⪯ἠ┫㆜Ꮥ◂✪ࠈSeisen J. Nurs. Stud., Vol. 2. pp.9-17, 2013
研究ノート
࣭࣭࢞࣠ࢺࠈᢒ࠹ࡗ≟ឺ㸡⫃ᴏᛮࢪࢹࣝࢪ㸡㆜᪃シ㸡┞ㄧᨥᥴ
Key Words depression㸡job stress㸡personnel in care facilities㸡consultation support system
抄 録
⫴ᬊࠈ᪃シ⫃ဤࡡࢪࢹࣝࢪ㧏࠷ࡆ࡛ᣞᦤࡈࡿ࡙࠷ࡾ㸣㧏㱃⩽㆜᪃シ࡚ࡢ㸡ヾ▩ࢢ᪃シࡡࣗࢼࢴࢹ㸡㝸ᐐ⩽ ⮤❟ᨥᥴἪࡡ᪃⾔࡞ࡻࡾ㝸ᐐ⩽ᨥᥴ᪃シ⫃ဤࡡໂຸ⎌ሾንࡊࡒ㸣㧏㱃⩽㆜᪃シࡡ㆜⫃ࡡࢪࢹࣝࢪ࡞㛭ࡌࡾሒ࿈ ࡢ࠵ࡾࡵࡡࡡ㸡㝸ᐐ⩽ᨥᥴ᪃シ⫃ဤࢅᑊ㇗࡛ࡊࡒ◂✪ࡷ᪃シ⫃ဤධమࡡࢪࢹࣝࢪ㸡ᢒ࠹ࡗ࡞㛭ࡌࡾሒ࿈ࡢずࡼࡿ࠷㸣 ┘Ⓩࠈ㝸ᐐ⩽ᨥᥴ᪃シ㸡≁ื㣬㆜⩹ெ࣭࣑࣌㸡ヾ▩ࣗࢼࢴࢹࢢ᪃シ⫃ဤࡡ␏ࡖࡒ᪃シ⎌ሾ࡞࠵ࡾ᪃シ⫃ဤࢅᑊ ㇗࡛ࡊ㸡ᢒ࠹ࡗ࣬ࢪࢹࣝࢪ≟ឺ࡛㛭㏻こᅄࢅ᪺ࡼ࠾࡞ࡌࡾࡆ࡛࡚࠵ࡾ㸣 ᪁Ἢࠈ≁ื㣬㆜⩹ெ࣭࣑࣌㸡ヾ▩ࣗࢼࢴࢹࢢ᪃シ⫃ဤ㸡㝸ᐐ⩽ᨥᥴ᪃シ㸡ெࢅᑊ㇗࡛ࡊ࡙㸡Zungࡡ⮤ᕤビ౮ ᘟᢒ࠹ࡗᑵᗐ㸝Self-rating depression scale ௧ୖSDS㸞ࢅ⏕࠷ࡒ㸣ᮇㄢᰕࡡಘ㢏ᛮ౿ᩐ㸝Ș౿ᩐ㸞ࡢ࡚࠵ࡖࡒ㸣 ࡱࡒ㸡⫃ሔࡡࢪࢹࣝࢪึᏽ࡞ࡢ㸡ཋㆺ㸝 㸞ࡡNOIOSH㸝National Institute for Occupational Safety and Health㸞 ⫃ᴏᛮࢪࢹࣝࢪ⠾᪾ㄢᰕ⚂ࢅ⏕࠷ࡒ㸣 ࠈㄢᰕ㡧┘ẎࡡSDSᖲᆍೋࡡᕣ࡞ࡢWelchࡡt᳠ᏽ㸡ୌඔ㒼⨠ฦᩋฦᯊࢅᐁ᪃ࡊ㸡ኣ㔔Ẓ㍉ฦᯊࡢ㸡Tukey-kramer ᳠ᏽࢅᐁ᪃ࡊࡒ㸣SDSࡢⅤࢅ࢜ࢴࢹ࢛ࣆ࣎ࣤࢹ࡛ࡊ㸡Ⅴᮅࢅᗛ⩄㸡 㹳 Ⅴࢅ㍅ᗐᢒ࠹ࡗ㸡Ⅴ௧୕ࢅ ୯➴ᗐ௧୕ࡡᢒ࠹ࡗ࡛ึᏽࡊࡒ㸣ᢒ࠹ࡗ࡛㛭㏻こᅄࡡẒ㍉࡞࠽࠷࡙ࡢ㸡ᗛ㸡㍅ᗐᢒ࠹ࡗ㸡୯➴ᗐ௧୕ࡡ⩄࡞ฦࡄ㸡 ࢜᳠ᏽࢅ⾔ࡖࡒ㸣⫃ᴏᛮࢪࢹࣝࢪ⠾᪾ㄢᰕ⚂ࡢ㸡ࣛࢪࢠA㸡B㸡Tࢅ⫃ሔื㸡⫃⛸ื࡞⟤ฝࡊ㸡Ẓ㍉ࡊࡒ㸣 ⤎ᯕࠈᅂᩐࡢ㸡ெ㸝ᅂ⋙㸞࡚㸡SDSཀྵࡦ⫃ᴏᛮࢪࢹࣝࢪ⠾᪾ㄢᰕ⚂ࡡࢸ࣭ࢰ࡞Ḗࡡ↋࠾ࡖࡒ ெ㸝᭯ ຝᅂ➽⋙㸞ࢅฦᯊᑊ㇗࡛ࡊࡒ㸣SDSࡡᖲᆍೋࡢ㸡㸝SD 㸞࡚㸡㍅ᗐᢒ࠹ࡗ௧୕㸡࡛ᢒ࠹ࡗࡡ ྙ㧏࠾ࡖࡒ㸣ᢒ࠹ࡗ≟ឺ࡞ࡢ㸡ᖳ㱃㸡⫃⛸㸡ࡡ㊂ᗐ㸡┞ㄧ⩽ࡡ᭯↋㛭㏻ࡊ࡙࠷ࡒ㸣⫃ᴏᛮࢪࢹࣝࢪビ౮ࡡ ⥪ྙᗛࣛࢪࢠೋ࡚ࡢ㸡ᚉᮮᆵ≁ื㣬㆜⩹ெ࣭࣑࣌ 㸡㝸ᐐ⩽ᨥᥴ᪃シ࡚㧏ࡂ㸡⫃⛸ื࡚ࡢ㆜⫃㸡ᙲ⫃⩽ 㧏࠾ࡖࡒ㸣 ⩻ᐳࠈ㆜᪃シࡢࡡᴏሔࡻࡽࡵᢒ࠹ࡗലྡྷ࡞࠵ࡾࡆ࡛᥆ᐳࡈࡿࡒ㸣ࡱࡒ㸡᪃シ࡞ࡻࡖ࡙㸡⫃ᴏᛮࢪࢹࣝࢪ࡞㐢 ࠷ずࡼࡿ㸡᪃シࡡ⎌ሾ࡞ྙࢂࡎࡒࣚࣤࢢࡡమโࡘࡂࡽᚪこ࡚࠵ࡾ㸣ⱕ࠷㆜⫃࡛ᙲ⫃⩽ࡡᢒ࠹ࡗࡷࢪࢹࣝ ࢪ㧏࠷ലྡྷ࡞࠵ࡽ㸡ࣀࣛࢪࢠ⩄࡚࠵ࡾ࡛⩻࠻ࡼࡿ㸡┞ㄧᨥᥴమโࢅᙁࡌࡾᚪこ࠵ࡾ㸣 ⤎ㄊࠈ᪃シ࡞ྙࢂࡎࡒ┞ㄧᨥᥴࢨࢪࢷ࣑࡛ࣀࣛࢪࢠ⩄ࡡථࡡᚪこᛮ♟ြࡈࡿࡒ㸣Abstract
Background Care facilities for elderly people are transitioning to the unit care system㸣With the law supporting the independence of people with disabilities enacted in 2006㸡the employee compensation structure and work environment of care facilities for such people has changed㸣Previous studies have reported that the workers in care facilities experience high levels of stress㸣However㸡the factors responsible for their stress have not been clarified㸣 Aim This study attempts to determine what causes the worker in care facilities to become depressed and stressed㸣 Method A survey was administered to 272 workers of a special elderly nursing home㸡a dementia unit care facility㸡and a