著者

箕輪 千佳

出版者

佐久大学看護学部

雑誌

佐久大学看護研究雑誌 = Saku University journal of nursing (ISSN:18836593)

巻号頁・発行日

vol.7, no.1, pp.15-24, 2015-03

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明治時代初めまで自由開業制だった医師制度に、政府は西洋医学に基づく医学教育と免許制度を導入し、医師の数と質の確保のため、明治から大正にかけて医師養成制度を大きく変化させた。荻原源吉は日露戦争で看護卒として従軍したことから医師を志し、小学校の教職に就きながら、東京で開催された夏季講習に通い医師検定試験に合格した。医師となり無医村だった三宅島で開業、郷里の佐久に戻っても無医村に出張診療を行い、貧しい人にも差別なく診療を行った。その時代、貧困者への医療支援は、皇室および政府や地方行政の経済的補助を受け、医師会や産婆会等様々な団体の医療支援として展開される一方、医療職者それぞれの博愛の精神に支えられたものであった。

著者

竹尾 惠子 七田 惠子 桶田 真吾

出版者

佐久大学看護学部看護学科

雑誌

佐久大学看護研究雑誌 = Saku University Journal of Nursing (ISSN:18836593)

巻号頁・発行日

vol.4, no.1, pp.3-14, 2012-03

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The purpose of this study is to study the life expectancy in Nagano Prefecture vis-à-vis the whole of Japan while also comparing Saku with the other Nagano cities using the Complete Vital Statistics of 2005.The average life span among male residents was ranked highest among all prefectures of Japan from 1920 to 2005. Statistics for female residents, however, are varied from the 1st to 26 in rank over this same period.The average life expectancy in 81 cities in Nagano was compared and the 10 cities with the longest and shortest spans in rank were plotted onto a prefecture map. The fi ndings are as follows: The cities having the longed life expectancy are located in the center part of Nagano, from north to south for male residents. For females, the longest life spans are found in the center and southern parts of the prefecture. Life expectancy for male residents of Saku city remain in the highest rank among 81 Nagano cities.Female expectancy, ranking 64th out of 81 in 2005, is below the 1995 average.The life expectancies of 0 year-olds, 20 year-olds, and 40 year-olds for Saku females rank in a low position among 81 cities in Nagano: 65th position for 0 year-olds; 52nd for 20 year-olds, and 68th for 40 year-olds.The related factors to length of life expectancy were analyzed. The low ratio of farmers is negatively and high death ratio by cancer is positively related to the short life expectancy for male residents. The same, however, was not observed for females.The death ratio by cancer for females in Saku is higher than the Nagano and Japanese averages.These fi ndings suggest that cancer control programs should be implemented for prolonging women's life expectancy in the Saku area hereafter.

著者

三石 清子 宮地 文子 高橋 勝貞 依田 典子 友松 崇悟

出版者

佐久大学

雑誌

佐久大学看護研究雑誌 = Saku University journal of nursing (ISSN:18836593)

巻号頁・発行日

vol.5, no.1, pp.21-29, 2013

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A survey was conducted on foot trouble and the living conditions of 96 aged individuals(43 men and 53 women)who were attending day facilities in the Tohshin area of Nagano Prefecture. The project was carried out to evaluate the keypoints in planning more eff ective foot care for the aged by the nursing profession.Among those taking advantage of the foot care service, 67.7% were rated at nursing care levels that ranged from 1 to 2. Most of these people visited the facility twice a week; and on the questions on outing that required one to wear shoes, it was found that many tended not to leave their home for strolling or shopping. "Rehabilitation shoes" that are easy to put on and remove were currently preferred by most. They did not describe any discomfort even when their shoes were more than 2 ㎝ larger than the actual measurements of their feet, which indicated a lack of awareness vis-à-vis appropriate shoes. More than 90% of the subjects had some trouble with their feet. No statistically signifi cant correlations were found between their foot troubles and their shoes. However, there were some cases that attested to a need for care at the appropriate time, as illustrated by examples where the patients have been wearing high-heeled shoes since they were young, resulting in" overtoes" and diffi culty in trimming their toe nails.The survey indicated a need to promote foot care programs so that those aged individuals who utilize the day care facilities will retain" healthy feet" and continue to live independently. 長野県東信地域の通所施設を利用している高齢者96 人(男性43 人、女性53 人)の足のトラブルと生活状況について調査し、看護職が行う高齢者のフットケアを充実させるための課題を検討した。 対象者は要介護度1~2 の通所者が全体の67.7%を占め、通所回数は週2 回が多く、靴を履いての外出状況では、散歩や買い物に出かけない者が多い傾向がみられた。現在履いている靴は着脱が簡単な介護靴が多く、足の長径の実測値より2㎝以上大きな靴を履いていても違和感がなく、適切な靴に対する関心の低さが伺えた。対象者の9 割以上が何らかの足のトラブルを抱えていた。足のトラブルと靴の関係性は統計学的に有意な関係は認められなかった。しかし若い頃からヒール靴を履いた結果、重なり指となり、自身で爪きりができなくなった事例から、適切な時期に適切なフットケアを実施する必要性が認められた。 通所高齢者が「歩ける足」を保持し、自立した生活を送るために、フットケアプログラムを推進する必要性が示唆された。

著者

竹尾 惠子 七田 惠子 桶田 真吾

出版者

佐久大学看護学部看護学科

雑誌

佐久大学看護研究雑誌 = Saku University Journal of Nursing (ISSN:18836593)

巻号頁・発行日

vol.4, no.1, pp.3-14, 2012-03

---

The purpose of this study is to study the life expectancy in Nagano Prefecture vis-à-vis the whole of Japan while also comparing Saku with the other Nagano cities using the Complete Vital Statistics of 2005.The average life span among male residents was ranked highest among all prefectures of Japan from 1920 to 2005. Statistics for female residents, however, are varied from the 1st to 26 in rank over this same period.The average life expectancy in 81 cities in Nagano was compared and the 10 cities with the longest and shortest spans in rank were plotted onto a prefecture map. The fi ndings are as follows: The cities having the longed life expectancy are located in the center part of Nagano, from north to south for male residents. For females, the longest life spans are found in the center and southern parts of the prefecture. Life expectancy for male residents of Saku city remain in the highest rank among 81 Nagano cities.Female expectancy, ranking 64th out of 81 in 2005, is below the 1995 average.The life expectancies of 0 year-olds, 20 year-olds, and 40 year-olds for Saku females rank in a low position among 81 cities in Nagano: 65th position for 0 year-olds; 52nd for 20 year-olds, and 68th for 40 year-olds.The related factors to length of life expectancy were analyzed. The low ratio of farmers is negatively and high death ratio by cancer is positively related to the short life expectancy for male residents. The same, however, was not observed for females.The death ratio by cancer for females in Saku is higher than the Nagano and Japanese averages.These fi ndings suggest that cancer control programs should be implemented for prolonging women's life expectancy in the Saku area hereafter.