Purpose: The present study evaluated "community support systems (structure)" with "possibility of home-care correspondence for patients with intractable neurological disease (process)" as an indicator using elements in the Donabedian health care quality evaluation, to examine whether community support systems for patients efficiently improve the home-care situation.Method: Support systems and home-care correspondence for model cases of intractable neurological diseases within the competence of each health center in 1997 and 2000 were investigated. A multiple linear regression analysis was performed with correspondence level as a response variable and support system as an explanatory variableResult: The multiple linear regression analysis showed that correspondence levels were higher when the number of visiting nursing stations, frequency of evaluations for home care support, and frequency of intermunicipal information exchanges were higher (P=0.028, P=0.026, and P=0.013, respectively).Conclusion: Each health center is required to review local health care systems for patients with intractable neurological diseases in terms of number of visiting nursing stations, frequency of evaluations for home care support, and intermunicipal information exchanges to provide more substantial local support systems.
It has been suggested that Type A Behavior Pattern is more frequently observed among nurses than among workers in other professions. It can be assumed that the elevated prevalence of Type A Behavior Pattern among working nurses would also be evident among nursing students. Therefore, in order to clarify the prevalence of Type A Behavior Pattern among nursing students, we examined eating habits as one factor related to Type A Behavior Pattern, and attempted to elucidate the relationship between eating habits and Type A Behavior Pattern. The following results were obtained: 1. According to total scores on the Type A questionnaire of KG's Daily Life Questionnaire, the prevalence of Type A Behavior Pattern among nursing students was approximately equal to previously reported values for university students; however, scores for the sub-scale of aggression-hostility were lower, and scores for the hard-driving temperament, time urgency, and speed-power sub-scales were elevated. 2. Comparison of the results of the national nutrition survey among students in the same cohort indicated that nursing students had a reduced nutritional intake. Thus, we identified the "traditional type vs. modern type" and "necessary vs. nonessential" eating-habit factors that differ from the "traditional type vs. modern type" and "staple food vs. main and side dishes" factors extracted by a previous factor analysis of general Japanese women's eating habits. 3. Only the hard-driving temperament and time urgency sub-scale of the Type A questionnaire was observed to be related to factor scores on the summarized index of food intake.
Conducting randomized clinical trial (RCT), which is indispensable for developing new treatments, requires participation of study subjects. We investigated the receptivity of participating as study subjects using questionnaire. A self-report questionnaire survey of 401(264 males, 137 females) teaching and non-teaching staff members in non-medical, non-dental, or non-pharmaceutical schools of a university and its affiliate schools located in the Tokyo metropolitan area was conducted in 1995. We obtained the receptivity rates of participating as RCT study subjects and compared the values between the various subgroups. The receptive rate of participation as RCT study subjects was more than 50% from the questionnaire survey in the present study. It is, however, difficult to conclude that the value shows true status in Japan, because most Japanese reply from their true intention (honne) on one occasion but from stated intention (tatemae) on another. This derives from the long history and ingrained culture of Japan. It is not reasonable to assume that many Japanese will agree to participate as RCT study subjects from their true intention. Study subjects of questionnaire surveys reply to unexperienced items as concepts as opposed to items that have actually been experienced. It is reasonable to assume that the most respondents to the present study have not experienced participating as RCT study subjects because RCTs participants are much smaller in number than the general population. In the present study, the absolute RCT receptive rates must contain a large bias, while relative comparisons between the RCT receptive rates of subgroups may be reliable. Therefore, it may be difficult to conduct RCTs in Japan in the future.