡 ᐁ⩞㐅ࡳ୯࡚㸡Ꮥ⏍ࡡᛦ⩻ࢅ☔ヾࡌࡾࡆ࡛㔔 こ࡚࠵ࡾ㸣ࡱࡒ㸡ᣞᑙ⩽ࡢ㸡Ꮥ⏍ᐁ⩞᭩⤂࡞ ᡖᝠ࠷ࢅវࡋࡒሔ㟻࡚ࡢ㸡Ꮥ⏍࡞ᑊࡊ࡙㸡㧏㱃⩽ ࡡᛦ࠷ࢅ⾪ฝ࡚ࡀࡾ⎌ሾࢅᥞ౩ࡊ㸡ᥴຐ㐛⛤ࢅ ᣲࡽ㏁ࡾࡆ࡛㔔こ࡚࠵ࡾ࡛⩻࠻ࡾ㸣Ϯ㸣⤎ࠈㄊ
ࠈᮇ◂✪ࡡ┘Ⓩࡢ㸡㆜⩹ெ⚗♬᪃シ࡞ථᑽࡌࡾ㸡 こ㆜㧏㱃⩽࡞ᑊࡌࡾ┫㆜Ꮥ⏍ࡡᥴຐ㐛⛤࡞࠽ࡄ ࡾ㸡╌╉Ⅴࢅ᪺ࡼ࠾࡞ࡌࡾࡆ࡛࡚࠵ࡖࡒ㸣ࡐࡡ⤎ ᯕ㸡㸞㧏㱃⩽ࡡᣚ࡙ࡾງ㸡㸞㧏㱃⩽࡛ࡡெ㛣㛭౿㸡 㸞㧏㱃⩽ࡡ⏍Ὡ⾔ິ㸡㸞㧏㱃⩽ࡡᗛⓏཬᚺ㸡㸞 㧏㱃⩽ࡡវࡡ㢦ᆵฝࡈࡿࡒ㸣ࡆࡡ㢦ᆵࢅ Ὡ⏕ࡊ࡙ᩅ⫩Ⓩᨥᥴࢅ⾔࠹ࡆ࡛㔔こ࡚࠵ࡾ࡛⩻ ࠻ࡾ㸣 ࠈϯ㸣ᮇ◂✪ࡡ㝀⏲࡛ㄚ㢗
ࠈᮇ◂✪࡞࠽ࡄࡾᑊ㇗ࡢ㸡ᖳโኬᏕࡡᏕ⏍㸡ྞ ࡚࠵ࡽ㸡Ꮥ⏍㛭ࢂࡖࡒ㧏㱃⩽ࡢ㸡᪃シࡡྞ࡚ ࠵ࡖࡒ㸣ࡆࡡࡒࡴ㸡Ꮥ⏍ࡡ㧏㱃⩽ࡡᥴຐ㐛⛤࡞ ࠽ࡄࡾ╌╉Ⅴ࡚᪺ࡼ࠾࡞ࡖࡒࡆ࡛ࡢ㸡Ꮥ⏍ࡡᖳ㱃 ࡷ㸡ᩅ⫩ㄚ⛤࠾ࡼ೩ࡽ࠵ࡾ࡛⩻࠻࡙࠷ࡾ㸣ࡐࡊ࡙㸡 ཤຊびᐳࡡ㛣ࡷሔᡜࢅ㝀ᏽࡊ࡙࠷ࡾࡒࡴ㸡びᐳ ࡚ࡀ࠾ࡖࡒᏕ⏍ࡡ㧏㱃⩽ࡡ⾔ິࡷ㟻࡚ㄊࡼ ࡿ࠾ࡖࡒහᐖ࠵ࡾ࡛᥆ῼࡈࡿࡾ㸣ᚃࡢ㸡ᚋ ࡼࡿࡒ⤎ᯕࢅᐁ⩞ᣞᑙ࡞Ὡ⏕ࡊࡼ㸡ᘤࡀ⤾ࡀ㸡 ຝᯕⓏᣞᑙ᪁Ἢࢅㄚ㢗࡞ࡊࡒ࠷࡛⩻࠻࡙࠷ࡾ㸣ㅨࠈ㎙
ࠈᛄࡂㄢᰕ༝ງࡊ࡙࠷ࡒࡓࡀࡱࡊࡒᐁ⩞ᢰᙔᩅဤ㸡 Ꮥ⏍㸡㆜⩹ெ⚗♬᪃シࡡ᪃シ㛏㸡ᐁ⩞ᢰᙔᣞᑙ ⩽㸡⫃ဤ㸡ථᑽࡈࡿ࡙࠷ࡒ㧏㱃⩽ࡡⓑᵕ࡞ᚨࡻࡽ ᚒ♡ࢅ⏞ࡊ୕ࡅࡱࡌ㸣࠽ᮇㄵᩝࡢ㸡⁘㈙༈⛁ኬ ᏕኬᏕ㝌༈Ꮥ⣌◂✪⛁┫㆜Ꮥᑍᨯ࡞ᥞฝࡊࡒಞኃ㯦⏛Ꮔ㸡୯ᮄ㧏ኰ㸡ᑚ⏛ḿᯖ㸡㐋ずຉ┐ズ㸝㸞㸯 ࣁ࣭ࣤࢫ㸛ࢡ࣭ࣞࣇ┫㆜◂✪ථ㛓̿ᐁ᪃㹺ビ౮࣬ Ὡ⏕̿㸡࢙ࣜࢭࣄ࣬ࢩࣔࣂࣤ㸡 㸣 㯦⏛Ꮔ㸝㸞㸯㯦⏛Ꮔࡡ┫㆜◂✪step by stepࠈ➠∟㸡Ꮥ⩞◂✪♣㸣 ᑚᓞ㏳㸡ᒱ㒂⪼Ꮔ㸡㔘Ꮔズ㸝 㸞㸯ࢺࢻ࣬ ࢸ࣭ࠈ┫㆜◂✪ࠈࢢࡡሔ࡚⾔࠹ࡒࡴࡡ᪁ Ἢㄵ㸡ᮇ┫㆜༝ఌฝ∟ఌ㸣 ᑚᮿක㸡ᒱᒜᐺᏄ㸝㸞㸯ヾ▩㧏㱃⩽࡛ࡡ ࢤ࣐ࣖࢼࢢ࣭ࢨࣘࣤ࡞㛭ࡌࡾᾇአᩝ⊡ࡡ᳠ゞ㸡 ா㒌ᗋ❟༈ኬ┫㆜⣎こ㸡㸡 㸣 ᱕ᮇ᪺Ꮔ㸡㡪⏛ཉᏄ㸡⏛㑌⨶Ꮔ㸝㸞㸯⩹ᖳ ┫㆜Ꮥᐁ⩞࡚ࡡ㧏㱃⩽࡛ࡡࢤ࣐ࣖࢼࢢ࣭ࢨࣘ ࣤ࡞࠽ࡄࡾᩅ⫩ㄚ㢗㸡ᕖᓧ༈⒢▯ኬᏕ⣎こ㸡 㸝㸞㸡 㸣 ᮿᆍ㸡けཾฺᩝ⥽㸝㸞㸯びᐳἪ࣬ㄢᰕⓏ㟻 Ἢࡡ㐅ࡴ᪁㸡ࢻ࢜ࢼࢨࣕฝ∟㸣 ᮿ⏛༐Ⓡເ㸡㛏⏷ኣ㸝㸞㸯⩹ᖳ┫㆜Ꮥᐁ⩞ ࡞࠽ࡄࡾ⑭࿄ᛮ㧏㱃⩽ࡡ⌦ゆࡡࣈࣞࢬࢪ㸡ኬ㜨 ᗋ❟┫㆜ኬᏕ⣎こࠈ㸡㸝㸞㸣 ᮿᮄකᏄ⥽㞗㸝㸞㸯┫㆜Ꮥᴣㄵ㸡┫㆜࡛ࡢ࣬ ┫㆜Ꮥ࡛ࡢ㸡ࢽ࣭ࣥ࢘ࣜࣃࣞ࢜࣠㸡 㸣 ᐋᆀ┷⃀㸡ኬ⏣ᘲ⏍㸡ᖲⰃ㝟Ꮔ㸝㸞㸯⩹ᖳ┫ ㆜Ꮥᐁ⩞࡞࠽ࡄࡾᏕ⏍ࡡ㧏㱃⩽⌦ゆ̿ࢢ࣭ࢪࢪ ࢰࢸࡡහᐖฦᯊ࠾ࡼ̿⸓㔕Ꮥ㝌⣎こ㸡㸝 㸞㸡 㸣 ༞Ꮔ㸡⛼ᒱᩝ┐ಞ㸡⢉⏛Ꮟ⾔⥽㞗㸝 㸞㸯ࢬ ࣜࣆࢢᴣᛍ࡛┫㆜ᐁ㊮̿Dr.P.R.Underwoodࡡ ちⅤ࠾ࡼ̿㸡ࡾࡌฝ∟㸣 ⏛୯ᩌᏄ㸡㫾ᾇႌᏄ㸝㸞㸯ヾ▩㧏㱃⩽ ࡡ┫㆜Ꮥ⏍ࡡུᐖⓏវ࡛ࡐࡡᙫ㡢こᅄ࡞㛭ࡌ ࡾ⦢᩷Ⓩㄢᰕ㸡ᇳ⋚┬❟ኬᏕ㸡㸡 㸣 ㄵᩝࡡୌ㒂࡞ຊ➱ಞḿࢅ⾔ࡖࡒࡵࡡ࡚㸡ᮇ⩹ᖳ ┫㆜Ꮥఌ➠ᅂᏕ⾙㞗ఌ㸝ᖳ㸡⩄㤷┬㸞࡞࠽ ࠷࡙ሒ࿈ࡊ࡙࠷ࡱࡌ㸣
