Yamaguchi Medical Journal最新文献_第6页

Learning Effects of Public Health Nursing Practice and Issues on Them 公共卫生护理实习的学习效果及存在问题

Yamaguchi Medical Journal Pub Date : 2020-02-28 DOI: 10.2342/ymj.69.57

S. Isomura, Takae Morita, Miyako Saito, Ayano Kijima

引用次数: 0

Practical Techniques for Finding Community Health Needs in Public Health Nurses Working for Local Governments Activities 为地方政府活动工作的公共卫生护士发现社区卫生需求的实用技巧

Yamaguchi Medical Journal Pub Date : 2020-02-28 DOI: 10.2342/ymj.69.25

Miyako Saito, Takae Morita

引用次数: 1

The Progress and Issues of Community Care Conference in Prefectures with the Highest Aging Rate ?Factor Analysis Affecting Outcome of Community Care Conference? 老龄高发县社区护理会议进展与问题?影响社区护理会议结果的因素分析?

Yamaguchi Medical Journal Pub Date : 2020-02-28 DOI: 10.2342/YMJ.69.39

Masahiro Yokoyama, Masae Tsutsumi

{"title":"The Progress and Issues of Community Care Conference in Prefectures with the Highest Aging Rate ?Factor Analysis Affecting Outcome of Community Care Conference?","authors":"Masahiro Yokoyama, Masae Tsutsumi","doi":"10.2342/YMJ.69.39","DOIUrl":"https://doi.org/10.2342/YMJ.69.39","url":null,"abstract":"地域包括支援センターの専門職が地域ケア会議において,地域ケア会議の理解の促進や地域包括ケアシステム構築のための能力や意欲を身につけることができたかの成果を評価し,またその成果にはどのような要因が影響しているかを明らかにし,地域ケア会議の推進上の課題を探索することを目的とした. 高齢化率上位5県のすべての地域包括支援センターの地域ケア会議に参加したすべての専門職を対象とし,郵送留置自記式による無記名質問紙調査を行った.調査内容は,対象者の基本属性,地域ケア会議に対する基本的理解に関する質問,地域ケア会議に参加した所感に関する質問,地域ケア会議運営の阻害要因に関する質問および地域ケア会議で得られた成果に関する内容とした.回答結果を単純集計するとともに,地域ケア会議の成果に影響を及ぼしている要因を共分散構造分析により分析した. 地域包括支援センターの専門職は,個人的な地域ケア会議に対する準備を前提として,地域ケア会議の基本的理解をし,自己効力感をもつことで具体的な成果が得られるという認識の構造をなしていた. 地域ケア会議推進上の課題として,地域包括支援センターの専門職は,参加者の地域ケア会議に対する理解度を把握し,効果的に地域ケア会議の趣旨や議論する課題や意図を明確に事前に伝達する工夫が必要である.次に,地域のインフォーマルな人的資源の開発という視点をもって地域包括支援ネットワークの一員となり得る人に参加を呼びかけ,さらに地域住民の主体性を形成する意図をもって地域ケア会議に参加する必要がある.さらに,地域ケア会議の検討技術の向上のためには,熟練した専門職が教育的スーパーバイザーを担うことが必要である. 特に,地域ケア会議に対する自己効力感は地域ケア会議の成果を得るための必要不可欠な要因であることが示唆された.","PeriodicalId":166832,"journal":{"name":"Yamaguchi Medical Journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132580565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The Validation of a No-Drain Policy After Thoracoscopic Major Lung Resection 胸腔镜大肺切除术后无引流策略的验证

Yamaguchi Medical Journal Pub Date : 2019-12-11 DOI: 10.2342/ymj.68.119

J. Murakami

引用次数: 1

Current Status for Recent 3 Years and Future Issues of Introductory Medicine for First Grade Medical Students 一年级医学生医学导论课程近3年的现状及未来问题

Yamaguchi Medical Journal Pub Date : 2019-12-11 DOI: 10.2342/ymj.68.145

Arata Nishimoto, 拓郎久永, S. Katsura, T. Fujimiya, B. Shirasawa

引用次数: 0

Perspective of Doctors and Nurses in a General Hospital on End-of-life Care at Group Homes for Older People with Dementia；The Standpoint of a Healthcare Professional and a Family 综合医院的医生和护士对老年痴呆症患者集体之家临终关怀的看法;医疗保健专业人员和家庭的观点

