Japanese Journal of Public Health Nursing
Online ISSN : 2189-7018
Print ISSN : 2187-7122
ISSN-L : 2187-7122
Volume 8, Issue 3
Displaying 1-9 of 9 articles from this issue
Foreword
Research Article
  • Kazusa Hao, Masako Kageyama
    Article type: Research Article
    2019 Volume 8 Issue 3 Pages 126-134
    Published: 2019
    Released on J-STAGE: December 27, 2019
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    Purpose: The purpose of this study was to describe the perceived life experiences, awareness of parental illness, coping methods, and perceived need for support during childhood among adults who had a parent with mental illness.

    Methods: A group interview was conducted with six adults aged 20–59 years. Data were transcribed and analyzed descriptively.

    Results: All participants had mothers with mental illness. The participants reported experiencing an “unsettled home,” “trouble sleeping,” “economic difficulties,” “difficulties in academic work and friendship,”, and a need to provide “assistance with housework,” “emotional care for their parent,” and “medical care for their parent” during childhood. Categories that emerged from the data reflected an awareness of the parental illness and strategies for coping were “awareness of being different from other families,” “awareness of the parental illness left their situation unchanged,” “burdened by awareness of parental illness,” and “under need for support,” In addition, participants needed an “explanation of the illness” and “assertive support.”

    Discussion: Parental illness affects the lives of their children, which could be improved by providing the necessary support.

  • Reiko Mori, Satoko Yanagisawa, Yoko Nagata
    Article type: Research Article
    2019 Volume 8 Issue 3 Pages 135-144
    Published: 2019
    Released on J-STAGE: December 27, 2019
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    Objective: The aim of this study was to explore the perceptions of risk factors for treatment default among public health nurses in Filipino patients with tuberculosis to contribute to successful Directly Observed Treatment, Short-Course (DOTS).

    Methods: Seven nurses working at public health centers in a local area, who were experienced in DOTS implementation among Filipino patients with tuberculosis, were interviewed about the factors that contributed to DOTS default among their patients. Data were analyzed using qualitative inductive methods.

    Results: From the interview data, seven categories and 14 sub–categories emerged. Categories included “being a nationality different from Japanese,” “having different understandings of the disease and routine regarding medical center visits,” “having an irregular lifestyle as a result of economic difficulties,” “feeling burdened by transportation expenses related to medical center visits,” “the absence of reliable assistance or support for administering medication,” “insufficient health guidance caused by language barriers,” and “a poor health management system for foreign workers who immigrate to Japan.”

    Discussion: DOTS default among Filipino patients with tuberculosis appears to be associated with factors that caused by inadequate understanding of treatment owing to language barriers and by understanding the intercultural and international characteristics and differences as well as the challenges of medication interruption that occur in work and home environments.

  • Nami Nagao, Hiromi Ezaki, Junko Torii, Satoshi Irino, Satsuki Nagai, M ...
    Article type: Research Article
    2019 Volume 8 Issue 3 Pages 145-152
    Published: 2019
    Released on J-STAGE: December 27, 2019
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    Objective: This study aimed to identify preventive behaviors targeting cognitive decline and associated factors in late middle-aged residents.

    Method: An anonymous self-report postal questionnaire was sent to 2,400 randomly selected late middle-aged residents (aged 50–69 years) of Town A. The questionnaire assessed the presence or absence and details of preventive behaviors, interest in preventing cognitive decline, contact among people with dementia, and social support regarding behavior modification.

    Results: Of the 909 valid questionnaire responses, 331 people (36.4%) implemented preventive behaviors targeting cognitive decline; among these, the three most frequently reported behaviors were reading newspapers and books, considering nutritional balance during meals, and thinking while cooking. Factors associated with implementing preventive behaviors were the female sex aged 60–69 years, unemployment, high interest in preventing cognitive decline, contact with people with dementia, social support regarding behavior modification.

    Discussion: The results of this study suggest that people who engage in preventive behaviors targeting cognitive decline need encouragement to maintain their activities by communicating that these behaviors are worthwhile in preventing cognitive decline. Those who are not implementing preventive actions should be encouraged to think of familiar role models by introducing them to the details of preventive behaviors targeting cognitive decline.

  • Yoko Ishii, Kazue Ninomiya, Sanae Tomita
    Article type: Research Article
    2019 Volume 8 Issue 3 Pages 153-162
    Published: 2019
    Released on J-STAGE: December 27, 2019
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    Objective: The present study aimed to clarify the characteristics of interpersonal support activities and specific interpersonal support competence of public health nurses at child guidance centers using quantitative text analysis.

    Method: Individual semi-structured interviews were conducted with seven public health nurses with experience in working at child guidance centers. Furthermore, quantitative text and qualitative descriptive analyses were used to examine the interview content.

    Results: Quantitative text analysis revealed the following three features of interpersonal support activities: “Acts with the awareness of a public health nurse at child guidance centers”, “support based on the individual and area”, and “acts as a team staff at the child guidance center.” These activities used the assessment, support, and coordination competencies shown in the ladder. In addition, the basic competencies, such as ethics/responsibility, communication, coordination/flexibility, originality/positivity/starting ability, and identity, were the sources of these competencies.

    Discussion: For improving the practical interpersonal support competence of public health nurses at child guidance centers, a detailed evaluation of assessment, support, and coordination competencies may be necessary. Furthermore, specific human resource development that can improve these competencies is essential.

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