Journal of Japan Society of Nursing Research
Online ISSN : 2189-6100
Print ISSN : 2188-3599
ISSN-L : 2188-3599
Volume 25, Issue 1
Displaying 1-8 of 8 articles from this issue
  • -Looking for-
    Michie Ohno, Keiko Sakamoto, Satoshi Shiraishi
    2002 Volume 25 Issue 1 Pages 1_35-1_43
    Published: April 01, 2002
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    Atopic dermatitis in adult is a disease of chronic or chronically relapsing dermatitis and difficult to cure. The participants with atopic dermatitis in adult tend to change hospitals from place to place to test various cures. And they use various folk remedies including water, bath powder, soap, herbal medicine, and health food.
    The purpose of this study was to clarify the behavioural model of experience of participants.
    This study was qualitative research, and data were generated from semi-structured interview. 10 participants were selected : seven men and three women. The procedure of analysis from verbatim transcriptions of interviews and field notes contained eight phases.
    From the data analysis, the behavioural model was revealed "looking for" as a core variable, which included three categories: Participant's acceptance of atopic dermatitis ; Desire of getting well; Feelings that conflict with "will be cured", "may be cured", "will not be cured" and "may not be cured".
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  • -A Survey at Large General Hospitals-
    Yuko Asano
    2002 Volume 25 Issue 1 Pages 1_45-1_56
    Published: April 01, 2002
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    A survey by self-administered questionnaire was conducted at four large general hospitals in Tokyo to find out the characteristics of career orientation among nurses. The subjects were female staff nurses who had more than five years of clinical experience. 344 (82.5%) valid responses were obtained. Referring Schein's "Career Anchor," career orientation in this study was classified into six categories ; "managerial/administrative," "specialist," "generalist," "job security," "autonomy/ independence" and "dedication to others." The most prevalent orientation was the "specialist" (32.8%), followed by the "generalist" (16.6%) orientation. "Specialists" had more learning motivation than others. Among "specialists," self-ratings of on-site working abilities were more closely related to career satisfaction than universal competence, which implied they had strong identity ties with the organization. Among "generalists," on the other hand, universal competence was more closely related to career satisfaction, and working condition had greater importance than job contents, which meant they put emphasis on "adjustability" to any organization.
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  • Kanako Okada, Chieko Kawata, Ei-ichi Hata, Masakazu Nakamura
    2002 Volume 25 Issue 1 Pages 1_57-1_68
    Published: April 01, 2002
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    <Purpose> The purpose of this study was to show the response of smoking related lesson by those student nurses who participated in it. <Methods> This study was conducted in 1994. The sample size was 674 female students from nursing colleges. Self-administered multiple choice questionnaires were used for the pre-test (1-2 weeks before the lesson) and the immediate-after test (just after the lesson). <Results and Discussion> Many of the non-smokers (no cigarettes per week) stated that they were annoyed by passive smoking, but they also stated "Smoking is not my concern" in the immediate-after test. Many of the occasional smokers (1-29 cigarettes per week) stated "Smoking is my concern" in the immediate-after test, so it appears that this lesson is suitable for the occasional smokers. Many of the habitual smokers (30 or more cigarettes per week) were not interested in this lesson. They psychologically rejected the lesson's content as it went against their smoking behavior.
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  • Rumiko Kimura, Kimiyo Nanke, Hitomi Kawata
    2002 Volume 25 Issue 1 Pages 1_69-1_76
    Published: April 01, 2002
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    This study was performed in order to determine the influence of clinical experience and age on nurse career development, as viewed from the self-evaluation of "ability".
    1. Subjects who participated in this study ranged in age from their 20's (56.2%) to their 50's, most of them having experience of more than 15 years.
    2. Factor analytic studies of self-evaluation of ability extracted five factors.
    The factors were: cooperation, reliability, planning, logic, and perseverance.
    3. Based on a comparison of the age groups, three factors showed recognizable differences: reliability, planning, and logic. The three factors showed higher scores for the older age group.
    4. Based on a comparison of the number of years of clinical experience, recognizable differences were found in four factors : reliability, planning, logic, and perseverance. These factors showed higher scores for those with longer clinical experience.
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  • Kaoru Ishioka, Seiko Kudo, Toshiko Tomisawa, Hideaki Yamabe, Shingo Ta ...