support care facility for people with physical disorders㸣Depression was assessed using the Zung Self-Rating Depression Scale（SDS; Cronbach's alpha=0.82）㸡and job stress was assessed using the Brief Job Stress Questionnaire（National Institute for Occupational Safety and Health㸡NIOSH）㸣Welch's t-tests㸡one-way analyses of variance㸡and Tukey-Kramer post-hoc tests were used to examine how SDS scores differed with respect to age㸡job characteristics㸡work satisfaction㸡and the presence of a mentor㸣Scores over 100 on the Brief Job Stress Questionnaire indicate high risk of job stress㸣I analyzed whether job stress levels differed with respect to the type of facility and job classification㸣
Results/Discussion From the 184 responses（response rate : 74.8%）received㸡a total of 169 valid responses（valid response rate : 62.1%）were subjected to analysis㸣The mean SDS score was 42.1±9.1㸡and 55% of the respondents had symptoms of depression㸣Depression was found to be related to age㸡job classification㸡work satisfaction㸡and
介護施設職員の抑うつ・ストレス反応と関連要因の検討
What Causes the Worker in Care Facilities to Become Depressed and Stressed
ཋ⏛ࠈᑚእ
㸞㸟㸡ᐋ⬝ࠈᏳྒྷ
㸞Sayo Harada，Kouzi Miyawaki
㸞⪯ἠኬᏕࠈ┫㆜Ꮥ㒂ࠈSchool of Nursing㸡Seisen University 㸞ࡨ࠼ࡽࡎᚨ⌦ࢪࢹࣝࢪ┞ㄧᡜࠈForlise mind stress counsel ＊E-mail㸯[email protected]
⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞
Ϩ㸣⥬ࠈゕ
ࠈ㆜⫃ࡡ㞫⫃⋙ࡢ㧏ࡂ㸡ࣁ࣭ࣤࢹࡡ㍅΅ ࢅណㆉࡊࡒ㞘⏕⟮⌦ࡷ㆜ᴏຸࢪࢹࣝࢪ࡞ᑊࡌ ࡾ♣ఌⓏᨥᥴࡡᚪこᛮᣞᦤࡈࡿ࡙࠷ࡾ㸝୯ᓞ㸡 㸞㸣㆜⫃ࡡࣁ࣭ࣤࢹࡷ㞫⫃㜭Ḿࡡᑊ➿ ࡢ㸡⤝ࡷᙽ㐕㟻ࡡᨭၻࡓࡄ࡚ࡂ㸡࣒ࣤࢰࣜࣉ ࣜࢪᑊ➿㔔こ࡚࠵ࡾ㸝ఫ⸠㸡㸰Ṃහ㸡⏛୯㸡 㸞㸣㧏㱃⩽㆜᪃シࡷ㝸ᐐ⩽᪃シ࡚ࡢ㸡ฺ⏕⩽ ࡡ㌗మ㟻ࡡࢢ࡛࡛ࡵ࡞㸡ฺ⏕⩽ࡡၡ㢗⾔ິࡡ ᑊᚺ࡚᪃シ⫃ဤࡡࢪࢹࣝࢪ㧏࠷ࡆ࡛ᣞᦤࡈࡿ ࡙࠽ࡽ㸝ᘲᐣ㸡ᏫⰃ㸡 㸞㸡㆜⫃ࡡࢪࢹࣝࢪ࡞ࡢ㸡 ᪃シ⎌ሾᙫ㡢ࡌࡾ࡛ࡡሒ࿈࠵ࡾ㸝㛏㸡㯦⏛㸡 㸞㸣ࡱࡒ㸡ࡡ㊂ᗐ⏍Ὡࢪࢹࣝࢪ࡞ᙫ㡢 ࡊ㸝Ờཾ㸡 㸞㸡⫃ሔ௧አࡡⱌ❟ࡔ㸡ࢪࢹࣝࢪ ⫃ሔ࡚ࡡⱌ❟ࡔ࡞㛭㏻ࡌࡾ➴㸡⫃ሔ࡛⫃ሔአࡡ⏍ Ὡ࡛ࡡ㛭㏻ሒ࿈ࡈࡿ࡙࠷ࡾ㸝ఫ⸠㸡㸞㸣 ࠈ㎾ᖳ㸡ฺ⏕⩽ࡡࢢࢅඖᐁࡌࡾࡒࡴ࡞㸡㧏㱃⩽ ㆜᪃シ㸡㝸ᐐ⩽᪃シࡡᵋ㏸ࡷࢢࡡᙟឺࡢን ࡊࡒ㸣㧏㱃⩽㆜᪃シ࡚ࡢ㸡ヾ▩ࢢ᪃シࡡථ ᑽ⩽ࡡ⏍Ὡ༟నࢅெ⛤ᗐ࡛ࡊ㸡ᑛᩐࡡࢪࢰࢴࣆ ࡚≁ᏽࡡථᑽ⩽ࢅ㆜ࡌࡾࣗࢼࢴࢹࢢ㐅ࢆ ࡓ㸣ࡱࡒ㸡㝸ᐐ⩽᪃シ࡚ࡢ㸡ᖲᠺᖳᗐࡡ㝸ᐐ⩽ ⮤❟ᨥᥴἪࡡ᪃⾔࡚㸡㝸ᐐ⩽ථᡜ᪃シࡡሒ㓐మ⣌ ን᭞ࡈࡿࡆ࡛࡞ఔ࠷㸡㝸ᐐ⩽⒢㆜᪃シ㝸ᐐ⩽ ᨥᥴ᪃シ࡛ࡖࡒ㸣୯࡚ࡢ⏍Ὡ㆜ࢦ࣭ࣄࢪ㸡 ⒢㣬㆜ࢦ࣭ࣄࢪ㸡እ㛣࡚ࡢ㸡ᑽపᨥᥴࢦ࣭ࣄࢪ ࡛࠷࠹ࡻ࠹࡞㸡୯࡛እ㛣ࡡ㆜ࢦ࣭ࣄࢪ࡛ࢅฦ ࡄ࡙⤝㢘⟤ᏽࡈࡿࡾࡆ࡛࡛ࡖࡒ⤎ᯕ㸡㆜ ሒ㓐΅㢘࡛ࡽ㸡ெဤࡡ๎΅⾔ࢂࡿࡾ➴㸡᪃ シ⫃ဤࡡໂ᮪ຸ௲ཚࡊࡂࡖࡒ㸣ࡆ࠹ࡊࡒ㸡᪃ シ⫃ဤࡡໂຸ⎌ሾࡡን࡞ఔ࠷㸡᪃シ⫃ဤࡡ࣒ࣤ ࢰࣜࣉࣜࢪᑊ➿㔔こ࡞ࡖ࡙࠷ࡾ㸣ࡊ࠾ࡊ㸡㧏 㱃⩽㆜᪃シࡡ㆜⫃ࡡࢪࢹࣝࢪ࡞㛭ࡌࡾሒ࿈ࡢ ࠵ࡾࡵࡡࡡ㸡㝸ᐐ⩽᪃シ⫃ဤࢅᑊ㇗࡛ࡊࡒ◂✪ࡷ ᪃シ⫃ဤධమࡡࢪࢹࣝࢪ㸡ᢒ࠹ࡗ࡞㛭ࡌࡾሒ࿈ࡢ ずࡼࡿ࠷㸣ᮇ◂✪ࡡ┘Ⓩࡢ㸡㝸ᐐ⩽ཀྵࡦ㧏㱃⩽ ㆜᪃シ⫃ဤࡡᢒ࠹ࡗ࣬ࢪࢹࣝࢪ≟ឺࡡ⌟≟࡛ࡐ ࡡ㛭㏻こᅄࢅ᪺ࡼ࠾࡞ࡌࡾࡆ࡛࡛ࡊࡒ㸣ϩ㸣᪁ࠈἪ
㸦㸣ᑊ㇗⩽
ࠈᮇ◂✪ࡢ㸡A♣ఌ⚗♬Ἢெᚉᴏဤெࢅᑊ㇗ ࡛ࡊࡒ㸣ᑊ㇗⩽ࡢ㸡᪃シϨ㹳Ϫࡡ᪃シ⫃ဤ࡚࠵ࡾ㸣 ᪃シϨࡢ㸡≁ื㣬㆜⩹ெ࣭࣑࡚࣌㸡⫃ဤᩐெ 㸝ථᡜᏽဤ ྞ࡛ࢸࢢྞ㸞㸡᪃シϩࡢヾ▩ ࣗࢼࢴࢹࢢ᪃シ⫃ဤᩐெ㸝ථᡜᏽဤྞ㸞࡚ ࠵ࡾ㸣᪃シϪࡢ㸡㝸ᐐ⩽ᨥᥴ᪃シ࡚⫃ဤᩐ ெ㸝ථ ᡜᏽဤྞ㸡㝸ᐐ⩽ࢨ࣭ࣘࢹࢪࢷ㸡⏍Ὡ㆜➴㸞 ࡚࠵ࡾ㸣⫃⛸ࡢ㸡ᙲ⫃⩽㸡㆜⫃㸡ຸ⫃➴㸡᪃ シ࡞ᡜᒌࡌࡾࡌ࡙ࡡ⫃ဤ࡛ࡊࡒ㸣ᑍᒌ࡚ᗛ⟮ ⌦㒂⨣ࡷ⏐ᴏಕࢅᢰ࠹ࢪࢰࢴࣆࡡ㒼⨠ࡢࡈࡿ࡙ ࠷࠷㸣㸧㸣ㄢᰕ᪁Ἢ
ࠈㄢᰕ㛣ࡢᖳ࡚᭮㸡⮤エᘟ㈹ၡ⣤ㄢᰕࢅ ᐁ᪃ࡊࡒ㸣᪃シ⟮⌦⩽ࡻࡽᑊ㇗⩽࡞ᑊࡊ㸡ㄢᰕࡡ ౪㢏ᩝ࡛ㄢᰕ⚂ࢅ㒼ᕱࡊ࡙ࡵࡼࡖࡒ㸣ᅂࡢ⏻⨠ Ἢ࡛ࡊ㸡ᑊ㇗⩽࡞ืᑌ➼࡞ᑌථࡊࡒ୕࡚᪃シ࡞ シ⨠ࡊࡒᅂ࣍ࢴࢠࢪ࡞ᢖพࡊ࡙ࡵࡼ࠷㸡᪃シ⟮ ⌦⩽࡞ࡱ࡛ࡴ࡙㸡◂✪⩽ࡡ㏁㏞ࢅ౪㢏ࡊࡒ㸣㸨㸣ㄢᰕ㡧┘
ࠈㄢᰕ㡧┘ࡢ㸡ᖳ㱃㸡ᛮื㸡ᑯᴏ᪃シ㸡⫃⛸ཀྵࡦ ⫃㝭ࡢ㸡ձᙲ⫃⩽ղ┫㆜⫃ճ㆜⫃մຸ⫃յᰜ 㣬࣬ㄢ⌦⫃նຐ⫃շࡐࡡ࡞ฦ㢦ࡊࡒ㸣ձᙲ⫃ ⩽ࡢ⟮⌦࡛㆜ᴏຸࢅᢰ࠹⩽࡚࠵ࡾ㸣ղ௧㜾ࡢ㸡 ࢪࢰࢴࣆ⫃࡚࠵ࡾ㸣㛣አຘ഼㛣ࡢ㐛㔔ຘ഼࡛ 㐛ຘṒࡡཉ⏍ຘ഼┤ࡡึ᩷ᇱ‵ࢅࡵ࡛࡞㸡࠾᭮㛣 ࡞㛣ᮅ㸡 㹳 㛣㸡㛣௧୕ࡡ༇ ฦ࡛ࡊࡒ㸣ஹโໂຸࡡ᭯↋㸡⫃ሔහ࣬አ┞ㄧ⩽ ࡡ᭯↋㸡ࡡᴏሔ࡛Ẓ㍉ࡌࡾࡒࡴ㸝ཋ⏛㸡ዚ㸡 㸞㸡ࡡ㊂ᗐࡢ㸡⮤ฦࡡ⌟ᅹࡡ࡞ᑊ ࡊ㊂ࡊ࡙࠷ࡾ࠾࡞ࡗ࠷࡙㸡ࠔ㊂ࠕࠔࡷࡷ㊂ࠕࠔࡷ ࡷࠕࠔࠕࡡ௲Ἢ࡛ࡊࡒ㸣ᢒ࠹ࡗࡡึᏽ࡞ࡢ㸡 ࡡㄢᰕ࡛Ẓ㍉᳠ゞࢅࡌࡾࡒࡴ㸡ಘ㢏ᛮ㸡ጂᙔᛮ ☔ヾࡈࡿ㸡ᵾ‵ࡈࡿࡒᑵᗐ࡚࠵ࡾZung㸝 㸞 ࡡ⮤ᕤビ౮ᘟᢒ࠹ࡗᑵᗐ㸝Self-rating depressionthese two facilities were at high risk for excessive job stress㸣Care workers and managers also had scores indicating a high risk of job stress㸣
Conclusions On the basis of these findings㸡we suggest that consultation support systems should be provided for personnel at high-risk facilities and individuals found to be at a high risk for depression and job stress㸣
Seisen J. Nurs. Stud., Vol. 2. 2013
scale ௧ୖSDS㸞ࢅ⏕࠷ࡒ㸣ᮇㄢᰕࡡࢸ࣭ࢰ࡞ࡗ ࠷࡙⟤ฝࡈࡿࡒಘ㢏ᛮ౿ᩐ㸝Ș౿ᩐ㸞ࡢ࡚࠵ ࡖࡒ㸣ࡱࡒ㸡⫃ሔࡡࢪࢹࣝࢪึᏽ࡞ࡢ㸡ཋㆺ㸝 㸞 ࡡNIOSH㸝National Institute for Occupational Safety and Health㸞⫃ᴏᛮࢪࢹࣝࢪ⠾᪾ㄢᰕ⚂ 㸝௧ୖ㸡⫃ᴏᛮࢪࢹࣝࢪ⠾᪾ビ౮⾪㸞ࢅ⏕࠷ࡒ㸣 ⫃ᴏᛮࢪࢹࣝࢪ⠾᪾ビ౮⾪ࡢ㸡ࡡ㔖Ⓩㇿᢰ㸡 ࡡࢤࣤࢹ࣭ࣞࣜ㡧┘㸝௧ୖ㸡ࣛࢪࢠA㸞࡛ ୕ྒྷࡡᨥᥴ࣬ྜྷേࡡᨥᥴ 㡧┘㸝௧ୖ㸡ࣛࢪࢠB㸞㸡 ⥪ྙᗛࣛࢪࢠೋ㸝௧ୖ㸡ࣛࢪࢠT㸞࡛ெࡡ㌗ మ㸡⢥♼㸡ຘ㸡ᢒ࠹ࡗ≟ឺࡡ㡧┘㸡㊂ᗐ 㡧┘ࡡṹ㝭ࡡࣛࢴ࣭࢜ࢹࢪࢢ࣭ࣜ࠾ࡼࡾ㸣⫃ ሔẎࡡ⥪ྙビ౮ࢅฦᯊࡌࡾࢮࣆࢹ࡚㸡ࣛࢪࢠA㸡 B㸡Tࡢ㸡ධᅗᖲᆍ࡛ࡾࡻ࠹࡞Ⅴᩐࡈࡿ ࡙࠽ࡽ㸡ெ⤎ᯕࡢ㌗మ㸡⢥♼㸡ຘ㸡ᢒ࠹ࡗ ≟࡞ࡗ࠷࡙㔔ᗐื࡞ṹ㝭ࡡビⅤ⟤ฝࡈࡿࡾ㸣 㸝ୖක㸡㸞㸣
㸩㸣ฦᯊ᪁Ἢ
