看護系大学生の健康度・生活習慣と自己調整学習方略の関係の検討

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(1)⪯ἠ┫㆜Ꮥ◂✪ࠈSeisen J. Nurs. Stud., Vol. 2. pp.83-88, 2013. 研究ノート. 看護系大学生の健康度・生活習慣と自己調整学習方略の関係の検討 An Examination of Self-regulated Learning Strategies of Nursing Students in Relation to Their Health-lifestyle Patterns 㣨⏛ࠈᩏྒྷ㸞㸟㸡㛏ㆺ㒂ࠈࡹ࠾ࡽ㸞㸡ᑚಲࠈ஄Ꮔ㸞㸡␂୯ࠈ᪾Ꮔ㸞 Takashi Mochida㸡Yukari Hasebe㸡Yukiko Ogura㸡Yasuko Hatanakaࠈ. ࣭࣭࢞࣠ࢺࠈ┫㆜⣌ኬᏕ⏍㸡೸ᗛᗐ㸡⏍Ὡ⩞ៈ㸡⮤ᕤㄢᩒᏕ⩞᪁␆ Key Words nursing students㸡health status㸡lifestyle㸡Self-Regulated Learning Strategies. 抄録 ⫴ᬊࠈ೸ᗛࢅ⥌ᣚࡌࡾ࡞ࡢ㸡᪝ࠍࡡ⏍Ὡ⩞ៈ࠿ኬࡀࡂᙫ㡢ࡌࡾ࠿㸡㟯ᖳ᭿ࡢమງࢅ㐛ಘࡌࡾ࠵ࡱࡽ㸡᪝ᖏ⏍Ὡ࠿஗ࡿ ࡷࡌ࠷㸣㟯ᖳ᭿࡞࠵ࡾኬᏕ⏍ࡡ᪝ᖏ⏍Ὡ࡛೸ᗛ≟ឺ࡞㛭ࡌࡾ◂✪ࡢࡆࡿࡱ࡚࡞ࡵ⾔ࢂࡿ࡙࠷ࡾ࠿㸡ኬᏕ⏍ࡡ⏍Ὡ⩞ៈ ࡛Ꮥ⩞⬗ງ࡛ࡢ࠵ࡱࡽ᳠ゞࡈࡿ࡙࠷࡝࠷㸣 ┘Ⓩࠈᮇ◂✪ࡡ┘Ⓩࡢ㸡┫㆜⣌ኬᏕ⏍ࡡ೸ᗛᗐ࠽ࡻࡦ⏍Ὡ⩞ៈ࡛⮤ᕤㄢᩒᏕ⩞᪁␆࡛ࡡ㛭㏻ᛮࢅ᪺ࡼ࠾࡞ࡌࡾ㸣 ᑊ㇗࡝ࡼࡦ࡞ฦᯊ᪁Ἢࠈㄢᰕ᭿㛣ࡢ㸡ᖳ᭮୯᪢㹳 ࡚᭮㸡AኬᏕ┫㆜Ꮥ㒂ᖳ⏍ࢅᑊ㇗࡛ࡊࡒ㸣ᚠỄ㸝㸞࠿ 㛜Ⓠࡊࡒࠔ೸ᗛᗐ࣬⏍Ὡ⩞ៈタ᩷᳠ᰕ㸝௧ୖDIHAL.2࡛␆ࡌࠕ࡛⸠⏛㸝㸞ࡡ㛜Ⓠࡊࡒࠔ⮤ᕤㄢᩒᏕ⩞᪁␆ᑵᗐࠕ ࡞ᇱᮇᒌᛮ࡞㛭ࡌࡾ㈹ၡ㡧┘ࢅຊ࠻㸡⮤ᕤエථᘟ㈹ၡ⣤ㄢᰕࢅᐁ᪃ࡊࡒ㸣๑ྒࡡㄵᩝ࡚ࡢ㸡DIHAL.2ࢅ⏕࠷࡙೸ᗛᗐ ࡛⏍Ὡ⩞ៈࡡᐁឺࢅሒ࿈ࡊ࡙࠷ࡾ㸣௑ᅂࡢ๑ྒࡡ⤎ᯕࢅ㊻ࡱ࠻㸡Ꮥ⏍ࡡ⮤ᕤㄢᩒᏕ⩞᪁␆ᑵᗐࡡ⤎ᯕ࡛ࡡ㛭㏻ࢅฦᩋ ฦᯊ࡛Bonferroniࡡኣ㔔Ẓ㍉᳠ᏽࢅ⏕࠷࡙ゆᯊࡊࡒ㸣 ⤎ᯕ࣬⩻ᐳࠈDIHAL.2࡞ᇱࡘ࠷࡙ฦ㢦ࡊࡒ೸ᗛᗐ࣬⏍Ὡࣂࢰ࣭ࣤࡡ㛣࡚⮤ᕤㄢᩒᏕ⩞᪁␆ᚋⅤࢅẒ㍉ࡊࡒ㸣ࡐࡡ⤎ᯕ㸡 ࠔඖ ᐁᆵࠕ࡛ࠔこἸណᆵࠕ࡛ࡡ㛣࡚㸡⮤ᕤㄢᩒᏕ⩞᪁␆࡞᭯ណᕣࢅヾࡴࡒ㸣 ࠔこἸណᆵࠕ࡚ࡢ㸡ࣈࣚࣤࢼࣤࢡ᪁␆ࡡᚋⅤ࠿௙ ࡡࡗࡡ᪁␆ࡡᚋⅤࡻࡽ᭯ណ࡞఩ࡂ㸡 ࠔ⏍Ὡ⩞ៈこἸណᆵࠕ࡛ࠔ೸ᗛᗐこἸណᆵࠕࡡ୦⩽࡚ࡢ㸡ࣈࣚࣤࢼࣤࢡ᪁␆ࡡᚋⅤ࠿ ຑງㄢᩒ᪁␆࡛ࡡᚋⅤࡻࡽ᭯ណ࡞఩࠾ࡖࡒ㸣 ࠔඖᐁᆵࠕ࡚ࡢ㸡྘᪁␆㛣࡞᭯ណ࡝ᕣࡢࡲࡼࡿࡍ㸡ࡌ࡬࡙㧏ᚋⅤ࡚࠵ࡖࡒ㸣 ⤎ㄵࠈ೸ᗛᗐ࣬⏍Ὡ⩞ៈ࠿ඖᐁࡊ࡙࠷ࡾெࡢ㸡⮤ᕤㄢᩒᏕ⩞ࡡ࡜ࡡ᪁␆ࡵ௙ࡡ೸ᗛᗐ࣬⏍Ὡ⩞ៈึᏽࢰ࢕ࣈࡻࡽ㧏࠷ ᩐೋࢅ♟ࡊ࡙࠷ࡒࡆ࡛ࡢ㸡ࣁࣚࣤࢪ࠿ཱིࡿࡒ⮤ᕤᏕ⩞⬗ງ࠿࠵ࡾ࡛ビ౮࡚ࡀࡒ㸣ୌ᪁࡚ࠔこἸណᆵࠕࢰ࢕ࣈࡢ㸡ࣈࣚ ࣤࢼࣤࢡ᪁␆ࢅ୯ᚨ࡛ࡊࡒᏕ⩞᪁Ἢ࠿௙ࡡᏕ⩞᪁␆ࡻࡽࡵ఩࠾ࡖࡒ㸣. Abstract Background Our daily lifestyle affects own health㸡and it easily becomes unfavorable during adolescence because of excessive confidence on own physical strength㸣Regarding college students㸡who are in adolescence㸡 there are many research reports about their daily life and health status㸣However㸡there are few reports of research on the relationship between their lifestyle and learning ability. Purpose The purpose of this study is to clarify the lifestyle of nursing students and its relation with their selfregulated learning strategies㸣 Object/Methods The period of survey was from the middle of July to December㸡2011㸣The subjects were first grade nursing students㸣Inventory of Health and Lifestyle（DIHAL.2）developed by Tokunaga（2005）and “the questionnaire of Self-Regulated Learning Strategies” developed by Fujita（2010）were used㸣Analysis of variance and Bonferroni’s multiple comparison were employed for the analysis. Results/Consideration We compared the scores of Self-Regulated Learning Strategies between the healthand-lifestyle patterns classified on the basis of DIHAL.2㸣A significant difference was observed in the scores between “fullfilling type” and “health-and lifestyle-improvement-requiring type”㸣The “health-and lifestyleimprovement-requiring type” exhibited significantly lower scores of planning strategy than those of other three strategies㸣Both “lifestyle-improvement-requiring type” and “health-improvement-requiring type” had lower scores of planning strategy than those of management-of-effort strategy㸣We observed no significant difference in the scores of “fullfilling type” between learning strategies; their scores were all high. Conclusion The students fulfilled in health and lifestyle had higher scores for any strategies for self-regulated learning than those of any other health-and-lifestyle types㸣This allowed us to consider that the students fulfilled in health and lifestyle have a well balanced self-learning ability㸣Meanwhile㸣the students of “health-and lifestyleimprovement-requiring type” had lower scores of planning strategy than those of any other learning strategies.. 㸞＊. ⪯ἠኬᏕ┫㆜Ꮥ㒂ࠈSchool of Nursing㸡Seisen University E-mail：[email protected]. .

