著者

津金 英雄 伊藤 克人 樋口 正元

出版者

一般社団法人 日本心身医学会

雑誌

心身医学 (ISSN:03850307)

巻号頁・発行日

vol.29, no.7, pp.661-665, 1989-12-01 (Released:2017-08-01)

被引用文献数

1

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A male company employee, unmarried 46-year-old, had been engaged in computer related business for the past 26 years. Since March, 1986,when the merger of the company became an issue, he had not got enough time to sleep on account of the preparation for it. He was suffering from insomnia. At that time he was diagnosed as vegetative dystonia because anorexia and emotional irritability. He was given a tranquilizer.Toward the end of September in the same year, he was brought to the hospital of a medical college due to an attack of dyspnea and received emergency treatment. After that, he was referred to the department of psychiatry where he was treated for the diagnosis of depressive state.He was afflicted as ever, however, with such multiple symptoms as dyspnea, insomnia, night sweat, nausea, anorexia, anxiety, emotional irritability, loose idea, feeling of fatigue and so on. In April of 1987,he was treated at home for a whole month. At the beginning of May, he was allowed to work at a department which was unrelated to the computer, on favorable conditions that he was permitted to go to work late, go home early and do an easy work. In about a month, as his state promptly improved, he was returned to the ordinary work. At present, 10 months since then, he is working without any abnormality.In this case, his memorandum which is like a computer flow chart, his own personality and his clinical course were definitely characteristic. So he was considered as technostress syndrome (Techno-centered).

著者

赤林 朗 甲斐 一郎 伊藤 克人 津久井 要

出版者

日本生命倫理学会

雑誌

生命倫理 (ISSN:13434063)

巻号頁・発行日

vol.7, no.1, pp.31-40, 1997-09-08

被引用文献数

9

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アドバンス・ディレクティブ(事前指示)とは、患者あるいは健常人が、将来判断能力を失った際に、自らに行われる医療行為に対する意向を前もって示すことである。今後の日本の医療現場における患者の意思表示の具体的なあり方を模索するために、人間ドック男性受診者を対象に「治療に関する事前の意思表示」についての知識、経験、意識を問う自記式アンケート調査を行った。有効回答は210部で、81.9%の者が何らかの形で事前の意思表示を示しておきたいと回答した。意向を残しておきたい内容は、終末期の治療方針、病名の告知、臓器提供の意思などについてが多かった。また、意思表示の方法は、だいたいの方針を口頭で家族や知人に伝えておき、代理の決定者は家族または親戚とし、法的整備の必要性はあまり強く意識しない、という回答が多く認められた。最後に今後の日本における患者の意思表示のあり方についての考察を加えた。