ࠈㄢᰕ㡧┘ẎࡡSDSᖲᆍೋࡡᕣ࡞ࡢt᳠ᏽ㸡ୌඔ 㒼⨠ฦᩋฦᯊࢅᐁ᪃ࡊ㸡ኣ㔔Ẓ㍉ฦᯊࡢ㸡Tukey-Kramer᳠ᏽࢅᐁ᪃ࡊࡒ㸣SDSࡢⅤࢅ࢜ࢴࢹ࢛ ࣆ࣎ࣤࢹ࡛ࡊ㸡Ⅴᮅࢅᗛ⩄㸡 㹳 Ⅴ ࢅ㍅ᗐᢒ࠹ࡗ㸡Ⅴ௧୕ࢅ୯➴ᗐ௧୕ࡡᢒ࠹ࡗ࡛ ึᏽࡊࡒ㸝ኬᆟ㸡㸞㸣ᢒ࠹ࡗ࡛㛭㏻こᅄࡡẒ ㍉ࡢ㸡ᗛ㸡㍅ᗐᢒ࠹ࡗ㸡୯➴ᗐ௧୕ࡡ⩄࡞ฦ ࡄMann-Whitney᳠ ᏽ㸡Kruskal-Wallis᳠ ᏽ ࢅ ⾔ࡖࡒ㸣こᅄ㛣ࡡ㛭㏻࡞ࡗ࠷࡙ࡢ㸡࢜᳠ᏽ ࢅ⾔ࡖࡒ㸣ୖක㸝㸞ࡡ⫃ᴏᛮࢪࢹࣝࢪ⠾᪾ㄢ ᰕ⚂ࡡฦᯊࢮࣆࢹࢅ⏕࠷㸡ࣛࢪࢠA㸡B㸡Tࢅ⫃ሔ ื㸡⫃⛸ื࡞⟤ฝࡊࡒ㸣ࡆࡡࢮࣆࢹࡡビ౮ࡢ㸡 ெࡡ㡧┘ࡡᚋⅤࢅථງࡌࡾ࡛シᏽࡊࡒࢡ࣭ࣜࣈื ࡞⮤ິⓏ࡞ࣛࢪࢠẒ⟤ᏽࡈࡿ㸡௧୕ࢅࣛࢪ ࢠ㧏࠷㸡 ௧ୖࢅࣛࢪࢠ࠷࡛ึᏽࡌࡾ㸣 ெ⤎ᯕࡡ㌗మ㸡⢥♼㸡ຘ㸡ᢒ࠹ࡗ≟ឺࡡ㔔 ᗐࡡㄢᰕ㡧┘Ẏࡡᖲᆍࡡᕣ࡞ࡢ㸡W᳠ᏽ㸡ୌඔ㒼 ⨠ฦᩋฦᯊࢅᐁ᪃ࡊ㸡ኣ㔔Ẓ㍉᳠ᏽࡢ㸡Tukey-Kramer᳠ᏽࢅ⾔ࡖࡒ㸣ゆᯊ࡞ࡢ㸡SPSS 17.0 J for Windowsࢅ⏕࠷ࡒ㸣᭯ណỀ‵ࡢ࡛ࡊࡒ㸣㸪㸣⌦Ⓩ㒼៎
ࠈᮇㄢᰕࡢ㸡Bಕᡜᴏ࡛ࡊ࡙ᐁ᪃ࡌࡾࡆ࡛࡛ࡊ ࡙㸡⌦Ⓩ㒼៎࡞㛭ࡊ࡙ᡜᒌ࡞ࡻࡾྙ㆗࡚ᢆヾࢅ ུࡄࡒ㸣ࡱࡒ㸡ᑊ㇗᪃シ࡞࠽࠷࡙ࡢ㸡Ἢெࡡ࣒ࣤ ࢰࣜࣉࣜࢪタᴏ࡛ࡊ࡙ᐁ᪃ࡊ㸡⫃ဤࡡ࣒ࣤࢰ ࣜࣉࣜࢪᑊ➿ࢅ᳠ゞࡌࡾࡒࡴࡡᇱ♇㈠ᩩ࡛ࡌࡾࡆ ࡛࡚㸡Ἢெ᪃シ⟮⌦⩽ఌ㆗࡞࡙㸡⌦Ⓩ㒼៎࡞㛭 ࡌࡾྜྷណࢅᚋࡒ㸣ᑊ㇗⩽࡞ࡢ㸡ㄢᰕ┘Ⓩ㸡ㄢᰕࡡ ᅂ➽࡞࠽ࡄࡾ௴ណᛮࡡಕチ㸡ெሒࡡಕ㆜㸡ࢸ ࣭ࢰࡢெ≁ᏽ࡚ࡀ࠷ࡻ࠹࡞ࢤ࣭ࢺࡊ࡙ࢸ ࣭ࢰฦᯊࢅ⾔࠹ࡆ࡛㸡⤎ᯕࡡප⾪࡞㛭ࡌࡾහᐖࢅ ㄕ᪺ࡊࡒᩝ᭡ࢅㄢᰕ⚂࡞ྜྷᑌࡊࡒ㸣࣒ࣤࢰࣜࣉࣜ ࢪタࡡ⤎ᯕ࡛ࡊ࡙㸡SDS࡛⫃ᴏᛮࢪࢹࣝࢪ⠾᪾ ㄢᰕ⚂ࡡึᏽ⤎ᯕࢅᑊ㇗⩽࡞ᑊࡊ㸡├ᑌ᭡࡚ሒ ࿈ࡊࡒ㸣タࡡཤຊ࡛◂✪ࡡཤຊࡡཤຊࢅ༇ ืࡌࡾࡒࡴ࡞㸡◂✪ཤຊࡡྜྷណ᭡࡞⨣ྞࢅᚋࡒ㸣Ϫ㸣⤎ࠈᯕ
ࠈㄢᰕ⚂ࡡᅂᩐࡢ㸡ெ㸝ᅂ⋙㸞࡚࠵ ࡖࡒ㸣SDSཀྵࡦ⫃ᴏᛮࢪࢹࣝࢪ⠾᪾ㄢᰕ⚂ࡡࢸ࣭ ࢰ࡞Ḗࡡ↋࠾ࡖࡒ ெ㸝᪃シϨெ㸡᪃シϩ ெ㸡᪃シϪெ㸞ࢅฦᯊᑊ㇗࡛ࡊ㸡㡧┘Ẏ࡞↋ ᅂ➽ࢅአࡊ࡙㸡ฦᯊࡊࡒ㸣᭯ຝᅂ➽⋙࡚࠵ ࡖࡒ㸣㸦㸣ᑊ㇗⩽ࡡᇱᮇᒌᛮ
ࠈᖳ㱃ื࡚ࡢ㸡 ṋ௧ୖ ெ㸝 㸞᭩ࡵኣࡂ㸡 ெ㸝 㸞㸡ெ㸝㸞㸡ெ 㸝 㸞㸡ṋ௧୕ெ㸝㸞࡚࠵ࡖࡒ㸣ᛮื ࡚ࡢ⏠ᛮெ㸝㸞㸡ዥᛮெ㸝 㸞࡚࠵ ࡖࡒ㸣⫃⛸ื࡚ࡢ㸡㆜⫃ெ㸝㸞࡛༖ ᩐࢅ༥ࡴࡒ㸣㛣አຘ഼㛣ࡢ 㹳 㛣 ெ 㸝㸞㸡㛣௧୕ெ㸝 㸞࡚࠵ࡖࡒ㸣እ㛣࣬ ஹໂຸࡢ᭯ࡽெ㸝㸞࡚ ṋ௧ୖࡡெ 㸝㸞᭩ࡵኣ࠾ࡖࡒ㸣⫃ሔහ┞ㄧ⩽ࡡ↋ࡊ ெ㸝㸞㸡⫃ሔአ┞ㄧ⩽ࡡ↋ࡊெ㸝㸞 ࡚࠵ࡖࡒ㸣⫃ሔහ࣬አࡔࡼ࡞ࡵ┞ㄧ⩽࠷࠷ ࡛ࡊࡒ⩽ெ㸝㸞࡚࠵ࡖࡒ㸣 ࠈࡡ㊂ᗐ࡚ࡢ㸡ࠔ㊂ࠕ࣬ࠔࡷࡷ㊂ࠕ࡛ࡊ ࡒ㊂⩄ெ㸝㸞㸡ࠔࡷࡷࠕ࣬ࠔࠕ ࡛ࡊࡒ㊂⩄ெ㸝 㸞࡚࠵ࡖࡒ㸣ᛮื ࡚ࡢ㸡᭯ណᕣࡢヾࡴࡼࡿ࠾ࡖࡒ㸣ᖳ㱃ื࡚ࡢ㸡 ṋ௧ୖࡡெ㸝㸞㊂⩄ࡡྙ᭩ ࡵ㧏࠾ࡖࡒ㸣ᖳ㱃ืࡡ㊂⩄㸡㊂⩄ࡡྙ࡞ ᭯ណᕣヾࡴࡼࡿࡒ㸝Ȯ 㸡p 㸞㸣ࡱ ࡒ㸡⫃⛸ื࡚ࡢ㸡ᙲ⫃⩽ࡡெ㸝㸞㸡㆜⫃ ࡡெ㸝㸞㊂⩄࡚࠵ࡽ㸡᭯ណᕣ ヾࡴࡼࡿࡒ㸝Ȯ 㸡p 㸞㸣᪃シื࡚ࡢ㸡 ᪃シϪࡡ㊂⩄ࡡྙ ெ㸝 㸞࡚㸡᪃シ ㆜᪃シ⫃ဤࡡᢒ࠹ࡗ࣬ࢪࢹࣝࢪཬᚺ࡛㛭㏻こᅄࡡ᳠ゞ⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞 ో ᣉ⸳㸇 ᣉ⸳㸈 ᣉ⸳㸉 䉦䊁䉯䊥䊷 㫅㩿㩼㪀 㫅㩿㩼㪀 㫅㩿㩼㪀 㫅㩿㩼㪀 ᐕ㦂㩿㫅㪔㪈㪍㪐㪀 㪉㪐ᱦએਅ 㪋㪐㩿㪉㪐㪅㪇㪀 㪈㪏㩿㪊㪇㪅㪇㪀 㪐㩿㪉㪊㪅㪎㪀 㪉㪉㩿㪊㪈㪅㪇㪀 㪊㪇ઍ 㪊㪉㩿㪈㪏㪅㪐㪀 㪈㪈㩿㪈㪏㪅㪊㪀 㪈㪇㩿㪉㪍㪅㪊㪀 㪈㪈㩿㪈㪌㪅㪌㪀 㪋㪇ઍ 㪋㪋㩿㪉㪍㪅㪇㪀 㪈㪋㩿㪉㪊㪅㪊㪀 㪈㪈㩿㪉㪏㪅㪐㪀 㪈㪐㩿㪉㪍㪅㪏㪀 㪌㪇ઍ 㪊㪉㩿㪈㪏㪅㪐㪀 㪈㪈㩿㪈㪏㪅㪊㪀 㪍㩿㪈㪌㪅㪏㪀 㪈㪌㩿㪉㪈㪅㪈㪀 㪍㪇ᱦએ 㪈㪉㩿㪎㪅㪉㪀 㪍㩿㪈㪇㪅㪇㪀 㪉㩿㪌㪅㪊㪀 㪋㩿㪌㪅㪍㪀 ᕈ㩿㫅㪔㪈㪍㪐㪀 ↵ᕈ 㪌㪍㩿㪊㪊㪅㪈㪀 㪉㪋㩿㪋㪇㪅㪇㪀 㪏㩿㪉㪈㪅㪈㪀 㪉㪋㩿㪊㪊㪅㪏㪀 ᅚᕈ 㪈㪈㪊㩿㪍㪍㪅㪐㪀 㪊㪇㩿㪍㪇㪅㪇㪀 㪊㪇㩿㪎㪏㪅㪐㪀 㪋㪎㩿㪍㪍㪅㪉㪀 ⡯⒳䊶⡯㓏㩿㫅㪔㪈㪍㪐㪀 ᓎ⡯⠪ 㪉㪊㩿㪈㪊㪅㪍㪀 㪈㪈㩿㪈㪏㪅㪊㪀 㪌㩿㪈㪊㪅㪉㪀 㪎㩿㪈㪇㪅㪇㪀 ⋴⼔⡯ 㪐㩿㪌㪅㪊㪀 㪊㩿㪌㪅㪇㪀 㪊㩿㪎㪅㪐㪀 㪊㩿㪋㪅㪊㪀 ⼔⡯ 㪏㪌㩿㪌㪇㪅㪊㪀 㪉㪍㩿㪋㪊㪅㪊㪀 㪉㪈㩿㪌㪌㪅㪊㪀 㪊㪏㩿㪌㪊㪅㪌㪀 ോ⡯ 㪏㩿㪋㪅㪎㪀 㪊㩿㪌㪅㪇㪀 㪉㩿㪌㪅㪊㪀 㪊㩿㪋㪅㪊㪀 ᩕ㙃჻䊶⺞ℂᏧ 㪈㪊㩿㪎㪅㪎㪀 㪏㩿㪈㪊㪅㪊㪀 㪊㩿㪎㪅㪐㪀 㪉㩿㪉㪅㪐㪀 ഥຬ 㪈㪌㩿㪏㪅㪐㪀 㪋㩿㪍㪅㪎㪀 㪊㩿㪎㪅㪐㪀 㪏㩿㪈㪈㪅㪋㪀 䈠䈱ઁ 㪈㪍㩿㪐㪅㪌㪀 㪌㩿㪏㪅㪊㪀 㪈㩿㪉㪅㪍㪀 㪈㪇㩿㪈㪋㪅㪊㪀 ᤨ㑆ᄖഭᤨ㑆㩿㫅㪔㪈㪍㪐㪀 㪏㪇ᤨ㑆ᧂḩ 㪈㪋㪌㩿㪏㪌㪅㪏㪀 㪌㪋㩿㪐㪊㪅㪈㪀 㪊㪊㩿㪏㪍㪅㪏㪀 㪌㪌㩿㪎㪏㪅㪍㪀 㪏㪇䌾㪈㪇㪇ᤨ㑆 㪐㩿㪌㪅㪊㪀 㪈㩿㪈㪅㪎㪀 㪉㩿㪌㪅㪊㪀 㪍㩿㪏㪅㪍㪀 㪈㪇㪇ᤨ㑆એ 