(2) 㸞㸣௿⸠㸝㸞ࡢ㸡ࢂ࠿ᅗࡡᩅ⫩┘ᵾࡡ⩻. Ϩ㸣⥬ࠈゕ. ࠻᪁࡛⮤ᕤㄢᩒᏕ⩞⌦ㄵࡢ㸡භ㏳ᛮ࠿࠵ࡽኬࡀ࡝. ࠈWHO㸝㸞ୠ⏲ಕ೸៿❮ࡡ๑ᩝ࡞࠽࠷࡙㸡. ♟ြࢅ୙࠻ࡾࡆ࡛࠿᭿ᙽࡈࡿࡾ࡛㏑࡬࡙࠽ࡽ㸡⌟. ೸ᗛࢅࠔ༟࡞⑄⑋ࡱࡒࡢ⑋ᘽࡡᏋᅹࡊ࡝࠷ࡆ࡛࡚. ᅹࡵኣࡂࡡᚨ⌦ᩅ⫩Ꮥ◂✪⩽࡞ࡻࡖ࡙ᐁチⓏ᳠ゞ. ࡢ࡝ࡂ㸡㌗మⓏ࣬⢥♼Ⓩ࣬♣ఌⓏ࡞Ᏸධ࡞Ⰳይ࡝. ࠿✒ࡲ㔔ࡠࡼࡿ࡙࠷ࡾ㸣ୌ᪁࡚㸡Ꮥ⏍ࡡ㌗మⓏ࡝. ≟ឺࠕ࡚࠵ࡾ࡛ᏽ⩇ࡊ࡙࠷ࡾ㸣ࡐࡡ⥌ᣚ࡞ࡢ᪝ࠍ. ೸ᗛ≟ឺࢅᢍᥩ࡚ࡀࡾ㈠ᩩࡢ㸡ࠔᏕ⏍ࡡ೸ᗛⓉ᭡ࠕ. ࡡ⏍Ὡ⩞ៈ࠿ኬࡀࡂᙫ㡢ࡌࡾ࠿㸡㟯ᖳ᭿ࡢమງࢅ. ࠿ᅗ❟ኬᏕἪெ࡛ࡊ࡙ᖳ࡞ᗐࡡㄢᰕࢅᐁ᪃ࡊ. 㐛ಘࡌࡾ࠵ࡱࡽ㸡᪝ᖏ⏍Ὡࡡ஗ࡿ࠿⏍ࡋࡷࡌ࠷㸣. ࡙࠷ࡾ㸣ࡊ࠾ࡊ㸡ࡐࡡㄢᰕ㡧┘ࡢ㸡㌗మ゛ῼ࣬හ. ࡐࡡ㟯ᖳ᭿࡞࠵ࡾኬᏕ⏍ࡡ᪝ᖏ⏍Ὡ⩞ៈࡷ೸ᗛ≟. ⛁࣬╉⛁㹺⓮⭭⛁➴ࡡタᐳᡜず࡛႖↦㹺㣟㒿㹺㐘ິ. ឺ࡞㛭ࡌࡾ◂✪࡞ࡻࡿࡣ㸡╟┸࣬㐘ິ࣬㣏⏍Ὡࡢ. ࡡ⏍Ὡ⩞ៈ࡞㛭ࡌࡾ㡧┘࡚࠵ࡽ㸡೸ᗛࡡᐁឺ. Ꮥ⏍ࡡ೸ᗛ≟ឺ࡞῕ࡂ㛭୙ࡊ࡙࠷ࡾ࡛ሒ࿈ࡈࡿ࡙. ࡡධᐖࢅᢍᥩࡌࡾࡡࡢ㞬ࡊ࠷㸣ࡐࡆ࡚㸡๑ᅂᠻࠍ. ࠷ࡾ㸝㤷ሔ㸡㸰༓⏛㸡㸰ᮿᮟ㸡㸰ఫ⸠㸡. ࡢ㸡┫㆜Ꮥฦ㔕࡚ࡢ࠵ࡱࡽሒ࿈ࡈࡿ࡙࠷࡝࠷ᚠỄ. 㸰කᒱ㸡㸞㸣ኬᏕ⏍ࡡ೸ᗛ≟ឺ࡛⏍Ὡ⩞. ࡼࡡ㛜Ⓠࡊࡒㄢᰕ⏕⣤ࢅ⏕࠷࡙㸡┫㆜⣌ኬᏕ⏍ࢅ. ៈࢅㄢᰕࡊࡒ◂✪ࡢ㸡ᚨ⌦Ꮥฦ㔕࡚ኣࡂ࡝ࡈࡿ࡙. ᑊ㇗࡞ࡊࡒ೸ᗛᗐ࡛⏍Ὡ⩞ៈࡡᐁឺࢅㄢᰕࡊ᪺ࡼ. ࠽ࡽ㸡᪝ᖏ⏍Ὡ⩞ៈ࠿රమⓏ࡝೸ᗛ࡞㛭ࡌࡾ⮤つ. ࠾࡞ࡊࡒ㸣௑ᅂࡢ㸡┫㆜⣌ኬᏕ⏍ࡡ୹మⓏ࡞Ꮥࡩ. ⑍≟࡫࡛ᙫ㡢ࡊ࡙࠷ࡾ࡛ࡡㄢᰕ⤎ᯕ࠿ሒ࿈ࡈࡿ࡙. ງࡡᐁឺࢅㄢᰕࡌ࡝ࢂࡔ㸡⮤ᕤㄢᩒᏕ⩞⬗ງ࡛೸. ࠷ࡾ㸝㤷ሔ㸡㸞㸣๑ᅂᠻࠍࡢ㸡ᚠỄࡼ࠿షᠺ. ᗛᗐ࠽ࡻࡦ⏍Ὡ⩞ៈ࡛ࡡ㛭㏻ࢅ᳠ゞࡌࡾ㸣. ࡊࡒㄢᰕ⏕⣤ࢅὩ⏕ࡊ㸡┫㆜⣌ኬᏕ⏍ࢅᑊ㇗࡞ࡊ ࡒ೸ᗛᗐ࡛⏍Ὡ⩞ៈࡡᐁឺࢅ᪺ࡼ࠾࡞ࡊࡒ㸣௑ᅂ. ϩ㸣⏕ㄊࡡᏽ⩇. ࡢ㸡ࡐࡡㄢᰕ⤎ᯕ࡛⮤ᕤㄢᩒᏕ⩞࡛ࡡ㛭౿ࢅ᳠ゞ. ࠈ⮤ᕤㄢᩒᏕ⩞࡞ࡢᵕࠍ࡝⌦ㄵⓏᯗ⤄ࡲ࠿࠵ࡾ࠿. ࡌࡾ㸣 ࠈ೸ᗛ≟ឺ࡞᪝ᖏ⏍Ὡ⩞ៈ࠿ኬࡀࡂ㛭୙ࡊ࡙࠽. 㸝௿⸠㸡㸞㸡Zimmerman㸝㸡㸞ࡡᏽ. ࡽ㸡ᠺெ᭿࡚ࡵྜྷᵕࡡ⤎ᯕ࠿ሒ࿈ࡈࡿ࡙࠷ࡾ㸝㤷. ⩇࡞ࡻࡾ࡛㸡⮤ᕤㄢᩒ࠿࡚ࡀࡾᏕ⩞⩽ࡢ㸡 ࠔ࣒ࢰ. ሔ㸡㸞࠿㸡⮤ᕤㄢᩒᏕ⩞࡛⏍Ὡ⩞ៈ࡛ࡡ㛭㏻ᛮ. ヾ▩㸡ິᶭࡘࡄ㸡⾔ິ࡞࠽࠷࡙㸡⮤ࡼࡡᏕ⩞ࣈࣞ. ࢅㄢᰕࡊ࡙࠷ࡾࡵࡡࡢᑛ࡝࠷㸣Ꮥ⏍ࡡᏕᴏ࡞㛭ࡌ. ࢬࢪ࡞⬗ິⓏ࡞㛭୙ࡌࡾࠕ࡛ࡈࡿ࡙࠷ࡾ㸣. ࡾ඙⾔◂✪࡛ࡊ࡙ࡢ㸡Ꮥ⩞ណḟ㸡Ꮥ⩞Ṍ㸡Ꮥ⩞ࢪ. ࠈ೸ᗛᗐ࠽ࡻࡦ⏍Ὡ⩞ៈ࡛ࡡ㛭㏻࡛ࡢ㸡ᰬᘟఌ♣. ࢰ࢕ࣜࢅ᡽ࡖࡒࡵࡡ࠿ኣࡂ㸡≁࡞Ꮥ⩞⩽⮤㌗ࡡᏕ⩞. ࢹ࣭࣭ࣙࣆ࢔ࢩ࢜ࣜ࠾ࡼⓆ⾔ࡈࡿ࡙࠷ࡾDIHAL.2. 㐛⛤࡫ࡡ⬗ິⓏ࡝ࡌ࡝ࢂࡔ㸡⮤ᕤㄢᩒᏕ⩞᪁␆ࡢ㸡. 