Yamaguchi Medical Journal Pub Date : 2019-12-11 DOI: 10.2342/ymj.68.127

Chizuru Nagata, Masae Tsutsumi, H. Nogaki, Asako Kiyonaga

{"title":"Perspective of Doctors and Nurses in a General Hospital on End-of-life Care at Group Homes for Older People with Dementia；The Standpoint of a Healthcare Professional and a Family","authors":"Chizuru Nagata, Masae Tsutsumi, H. Nogaki, Asako Kiyonaga","doi":"10.2342/ymj.68.127","DOIUrl":"https://doi.org/10.2342/ymj.68.127","url":null,"abstract":"The needs of end‑of‑life care provided at Group Homes （ GHs ） for older people with dementia are estimated to be increased. We investigated the perspective of doctors and nurses working at a general hospital on providing end‑of life care at GHs for future educational activities. We conducted an anonymous self‑administered questionnaire with doctors and nurses about their subjective knowledge and perspective of end‑of‑ life care in GHs using several‑scale model. A total of 193 doctors and 670 nurses provided valid responses. More than 75% of both doctors and nurses had knowledge on GHs. Doctors’ perspective on end‑of‑life care were not different depending on their age, gender, length of period as a doctor, and their stand standpoint as a health professional and a family member. They were agreeable to end‑of‑life care at GHs more than nurses did. Nurses at the age of 40 and over and/or more than 10 years of experience significantly agreed to end‑of life care at GHs especially from the standpoint as a family member. This study suggests that practical workshop for medical staff at general hospitals on their possible involvement in end‑of‑life care at GHs would be effective to promote end‑of‑life care.","PeriodicalId":166832,"journal":{"name":"Yamaguchi Medical Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126307049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Study of Middle Ear Surgery 中耳手术的临床研究

Yamaguchi Medical Journal Pub Date : 2019-12-11 DOI: 10.2342/ymj.68.139

H. Shimogori

引用次数: 0

Changes of Student’s Questionnaire Evaluation after Practice with Expanded Clinical Clerkship 扩大临床见习后学生问卷评价的变化

Yamaguchi Medical Journal Pub Date : 2019-08-09 DOI: 10.2342/ymj.68.75

T. Hisanaga, S. Katsura, Arata Nishimoto, T. Fujimiya, B. Shirasawa

{"title":"Changes of Student’s Questionnaire Evaluation after Practice with Expanded Clinical Clerkship","authors":"T. Hisanaga, S. Katsura, Arata Nishimoto, T. Fujimiya, B. Shirasawa","doi":"10.2342/ymj.68.75","DOIUrl":"https://doi.org/10.2342/ymj.68.75","url":null,"abstract":"今日の医学教育において臨床技能教育の強化が求められていることに対応し,本学では2017年から医学科5,6年生の診療参加型臨床実習(クリニカル・クラークシップ:以下,クリクラ)の期間を延長した.本学では総合電子システムeYUMEを用いて学生の実習評価を毎年集計しており,本研究ではこれを活用し,期間延長後(2017年)の学生評価を期間延長前(2016年)およびクリクラ開始期(2014 年)と比較した.結果,2016年との比較では,満足度や経験患者数・疾患の種類,経験事項など全ての項目で肯定的回答が増加しており,特に病歴聴取, 指導医からの学習の援助やロールモデルとしての評価で統計的にも有意差があった.また,2014年との比較では,上記全ての項目で肯定的回答が有意に増加していた.クリクラの実習プログラムや現場での指導が教員・施設の取り組みにより毎年改善・発展していることに加え,今回の期間延長による経験や学習の援助の増加が要因と考えられる.なお,自由記載でも実習に対する肯定的意見が多く,期間延長に伴う新たな否定的意見は認められなかった.以上より,本学における実習期間の拡大は一定の成果を得ており,今後も学生・教員からの意見,アウトカム評価等をもとに内容の充実化を進めていく予定である. 背景","PeriodicalId":166832,"journal":{"name":"Yamaguchi Medical Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125811775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case of Severe Pseudomembranous Colitis with Septic Shock 严重假膜性结肠炎合并感染性休克1例

Yamaguchi Medical Journal Pub Date : 2019-08-09 DOI: 10.2342/ymj.68.81

Yuka Yano, T. Kuga, Ryuunosuke Sakamoto, M. Shigeta

引用次数: 0

Grief Process and Care Needs of Bereaved Spouses：the Period from Diagnosis of Disease to One Year after the Loss of the Partner 丧偶配偶的悲伤过程与照顾需求:从疾病诊断到丧偶后一年的时间

Yamaguchi Medical Journal Pub Date : 2019-08-09 DOI: 10.2342/ymj.68.55

Ayako Eto, R. Azuma

引用次数: 0