㪈㪌㩿㪏㪅㪐㪀 㪊㩿㪌㪅㪉㪀 㪊㩿㪎㪅㪐㪀 㪐㩿㪈㪉㪅㪐㪀 ᄛൕ䊶ઍൕോ㩿㫅㪔㪈㪍㪏㪀 䉍 㪎㪌㩿㪋㪋㪅㪍㪀 㪉㪋㩿㪋㪇㪅㪇㪀 㪉㪉㩿㪌㪎㪅㪐㪀 㪉㪐㩿㪋㪇㪅㪏㪀 ή䈚 㪐㪊㩿㪌㪌㪅㪋㪀 㪊㪍㩿㪍㪇㪅㪇㪀 㪈㪍㩿㪋㪉㪅㪈㪀 㪋㪈㩿㪌㪎㪅㪎㪀 ⡯႐ౝ⋧⺣⠪㩿㫅㪔㪈㪍㪐㪀 䉍 㪈㪇㪍㩿㪍㪉㪅㪎㪀 㪊㪍㩿㪍㪇㪅㪇㪀 㪉㪎㩿㪎㪈㪅㪈㪀 㪋㪊㩿㪍㪇㪅㪍㪀 ή䈚 㪍㪊㩿㪊㪎㪅㪊㪀 㪉㪋㩿㪋㪇㪅㪇㪀 㪈㪈㩿㪉㪏㪅㪐㪀 㪉㪏㩿㪊㪐㪅㪋㪀 ⡯႐ᄖ⋧⺣⠪㩿㫅㪔㪈㪍㪐㪀 䉍 㪈㪊㪊㩿㪎㪏㪅㪎㪀 㪋㪏㩿㪏㪇㪅㪇㪀 㪊㪇㩿㪎㪏㪅㪐㪀 㪌㪌㩿㪎㪎㪅㪌㪀 ή䈚 㪊㪍㩿㪉㪈㪅㪊㪀 㪈㪉㩿㪉㪇㪅㪇㪀 㪏㩿㪉㪈㪅㪈㪀 㪈㪍㩿㪉㪉㪅㪌㪀 䈱ḩ⿷ᐲ㩿㫅㪔㪈㪍㪎㪀 ḩ⿷ 㪈㪇㪉㩿㪍㪈㪅㪈㪀 㪊㪊㩿㪌㪌㪅㪇㪀 㪉㪇㩿㪌㪌㪅㪍㪀 㪋㪐㩿㪍㪐㪅㪇㪀 ਇḩ⿷ 㪍㪌㩿㪊㪏㪅㪐㪀 㪉㪎㩿㪋㪌㪅㪇㪀 㪈㪍㩿㪋㪋㪅㪋㪀 㪉㪉㩿㪊㪈㪅㪇㪀 㗄⋡ ⾪ࠈᖳ㱃ࠉᛮࠉ⫃⛸࣬⫃㝭ࠉ᪃シืࡡࡡ㊂ᗐ ḩ⿷ ਇḩ⿷ 㗄⋡ 䉦䊁䉯䊥䊷 䌮㩿㩼㪀 䌮㩿㩼㪀 ᐕ㦂䋨䌮㪔㪈㪍㪐㪀 㪉㪐ᱦએਅ 㪈㪏㩿㪊㪍㪅㪎䋩 㪊㪈㩿㪍㪊㪅㪊䋩 㪉㪋㪅㪐㪐 㪇㪅㪇㪇㪇 㪊㪇ઍ 㪈㪏㩿㪌㪍㪅㪊䋩 㪈㪋㩿㪋㪊㪅㪎䋩 㪋㪇ઍ 㪊㪇㩿㪍㪏㪅㪉㪀 㪈㪋㩿㪊㪈㪅㪏䋩 㪌㪇ઍ 㪉㪌㩿㪎㪏㪅㪈㪀 㪎㩿㪉㪈㪅㪐䋩 㪍㪇ઍ 㪈㪉䋨㪈㪇㪇㪀 㪇㩿㪇㪀 ᕈ䋨䌮㪔㪈㪍㪎䋩 ↵ᕈ 㪊㪇㩿㪌㪊㪅㪍㪀 㪉㪍㩿㪋㪍㪅㪋㪀 㪈㪅㪐㪐 㪇㪅㪈㪏 ᅚᕈ 㪎㪉㩿㪍㪋㪅㪐㪀 㪊㪐㩿㪊㪌㪅㪈㪀 ⡯⒳䊶⡯㓏䋨䌮㪔㪈㪍㪍䋩 ᓎ⡯⠪ 㪈㪇㩿㪋㪊㪅㪌㪀 㪈㪊㩿㪌㪍㪅㪌㪀 㪈㪎㪅㪇㪊 㪇㪅㪇㪇㪐 ⋴⼔⡯ 㪌㩿㪌㪌㪅㪍㪀 㪋㩿㪋㪋㪅㪋㪀 ⼔⡯ 㪋㪋㩿㪌㪊㪅㪎㪀 㪊㪏㩿㪋㪍㪅㪊㪀 ോ⡯ 㪏䋨㪈㪇㪇㪀 㪇 ᩕ㙃჻䊶⺞ℂᏧ 㪏㩿㪍㪈㪅㪌㪀 㪌㩿㪊㪏㪅㪌㪀 ഥຬ 㪈㪉㩿㪏㪇㪅㪇㪀 㪊㩿㪉㪇㪅㪇㪀 䈠䈱ઁ 㪈㪋㩿㪏㪎㪅㪌㪀 㪉㩿㪈㪉㪅㪌㪀 ᣉ⸳䋨䌮㪔㪈㪍㪎䋩 ᣉ⸳㸇 㪊㪊㩿㪌㪌㪅㪇㪀 㪉㪎㩿㪋㪌㪅㪇㪀 㪊㪅㪉㪏 㪇㪅㪈㪐㪋 ᣉ⸳㸈 㪉㪇㩿㪌㪌㪅㪍㪀 㪈㪍㩿㪋㪋㪅㪋㪀 ᣉ⸳㸉 㪋㪐㩿㪍㪐㪅㪇㪀 㪉㪉㩿㪊㪈㪅㪇㪀 㱣㪉ᬌቯ 㱣㪉୯ 㪧୯
Seisen J. Nurs. Stud., Vol. 2. 2013 Ϩெ㸝㸞㸡᪃シϩெ㸝㸞࡚࠵ࡽ㸡 ᪃シϪࡡ㊂⩄ࡡྙ᭩ࡵ㧏࠾ࡖࡒ㸣
㸧㸣ᢒ࠹ࡗ࡛㛭㏻こᅄ
ࠈᑊ㇗⩽ࡡSDSࡡᖲᆍೋࡢ㸡㸝6'㸲 㸞࡚㸡 ᗛ⩄ெ㸝㸞㸡㍅ᗐᢒ࠹ࡗ ெ㸝㸞㸡 ୯➴ᗐ௧୕ெ㸝㸞࡚࠵ࡖࡒ㸣 ࠈ ᪃ シ ื ࡡSDSೋ ࡡ ᖲ ᆍ ࡚ ࡢ㸡 ᪃ シ Ϩ 㸝SD 㸞㸡᪃シϩ㸝SD 㸞㸡᪃シϪ 㸝SD 㸞࡚㸡᭯ណᕣࡢヾࡴࡼࡿ࠾ࡖࡒ㸣 ᛮ ื ࡚ ࡢ㸡 ⏠ ᛮ 㸝SD 㸞㸡 ዥ ᛮ 㸝SD 㸞࡚㸡᭯ណᕣࡢヾࡴࡼࡿ࠾ࡖࡒ㸣ᖳ 㱃ืࡡฦᩋฦᯊ⤎ᯕ࡚ࡢ㸡 ṋ௧ୖࡡSDSᖲᆍ ೋ࡚᭩ࡵ㧏ࡂ㸡ḗ࡞࡚࠵ࡖࡒ㸣 ṋ௧୕࡚᭩ࡵ࠾ࡖࡒ㸣ᖳ㱃ื࡚᭯ណ ᕣヾࡴࡼࡿ㸝F 㸡p 㸞㸡ኣ㔔Ẓ㍉࡚ࡢ㸡 ṋ௧ୖ࡛㸝p 㸞㸡 ṋ௧ୖ࡛ṋ௧୕ ࡡ㛣㸝p 㸞࡚᭯ណᕣヾࡴࡼࡿࡒ㸣 ࠈ⫃⛸࣬⫃㝭ืࡡẒ㍉ࡢ㸡⫃⛸ࡡᑊ㇗ᩐᑛ ࠷ࡵࡡࡵ࠵ࡽ㸡᪃シࢅ⤣ྙࡊ࡙ฦᯊࡊࡒ㸣ᙲ ⫃⩽ࡡSDSೋ࡛᭩ࡵ㧏ࡂ㸡ḗ࠷࡚㆜⫃ ࡚࠵ࡖࡒ㸣እໂ࣬ஹໂຸ࡛ࡡ㛭㏻࡚ࡢ㸡᭯ ࡽ࡚㸡↋ࡊࡡ࡞Ẓ㸡᭯ណ࡞㧏࠾ࡖ ࡒ㸝t 㸡p 㸞㸣 ┞ ㄧ ⩽ ࡡ ᭯ ↋ ࡚ ࡢ㸡 ⫃ ሔ හ ┞ ㄧ ⩽ ᭯ ࡽ 㸡 ↋ ࡊ 㸝t 㸡 p 㸞㸡⫃ሔአ┞ㄧ⩽᭯ࡽ㸡↋ࡊ 㸝t 㸡p 㸞࡚㸡᭯ណᕣヾࡴࡼࡿࡒ㸣 ࡡ ㊂ ᗐ ࡞ ࠽ ࠷ ࡙ ࡢ㸡 ㊂ ⩄ ㊂⩄࡚᭯ណᕣヾࡴࡼࡿࡒ㸝t 㸡 p 㸞㸣㸨㸣こᅄื࡞ずࡒᢒ࠹ࡗྙ
ࠈSDSᖲᆍೋ࡞᭯ណᕣヾࡴࡼࡿࡒこᅄ࡞ࡗ࠷ ࡙ᢒ࠹ࡗྙࡡẒ㍉ࢅ⾔ࡖࡒ㸣ᖳ㱃ื࡚ࡢ㸡 ṋ ௧ୖ࡚㍅ᗐᢒ࠹ࡗ㸡୯➴ᗐ௧୕࡚ ࠵ࡖࡒ㸣ࡢ㍅ᗐᢒ࠹ࡗ㸡 ୯➴ᗐ ௧୕࡚࠵ࡖࡒ㸣ᖳ㱃ืࡡᢒ࠹ࡗྙ࡚㸡᭯ណᕣ ヾࡴࡼࡿࡒ㸝Ȯ 㸡p 㸞㸣እໂ࣬ஹโ ໂຸࡡ᭯↋࡚ࡢ㸡᭯ࡽࡡ㍅ᗐᢒ࠹ࡗ 㸡୯➴ ᗐ௧୕࡚㸡᭯ណᕣヾࡴࡼࡿࡒ㸝Z 㸡 ⾪ࠈ㡧┘ืࡡ6'6ࡡ⤎ᯕ 㗄⋡ 䉦䊁䉯䊥䊷 㪪㪛㪪ᐔဋ୯ ᮡḰᏅ 㩷㩷㩷㩷㫋୯ 㪝୯ 㩷㩷㩷㩷㫇୯ ᄙ㊀Ყセ ᐕ㦂㩿㫅㪔㪈㪍㪐㪀 㪉㪐ᱦએਅ 㪋㪌㪅㪊 㪏㪅㪎㪍 㪋㪅㪎㪍 㪇㪅㪇㪇㪈 㪊㪇ઍ 㪋㪉㪅㪇 㪎㪅㪌㪈 䇭䇭䇭㪁㪁 㪋㪇ઍ 㪋㪊㪅㪉 㪐㪅㪈㪍 䇭㩷㪁 㪌㪇ઍ 㪊㪎㪅㪏 㪏㪅㪊㪉 㪍㪇ᱦએ 㪊㪎㪅㪉 㪈㪇㪅㪎㪉 ᕈ㩿㫅㪔㪈㪍㪐㪀 ↵ᕈ 㪋㪉㪅㪏 㪏㪅㪉㪉 㪇㪅㪎㪉 㪇㪅㪋㪎㪇 ᅚᕈ 㪋㪈㪅㪏 㪐㪅㪇㪋 ⡯⒳䊶⡯㓏㩿㫅㪔㪈㪍㪐㪀 ᓎ⡯⠪ 㪋㪋㪅㪈 㪈㪈㪅㪇㪍 㪈㪅㪇㪐 㪇㪅㪊㪎㪇 ⋴⼔⡯ 㪋㪈㪅㪎 