教育医学
Online ISSN : 2434-9127
Print ISSN : 0285-0990
63 巻, 3 号
選択された号の論文の7件中1~7を表示しています
  • 臼井 達矢, 辻 慎太郎, 永井 伸人, 竹安 知枝
    2018 年 63 巻 3 号 p. 227-240
    発行日: 2018年
    公開日: 2021/10/01
    ジャーナル オープンアクセス
    抗菌性ペプチド群は自然免疫に属し,感染に対する第一線の防御機構として機能するだけでなく,獲得免疫系を誘導し活性化させる働きを有している.抗菌性ペプチド群は,歯科学や口腔衛生学などの領域で重要とされており,口腔の健康や感染症との関連について報告されているものの,運動の影響に関しては報告されていない.そこで本研究では抗菌性ペプチド群に対する一過性高強度運動の影響について検討した.若年男性7名に対し,高強度運動を実施させ,抗菌性ペプチド群としてLL-37とHBD-2,さらに唾液免疫として広く知られている唾液免疫グロブリンA(IgA),ストレスホルモンとして唾液コルチゾールおよびカテコラミンをELISA法により測定した.HBD-2およびLL-37濃度は運動直後と回復期において有意に増加し,IgAは運動後に有意に減少した.抗菌性ペプチド群の発現と一過性の運動ストレスに対する影響については,AUCLL-37とAUCコルチゾール,AUCHBD-2とAUCコルチゾールとの間に有意な負の相関が認められた.一過性の高強度運動により,ストレスホルモンであるコルチゾールが増加し,運動による抗菌性ペプチドの増加量を抑制することが示された.
  • 小木曽 加奈子, 樋田 小百合, 渡邊 美幸
    2018 年 63 巻 3 号 p. 241-251
    発行日: 2018年
    公開日: 2021/10/01
    ジャーナル オープンアクセス
     本研究の目的は病院の外来看護師が認識する認知症高齢者の在宅療養における現状と課題を明らかにすることである.研究の同意が得られた設立5年以上が経過した3つの病院を対象とした.各施設に対して外来の看護職2名を看護部長に人選を依頼し,計6名を対象者とした.インタビューは,対象者の同意を得て集積回路(IC)レコーダーに録音し,逐語的に記述した.データ分析は,質的帰納法を用いた.その結果,対象者は女性6名であり,平均年齢は47.3±5.0であった.認知症高齢者の在宅療養へのシームレスケアの現状と課題は,①地域における多職種協働のシームレスケアの実践,②患者の認知力に応じた外来での看護師の役割,③在宅療養,④認知症を認識したケア,⑤専門職としてのスキルアップ,⑥家族側の事情の6つのカテゴリーとなった.在宅療養を継続するには,認知症高齢者に対するシームレスケアとして必要な医療や生活支援が必要であることが示唆される.
  • 樋田 小百合, 小木曽 加奈子, 渡邊 美幸
    2018 年 63 巻 3 号 p. 252-259
    発行日: 2018年
    公開日: 2021/10/01
    ジャーナル オープンアクセス
    This study aimed to obtain basic data on the current situation of and problems with the use of elderly dementia patients’ abilities, as recognized by floor nurses working at hospitals for community-based care. To this end, an interview survey was conducted. The following three categories were extracted on the current situation of the use of elderly dementia patients’ abilities: “being involved in the transition to recuperating at home,” “dealing with elderly dementia patients while being aware of their abilities during their hospital stay,” and “understanding elderly dementia patients’ abilities with reference to their lives after leaving the hospital, through multi-occupation cooperation.” The following two categories were extracted as problems with the use of elderly dementia patients’ abilities: “elderly dementia patients are in a state in which their abilities cannot be used” and “owing to dementia, patients’ abilities are difficult to use.” Regarding the use of elderly dementia patients’ abilities recognized by nurses who were engaged in community-based care, the nurses reported that they tried to maintain the patients’ everydayness by regulating the rhythm of their daily lives and having them interact with each other. However, when the patients’ safety and treatment were prioritized, their abilities could not be exerted in many cases.