㸝Diagnostic Inventory of Health and Life Habit 2㸞. ᚨ⌦Ꮥࡷᩅ⫩Ꮥฦ㔕ࡡ◂✪࡞࠽࠷࡙ኣࡂሒ࿈ࡈࡿ. ᳠ᰕ⏕⣤㸝ᅄᏄ㡧┘㸞ࢅ⏕࠷࡙㸡㐘ິ㹺㣏஥㹺. ࡙࠷ࡾ㸣ࡈࡱࡉࡱ࡝⌦ㄵⓏ❟ሔ࠿࠵ࡾ࠿㸡⮤ᕤㄢᩒ. ఆ㣬ࢅྜྷ᫤࡞タ᩷ࡊ㸡೸ᗛᣞᑙࡡཤ⩻࡞ࡌࡾࡒࡴ. Ꮥ⩞࡛ࡢ㸡 ࠔᏕ⩞⩽࠿͆ິᶭࡘࡄ͇ ͆Ꮥ⩞᪁␆͇ ࣒͆. ࡞௧ୖࡡ┘Ⓩࢅᣚࡔ౐⏕ࡈࡿ࡙࠷ࡾ㸣. ࢰヾ▩͇ࡡ୔ࡗこ⣪࡞࠽࠷࡙⮤ฦ⮤㌗ࡡᏕ⩞㐛⛤. 㸣಴ெࡷ㞗ᅆࡡ೸ᗛᗐ࠽ࡻࡦ⏍Ὡ⩞ៈࡡᐁឺࡷ. ࡞⬗ິⓏ࡞㛭୙ࡊ࡙࠷ࡾࡆ࡛ࠕ࡛㸡ᏽ⩇ࡈࡿ࡙࠷ࡾ㸣. ንᐖࢅ⌦ゆࡌࡾ㸣. 㸝௿⸠㸡㸰Zimmerman㸡㸡㸞. 㸣೸ᗛᗐ࡛⏍Ὡ⩞ៈࡡ┞ப㛭౿ࢅฦᯊࡊࡒࡽ㸡. ࠈ⮤ᕤㄢᩒᏕ⩞᪁␆ࡡᴣᛍࡢ㸡ᖳ௥㡥࠾ࡼḚ. ࡐࡡ௙ࡡమງⓏ㸡༈ᏕⓏ㸡ᚨ⌦Ⓩ᳠ᰕ⤎ᯕ࡛ࡡ. ⡷ࡡᩅ⫩ᚨ⌦Ꮥ◂✪࡞࠽࠷࡙ࠔ⮤ࡼᏕࡩງࠕࢅ⌦. 㛭౿ࢅฦᯊࡌࡾ㸣. ㄵⓏ㸡ᐁチⓏ࡞ゆ᪺ࡊࡻ࠹࡛ࡌࡾິࡀ࠾ࡼ⏍ࡱࡿ. 㸣಴ெࡷ㞗ᅆࡡ㈠ᩩࢅࡵ࡛࡞᭻ࡱࡊ࠷೸ᗛࡷ⏍. ࡒࡵࡡ࡚࠵ࡾ㸣ࠈࠈࠈ. Ὡ⩞ៈ࡫ንᐖࡌࡾࡒࡴࡡᩅ⫩Ⓩᣞᑙࢅ⾔࠹㸣. ࠈ⌟ᅹࡡࢂ࠿ᅗ࡞࠽ࡄࡾᏕᰧᩅ⫩࡚ࡢࠔ⏍ࡀࡾ. ࠈ. ງࠕࡡ⫩ᠺࢅᩅ⫩┘ᵾ࡛ࡊ࡙᥎ࡅ࡙࠽ࡽ㸡ᩝ㒂⛁. Ϫ㸣ᑊ㇗࠽ࡻࡦฦᯊ᪁Ἢ. Ꮥ┤ኬᏕᐼ㆗ఌ࡚ࡢୠ⣎ࡡኬᏕാ࡛௑ᚃࡡᨭ㠁 ᪁➿࡞ࡗ࠷࡙ࡡ➽⏞ࡡ୯࡚㸡௑ᚃ⮤ࡼ୹మⓏ࡞Ꮥ. 㸦㸣ㄢᰕᑊ㇗. ࡦ㸡⩻࠻㸡᯺㌶࠾ࡗ⥪ྙⓏ࡞ึ࡚᩷ࡀࡾ⬗ງࡡ⫩. ࠈAኬᏕ┫㆜Ꮥ㒂ᖳ⏍ࢅᑊ㇗࡞ᐁ᪃ࡊࡒ㸣. ᠺ࠿㔔こ࡚࠵ࡾࡆ࡛ࢅᥞ♟ࡊ࡙࠷ࡾ㸝ᩝ㒂⛁Ꮥ┤㸡. ⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞. .

(3) ┫㆜⣌ኬᏕ⏍ࡡ೸ᗛᗐ࣬⏍Ὡ⩞ៈ࡛⮤ᕤㄢᩒᏕ⩞᪁␆ࡡ㛭౿ࡡ᳠ゞ. 㸧㸣ࢸ࣭ࢰ࣭཭㞗᪁Ἢ. ೸ᗛᗐ࡛⏍Ὡ⩞ៈࡡ⥪ྙᚋⅤ࡞ࡻࡽࣂࢰ࣭ࣤ࡞. ࠈᖳ᭮୯᪢࠾ࡼ᭮ࡡ᫤᭿࡞⮤エᘟㄢᰕࢅ. ฦ㢦ࡌࡾ㸣 ࠔඖᐁᆵࠕࡢ㸡೸ᗛᗐ࠿㧏ࡂ⏍Ὡ⩞ៈ. ᐁ᪃ࡊࡒ㸝ࢠࣞࣤࣁࢴࢠࡡಘ㢏ᛮ౿ᩐȘ 㸡. ࡵ᭻ࡱࡊ࠷ࢰ࢕ࣈ࡚࠵ࡾ㸣ࠔ⏍Ὡ⩞ៈこἸណᆵࠕࡢ㸡. DIHAL.2ධమ㸞㸣ᑊ㇗⩽࡞ࡢ㸡ᚠỄᖷ㞕ష. ೸ᗛᗐࡢ㧏࠷࠿⏍Ὡ⩞ៈ࠿᭻ࡱࡊࡂ࡝ࡂ㸡ࠔ೸ᗛ. ᠺᰬᘟఌ♣ࢹ࣭࣭ࣙࣆ࢔ࢩ࢜ࣜ࠾ࡼⓆ⾔ࡈࡿ࡙. ᗐこἸណᆵࠕࡢ㸡⏍Ὡ⩞ៈࡢ᭻ࡱࡊ࠷࠿೸ᗛᗐ࠿. ࠷ ࡾDIHAL.2㸝Diagnostic Inventory of Health. ఩ࡂ㸡 ࠔこἸណᆵࠕࡢ㸡೸ᗛᗐ࠿఩ࡂ⏍Ὡ⩞ៈࡵ. and Life Habit 2㸞ㄢᰕ⏕⣤㸡ᇱᮇᒌᛮㄢᰕ⏕⣤㸡. ᭻ࡱࡊࡂ࡝࠷ࢰ࢕ࣈ࡚࠵ࡾ㸣. ⮤ᕤㄢᩒᏕ⩞᪁␆ᑵᗐㄢᰕ⏕⣤㸝ຑງㄢᩒ᪁␆. 㸨㸞⮤ᕤㄢᩒᏕ⩞᪁␆. Ș 㸡ࣈࣚࣤࢼࣤࢡ᪁␆Ș 㸡࣓ࣛࢰࣛࣤ. ࠈ⸠⏛ḿ㸝ᖳషᠺ㸞ࡡ⮤ᕤㄢᩒᏕ⩞᪁␆ࢅ. ࢡ᪁␆Ș 㸡ヾ▩Ⓩ᪁␆Ș 㸞ࡡ⛸㢦ࢅ. ౐⏕ࡊࡒ㸣ࡆࡡㄢᰕࡡ㈹ၡ㡧┘ࡢᅄᏄ㡧┘࡚㸡. ྜྷ᫤࡞㒼ᕱࡊࡒ㸣ㄢᰕࡢᖲ᪝ࡡㅦ⩇⤂஡ᚃ㸡ᨲㄚ. ຑງㄢᩒ᪁␆㸝㡧┘㸞㸡ࣈࣚࣤࢼࣤࢡ᪁␆㸝㡧. ᚃ࡞ㅦ⩇ᐄ࡚ᐁ᪃ࡊࡒ㸣ㄢᰕࡢᙁโ࡚ࡢ࡝ࡂ㸡୘. ┘㸞㸡࣓ࢼࢰࣛࣤࢡ᪁␆㸝㡧┘㸞㸡ヾ▩Ⓩ᪁␆㸝. ฺ─࡞࡝ࡼ࡝࠷ࡆ࡛ࢅㄕ᪺ࡊ㸡ㄢᰕᐁ᪃⩽ࡢᅂ཭. 