㪏㪅㪐㪊 ⼔⡯ 㪋㪉㪅㪈 㪐㪅㪈㪊 ോ⡯ 㪊㪎㪅㪍 㪌㪅㪐㪐 ᩕ㙃჻䊶⺞ℂᏧ 㪊㪐㪅㪐 㪎㪅㪎㪇 ഥຬ 㪋㪇㪅㪉 㪍㪅㪋㪐 䈠䈱ઁ 㪋㪇㪅㪏 㪏㪅㪇㪋 ᤨ㑆ᄖഭᤨ㑆㩿㫅㪔㪈㪍㪐㪀 㪏㪇ᤨ㑆ᧂḩ 㪋㪈㪅㪍 㪐㪅㪐㪈 㪇㪅㪊㪋 㪇㪅㪎㪋㪇 㪏㪇䌾㪈㪇㪇ᤨ㑆 㪊㪏㪅㪉 㪏㪅㪎㪎 㪈㪇㪇ᤨ㑆એ 㪋㪇㪅㪍 㪏㪅㪇㪐 ᄛൕ䊶ઍൕോ㩿㫅㪔㪈㪍㪏㪀 䉍 㪋㪊㪅㪎 㪏㪅㪎㪍 㪉㪅㪇㪌 㪇㪅㪇㪋㪉 ή䈚 㪋㪇㪅㪈 㪐㪅㪈㪏 ⡯႐ౝ⋧⺣⠪㩿㫅㪔㪈㪍㪐㪀 䉍 㪋㪇㪅㪐 㪈㪇㪅㪇㪇 㪄㪉㪅㪊㪌 㪇㪅㪇㪉㪇 ή䈚 㪋㪋㪅㪉 㪏㪅㪈㪇 ⡯႐ᄖ⋧⺣⠪㩿㫅㪔㪈㪍㪐㪀 䉍 㪋㪇㪅㪎 㪏㪅㪋㪇 㪄㪋㪅㪈㪇 㪇㪅㪇㪇㪇 ή䈚 㪋㪎㪅㪋 㪐㪅㪏㪇 䈱ḩ⿷ᐲ㩿㫅㪔㪈㪍㪎㪀 ḩ⿷ 㪊㪏㪅㪐 㪏㪅㪎㪇 㪄㪋㪅㪏㪉 㪇㪅㪇㪇㪇 ਇḩ⿷ 㪋㪍㪅㪈 㪏㪅㪈㪇 ᐔဋ䈲䌴ᬌቯ䇮৻ర㈩⟎ಽᢔᬌቯ䇮ᄙ㊀Ყセ䈲㪫㫌㫂㪼㫐䍎㪢㫉㪸㫄㪼㫉ᴺ㪁㫇㪓㪇㪅㪇㪌䋬㪁㪁㫇㪓㪇㪅㪇㪇㪈 ㆜᪃シ⫃ဤࡡᢒ࠹ࡗ࣬ࢪࢹࣝࢪཬᚺ࡛㛭㏻こᅄࡡ᳠ゞ⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞 ࡽࡻࡽ᭯ណ࡞ᢒ࠹ࡗࡡྙ㧏࠾ࡖࡒ㸝Z 㸡 p 㸞㸣ࡱࡒ㸡⫃ሔአ┞ㄧ⩽ࡡ᭯↋࡚ࡵ㸡↋ࡊ ࡡ ㍅ ᗐ ᢒ࠹ࡗ 㸡୯ ➴ ᗐ ௧ ୕࡚㸡┞ ㄧ⩽ࡡ᭯ࡽࡻࡽᢒ࠹ࡗࡡྙ᭯ណ࡞㧏࠾ࡖࡒ 㸝Z 㸡p 㸞㸣ࡡ㊂ᗐ࡚ࡢ㸡㊂⩄ ࡡ㍅ᗐᢒ࠹ࡗ㸡୯➴ᗐ௧୕࡚㸡㊂ ⩄ࡻࡽ᭯ណ࡞㧏࠾ࡖࡒ㸝Z 㸡p 㸞㸣
㸩㸣⫃ᴏᛮࢪࢹࣝࢪ⠾᪾ㄢᰕࡡ⤎ᯕࠈ
ࠈ᪃シ㸡⫃⛸࣬⫃㝭ืࡡࣛࢪࢠẒࡡ⤎ᯕࢅ⾪࡞ ♟ࡊࡒ㸣᪃シื࡚ࡢ㸡ࣛࢪࢠAࡢ㸡᪃シϨ㸡 ᪃シϩ㸡᪃シϪ࡚࠵ࡖࡒ㸣ࣛࢪࢠB࡚ ࡢ㸡᪃シϨ㸡᪃シϩ࡚ 㸡᪃シϪ࡚ ࠵ࡖࡒ㸣ࣛࢪࢠT࡚ࡢ㸡᪃シϨ ࡚᭩ࡵ㧏ࡂ㸡 ḗ࠷࡚᪃シϪ㸡᪃シϩ ࡚࠵ࡖࡒ㸣⫃⛸ ื࡚ࡢ㸡㆜⫃ࡢ㸡ࣛࢪࢠA㸡ࣛࢪࢠB 㸡ࣛࢪࢠT࡚㸡᭩ࡵ㧏ࡂ㸡ධࡂࢢ࡞㛭 ࠈெ⤎ᯕ࡞࠽ࡄࡾ≟ࡡᖲᆍೋࡢ㸡㌗మ≟ 㸝SD 㸞㸡⢥♼≟㸝SD 㸞㸡 ຘ≟㸝SD 㸞㸡ᢒ࠹ࡗ≟ 㸝SD 㸞࡚࠵ࡖࡒ㸣 ࠈᛮื㸡᪃シื㸡⫃⛸࣬⫃㝭ื࡞ࡢ㸡≟࡞ࡗ ࠷࡙᭯ណᕣࡢヾࡴࡼࡿ࠾ࡖࡒ㸣ᖳ㱃ืࡡᖲᆍ ೋ࡚ࡢ㸡 ṋ௧ୖࡡ㌗మ≟㸝SD 㸞㸡 ⢥ ♼ ≟ 㸝SD 㸞㸡 ຘ ≟ 㸝SD 㸞ᢒ࠹ࡗ≟㸝SD 㸞࡚࠵ࡽ㸡 ࡌ࡙ࡡ≟࡚㸡᭩ࡵ㧏࠾ࡖࡒ㸣 ࠈ ᖳ 㱃 ื ࡚ ࡢ㸡 ㌗ మ ≟㸝F 㸡p 㸞㸡 ⢥♼≟㸝F 㸡p 㸞㸡ຘ≟㸝F 㸡 p 㸞㸡ᢒ࠹ࡗ≟㸝F 㸡p 㸞࡚㸡 ≟࡛ࡵ࡞᭯ណᕣヾࡴࡼࡿࡒ㸣ኣ㔔Ẓ㍉ࡡ ⤎ᯕ࡚ࡢ㸡⢥♼≟ࡢ ṋ௧ୖ࡛࡚㸡ຘ ≟ࡢ ṋ௧ୖ࡛㸡࡛࡚㸡ᢒ࠹ࡗ≟ ࡢ ṋ௧ୖ࡛࡚᭯ណᕣヾࡴࡼࡿࡒ㸣 ⾪ࠈ㡧┘ืࡡᢒ࠹ࡗ≟ឺࡡྙ ⾪ࠈ᪃シืࠉ⫃⛸ืࡡ⫃ᴏᛮࢪࢹࣝࢪ⠾᪾ㄢᰕࡡࣛࢪࢠẒࠈQ 䌮 䋦 䌮 䋦 䌮 䋦 ᐕ㦂㩿㫅㪔㪈㪍㪐㪀 㪉㪐ᱦએਅ 㪈㪋 㪉㪏㪅㪍 㪈㪍 㪊㪉㪅㪎 㪈㪐 㪊㪏㪅㪎 㪈㪍㪅㪋㪏 㪇㪅㪇㪇㪉 㪊㪇ઍ 㪈㪈 㪊㪋㪅㪋 㪈㪏 㪌㪍㪅㪊 㪊 㪐㪅㪊 㪋㪇ઍ 㪈㪎 㪊㪏㪅㪍 㪈㪏 㪋㪇㪅㪐 㪐 㪉㪇㪅㪌 㪌㪇ઍ 㪉㪈 㪍㪌㪅㪍 㪏 㪉㪌㪅㪇 㪊 㪐㪅㪌 㪍㪇ᱦએ 㪎 㪌㪏㪅㪊 㪋 㪊㪊㪅㪊 㪈 㪏㪅㪋 ᄛൕ䊶ᦧൕോ㩿㫅㪔㪈㪍㪏㪀 䉍 㪉㪍 㪋㪍㪅㪉 㪉㪎 㪊㪐㪅㪏 㪉㪉 㪈㪋㪅㪇 㪄㪉㪅㪈㪉 㪇㪅㪇㪊㪇 ή䈚 㪋㪊 㪊㪋㪅㪍 㪊㪎 㪊㪍㪅㪇 㪈㪊 㪉㪐㪅㪋 ⡯႐ౝ⋧⺣⠪㩿㫅㪔㪈㪍㪐㪀 䉍 㪌㪉 㪋㪐㪅㪈 㪊㪏 㪊㪎㪅㪊 㪈㪍 㪈㪊㪅㪍 㪄㪉㪅㪐㪊 㪇㪅㪇㪇㪊 ή䈚 㪈㪏 㪉㪏㪅㪍 㪉㪍 㪋㪈㪅㪊 㪈㪐 㪊㪇㪅㪈 ⡯႐ᄖ⋧⺣⠪㩿㫅㪔㪈㪍㪐㪀 䉍 㪍㪇 㪋㪌㪅㪐 㪌㪉 㪊㪐㪅㪈 㪈㪐 㪈㪌㪅㪇 㪄㪊㪅㪈㪏 㪇㪅㪇㪇㪈 ή䈚 㪐 㪉㪌㪅㪇 㪈㪉 㪊㪊㪅㪊 㪈㪌 㪋㪈㪅㪎 䈱ḩ⿷ᐲ㩿㫅㪔㪈㪍㪎㪀 ḩ⿷ 㪌㪌 㪌㪊㪅㪐 㪊㪋 㪊㪊㪅㪊 㪈㪊 㪈㪉㪅㪏 㪄㪋㪅㪉㪏 㪇㪅㪇㪇㪇 ਇḩ⿷ 㪈㪌 㪉㪊㪅㪈 㪉㪏 㪋㪊㪅㪈 㪉㪉 㪊㪊㪅㪏 ᐕ㦂䋺㪢㫉㫌㫊㫂㪸㫃㪄㩷㪮㪸㫃㫃㫀㫊ᬌቯ䇮䈠䈱ઁ䈲㪤㪸㫅㫅㪄㪮㪿㫀㫋㫅㪼㫐ᬌቯ 㫇୯ ஜᐽ⟲ シᐲᛥ䈉䈧 ਛ╬ᐲᛥ䈉䈧 㱣㪉୯ 㫑୯ 㗄⋡ 䉦䊁䉯䊥䊷 䌮 䊥䉴䉪㪘 䊥䉴䉪㪙 䊥䉴䉪㪫 ᣉ⸳ ᣉ⸳㸇 㪍㪇 㪈㪇㪌 㪈㪉㪊 㪈㪉㪐 ᣉ⸳㸈 㪊㪏 㪈㪇㪈 㪐㪌 㪐㪌 ᣉ⸳㸉 㪎㪈 㪈㪇㪇 㪈㪉㪋 㪈㪉㪋 ⡯⒳䊶⡯㓏 ᓎ⡯⠪ 㪉㪊 㪈㪇㪋 㪐㪐 㪈㪇㪉 ⋴⼔⡯ 㪐 㪏㪋 㪈㪈㪉 㪐㪋 ⼔⡯ 㪏㪌 㪈㪈㪈 㪈㪉㪈 㪈㪊㪋 ോ⡯ 㪏 㪏㪌 㪐㪇 㪎㪍 ᩕ㙃჻䊶⺞ℂᏧ 㪈㪊 㪈㪇㪌 㪈㪉㪇 㪈㪉㪍 ഥຬ 㪈㪌 㪐㪊 㪈㪈㪍 㪈㪇㪎 䈠䈱ઁ 㪈㪍 㪏㪊 㪈㪋㪈 㪈㪈㪎Seisen J. Nurs. Stud., Vol. 2. 2013 ࡒ㸣ᮇㄢᰕࡡSDSೋࡡᖲᆍೋ㸡ᢒ࠹ࡗ≟ឺࡡ⩽ ࡡྙࡢ㸡ᶋ⏛㸡ᒜᮟ㸝㸞ࡡ௺ᴏຘ഼⩽ࡡㄢ ᰕ࡞࠽ࡄࡾᖲᆍೋ㸝SD 㸞㸡㍅ᗐᢒ࠹ࡗ௧ ୕ ࡷ㸡ཋ⏛㸡ዚ㸝 㸞ࡡᑚぜᶅᴏሔ ຘ഼⩽ࡡㄢᰕ࡞࠽ࡄࡾ㸝SD㸲㸞㸡㍅ᗐᢒ ࠹ࡗ௧୕࡛Ẓ㍉ࡊ࡙㧏࠾ࡖࡒ㸣ࡊࡒࡖ࡙㸡 ㆜᪃シ⫃ဤࡢࡡᴏሔ࡞Ẓ㍉ࡊ㸡ᢒ࠹ࡗലྡྷ ࡞࠵ࡾࡆ࡛᥆ᐳࡈࡿࡒ㸣 ࠈᑊ㇗⩽ࡡ࡞እ㛣࣬ஹໂຸ࠵ࡽ㸡㐛ຘ Ṓࡡこᅄ࡛ࡾ㛏㛣ຘ഼࡚ࡢ㛣ࢅ㉰㐛ࡌࡾ ࡵࡡ࡚࠵ࡖࡒ㸣ࡱࡒ㸡⫃ሔහ࡞┞ㄧ⩽࠷ ࠷⩽ࢅ㉰࠻㸡⫃ሔአ࡞┞ㄧ⩽࠷࠷⩽