  • 萩原 悟一, 下園 博信, 黒田 次郎, 大下 和茂, 秋山 大輔, 中田 征克
    2018 年 63 巻 3 号 p. 260-265
    発行日: 2018年
    公開日: 2021/10/01
    ジャーナル オープンアクセス
    The purpose of this study was to examine the relationship among behavior of Japanese elite athletes and intention of sports persistency in collegiate athletes. The participants were 297 Japanese collegiate athletes (Age M=19.16±.93). First, we developed the scale of assessing Japanese elite athletes’ behaviors. The scale was 6 factors and 12 items, and validity and reliability of the scale was confirmed. Secondly, we examined the relationship among behavior of elite athletes and intention of sports persistency in collegiate athletes, and the results indicated that challenging behavior and sportspersonship behavior of elite athletes were effected to athletic identity of collegiate athletes, and athletic identity indicated intention of sports persistency. The results of this study might indicate the behavior of elite athletes effects the psychological aspects of adolescent sports participant, thus, elite athletes’ behavior is important for sports participants.
  • 稲垣 良介, 水沢 利栄, 田邊 章乃
    2018 年 63 巻 3 号 p. 266-273
    発行日: 2018年
    公開日: 2021/10/01
    ジャーナル オープンアクセス
    This study used a risk prediction training method as part of a drowning prevention lesson for elementary school students. In the risk prediction training class, illustrations of rivers and oceans were used. At the beginning of the class, students were told to find any risky issues in the illustrations, and then were asked to think about how to address these issues. Words that students used in their worksheets during the class were analyzed using the KJ (Kawakita, Jiro) method. In addition, a questionnaire survey about risk awareness and action-taking awareness was administered. Results demonstrated that while students were aware of other persons’ behaviors as depicted in the illustrations, they did not pay adequate attention to the surrounding environment. This study suggests that using risk prediction training may have potential to impact students’ risk awareness in a positive way.
  • −高齢者看護学実習における看護学生の意識に焦点をあてて−
    平澤 園子, 樋田 小百合, 青木 郁子
    2018 年 63 巻 3 号 p. 274-279
    発行日: 2018年
    公開日: 2021/10/01
    ジャーナル オープンアクセス
     We interviewed six third-year junior college nursing students regarding how nursing students utilize the "strengths" of elderly patients in their nursing practice. From these interviews, the following three categories were extracted: 1) "ascertaining the ‘strengths’ of elderly patients," 2) "incorporating the ‘strengths’ of elderly patients into nursing care," and 3) "inability to incorporate the ‘strengths’ of elderly patients into nursing care."At the stage when nursing students utilize the "strengths" of elderly patients in nursing care, the students were able to elicit the "strengths" of elderly patients when they successfully incorporated "feasible tasks," "potentially feasible tasks," and "good conditions that elderly patients desire" into nursing care. In contrast, when they were unable to elicit feelings regarding "good conditions that elderly patients desire" or unable to overcome the preconception that there are no "feasible tasks," they were unable to incorporate the "strengths" of elderly patients into nursing care. During practical training in gerontological nursing, it is vital that students shift their focus to "good conditions that elderly patients desire" in addition to nursing problems faced by elderly patients. The results of this study suggest that to achieve this shift in focus, teachers and instructors must provide guidance regarding the "strengths" of elderly patients to indicate the direction of nursing that students should take according to each situation.
  • 山本 貴大, 久保田 浩史, 滝 優里花, 山本 浩貴, 麻草 淳, 松本 香奈, 石川 美久, 横山 喬之, 生田 秀和
    2018 年 63 巻 3 号 p. 280-285
    発行日: 2018年
    公開日: 2021/10/01
    ジャーナル オープンアクセス
    This study aimed to examine low-frequency personal training effects on the elevation weight of chest and leg presses in a fitness club. The participants included 20 females who exercised thrice a week in the fitness club. Furthermore, they were randomly separated into two groups, i.e., personal training (PT) group: 11 females (mean age, 54.9 ± 10.9 years; mean height, 158.7 ± 5.0 cm; mean body weight, 53.6 ± 8.5 kg) and control (C) group: 9 females (mean age, 57.8 ± 10.6 years; mean height, 156.5 ± 5.2 cm; mean body weight, 55.8 ± 9.5 kg). They were also instructed to perform training to increase the elevation weight of chest and leg presses. Training was performed thrice a week for 12 weeks. The PT group performed personal training with a personal trainer once a week, and they followed the training menu that the personal trainer made twice a week. The C group performed training thrice a week without the trainer. The elevation weights of chest and leg presses were measured by 6 RM test. The elevation weights of chest and leg presses in the PT and C groups after training was significantly large than that before training. In addition, the elevation weights in the PT group after training was significantly large than in the C group. Although the elevation weight of chest and leg presses in both the groups were increased by the training, the amount of increase in the PT group was large compared to the C group. Low-frequency personal training increased the elevation weight than the training without a trainer.
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