㡧┘㸞ࡡୖన㡧┘࡚ᵋᠺࡈࡿ࡙࠷ࡾ㸣ຑງㄢᩒ᪁. ⟵ࢅㅦ⩇ᐄ࡞シ⨠ࡊࡒᚃ࡞㏝ᐄࡊ㸡᫤㛣ᚃ࡞ᅂ. ␆࡞㛭ࡌࡾ㈹ၡ㡧┘ࡢ㸡㸣ࠔⱖᡥ࡝᤭ᴏ࡚࠵ࡖ࡙. ཭⟵ࢅᘤࡀ୕ࡅࡒ㸣. ࡵⰃ࠷ᠺ⦴ࢅᚋࡻ࠹࡛ຑງࡌࡾࠕ㸣 ࠔᚃ࡚ᅏࡼ࡝ ࠷ࡻ࠹࡞ㅦ⩇ࡡහᐖࢅࡊࡖ࠾ࡽ⪲ࡂࠕ㸣 ࠔᬉṹ࠾. 㸨㸣ㄢᰕහᐖ. ࡼ඙⏍ࡡゕ࠹ࡆ࡛ࡢࡒ࡛࠻ฦ࠾ࡼ࡝ࡂ࡙ࡵ⌦ゆࡊ. 㸦㸞ᇱᮇᒌᛮ. ࡻ࠹࡛ࡌࡾࠕ㸣 ࠔᏕ⩞හᐖ࠿㞬ࡊࡂ࡙ࡵ⮤ฦ࡞ᚪ. ࠈᛮื㸡ᖳ㱃㸡㌗㛏㸡మ㔔㸡ྜྷᑽᐓ᪐ெᩐ㸡᭽㣏. こࡓ࡛ᛦ࠷࡝࠿ࡼ㡱ᘿࡾࠕ㸣 ࠔム㥺ຫᙁࢅࡌࡾ࡛. ᦜཱིࡡ๪ྙ㸡㐄㛣ࡡࣂࢮࢤࣤ౐⏕᫤㛣㸡㐄㛣ࡡ. ࡀࡢ࡚ࡀࡾࡓࡄኣࡂࡡࡆ࡛ࢅつ࠻ࡻ࠹࡛ࡌࡾࠕ࡚. ࢷࣝࣄち⫀᫤㛣࡛ࡊࡒ㸣. ࠵ࡾ㸣 ࣈࣚࣤࢼࣤࢡ᪁␆࡞㛭ࡌࡾ㈹ၡ㡧┘ࡢ㸡㸣 ࠔ. 㸧㸞೸ᗛᗐ࡛⏍Ὡ⩞ៈ. ᪝࡞࡜ࡿࡂࡼ࠷Ꮥ⩞ࡌࡾ࠾⩻࠻࡙࠾ࡼཱིࡽ⤄ࡳࠕ. ࠈ㈹ၡ⣤ࡢDIHAL.2୯Ꮥ⏍㹳ᠺெ⏕㸝ᖳ᭮. 㸣 ࠔຫᙁࡢ᫤㛣ࢅỬࡴ࡙ࡌࡾࠕ㸣ࠔム㥺ຫᙁࡡ๑. Ⓠ⾔㸞ࢅ౐⏕ࡊࡒ㸣ࡆࡡ㈹ၡ⣤ࡢ㸡೸ᗛᗐ㸡㐘ິ㸡. ࡞ࡢ゛⏤ࢅ❟࡙ࡾࠕ࡚࠵ࡾ㸣࣓ࢼࢰࣛࣤࢡ᪁␆࡞. 㣏஥㸡ఆ㣬ࡡᑵᗐ࠾ࡼ࡝ࡽ㸡ᅄᏄ㡧┘ࢅྱ. 㛭ࡌࡾ㈹ၡ㡧┘ࡢ㸡㸣 ࠔຫᙁࡡࡷࡽ᪁࠿⮤ฦ࡞ྙ. ࢆ࡚࠷ࡾ㸣೸ᗛᗐࡢ㌗మⓏ೸ᗛᗐ㸝㡧┘㸞㸡⢥♼. ࡖ࡙࠷ࡾ࠾࡜࠹࠾ࢅ⩻࠻࡝࠿ࡼຫᙁࡌࡾࠕ㸣 ࠔ⮤. Ⓩ೸ᗛᗐ㸝㡧┘㸞㸡♣ఌⓏ೸ᗛᗐ㸝㡧┘㸞ࡡᅄ. ฦࡡ࡚ࡀࡾ⠂ᅑࢅ⩻࠻࡝࠿ࡼຫᙁࡌࡾࠕ㸣ࠔຫ. Ꮔ㡧┘㸡㐘ິࡢ㐘ິ⾔ິ᮪࣬௲㸝㡧┘㸞࡛㐘. ᙁ࡚ࢂ࠾ࡼ࡝࠷࡛ࡆࢀ࠿࠵ࡖࡒࡼຫᙁࡡࡷࡽ᪁ࢅ. ິណㆉ㸝㡧┘㸞ࡡᅄᏄ㡧┘㸡㣏஥ࡢ㣏஥ࡡࣁ. ࠷ࢀ࠷ࢀን࠻࡙ࡲࡾࠕ㸣 ࠔరࢅịࡴࡼࡿ࡙࠷ࡾ. ࣚࣤࢪ㸝㡧┘㸞㸡㣏஥ࡡぜ์ᛮ㸝㡧┘㸞㸡Ⴐይဗ㸝. ࡡ࠾⩻࠻࡙࠾ࡼㄚ㢗ࢅࡌࡾࠕ㸣 ࠔࡆࡿࡱ࡚࡞Ꮥ. 㡧┘㸞ࡡᅄᏄ㡧┘㸡ఆ㣬ࡢఆ᜝㸝㡧┘㸞㸡╟. ࢆࡓࡆ࡛ࢅὩ⏕ࡊ࡙ㄚ㢗ࢅ⾔࠹ࠕ࡚࠵ࡾ㸣ヾ▩Ⓩ. ┸ࡡぜ์ᛮ㸝㡧┘㸞㸡╟┸ࡡඖ㊂ᗐ㸝㡧┘㸞㸡ࢪ. ᪁␆࡞㛭ࡌࡾ㈹ၡ㡧┘ࡢ㸡㸣 ࠔࡻࡂࢂ࠾ࡖ࡙࠷. ࢹࣝࢪᅂ㑂⾔ິ㸝㡧┘㸞ࡡᅄᏄ㡧┘࠾ࡼᵋ. ࡾᡜ࡛ࡐ࠹࡚࡝࠷࡛ࡆࢀࢅ᥀ࡊ࡝࠿ࡼຫᙁࡌࡾࠕ. ᠺࡈࡿ࡙࠷ࡾ㸣྘ᑵᗐࡢ୯Ꮥ⏍࠾ࡼᠺெࡱ࡚ࡡ. 㸣 ࠔ㞬ࡊ࠷ㄚ㢗࡞ཱིࡽ⤄ࡳ๑࡞ᇱ♇࠿ࢂ࠾ࡖ࡙. ெࡡࢸ࣭ࢰ࣭ࢅࡵࡔ࠷ࡒ᥀⣬ⓏᅄᏄฦᯊ࠽. ࠷ࡾ࠾☔ヾࡌࡾࠕ㸣 ࠔහᐖࢅつ࠻ࡾࡒࡴࢿ࣭ࢹ. ࡻࡦ᳠チⓏᅄᏄฦᯊ࡞ࡻࡖ࡙ᵋᠺᴣᛍጂᙔᛮ࠿☔. ࡞᭡࠷࡙࠵ࡾࡵࡡࢅ᭡ࡀ෕ࡊ࡝࠿ࡼຫᙁࢅ㐅ࡴ. ヾࡈࡿ࡙࠷ࡾ㸣ࢠࣞࣤࣁࢴࢠࡡಘ㢏ᛮ౿ᩐȘࡢ㸡. ࡾࠕ㸣 ࠔム㥺ຫᙁࢅࡌࡾ࡛ࡀࡢㅦ⩇ࡷᩅ⛁᭡ࡡ. ೸ᗛᗐࡓࡄࡢ࡛ࡷࡷ఩࠷࠿㸡ṟࡽᑵᗐࢅ. හᐖࢅࡱ࡛ࡴࡾࠕ㸣 ࠔᮇࢅㄖࢆ࡚ຫᙁࢅࡌࡾ࡛. ྙࢂࡎࡒ⏍Ὡ⩞ៈ࡚ࡢ0.853㸡DIHAL.2ධమ࡚ࡢ. ࡀࡢ྘❮ࡡこⅤࢅࡱ࡛ࡴࡾࠕ࡚࠵ࡾ㸣྘㈹ၡ㡧┘. ࡛༎ฦ㧏࠷ೋ࠿ሒ࿈ࡈࡿ࡙࠷ࡾ㸣DIHAL.2. ࡞ᑊࡊ࡙ࠔධࡂ࠵࡙ࡢࡱࡼ࡝࠷㸝Ⅴ㸞ࠕ㹳ࠔ㟸ᖏ. ࡡタ᩷ࡢ㸡ḗࡡṹ㝭ࡡࣈࣞࢬࢪ࡞ࡻࡾ㸣ձᅄᏄ. ࡞ࡻࡂ࠵࡙ࡢࡱࡾ㸝Ⅴ㸞 