ϫ㸣⩻ࠈᐳ
ࠈ㆜᪃シ⫃ဤࡡᢒ࠹ࡗ㸡⫃ᴏᛮࢪࢹࣝࢪࡡᐁឺ ࠾ࡼ㸡㆜᪃シ࡞࠽ࡄࡾ࣒ࣤࢰࣜࣉࣜࢪᑊ➿ࢅ᳠ ゞࡊࡒ㸣㸦㸣㆜᪃シ⫃ဤࡡ࣒ࣤࢰࣜࣉࣜࢪ࡞ᑊࡌࡾ
ࠈណㆉ࡛ᢒ࠹ࡗ≟ឺ࡛⫃ᴏᛮࢪࢹࣝࢪ
ࠈᅂࡡㄢᰕࡡᅂ⋙ࡢ࡚࠵ࡽ㸡ᒜ⏛㸡ᖲ 㔕㸝㸞୯ᑚぜᶅࡡ௺ᴏࡡᚉᴏဤࢅᑊ㇗࡞ࡊ ࡙㸡ᗛ⟮⌦㒂㛓ࢅ㏳ࡊ࡙⾔ࡖࡒㄢᰕࡡᅂ⋙ࡢ ࡚࠵ࡽ㸡ࡆࡡㄢᰕ࡛Ẓ㍉ࡌࡾ࡛ࡷࡷ࠾ࡖ ⾪ࠈ⫃ᴏᛮࢪࢹࣝࢪ⠾᪾ㄢᰕࡡெ⤎ᯕࡡ᪃シืࠉ⫃⛸࣬⫃㝭ื ⾪ࠈ⫃ᴏᛮࢪࢹࣝࢪ⠾᪾ㄢᰕࡡெ⤎ᯕࡡᖳ㱃ืࠈࠈࠈࠈࠈࠈࠈQ ᐔဋ୯ ᮡḰᏅ ᐔဋ୯ ᮡḰᏅ ᐔဋ୯ ᮡḰᏅ ᐔဋ୯ ᮡḰᏅ ో 㪈㪅㪌㪊 㪇㪅㪇㪐 㪈㪅㪌㪇 㪇㪅㪎㪎 㪈㪅㪏㪌 㪇㪅㪏㪈 㪈㪅㪊㪍 㪇㪅㪎㪇 ᣉ⸳㸇 㪈㪅㪌㪇 㪇㪅㪏㪊 㪈㪅㪋㪌 㪇㪅㪎㪎 㪈㪅㪐㪇 㪇㪅㪏㪋 㪈㪅㪉㪎 㪇㪅㪍㪊 ᣉ⸳㸈 㪈㪅㪍㪏 㪇㪅㪏㪈 㪈㪅㪍㪈 㪇㪅㪎㪐 㪈㪅㪐㪎 㪇㪅㪎㪐 㪈㪅㪊㪎 㪇㪅㪎㪈 ᣉ⸳㸉 㪈㪅㪋㪏 㪇㪅㪎㪐 㪈㪅㪋㪏 㪇㪅㪎㪎 㪈㪅㪎㪌 㪇㪅㪏㪈 㪈㪅㪋㪉 㪇㪅㪎㪇 ᓎ⡯⠪ 㪈㪅㪏㪎 㪇㪅㪏㪎 㪈㪅㪎㪇 㪇㪅㪏㪏 㪉㪅㪉㪉 㪇㪅㪏㪇 㪈㪅㪋㪏 㪇㪅㪍㪎 ⋴⼔⡯ 㪈㪅㪊㪊 㪇㪅㪌㪇 㪈㪅㪌㪍 㪇㪅㪎㪊 㪈㪅㪏㪐 㪇㪅㪎㪏 㪈㪅㪇㪇 㪇㪅㪇㪇 ⼔⡯ 㪈㪅㪍㪇 㪇㪅㪏㪉 㪈㪅㪌㪎 㪇㪅㪎㪌 㪈㪅㪐㪉 㪇㪅㪎㪍 㪈㪅㪋㪋 㪇㪅㪎㪊 ോ⡯ 㪈㪅㪌㪇 㪇㪅㪐㪊 㪈㪅㪉㪌 㪇㪅㪎㪈 㪈㪅㪌㪇 㪇㪅㪎㪍 㪈㪅㪊㪏 㪇㪅㪎㪋 ᩕ㙃჻䊶⺞ℂᏧ 㪈㪅㪇㪏 㪇㪅㪋㪐 㪈㪅㪋㪍 㪇㪅㪏㪏 㪈㪅㪎㪎 㪈㪅㪇㪈 㪈㪅㪊㪈 㪇㪅㪎㪌 ഥຬ 㪈㪅㪉㪎 㪇㪅㪎㪇 㪈㪅㪇㪎 㪇㪅㪋㪍 㪈㪅㪌㪊 㪇㪅㪏㪊 㪈㪅㪇㪇 㪇㪅㪉㪌 䈠䈱ઁ 㪈㪅㪌㪇 㪇㪅㪏㪐 㪈㪅㪊㪏 㪇㪅㪏㪐 㪈㪅㪌㪍 㪇㪅㪏㪈 㪈㪅㪊㪏 㪇㪅㪏㪐 ∋ഭ∝⁁ ᛥ䈉䈧∝⁁ り∝⁁ ♖∝⁁ 㗄⋡ ᐔဋ୯ ᮡḰᏅ 㪝୯ 㪧୯ 㪉㪐ᱦએਅ 㪈㪅㪎㪍 㪇㪅㪏㪌 㪊㪅㪐㪊 㪇㪅㪇㪇㪌 㪊㪇ઍ 㪈㪅㪊㪈 㪇㪅㪍㪋 㪋㪇ઍ 㪈㪅㪎㪊 㪇㪅㪐㪇 㪌㪇ઍ 㪈㪅㪊㪈 㪇㪅㪍㪋 㪍㪇ᱦએ 㪈㪅㪇㪏 㪇㪅㪍㪎 㪉㪐ᱦએਅ 㪈㪅㪎㪏 㪇㪅㪎㪎 㪊㪅㪈㪍 㪇㪅㪇㪈㪍 㪊㪇ઍ 㪈㪅㪋㪋 㪇㪅㪎㪍 㪋㪇ઍ 㪈㪅㪌㪇 㪇㪅㪏㪉 㪌㪇ઍ 㪈㪅㪉㪌 㪇㪅㪍㪉 㪍㪇ᱦએ 㪈㪅㪈㪎 㪇㪅㪎㪉 㪉㪐ᱦએਅ 㪉㪅㪈㪇 㪇㪅㪎㪎 㪋㪅㪇㪐 㪇㪅㪇㪇㪊 㪊㪇ઍ 㪈㪅㪎㪌 㪇㪅㪎㪍 㪋㪇ઍ 㪈㪅㪐㪏 㪇㪅㪎㪐 㪌㪇ઍ 㪈㪅㪍㪊 㪇㪅㪏㪊 㪍㪇ᱦએ 㪈㪅㪉㪌 㪇㪅㪎㪌 㪉㪐ᱦએਅ 㪈㪅㪌㪎 㪇㪅㪎㪐 㪊㪅㪉㪋 㪇㪅㪇㪈㪋 㪊㪇ઍ 㪈㪅㪊㪋 㪇㪅㪎㪌 㪋㪇ઍ 㪈㪅㪋㪈 㪇㪅㪍㪐 㪌㪇ઍ 㪈㪅㪇㪍 㪇㪅㪊㪌 㪍㪇ᱦએ 㪈㪅㪇㪏 㪇㪅㪍㪎 ৻ర㈩⟎ಽᢔᬌቯ䇮ᄙ㊀Ყセ䈲㪫㫌㫂㪼㫐䍎㪢㫉㪸㫄㪼㫉ᴺ㪁㫇㪓㪇㪅㪇㪌 り∝⁁ ♖∝⁁ ∋ഭ∝⁁ ᛥ䈉䈧∝⁁ 䋪 䋪 䋪 䋪 ㆜᪃シ⫃ဤࡡᢒ࠹ࡗ࣬ࢪࢹࣝࢪཬᚺ࡛㛭㏻こᅄࡡ᳠ゞ⪯ἠ┫㆜Ꮥ◂✪ࠈ㸧ᕬ㸝㸞 ᪃シ⫃ဤࡡຘ഼⎌ሾࡷ⫃ሔහአࡡࢦ࣭࣎ࢹᑛ ࠷ࡆ࡛ᢒ࠹ࡗ≟ឺ࣬ࢪࢹࣝࢪ࡞ᙫ㡢ࡊ࡙࠷ࡒ࡛ ᥆ᐳࡈࡿࡾ㸣 ࠈ⫃ᴏᛮࢪࢹࣝࢪ⠾᪾ㄢᰕ⚂ࡡ⤎ᯕ࡞࠽࠷࡙ࡵ㸡 ᪃シϨ࡛Ϫ࡚ᵾ‵ೋࡻࡽ㧏ೋ࡚࠵ࡽ㸡ࡱࡒ㸡Ṃහ㸡 ⏛ཾ㸝㸞ࡡ࣭࣑࣌ࣉࣜࣂ࣭ࢅᑊ㇗࡛ࡊࡒㄢᰕ ⤎ᯕࡡ⥪ྙᗛࣛࢪࢠೋࡻࡽࡵ㧏࠾ࡖࡒ㸣ࡊ ࡒࡖ࡙㸡㆜᪃シ⫃ဤࡡ࣒ࣤࢰࣜࣉࣜࢪ࡞ࡗ࠷ ࡙⫃ሔ࡚ࡡཱིࡽ⤄ࡲࢅ᥆㐅ࡌࡾᚪこ࠵ࡾ㸣
㸧㸣
㸨᪃シ࡞࠽ࡄࡾẒ㍉