    2002 Volume 25 Issue 1 Pages 1_77-1_85
    Published: April 01, 2002
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    Bronchial asthma is a chronic disease that repeats attack and remission. So it is important to appraise QOL in patients with asthma. The patients' selfcare is also important for controlling their conditions, and it is necessary to support their positive selfcare. This study was designed to examine the relationship among patients' background, health concept, QOL, and the state of selfcare which they usually employ to know the factors influencing QOL. As a result, QOL was related to the disease severity and the patients' health concept. The more severity got worse, the more QOL lowered. So it is necessary to appraise QOL according to the individual severity of the disease. The patients having health concept that health is controlled by chance had high QOL. The patients having this health concept may easily find satisfaction by leaving themselves to chance. The patients who have selfcare tended to think that health is controlled by oneself as compared with the patients who do not have selfcare. It is important to enhance the self-reliant mind of patients for establishing selfcare.
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  • Junko Fukuda, Yayoi Kamakura, Tadashi Kitaike, Masami Nojiri
    2002 Volume 25 Issue 1 Pages 1_87-1_99
    Published: April 01, 2002
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    The purpose of this study was to develop a dysphagia risk assessment scale for elderly persons living at home. The scale was constructed dysphagia by aging and disorders : "preparatory-oral dysphagia," "pharyngeal dysphagia," "esophageal dysphagia," and sequela to dysphagia : "aspiration," "aspiration pneumonia," and "malnutrition", containing of 24 items. A structured interview of 81 elderly in an institution was used to select appropriate survey items. A self-reporting investigation of 658 elderly persons living at home was used to examine the scale validity and reliability. The 3-oz water swallow test was conducted as the gold standard. The results were as follows.
    Seventeen items were selected from the results of an internal consistency analysis. Construct validity was analyzed by factor analysis. The four factors obtained from the analysis were called "aspiration," "pharyngeal clearance problems," "impairment of propelling the bolus and triggering pharyngeal swallow," and "esophageal dysphagia." Reliability was analyzed by internal consistency and test-retest. Cronbach's α was 0.90 and test-retest correlation was 0.62 as for overall scores. The cut-off point was put at 4 points according to Receiver Operator Characteristic curve. The sensitivity was 0.571 and the specificity was 0.696.
    Based on the above-described results, the scale has sufficient validity and reliability.
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  • Hiroko Kunikata, Kazuo Nakajima, Nagako Takagi, Kenichi Takai
    2002 Volume 25 Issue 1 Pages 1_101-1_109
    Published: April 01, 2002
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    The aim of this study was to clarify psychiatric nurses' perception of the effect of recreation therapy in psychiatric nursing. 730 subjects offering recreation therapy at 97 institutions all over the country completed a questionnaire comprising 42 questions regarding the effect of recreation therapy. The data obtained were analyzed using exploratory factor analysis. Three factors were identified, with "activity" and "relativeness" as first-order factors and "nurses' effectiveness evaluation" as a second-order factor. The second-order factor model was found to fit in with the data. The result suggests that it is necessary to develop a scale to evaluate the effect of recreation therapy using two first-order factors.
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  • Chie Fujii, Hisataka Sakakibara
    2002 Volume 25 Issue 1 Pages 1_111-1_118
    Published: April 01, 2002
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    It has been recognized that preventive measures against lifestyle-related diseases are necessary from youth. To investigate health conditions and their relation to lifestyles in young males, 128 males aged 20-33 (mean ; 28.9) belonging to a community fire brigade were given health examinations and self-administered questionnaires. Hyperuricemia (serum uric acid ≧ 7.1mg/dl) was found in 25.8% of them, and overweight (BMI ≧ 24.3 kg/m2) in 27.3%. The Hyperuricemia was significantly associated with overweight (p<0.01), and tended to be frequently observed in persons with physical activity, drinking and smoking habits. Multiple logistic regression analysis revealed that overweight was independently correlated with hyperuricemia (OR 2.81, 95%CI 1.43-5.55, p<0.01). Overweight persons had higher uric acid, total cholesterol, triglyceride, γ-GTP, blood pressure, and lower HDL-cholesterol than those with normal or lower weight. Fire brigade members with hyperuricemia were likely to have hyperlipidemia, glucose intorelance, hypertension, and overweight as well (p<0.05). Hyperuricemia was encountered in 40.6% of persons with little concern about their own health examination results, against 19.4% in those with such concern (p<0.05). The present findings suggest that attention should be paid to lifestyle-related diseases or multiple risk factor clustering syndrome in young males, and that it is important to take preventive measures against such diseases in young males as a community health service.
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