著者

滝川 栄二 江戸 晶子 山本 千穂 難波 和広 松浦 育代 鴨居 弘斉 大森 美季 片岡 睦子 三船 和史 大坂 京子 安原 由子 谷岡 哲也

出版者

徳島医学会

雑誌

四国医学雑誌 = Shikoku acta medica (ISSN:00373699)

巻号頁・発行日

vol.76, no.1, pp.99-106, 2020-04-25

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Patients with mental health problems in long-term hospitalization have severe impairments and disabilities in their daily social life, thereby needing constant assistance. The purpose of this study was to clarify the relationships between the status of the improved duration of participation in occupational therapy activities through active motivation and interdisciplinary collaboration in enhancing mental health and severe physical functional level as evaluated by the Global Assessment of Function(GAF)score. Subjects were175hospitalized patients in psychiatric units at a Psychiatric hospital in Kagawa Prefecture. The duration of participation in the occupational therapy group activities was divided into Groups A-0‐5, B-6‐10, C-11‐15, and D-16‐20times per month. The number of the occupational therapy group activities per month was 20 times in August 2017 and 21 times in March2018, respectively. The number of classified four group participants before and after were calculated by the chi-square test with adjusted residuals. Comparing the number of participants in the four groups before and after 7 months by the active motivation, the number of participants was significantly decreased in group C but was increased in group D(χ2 = 6.82, p <.05). Findings show the number of participants was increased because of the active motivation by interdisciplinary collaboration and enhanced relations. However, the degree of GAF was not related to the duration of participation times. Moreover, it was clearly found that respect for individuality and patient's will were critical motivational factors in effective patient participation.

著者

杉本 博子 安原 由子 谷岡 哲也 郷木 義子 森 健治 冨士 翔子 斎藤 憲

出版者

徳島医学会

雑誌

四国医学雑誌 = Shikoku acta medica (ISSN:00373699)

巻号頁・発行日

vol.72, no.1, pp.43-52, 2016-04-25

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The purpose of this study was to clarify the relationship between sleep-wake rhythms and autonomic nerve activities using actigraphy and heart rate variability(HRV)analysis. Subjects were comprised of six children who were in the fourth to sixth grade levels of elementary school(four boys and two girls). The study was conducted between January and December 2015. The data collection procedure was performed following the Private Information Protection Law, with approval from Tokushima University Hospital Ethics Board(approval number 2021). These subjects were evaluated in an Attentive-Care-Needed stress state based on the PSI(Public Health Research Foundation Type Stress Inventory)and PSQI-J(Pittsburgh Sleep Quality Index, Japanese Version). In analyzing their sleep-wake rhythms, autonomic nervous activities were determined using an actigraph and HRV through RR interval sequence electrocardiography. The results of actigraph data of sleep efficiency in Subject Number 6 was low(76.47%). Regardless, the subject experienced subjective sleep satisfaction. However, Subject Number 2, insisted that she could not easily wake up in the morning because of being sleepy. Low Frequency(LF)/High Frequency(HF)data indicated sympathetic nervous activity showing that all subjects had significantlyhigher LF/HF value during wakefulness than when asleep. HF data indicated parasympatheticactivity of five out of the six children showing significantly higher value during sleep than when awake. Subject number 3 expressed that he was sleepy and could not get up in the morning,and also had trouble going to and maintaining sleep. However, this subject's results of the PSQI-Jindicated that he had no problem expressing subjective sleep satisfaction. Furthermore, in the actigraph and HRV analysis, findings showed that subjects had good sleeping patterns. These findings strongly signify the importance of determining the sleep-wake rhythms of school children based on data from subjective and physiological evaluation methods.