ࠈSDSೋ㸡⫃ᴏᛮࢪࢹࣝࢪ⠾᪾ㄢᰕࡡெ⤎ᯕࡡ ≟࡞ࡗ࠷࡙㸡᪃シ㛣࡚᭯ណᕣࡢヾࡴࡼࡿ ࠾ࡖࡒ㸣ࡊ࠾ࡊ㸡㝸ᐐ⩽ᨥᥴ᪃シ㸡᪃シϨࡡヾ▩ ࣗࢼࢴࢹࢢ᪃シ࡚࠷᪃シ⫃ဤࡡ⫃ᴏᛮࢪࢹ ࣝࢪㄢᰕࡡࣛࢪࢠT㧏࠾ࡖࡒ㸣ࣛࢪࢠTࡡೋ ࠾ࡖࡒ᪃シ࡛Ẓ㍉ࡌࡾ࡛㸡ࡡ㔖Ⓩㇿᢰ㸡 ࡡࢤࣤࢹ࣭ࣞࣜ࡞ᕣࡢࡂ㸡⫃ሔᨥᥴࡡᚋⅤࡡ ࡈ㛭㏻ࡊ࡙࠷ࡒ㸣ࣛࢪࢠTࡡೋ㧏࠾ࡖࡒ᪃ シ࡚ࡢ㸡⫃ሔහ࡚୕ྒྷࡷྜྷേ࠾ࡼࡡᨥᥴᚋࡼࡿ ࡞ࡂࡂ㸡⫃ሔහ࡚┞ㄧࡌࡾࡆ࡛㞬ࡊ࠷≟Ἓ࡞࠵ ࡾ࡛᥆ᐳࡈࡿࡾ㸣 ࠈ᪃シืࡡࡡ㊂ᗐࡢ㸡᭯ណᕣࡢ↋࠾ࡖࡒ ࡵࡡࡡ㸡㝸ᐐ⩽ᨥᥴ᪃シࡡ᪁㧏㱃⩽㆜᪃シࡻ ࡽࡵ㊂⩄ࡡྙ㧏࠾ࡖࡒ㸣㝸ᐐ⩽᪃シ࡚ࡢ㸡 ฺ⏕⩽࡛ࡡࢤ࣐ࣖࢼࢢ࣭ࢨཱིࣘࣤࡽࡷࡌࡂ㸡ฺ ⏕⩽࠾ࡼវㅨࡈࡿࡾమ㥺ࡵኣ࠷㸣ࡊ࠾ࡊ㸡㧏㱃⩽ ᪃シࡡฺ⏕⩽࡚ࡢヾ▩㧏㱃⩽ኣࡂ㸡ฺ⏕⩽࡛ ࡡࢤ࣐ࣖࢼࢢ࣭ࢨࣘࣤ㞬ࡊ࠷㸣ࡆࡿࡼࡡࡆ࡛ ࡡ㊂ᗐ࡞ᙫ㡢ࡊࡒࡆ࡛᥆ᐳࡈࡿࡾ㸣㧏㱃 ⩽᪃シࡡ㆜⫃ࡡ㞫⫃࡞㛭ࡌࡾㄢᰕ࡚ࡢ㸡⮤ฦ ᥞ౩ࡊࡒࢢ࡞ᑊࡌࡾビ౮ࡂ㸡ฺ⏕⩽࣬୕ྒྷ࣬ ྜྷേ࡛ࡡ⫃ሔ࡚ࡡெ㛣㛭౿ࡻࡂ࠷࡛⩻࠻ࡾெ ࡢ㸡ࣁ࣭ࣤࢹࡡࣝ࣊ࣜ㧏ࡂ㸡ฺ⏕⩽ࡡヾ▩ ࡡ⾔ິ㸡ᚨ⌦≟ࡡᑊᚺ➴㸡ヾ▩ࢢࡡ◂ ಞࢅᕵ᭻ࡌࡾࡵࡡኣ࠷ࡆ࡛ᣞᦤࡈࡿ࡙࠷ࡾ 㸝㯦⏛㸡ᘿ㸞㸣㝸ᐐ⩽ᨥᥴ᪃シ࡛㧏㱃⩽㆜᪃ シ࡚ࡢ㸡ࢢࡡᑊ㇗⩽࡞㐢࠷࠵ࡾ㸣ࡱࡒ㸡ྜྷࡋ ᑊ㇗⩽ࢅ࠹㧏㱃⩽᪃シ࡚ࡵ㸡᪃シᵋ㏸㸡ᢰᙔࡌ ࡾฺ⏕⩽ࡡᩐ࡞㐢࠷࠵ࡾ㸣ࡊࡒࡖ࡙㸡᪃シ ࡡ⎌ሾ࡞ྙࢂࡎࡒ⫃ሔࡡࣚࣤࢢࡡమโᚪこ ࡚࠵ࡾ㸣 ࠈᅂࡡㄢᰕ࡚ࡢ㸡ໂຸࡌࡾ⫃ဤࡡ⣑ ṋ ௧ୖࡡⱕ࠷㆜⫃࡚㸡እໂ࣬ஹโໂຸࡡྙࡵ ኣ࠾ࡖࡒ㸣ࡡ㊂ᗐࡵ㊂⩄ࡡྙࡢ㸡ࡡ ୠࡻࡽ࠾ࡖࡒ㸣SDSࡡ⤎ᯕ࡚ࡵᖲᆍೋ ࡚㸡ᢒ࠹ࡗലྡྷࢅ♟ࡊ࡙࠽ࡽ㸡⫃ᴏᛮࢪࢹࣝࢪ⠾ ᪾ㄢᰕ⚂ࡡெ⚂ࡡ⤎ᯕ࡚ࡵ㸡㌗మ≟㸡⢥♼ ≟㸡ຘ≟㸡ᢒ࠹ࡗ≟࡛ࡵ᭩ࡵ㧏࠾ࡖࡒ㸣ᑚ ぜᶅᴏሔࡡᚉᴏဤࢅᑊ㇗࡛ࡊࡒㄢᰕ࡞࠽࠷࡙ࡵ ⱕᖳࡡᢒ࠹ࡗࡡྙ㧏ࡂ㸝ཋ⏛㸡ዚ㸡 㸞㸡 ㆜᪃シ࡞࠽࠷࡙ࡵⱕ࠷㆜⫃࡞ᑊࡌࡾ࣒ࣤࢰࣜ ࣉࣜࢪථࡡᚪこᛮ♟ြࡈࡿࡒ㸣ࡱࡒ㸡ᐁ഼ࡊ ࡼᚃ㍦ࡡᩅ⫩ࡵịࡴࡼࡿࡾ≟Ἓ࡞࠵ࡾᙲ⫃ ⩽࡞ࡗ࠷࡙ࡵ㸡ࡡ㊂ᗐࡢ࠾ࡖࡒ㸣ࡱࡒ㸡 SDSࡡᖲᆍೋ࡚࠵ࡽ㸡⫃ᴏᛮࢪࢹࣝࢪ⠾᪾ ㄢᰕࡡெ⚂ࡡ⤎ᯕ࡚ࡵ㸡᭯ណᕣࡢヾࡴࡼࡿ࠾ ࡖࡒࡵࡡࡡ㸡ࡌ࡙ࡡ≟࡚㸡ࡡ⫃⛸࣬⫃㝭ࡻ ࡽ㧏ࡂ㸡ᢒ࠹ࡗലྡྷ࡚㸡ࢪࢹࣝࢪ㧏࠷ലྡྷ࠵ ࡾ㸣ࡆ࠹ࡊࡒࣀࣛࢪࢠ⩄࡚࠵ࡾⱕ࠷⫃ဤ㸡ᙲ⫃ ⩽࡞ᑊࡊ࡙ࡢ㸡≁࡞┞ㄧᨥᥴమโࢅᙁࡌࡾཱིࡽ ⤄ࡲᚪこ࡚࠵ࡾ㸣Ϭ㸣⤎ࠈㄵ
ࠈ᪃シ⫃ဤࡡᢒ࠹ࡗ㸡⫃ᴏᛮࢪࢹࣝࢪࡡࣛࢪࢠࡢ 㧏࠾ࡖࡒ㸣ᢒ࠹ࡗ࡚ࡢ㸡ᖳ㱃㸡⫃⛸㸡⫃ሔහ㸡አ ࡡ┞ㄧ⩽ࡡ᭯↋㸡እໂ࣬ஹโໂຸ㸡ࡡ㊂ ᗐᢒ࠹ࡗ࡞㛭㏻ࡊ࡙࠷ࡒ㸣⫃ᴏᛮࢪࢹࣝࢪࡡࣛ ࢪࢠࡢ㸡⫃⛸ื࡚ࡢ㆜⫃㸡ᙲ⫃⩽㧏࠾ࡖࡒ㸣 ᪃シ࡞ᚺࡋࡒ┞ㄧᨥᥴమโࡘࡂࡽ࡛ࣀࣛࢪࢠ⩄ ࡡථࡡᚪこᛮ♟ြࡈࡿࡒ㸣ϭ㸣◂✪ࡡ㝀⏲࡛ᚃࡡㄚ㢗
ࠈᮇ◂✪ࡢ㸡Ἢெ࡚⾔ࡖࡒㄢᰕ࡚࠵ࡽ㸡᪃シࡡ Ẓ㍉ࢅムࡲࡒ㸡᪃シẎࡡ⫃⛸ืࡡฦᯊࢅࡌࡾ࡞ ࡢ㸡ᑊ㇗⩽ᩐᑛࡂ㸡Ẓ㍉༎ฦ⾔࠻࠾ࡖࡒ㸣 ࡱࡒ㸡ฺ⏕⩽ࡡ≟ࡷ⾔ິࡡንࡷᏒ⟿⾔࡞ࡻ ࡽ㸡⫃ဤࡡᴏຸ࡞ን⏍ࡋࡾࡆ࡛⩻࠻ࡼࡿࡾ㸣 ᮇ◂✪ࡢ㸡ࡆ࠹ࡊࡒᴏຸ࡞㛭㏻ࡌࡾ㡧┘ࢅ᳠ゞ࡚ ࡀ࡙࠷࠷ࡡ࡚㸡ᢒ࠹ࡗ࣬ࢪࢹࣝࢪࡡ㛭㏻こᅄࢅㄕ ᪺ࡌࡾ࡞ࡢ㝀⏲࠵ࡾ㸣㧏㱃⩽㆜᪃シ㸡㝸ᐐ⩽ ᨥᥴ᪃シ➴㸡᪃シ⎌ሾ࡛⫃⛸ࡡ㛭㏻ࢅ᪺ࡼ࠾࡞ࡌ ࡾ࡞ࡢ㸡ᑊ㇗⩽ࢅቌࡷࡊ᳠ゞࡌࡾᚪこ࠵ࡾ㸣ࡱࡒ㸡㛏⣣ᖲ㸡㯦⏛◂㸝㸞㸯≁ื㣬㆜⩹ெ࣭࣌ ࣑࡞࠽ࡄࡾᑚぜᶅࢢࡡᐁ᪃࡛㆜⫃ဤࡡࢪࢹ ࣝࢪ㸡ཉ⏍ࡡᣞᵾ㸡㸝㸞㸡㸣 ኬಕ㟱ྒྷ㸝㸞㸯㛏㛣ṟᴏ࡛⢥♼⑄ᝀⓆ ࡡ㛭㏻࡞ࡗ࠷࡙㸡ໂຘ⩽࡞࠽ࡄࡾຘ഼㛣࡛⢥ ♼ᗛᗐ࠽ࡻࡦ╟┸㛣㸡⏐ᴏ⢥♼ಕ㸡㸝㸞㸡 㸣 ኬᆟኮᖲ㸝㸞㸯ࡆࡆࢀࡡẴࡡࢲ࢘ࢴࢠࣛࢪࢹ 㹳࠹ࡗ㸡ࡆࡆࢀࡡ⛁Ꮥ㸡㸡㸣 ఫ⸠ఘᯖ㸝㸞㸯㧏㱃⩽ࡡ㆜ᴏຸࢪࢹࣝࢪ࡞ ᙫ㡢ࡌࡾ♣ఌⓏᨥᥴ࡞ࡻࡾຝᯕ㹳⩹ெಕ᪃シ ࡞ໂຸࡌࡾ┫㆜⫃࣬㆜⫃ࢅᑊ㇗࡛ࡊ࡙㸡᩺₪ 㟯㝘ኬᏕ⣎こ㸡㸡㸣 ୖක㍜ୌ㸝㸞㸯ཉ⏍ຘ഼⛁Ꮥ◂✪㈕ຐ㔘㸝ຘ ഼Ꮽධ⾠⏍⥪ྙ◂✪ᴏ㸞⫃ሔ⎌ሾ➴ࡡᨭၻ➴ ࡞ࡻࡾ࣒ࣤࢰࣜࣉࣜࢪᑊ➿࡞㛭ࡌࡾ◂✪㸡ᖲᠺ ᖳᗐ⥪ᣋ◂✪ሒ࿈᭡㸡 㸣 ṂහᏳ㸡⏛ཾ㇇㑫㸝㸞㸯♣ఌ⚗♬⌟ሔ⫃ဤ ࡡࢪࢹࣝࢪᐁឺ㹳࣭࣑࣌ࣉࣜࣂ࣭ࡡ⫃ᴏᛮࢪࢹ ࣝࢪㄢᰕ࠽ࡻࡦ⢥♼ᗛㄢᰕ㸡ᕖᓧ༈⒢⚗♬Ꮥ ఌヽ㸡㸝㸞㸡㸣 ᒜ⏛Ꮔ㸡ᖲ㔕࠾ࡻࡆ㸝㸞㸯୯ᑚ௺ᴏࡡຘ഼ ⩽ࡡ࣒ࣤࢰࣜࣉࣜࢪ࡛⮤ṽᛍ៎㸡J.Natl.Inst. Public Health㸡52㸝4㸞㸡302−308㸣 ᘲᐣ├⨶㸡ᏫⰃ༐⚽㸝 㸞㸯⩹ெ㆜⫃ဤࡡ࣠ ࣭ࢠࢪࢹࣝࢪ࡞㛭ࡌࡾㄢᰕ㸡ᮇ㛣⥽㸡⩹ெࢢ ࢪࢰࢴࣆࡡࢪࢹࣝࢪ࡛ᚨ㌗ࡡᗛ㸡᮶ா㒌⩹ ெಕ◂✪ᡜ 㸡㸡᮶ா㸣 ᶋ⏛ாᏄ㸡ᒜᮟ♇㸝㸞㸯௺ᴏຘ഼⩽ࡡᢒ࠹ࡗ ≟ឺ࡛㛭㏻こᅄ࡞ࡗ࠷࡙ࡡ◂✪㹳SDS࡛ᏽ ᗛタ᩷ሒࢅ⏕࠷࡙㸡J Jpn Health Sci㸡9 㸝4㸞㸡207-223㸣
ZUNG.W.W.K㸝1965㸞㸯A Self-rating Depression Scale㸡
Archives of Genera㸡
12㸡63-70㸣ᚃ㸡AἪெ࡚ࡢ㸡ࢪࢹࣝࢪ࣏ࢾࢩ࣒ࣤࢹࡡཱིࡽ ⤄ࡲࡵ㐅ࡳࡆ࡛࠾ࡼ㸡⤽⤾ࡊࡒびᐳࢅ㐅ࡴࡾᚪこ ࠵ࡾ㸣