ࠕࡡⅤἪ࡚ᅂ➽ࢅịࡴࡾ㸣. ืࣈࣞࣆ࢔࣭ࣜタ᩷ղᑵᗐืࣈࣞࣆ࢔࣭ࣜタ᩷ճ. ௑ᅂࡡㄢᰕ࡚ࡢ㸡⮤ᕤㄢᩒᏕ⩞᪁␆࡞㛭ࡌࡾ᳠ゞ. ೸ᗛᗐ࣬⏍Ὡ⩞ៈࣂࢰ࣭ࣤึᏽࡡ⛸㢦࠾ࡼᠺࡽ㸡. ࢅ⾔࠹ࡒࡴ࡞⮤ᚂⓏᥴຐこㄫ㸝㡧┘㸞࡛౪ᏋⓏ. ձ࡛ղ࡚ࡢ㸡ࣝ࣊ࣜ㸝㟸ᖏ࡞ඁࡿ࡙࠷ࡾ㸞㹳ࣝ. ᥴຐこㄫ㸝㡧┘㸞ࡢ㸡ㄢᰕᑊ㇗㡧┘࠾ࡼ㝎አࡊࡒ㸣. ࣊ࣜ㸝࠾࡝ࡽ఩࠷㸞ࡡṹ㝭࡚ビ౮ࡌࡾ㸣ճ࡚ࡢ㸡 . Seisen J. Nurs. Stud., Vol. 2. 2013.

(4) 㸩㸣ฦᯊ᪁Ἢ. 㸦㸣ᑊ㇗ࡡᒌᛮ. ࠈ๑ᅂሒ࿈ࡊࡒ┫㆜⣌ኬᏕ⏍ࢅᑊ㇗࡞⾔ࡖࡒㄢᰕ. ࠈᑊ㇗⩽ࡡහズࡢ㸡⏠Ꮔྞ㸡ዥᏄྞ࡚࠵ࡖ. 㸝ᑚಲࡼ㸞࡞࠽ࡄࡾDIHAL.2࡞ᇱࡘࡂ㸡೸ᗛ. ࡒ㸣ᖳ㱃ฦᕱࡢධమࡡ㸚࠿௥࡛௥࡚࠵ࡖ. ᗐ࣬⏍Ὡ⩞ៈࣂࢰ࣭ࣤ⩄࡞ࡗ࠷࡙⮤ᕤㄢᩒᏕ⩞. ࡒ㸣ᑽపᙟឺࡢ㸡ᐓ᪐࡛ྜྷᑽ࠿㸡ெᬵࡼࡊ. ᪁␆ࢅẒ㍉ࡊࡒ㸣ฦᯊ࡞ࡢ㸡ୌඔ㒼⨠ฦᩋฦᯊ࡛. ࠿࡚࠵ࡖࡒ㸣㐄㛣ࡡ᭽㣏ᅂᩐࡢ㸡Ẏ᪝ᦜཱི. ኣ㔔Ẓ㍉ࢅ⏕࠷ࡒ㸣ࡈࡼ࡞྘⩄࡞ࡗ࠷࡙㸡྘᪁␆. ྞ࡛㸡⣑࠿Ẏ᪝᭽㣏ࢅᦜࡖ࡙࠷ࡒ㸣ࣂࢮ. ᚋⅤࢅẒ㍉ࡊࡒ㸣⤣゛ฌ⌦ࡢ㸡Excel⤣゛ࢮࣆࢹ. ࢤฺࣤ⏕᫤㛣ࡢ㸡࠿ฦ௧හ࡛▯᫤㛣ࡡฺ⏕. ࢅ౐⏕ࡊࡒ㸣. ࡚࠵ࡽ㸡᫤㛣ᮅ‫࠿‮‬ධమࡡ㸚࡚࠵ࡖࡒ㸣ࢷ ࣝࣄち⫀᫤㛣ࡢ㸡᫤㛣ᮅ‫࠿‮‬㸚㸡᫤㛣ᮅ‫‮‬. 㸪㸣೒⌦Ⓩ㒼៎. ࠿㸚࡚࠵ࡖࡒ㸣㸝⾪㸞. ࠈㄢᰕ᪃シᡜᒌࡡ೒⌦ጟဤఌࡻࡽᢆㅑࢅᚋࡒࡡࡔ㸡 Ꮥ⏍࡞◂✪┘Ⓩ࣬හᐖࢅㄕ᪺ࡊ㸡ཤຊ࣬୘ཤຊࡢ. 㸧㸣೸ᗛᗐ࣬⏍Ὡ⩞ៈࣂࢰ࣭ࣤึᏽ. ⮤⏜࡚࠵ࡽ㸡୘ཤຊ࡚࠵ࡖ࡙ࡵᏕ⏍࡞୘ฺ─ࡢ⏍. ࠈ೸ᗛᗐ࣬⏍Ὡ⩞ៈࣂࢰ࣭ࣤࡢ㸡೸ᗛᗐ࣬⏍Ὡ⩞. ࡋ࡝࠷ࡆ࡛ࢅㄕ᪺ࡊࡒ㸣ࡐࡡᚃ㈹ၡ⣤ࢅධဤ࡞㒼. ៈ࠿࡛ࡵ࡞ඖᐁࡊ࡙࠷ࡾࠔඖᐁᆵࠕྞ㸝㸚㸞㸡. ᕱࡊ㸡ᅂ➽ῥࡲࡡ㈹ၡ⣤ࡡᥞฝࢅࡵࡖ࡙◂✪࡫ࡡ. ೸ᗛᗐࡢඖᐁࡊ࡙࠷ࡾ࠿⏍Ὡ⩞ៈ࠿こἸណ࡚࠵ࡾ ࠔ⏍Ὡ⩞ៈこἸណᆵࠕྞ㸝㸚㸞㸡⏍Ὡ⩞ៈࡢ. ྜྷណࢅᚋࡒࡵࡡ࡛ࡲ࡝ࡊࡒ㸣. ඖᐁࡊ࡙࠷ࡾ࠿೸ᗛᗐ࠿こἸណ࡚࠵ࡾࠔ೸ᗛᗐこ Ἰណᆵࠕྞ㸝㸚㸞㸡೸ᗛᗐ࣬⏍Ὡ⩞ៈ࠿࡛. ϫ㸣⤎ࠈᯕ. ࡵ࡞こἸណ࡚࠵ࡾࠔこἸណᆵࠕྞ㸝㸚㸞࡚. ࠈ┫㆜⣌ኬᏕ⏍ྞ࡞㒼ᕱ㸡ᅂ཭⋙㸚㸡᭯ຝ. ࠵ࡖࡒ㸣. ᅂ➽⋙㸚㸡ྞ࡚࠵ࡖࡒ㸣⾪ࠈᑊ㇗ࡡ⫴ᬊ. ⴫ኻ⽎ߩ⢛᥊. P P OGCPr5&. ᐕ㦂. ᕈ೎ หዬੱᢙ. ઍ ઍ ઍ ↵ᕈ ᅚᕈ ੱ᥵ࠄߒ ੱએ਄᥵ࠄߒ. り㐳 O ૕㊀ MI $/+ DQF[OCUUKPFGZ ㅳ㑆ߩᦺ㘩࿁ᢙ Ფᣣ 㨪ᣣ 㨪ᣣ ᣣ ᣣ ᣣߩࡄ࠰ࠦࡦ೑↪ᤨ㑆 ಽએౝ 㨪ಽᧂḩ 㨪ಽᧂḩ ಽએ਄ ᣣߩ࠹࡟ࡆⷞ⡬ᤨ㑆 ಽએౝ 㨪ಽᧂḩ 㨪ಽᧂḩ ಽએ਄. ⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞. . r r r .

(5) ┫㆜⣌ኬᏕ⏍ࡡ೸ᗛᗐ࣬⏍Ὡ⩞ៈ࡛⮤ᕤㄢᩒᏕ⩞᪁␆ࡡ㛭౿ࡡ᳠ゞ. ⾪ࠈ೸ᗛᗐ࣬⏍Ὡ⩞ៈࣂࢰ࣭ࣤื࡞࠽ࡄࡾᏕ⩞᪁␆ࡡẒ㍉ లታဳ P. ദജ⺞ᢛᣇ⇛. ↢ᵴ⠌ᘠⷐᵈᗧဳ P ஜᐽᐲⷐᵈᗧဳ P. OGCPr5&. OGCPr5&. r. r. OGCPr5&. OGCPr5&. r. *. r. ⷐᵈᗧဳ P. r. *. ࡊ࡜ࡦ࠾ࡦࠣᣇ⇛. r. r. ࡕ࠾࠲࡝ࡦࠣᣇ⇛. r. r. r. r

(6)

(7). ⹺⍮⊛ᣇ⇛. r. r. r. r. *. r. *. *.

(8) R

(9)

(10) R. 㸨㸣೸ᗛᗐ࣬⏍Ὡ⩞ៈࣂࢰ࣭࡛ࣤ⮤ᕤㄢᩒᏕ ࠈ⩞᪁␆࡛ࡡẒ㍉. ⩞࡞࠽࠷࡙ࡵ⮤ฦ࡞ྙࡖࡒ᪁Ἢࢅ⩻࠻࡝࠿ࡼᏕ⩞. ࠈ೸ᗛᗐ࣬⏍Ὡ⩞ៈࣂࢰ࣭ࣤื࡞⮤ᕤㄢᩒᏕ⩞᪁. ࠾㸣⮤ᕤㄢᩒᏕ⩞᪁␆ࡡࠔ࣓ࢼࢰࣛࣤࢡ᪁␆ࠕࡢ㸡. ␆ࢅẒ㍉ࡊࡒᖲᆍೋ࡛ᵾ‵೩ᕣೋࡡ⤎ᯕ㸡 ࠔඖᐁ. ຫᙁࡡࡷࡽ᪁࠿⮤ฦ࡞ྙࡖ࡙࠷ࡾ࠾࡜࠹࠾ࢅ⩻࠻. ᆵࠕ࡚ࡢ㸡ຑງㄢᩒ᪁␆࠿s㸡࣓ࢼࢰࢼࣤ. ࡝࠿ࡼຫᙁࡌࡾ࡛ゕࡖࡒ࣒ࢰヾ▩⬗ງࡡ୯࡚ࡵ㸡. ࢡ᪁␆s㸡ヾ▩Ⓩ᪁␆s㸡ࣈࣚࣤࢼ. ⮤ฦ⮤㌗ࢅᐂびⓏ࡞ᢍᥩࡌࡾ⬗ງ࡛㛭㏻ࡌࡾ㡧┘. ࣤࢡ᪁␆s࡚࠵ࡖࡒ㸣ࡗࡡ᪁␆ࡡ㛣࡞᭯ណ. ࠿㞗ࡱࡖ࡙࠷ࡾ㸝⸠⏛㸡㸞㸣ࡐࡡࡒࡴ㸡⮤ᕤ. ࡝ᚋⅤࡡᕣࡢ࡝ࡂ㸡ࡌ࡬࡙㧏ᚋⅤࢅ♟ࡊࡒ㸣 ࠔこ. ㄢᩒ⬗ງ࠿࠵ࡾ࡛⩻࠻ࡼࡿࡾඖᐁᆵࡡெࡢ㸡こἸ. Ἰណᆵࠕ࡚ࡢ㸡ຑງㄢᩒ᪁␆࠿s㸡࣓ࢼࢰ. ណᆵࡡெࡻࡽ⮤ฦ⮤㌗ࢅᐂびⓏ࡞ᢍᥩࡌࡾࠔ࣓ࢼ. ࢼࣤࢡ᪁␆s㸡ヾ▩Ⓩ᪁␆s㸡ࣈࣚ. ࢰࣛࣤࢡ᪁␆ࠕࡡᚋⅤ࠿㧏࠷⤎ᯕ࡛࡝ࡖࡒࡡ࡚ࡢ. ࣤࢼࣤࢡ᪁␆s࡚࠵ࡖࡒ㸣ࣈࣚࣤࢼࣤࢡ᪁. ࡝࠷࠾࡛᥆ᐳࡌࡾ㸣௿⸠㸝㸞ࡢ㸡⮤ᕤᏕ⩞᪁. ␆ࡡᚋⅤ࠿఩ࡂ㸡ຑງㄢᩒ᪁␆㸡࣓ࢼࢰࣛࣤࢡ᪁. ␆ࡢ㸡ິᶭࡘࡄ࠿Ꮥᴏ㐡ᠺࢅࡵࡒࡼࡌ୕࡚㸡Ꮥ⩞. ␆㸡ヾ▩᪁␆࡛ࡡ㛣࡚᭯ណ࡝ᕣ㸝p㸞ࢅ♟ࡊࡒ㸣. ࢅ᪁ྡྷࡘࡄㄢᩒࡊ࡙࠷ࡂ᪁Ἢ࡚࠵ࡽᏕ⩞࡫ࡡິᶭ. ࡱࡒ㸡 ࠔ⏍Ὡ⩞ៈこἸណᆵࠕ࡛ࠔ೸ᗛᗐこἸណᆵࠕ. ࡘࡄ࠿ࡷࡾẴࢅ㉫ࡆࡊ㸡⮤ฦ࡞㐲ว࡝Ꮥ⩞᪁Ἢࡡ. ࡚ࡵ㸡ࡐࡿࡑࡿ㸡ຑງㄢᩒ᪁␆࡚ࡢࠔ⏍Ὡ⩞ៈこ. ▩ㆉࢅᣚࡔ㸡ᐁ⾔࡫⛛ࡌࡒࡴࡡິᶭࡘࡄ࠿࠵ࡽᐁ. Ἰណᆵࠕ࡚s㸡 ࠔ೸ᗛᗐこἸណᆵࠕ࡚s. ⾔ࡌࡾ㸣㐑⾔࠿ྡྷ୕ࡌࡾ࡛⮤ᕤຝງវ࠿㧏ࡱࡽ㸡. 㸡௧ୖྜྷࡋࡂ㸡࣓ࢼࢰࢼࣤࢡ᪁␆s࡛. ࡐࡡ⮤ᕤຝງវ࠿ḗࡡິᶭࡘࡄ࡫࡛⦽࠿ࡾ࡛㏑࡬. s㸡ヾ▩Ⓩ᪁␆s࡛s㸡ࣈࣚ. ࡙࠷ࡾ㸣 ࠔඖᐁᆵࠕࡡࢰ࢕ࣈࡡᏕ⏍ࡢ㸡⮤ᕤㄢᩒ. ࣤࢼࣤࢡ᪁␆࠿s࡛s࡚࠵ࡽ㸡ࣈࣚ. Ꮥ⩞᪁␆࡞࠽࠷࡙ࣈࣚࣤࢼࣤࢡ᪁␆㸡ຑງㄢᩒ᪁. ࣤࢼࣤࢡ᪁␆ࡡᚋⅤ࠿఩ࡂ㸡≁࡞ຑງㄢᩒ᪁␆࡛. ␆㸡࣓ࢼࢰࣛࣤࢡ᪁␆㸡ヾ▩Ⓩ᪁␆࡛ࡵ࡞ࣁࣚࣤ. ࡡ㛣࡞᭯ណ࡝ᕣ㸝p㸞࠿ヾࡴࡼࡿࡒ㸣ࡐࡊ࡙㸡. ࢪࡡ࡛ࡿࡒ㧏ᚋⅤࢅᚋ࡙࠽ࡽ㸡೸ᗛᗐ࡛⏍Ὡ⩞ៈ. ฦᩋฦᯊ࠽ࡻࡦBonferroni࡞ࡻࡾኣ㔔Ẓ㍉ࢅ⾔ࡖ. ࠿ඖᐁࡊ࡙࠷ࡾࡆ࡛ࡢ㸡Ꮥ⩞᪁␆ࢅ༎ฦ࡞Ⓠᥱࡊ. ࡒ⤎ᯕ㸡 ࣓ࢼࢰࣛࣤࢡ᪁␆࡞࠽࠷࡙ࠔඖᐁᆵࠕ࡛ࠔこ. ࡙࠷ࡾ࡛ࡵゕ࠻ࡾ㸣ࠔඖᐁᆵࠕࡡெࡢ㸡⏍Ὡ⩞ៈ. Ἰណᆵࠕࡡ㛣࡞᭯ណᕣ㸝p㸞ࢅヾࡴࡒ㸣㸝⾪㸞. ࡞࠽࠷࡙ࡵ㐘ິ⾔ິ࠿࡛ࡿ㸡㣏஥ࣁࣚࣤࢪ࠿ᩒ࠷㸡. ࠈ. ᪝ᖏ࡚㐲ᗐ࡝ఆ㣬࠿ཱིࡿ࡙࠷ࡾ≟ឺ࡚࠵ࡾ࡛ゕ࠻. ࢅ㐅ࡴ࡙࠷ࡂࡆ࡛࠿࡚ࡀ࡙࠷ࡾࡡ࡚ࡢ࡝࠷ࡓࢀ࠹. ࡾ㸣ࡌ࡝ࢂࡔ㸡⏍Ὡ⩞ៈࡢ㸡Ꮥ⩞ណḟ㸡೸ᗛ࡞㛭. Ϭ㸣⩻ࠈᐳ. ࡌࡾ▩ㆉ㸡Ꮥ⩞᪁Ἢ࡞㛭ࡌࡾ㟻࡞࡙㸡࡝ࢆࡼ࠾ࡡ. ࠈᮇ◂✪࡚ࡢ㸡೸ᗛᗐ࣬⏍Ὡ⩞ៈࣂࢰ࣭ࣤื࡞࠽. ᙫ㡢ࢅ୙࠻࡙࠷ࡾࡡ࡚ࡢ࡝࠷࠾࡛᥆ᐳࡌࡾ㸣. ࠷࡙⮤ᕤㄢᩒᏕ⩞᪁␆ࢅẒ㍉ࡊࡒ⤎ᯕ㸡࣓ࢼࢰࣛ. ࠈୌ᪁㸡 ࠔこἸណᆵࠕࡡெࡢ㸡㌗మ㟻㸡⢥♼㟻㸡. ࣤࢡ᪁␆࡚ࠔඖᐁᆵࠕ࠿ࠔこἸណᆵࠕ࡞Ẓ࡬࡙ᚋ. ♣ఌ㟻࡞࠽࠷࡙࠷ࡍࡿ࠾࡚೸ᗛ࡛ࡢゕ࠷㞬࠷≟Ἓ. Ⅴ࠿᭯ណ࡞㧏࠾ࡖࡒ㸣 ࠔඖᐁᆵࠕࡢ㸡೸ᗛᗐ࠿㧏. ࡚࠵ࡽ㸡⏍Ὡ⩞ៈ࡞࠽࠷࡙ࡵ▩ㆉ୘㊂࡚࠵ࡖࡒ. ࡂ⏍Ὡ⩞ៈࡵ᭻ࡱࡊ࠷ࢰ࢕ࣈ࡚࠵ࡾ㸣ඖᐁᆵࡡெ. ࡽ㸡⾔ິງ࠿இࡊ࠾ࡖࡒࡽࡊ࡙࠷ࡒ㸣ࠔこἸណᆵࠕ. ࡢ㸡⮤ᕤࡡ⏍Ὡ⩞ៈࢅᐂびⓏ࡞ず├ࡊ࡝࠿ࡼ㸡⮤. ࡢ㸡ࣈࣚࣤࢼࣤࢡ᪁␆ࡡᚋⅤ࠿఩ࡂࠔ᪝࡜ࡿࡂ. ᕤ࡞ྙࡖࡒ⏍Ὡࢪࢰ࢕ࣜࢅᩒ࠻ࡾ⬗ງ࠿࠵ࡾ࡛⩻. ࡼ࠷Ꮥ⩞ࡌࡾ࠾⩻࠻࡙࠾ࡼཱིࡽ⤄ࡳࠕࠔຫᙁࡢ᫤. ࠻ࡼࡿࡾ㸣ࡐࡡࡒࡴ㸡⏍Ὡ⩞ៈࡓࡄ࡚ࡢ࡝ࡂ㸡Ꮥ. 㛣ࢅỬࡴ࡙ࡌࡾࠕࠔム㥺ຫᙁࡡ๑࡞゛⏤ࢅ❟࡙ࡾࠕ . Seisen J. Nurs. Stud., Vol. 2. 2013.

(11) ࡡ㡧┘࡞㛭ࡌࡾ⮤ᕤㄢᩒᏕ⩞࡞Ḗࡄ࡙࠷ࡾࡡ࡚ࡢ. ᩝ㒂⛁Ꮥ┤ࠈኬᏕᐼ㆗ఌ㸝㸞㸯ୠ⣎ࡡኬᏕ. ࡝࠷࠾࡛᥆ῼࡈࡿࡾ㸣≁࡞㸡ࡆࡡࠔこἸណᆵࠕ࠿㸡. ാ࡛௑ᚃࡡᨭ㠁᪁➿࡞ࡗ࠷࡙̿❿ணⓏ⎌ሾࡡ୯. ௑ᅂㄢᰕࡊࡒᑊ㇗Ꮥ⏍࡞ኣࡂࡲࡼࡿࡒࡆ࡛ࡢ៟៎. ࡚಴ᛮ࠿㍜ࡂኬᏕ̿㸝➽⏞㸞㸣. ࡈࡿࡾ㸣ࡒࡓ㸡඙⾔◂✪࡞࠽࠷࡙㸡ᮇ◂✪࡛Ẓ㍉. 㛓ฝ᩺ୌ㑳㸝㸞㸯ኬᏕ⏍ࡡ⏍Ὡ⩞ៈ⑋࡞㛭ࡌ. ྊ⬗࡝௙ኬᏕࡡㄢᰕ⤎ᯕࡢずᙔࡒࡼ࡝࠾ࡖࡒ㸣. ࡾណㆉ㸡▩ㆉ㸡⾔ິ࡞ࡗ࠷࡙㸡᪝ᮇප⾏⾠⏍㞟ヽ㸡㸝㸞㸡㸣 ୔὾⌦ᜠ㸡㟯ᮄ㑝⏠㸝㸞㸯ኬᏕ⏍ࡡ⢥♼Ⓩ೸. ϭ㸣⤎ࠈㄊ. ᗛ࡞㛭ࡌࡾこᅄࡡᩝ⊡Ⓩ◂✪㸡ᒜཾ┬❟ኬᏕᏕ. ࠈ೸ᗛᗐ࣬⏍Ὡ⩞ៈタ᩷ࣂࢰ࣭ࣤึᏽ㸝ࠔඖᐁᆵࠕ. ⾙᝗ሒ㸡㸡㸣. ࠔ⏍Ὡ⩞ៈこἸណᆵࠕ ࠔ೸ᗛᗐこἸណᆵࠕ ࠔこἸណ. කᒱᨙᏄ㸡㕝ᮄ㞖⿩㸡ዚ⏛᪸஄㸝㸞㸯ኬᏕ⏍. ᆵࠕ㸞࡛⮤ᕤㄢᩒᏕ⩞᪁␆㸝ຑງㄢᩒ᪁␆㸡࣓ࢼ. ࡡ೸ᗛ⩞ៈ࡛␺ຘវ㸡మງ࣬ᰜ㣬࣬ඞ␷Ꮥ㞟ヽ㸡. ࢰࢼࣤࢡ᪁␆㸡ヾ▩Ⓩ᪁␆㸡ࣈࣚࣤࢼࣤࢡ᪁␆㸞. 㸝㸞㸡㸣. ࡛ࡡ㛭㏻࡚㸡 ࠔඖᐁᆵࠕࡢ྘᪁␆࡛ࡡ㛣࡞᭯ណᕣ. Ềᮇ⠔㸝㸞㸯⮤ᕤㄢᩒㄊᙙᏕ⩞࡞࠽ࡄࡾ⮤ᕤຝ. ࡢ↋ࡂ㸡ຑງㄢᩒ᪁␆㸡࣓ࢼࢰࢼࣤࢡ᪁␆㸡ヾ▩. ງវࡡᙫ㡢㸡አᅗㄊᏕ㒂⣎こ㸡㸡. Ⓩ᪁␆㸡ࣈࣚࣤࢼࣤࢡ᪁␆ࡡ᪁␆ࡌ࡬࡙࡞࠽࠷. ᑚಲ஄Ꮔ㸡㛏ㆺ㒂ࡹ࠾ࡽ㸡␂୯᪾Ꮔ㸡㣨⏛ᩏྒྷ. ࡙ᆍ➴Ⓩ࡞㧏ᚋⅤࢅ♟ࡊࡒ㸣ୌ᪁࡚ࠔこἸណᆵࠕࡢ㸡. 