民族衛生
Online ISSN : 1882-868X
Print ISSN : 0368-9395
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73 巻 , 1 号
選択された号の論文の5件中1~5を表示しています
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  • 鏡森 定信
    73 巻 (2007) 1 号 p. 1-2
    公開日: 2010/06/28
    ジャーナル フリー
  • 馮 巧蓮, 堀口 逸子, 清水 隆司, 羊 利敏, 丸井 英二
    73 巻 (2007) 1 号 p. 3-13
    公開日: 2010/06/28
    ジャーナル フリー
    To date, there have been only few studies which investigated the situation of care for the elderly and caregiver burden in China. We performed a structural interview with 172 frail elderly and their caregivers, in pairs, in Shenyang City, China, after explaining the purpose of our study and obtaining consent. The interview was comprised of the Chinese version of the Zarit Caregiver Burden Inter view (ZBI) questionnaire, Activities of Daily Living (ADL) questionnaire and questions on the char acteristics of the elderly and his/her caregiver. Responses from 150 elderly-caregiver pairs (87%), sufficient for analysis, were collected. Caregivers with high burden were defined as those who scored 51 points or more out of 88 points (66l or higher) on the ZBI. There were significant differences in ADL of frail elderly, caregiver's age, average number of hours of caregiving per day and elderly-caregiver relationship between caregivers with and without high burden from x 2 analysis. Using a multi variate logistic regression, we found that caregiver burden was associated with ADL of frail elderly, caregiver's age and elderly-caregiver relationship. The results of this study showed that ADL of frail elderly, caregiver's age, average daily hours of care provided and relationship between elderly and their caregivers affect burden among caregivers in China.
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  • 濱田 佳代子, 宮腰 由紀子, 井上 正規
    73 巻 (2007) 1 号 p. 14-30
    公開日: 2011/02/25
    ジャーナル フリー
    The present study investigated changes in the health-related quality of life (HRQOL) of patients with chronic hepatitis C by identifying differences in patients'attributes during the first six months of interferon therapy and the factors related to these changes. Subjects were 35 patients with chronic epatitis C who responded to a total of 4 questionnaire surveys that were conducted at the time of hospitalization, one month after medical treatment began, after three months of treatment, and after six months of treatment. The main findings are as follows : In males, "mental health" HRQOL scores declined, and these reduced scores were maintained for six months. In females, "physical functioning" HRQOL scores declined, and these reduced scores were maintained for six months. For middle-aged patients, "role-physical" and "role-emotional" scores declined. For employed patients, "physical functioning", "role-physical", "bodily pain", "vitality", "social functioning", "role-emotional", and "mental health" scores declined, and these reduced scores were maintained for six months. The present findings suggest that sex, age, and employment are factors associated with HRQOL. In addition, since negative correlations were observed between HRQOL subscale scores and side effect scores, side effects are considered to have influenced HRQOL scores. With respect to HRQOL and self-efficacy, different correlations were observed depending on when during the treatment they were assessed. In order to maintain or improve the QOL of patients with chronic hepatitis C, future research must investigate continuous support systems that correspond to physical and mental changes and consider patients'attributes.
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  • Yuko HIRANO, Mayumi SAKITA, Yoshihiko YAMAZAKI, Kaoru KAWAI, Miho SATO
    73 巻 (2007) 1 号 p. 31-43
    公開日: 2010/06/28
    ジャーナル フリー
     本研究の目的は,都市一般住民を対象に,ホープ尺度の口本語版Herth Hope Index(HHI)12項目の信頼性および妥当性を示した上で,HHI得点とその関連要因について明らかにすることである。東京都N区と埼玉県T市在住の20歳以上70歳未満の男女各300名計600名を対象に,無記名自記式質問紙での郵送配票調査を実施した.分析対象者は255名,有効回収率は46.2%であった.日本語版HHI12項目は,Cronbachα 係数0.89,確証的因子分析により3次元性が示され,生きがい感とベネフィット・ファインディングと強い正の相関が認められたことから,信頼性と構成概念妥当性は概ね示されたと言える.HHI平均得点は35.5点であった.HHI得点の関連要因の検討のため階層的重回帰分析を行った結果,年齢が高い人ほど,配偶者がいる人で,ソーシャルサポートを提供してくれる人が十分にいる人でHHI得点が有意に高かった.また,年齢が若い人は,ソーシャルサポートの受領が十分に得られることで年齢が高い人と同じレベルのHHI得点を維持している可能性,女性は男性に比べて,ソーシャルサポートの受領がより十分に得られていることによってHHI得点が男性より高くなっている可能性が示された.逆境経験と病い経験とは有意な関連は見られなかった.以上より,重篤な病いをもつ人々を対象とした先行研究と比べると,本研究では,一般住民のHHI得点は決して高い値ではないこと,HHI得点の特有の関連要因として年齢があげられること,ソーシャルサポートの受領はHHI得点に対して媒介効果をもつことが明らかになった.
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  • 73 巻 (2007) 1 号 p. 44
    公開日: 2011/02/25
    ジャーナル フリー
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