ᩝࠈ⊡
Cheryl Tatano Beck㸝1996㸞㸯Nursing students’ experience caring for cognitivery impaired elderly people㸡Journal of Advanced Nursing㸡 23㸡992-998㸣 ༐ⴝ┷ᘢ㸡ཋ⏛⨶㤮㸡⣵⏛Ờ⨶㸝㸞㸯㆜⩹ ெಕ᪃シ࡚ࡡ⩹ᖳ┫㆜Ꮥᐁ⩞࡞࠽ࡄࡾᏕ⏍ࡡ Ꮥࡦ㸡㛏㔕┬┫㆜ኬᏕ⣎こ㸡㸡㸣 ⯒ᓞࢅࡲ㸝㸞㸯㈹Ⓩ◂✪ࡡᣦᡋ➠∟㸡༈ Ꮥ᭡㝌㸣 ࢡࣝࢴࢡ⨶㕝㸡㯖ཋࡀࡻࡲ㸡ᶋᒜ⨶Ờ⥽ⴥ㸝㸞㸯 ࡻࡂࢂ࠾ࡾ㈹Ⓩ◂✪ࡡ㐅ࡴ᪁࣬ࡱ࡛ࡴ᪁ࠈ┫㆜ ◂✪ࡡ࢙࢞ࢪࣂ࣭ࢹࢅࡴࡉࡊ࡙㸡༈ṉⷾฝ∟ᰬ ᘟఌ♣㸣 ᖲᮄᑠ⨶㸡㎯ᮟྍᏄ㸝㸞㸯ヾ▩㧏㱃⩽࡛ࡡ 㛭ࢂࡽ࡚┫㆜Ꮥ⏍វࡋࡒᅏ㞬࡛ᑊฌ⾔ິ㸡┫ ㆜࣬ಕ⛁Ꮥ◂✪ヽ㸡㸡㸝㏳ྒ㸞㸣 㸾.㸿.࢛࣭ࣚࣤࢺ㸤⛼⏛ඳ㔔Ꮔズ㸝 㸞㸯┫㆜ ࡡ᥀ịࠈࢱࢻ࣐ࢴࢠெ㛣㛭౿ࢅࡵ࡛࡞ࡊࡒ ᪁Ἢ㸡࣒ࢳ࢜ࣜࣆࣝࣤࢺ♣㸣 ⴓ㛣┷⨶㸝㸞㸯㈹Ⓩ◂✪ᐁ㊮ࢿ࣭ࢹࠈ◂✪ࣈ ࣞࢬࢪࢅ㐅ࡴࡾclue࡛࣎ࣤࢹ㸡༈Ꮥ᭡㝌㸣 ⲙᆀ₮Ꮔ㸡༐ⴝாᏄ㸝㸞㸯⩹ᖳ┫㆜ᏕᏕ⩞㐛 ⛤࡞࠽ࡄࡾᏕ⏍ࡡヾ▩㧏㱃⩽࡞ᑊࡌࡾ࣒࣭ ࢩࡡን㸡ᮇ㉝༎ᏊṂⶮ㔕▯ኬᏕ⣎こ➠ ྒ㸡㸣 ㆜⩹ெ⚗♬᪃シ࡞ථᑽࡌࡾこ㆜㧏㱃⩽࡞ᑊࡌࡾ┫㆜Ꮥ⏍ࡡᥴຐ㐛⛤࡞࠽ࡄࡾ╌╉Ⅴ