㸝㸞㸯┫㆜⣌ኬᏕ⏍ࡡ೸ᗛᗐ࡛⏍Ὡ⩞ៈࡡᐁ. ධ⯙࡞ᚋⅤ࠿఩ࡂ㸡≁࡞ࣈࣚࣤࢼࣤࢡ᪁␆ࡡᚋⅤ. ឺ㸡⪯ἠኬᏕ┫㆜Ꮥ◂✪㸡㸡㸣. ࠿఩࠾ࡖࡒ㸣. ᒱ⏛᭯ྒྷ㸡㫵ᑽ᭰Ꮔ㸡ᐋ὾ᓤ㸝㸞㸯ኬᏕ⏍࡞ ࠽ࡄࡾᏕ⩞ࢪࢰ࢕ࣜࡡ㐢࠷࡛Ꮥ⩞ᠺᯕ㸡❟࿤㤃㧏➴ᩅ⫩◂✪㸡㸡㸣. ᩝࠈ⊡. ఫ⸠៿Ꮔ㸡㒿஬ኯୌ㸡ఫࠍᮄ஁⨶Ꮔ㸝㸞㸯ኬᏕ. 㤷ሔࡲࡔ࠻㸡㛏ᘧ༐ᜠ㸡᪺▴஁⨶Ꮔ㸝㸞㸯Ꮥ. ⏍࡞࠽ࡄࡾ㌗మὩິ࣬㐘ິ⩞ៈ࡞↌Ⅴࢅ࠵࡙ࡒ. ⏍ࡡ᪝ᖏ⏍Ὡ⩞ៈ࡛೸ᗛ≟ឺ࡞㛭ࡌࡾᩝ⊡ᒈ᭻. ᪝ᖏ⏍Ὡࡡᐁឺㄢᰕ̿ຊ㏷ᗐ゛㸝ࣚ࢕ࣆࢤ࣭ࢱ㸞. ̿ᖳ㹳 ᖳ᭮ࡱ࡚ࡡᩝ⊡࠾ࡼ̿㸡ஐᕗ. ࢅ⏕࠷࡙ࡡ᳠ゞ㸡ᐋᇖኬᏕ┫㆜Ꮥ㒂⣎こ㸡㸝㸞㸡. ኬᏕ༈⒢ᢇ⾙▯᭿ኬᏕ㒂⣎こ㸡㸡㸣. 㸣. ⸠⏛ḿ㸝㸞㸯ኬᏕ⏍ࡡ⮤ᕤㄢᩒᏕ⩞᪁␆࡛Ꮥ. ᮆ ஬ ೸ ష㸡 ⏛ ㊨ ⚵ ᶖ㸡け ᇄ ฺ ⏠㸝㸞㸯ኬᏕ. ᴏᥴຐこㄫ࡛ࡡ㛭౿㸡ዄⰃᩅ⫩ኬᏕ⣎こ㸡. ⏍ ࡡ ೸ ᗛ ࡛ ⏍ Ὡ ̿ᖳ㸡ᖳ ࠽ ࡻ ࡦ. 㸝㸞㸡㸣. ᖳ ථ Ꮥ ⩽ ࡛ ࡡ Ẓ ㍉ ̿㸡 ಕ ೸ ࡡ ⛁ Ꮥ㸡㸝㸞㸡. ⸠⏛ḿ㸝㸞㸯⮤ᕤㄢᩒᏕ⩞࡞ཀྵ࡯ࡌᏕ⩞ິᶭ࠽. 㸣. ࡻࡦᏕ⩞᪁␆࡞ࡗ࠷࡙ࡡヾ▩ࡡᙫ㡢㸡ዄⰃᩅ⫩. ℡ᑹ⨶⣎Ꮔ㸝㸞㸯⮤ᚂⓏ࣬౪ᏋⓏᥴຐこㄫ࡞. ኬᏕᩅ⫩ᐁ㊮㛜Ⓠࢬࣤࢰ࣭◂✪⣎こ㸡㸡㸣. ࠽ࡄࡾᏕ⩞び࡛ࡗࡱࡍࡀ᪺☔໩᪁␆ࡡᙲ๪̿ኣ. Ꮥ⏍ࡡ೸ᗛⓉ᭡షᠺ࡞㛭ࡌࡾ≁ืጟဤఌ⥽㞗. ẍ㞗ᅆྜྷ᫤ฦᯊ࡞ࡻࡾ୯Ꮥ࣬㧏ᰧ⏍ࡡⓆ㐡ᕣࡡ. 㸝㸞㸯Ꮥ⏍ࡡ೸ᗛⓉ᭡㸡ᅗ❟ኬᏕἪெಕ. ᳠ゞ̿㸡ᩅ⫩ᚨ⌦Ꮥ◂✪㸡㸡㸣. ೸⟮⌦᪃シ༝㆗ఌ. 㧏ᶣḿ์㸝㸞㸯ኬᏕ᩺ථ⏍࡞࠽ࡄࡾమ᰹࣬మ. 㣜ሪୌ⿩㸝㸞㸯ኬᏕ⏍ࡡࢤ࣐ࣖࢼࢢ࣭ࢨࣘࣤណㆉ. ງ࡛⏍Ὡ⩞ៈ㸡᪝ᮇኬᏕᩝ⌦Ꮥ㒂ெᩝ⛁Ꮥ◂✪. ࡞ࡗ࠷࡙̿ࢷ࢞ࢪࢹ࣏࢕ࢼࣤࢡ࡞ࡻࡾฦᯊ̿㸡យ. ⣎こ㸡㸡㸣. ▩ᩅ⫩ኬᏕ◂✪ሒ࿈㸡㸝ᩅ⫩⛁Ꮥ⥽㸞㸡㸣. ⏛୯୔ᰜᏄ㸡௿↻ගᕤ㸡⚽㔕⚖ず㸝㸞㸯ࣚ࢕. ௿⸠ᓤ㐡㸝㸞㸯⮤ᕤㄢᩒᏕ⩞ࡡᠺ❟㐛⛤̿Ꮥ⩞. ࣆࢪࢰ࢕࡛ࣜ೸ᗛ࡞㛭ࡌࡾ◂✪̿㧏ᰧ⏍࡛ኬᏕ. ᪁␆࡛ິᶭࡘࡄࡡᙲ๪̿㸡໪ኬ㊨᭡ᡛ㸡㸣. ⏍ࡡ╟┸㸡㣏⏍Ὡ㸡㣟㒿࣬႖↦࣬㐘ິ⩞ៈ㸡೸. ༓⏛⏜⨶Ꮔ㸡ᮿ὾࿰௥㸝㸞㸯༈Ꮥ㒂Ꮥ⏍ࡡ೸. ᗛび㸡⮤つ⑍≟࡞ࡗ࠷࡙ࡡẒ㍉̿㸡ࢪ࣭࣎ࢵᩒ. ᗛ≟ឺ࡞ᙫ㡢ࢅཀྵ࡯ࡌ⏍Ὡ⩞ៈこᅄࡡ᳠ゞ㸡᪝. ᚗ⒢ἪᏕ◂✪㸡㸝㸞㸡㸣. ᮇ┫㆜◂✪Ꮥఌ㞟ヽ㸡㸝㸞㸡㸣. ᚠỄᖷ㞕㸝㸞㸯೸ᗛᗐ࣬⏍Ὡ⩞ៈࡡᖳ௥Ⓩᕣ␏. ᮿᮟ༐㭧㸡ᇷ⨶⣎Ꮔ㸡ྚᮇ▩ᜠ㸝㸞㸯┫㆜Ꮥ⏍. ཀྵࡦ᤭ᴏ๑ᚃ࡚ࡡን໩㸡೸ᗛ⛁Ꮥ㸡㸡㸣. ࡡ⏍Ὡ⩞ៈࡡᐁឺ̿LPCᘟ⏍Ὡ⩞ៈࢺࢴࢠࢅ⏕. ᚠỄᖷ㞕㸝㸞㸯 ࠔ೸ᗛᗐ࣬⏍Ὡ⩞ៈタ᩷᳠ᰕ. ࠷࡙̿㸡㤮ᕖ┬❟༈⒢▯᭿ኬᏕ⣎こ㸡㸡㸣. 㸝DIHAL.2㸞 ࠕࡡ㛜Ⓠ㸡೸ᗛ⛁Ꮥ㸡㸡㸣. ⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞. .

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