著者

谷岡 哲也 浦西 由美 山崎 里恵 松本 正子 倉橋 佳英 多田 敏子 眞野 元四郎 山崎 正雄 友竹 正人 松下 恭子 上野 修一 大森 美津子 大浦 智華

出版者

香川大学

雑誌

香川大学看護学雑誌 (ISSN:13498673)

巻号頁・発行日

vol.11, no.1, pp.65-74, 2007-03

被引用文献数

1

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スティグマと疎外が精神疾患の治療と精神障害者の社会復帰を妨げていることが,精神保健上の問題として明らかにされている.地域住民の精神障害者との出会いの経験と精神障害者に対するイメージについて明らかにする目的で,郵送法による質問紙調査を行った.その結果,20代と30代の回答者の約50%が,精神障害者を意識した時期が小学校から高校であったと回答した.その当時の精神障害者のイメージは,否定的イメージが多かった.またその内容は,「変わっている」「こわい」が上位にあり,「普通の人と変わらない」は1割以下であった.回答者らが,実際に会ったことのある精神障害者は認知症のみであった.精神保健福祉施策は入院医療から地域ケアへと移行している.したがって,精神障害者やその障害について地域住民が理解する機会を我々は増やしていかなければならない.今後は,さらに若い年代から病院や施設等で精神障害者と日常的に交流を持てるような,ふれあいの場を作ることが重要である.また若い年代に対する精神障害者や精神障害に対する固定観念やスティグマを緩和ないし減少させるためのさらなる啓発活動が求められることが示唆された.

著者

高坂 要一郎 横田 修 谷岡 哲也 永田 清子 安岡 健作 戸田 博子

出版者

日本精神神経学会

雑誌

精神神經學雜誌 = Psychiatria et neurologia Japonica (ISSN:00332658)

巻号頁・発行日

vol.103, no.1, pp.109-119, 2001-01-25

著者

片岡 三佳 谷岡 哲也

出版者

徳島医学会

雑誌

四国医学雑誌 (ISSN:00373699)

巻号頁・発行日

vol.75, no.3, pp.113-120, 2019-08-25

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The purpose of this study was to compare the strengths-oriented attitude among psychiatric nurses(PNs), psychiatric social workers(PSWs)and occupational therapists(OTs)working at psychiatric hospitals using principal component analysis. Survey subjects were 899 PNs, 100 PSWs and 90 OTs employed at 17 psychiatric hospitals in Japan who consented to participate in the study. The self-administered questionnaire was mailed and returned between from October 2013 to January 2014. The subjects' strengths-oriented attitude was evaluated using the Strengths-Oriented Attitude Inventory(SOAI)developed by the authors based on the work by Rapp and Goscha. The loading of the primary ingredient of the SOAI was compared by Principal Component analysis among occupations. A common strengths-oriented attitude of PNs, PSWs, and OTs was the assessment for psychiatric inpatients' social life, the ability to perform activities of daily life (ADL), mental status, and taking care and therapeutic intervention. Especially, in the differences of characteristics depending on the specialty, PNs focus on physical health, PSWs emphasize economics and housing, and OTs emphasis on functional recovery of their ADL. Differences in strength-oriented attitudes have shown the commonality and specialty of each healthcare provider.

著者

谷岡 哲也 Locsin Rozzano C. 多田 敏子 大森 美津子 大坂 京子

出版者

香川大学

雑誌

香川大学看護学雑誌 (ISSN:13498673)

巻号頁・発行日

vol.12, no.1, pp.1-6, 2008-03

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看護の焦点は,ケアリングを通して人間と環境との全体性を育むことである.看護は学問の一分野であり,かつ実践を伴う専門的職業である.すべての看護は,看護師と看護を受ける人との間に存在する生き生きとした経験を共有し,ケアリングを通してお互いの人間性を高める中に存在する.ケアリングとしての看護は,看護を理解しそれを実践する際の比較的新しい考え方である.ケアリングとしての看護を理解する原則には,人間を全体として捉えるという考え方,看護が必要な状況において看護が発生するという考え方,知識を深めることや実践的専門職としての看護の概念が含まれている.本稿では看護実践におけるケアリングとしての技術的能力について論じた.