Journal Article 生活習慣病予防に向けて学校・企業と連携した市町村保健師のライフサイクルの視点と活動内容
The life cycle perspectives and lifestyleƒrelated disease prevention of municipal public health nurses in cooperation with schools and workplaces

高橋, 秀治  ,  石丸, 美奈  ,  宮﨑, 美砂子

23 ( 1 )  , pp.81 - 89 , 2017-08-31 , 千葉看護学会
ISSN:13448846
NCID:AA11354292
Description
[抄録] 目的:市町村保健師が学校や企業と連携した生活習慣病予防活動で用いたライフサイクルの視点とその活動内容の特徴を明らかにし,地域における生活習慣病予防活動の展開方法を考察する。方法:学校や企業と連携した生活習慣病予防活動の企画・運営・評価に中心的に携わった保健師5名を対象とし,面接ガイドを用いた半構成的面接調査を実施し,活動の時期別に質的帰納的に分析した。結果:ライフサイクルの視点は《基盤形成期》では【過去や以前の発達段階に遡り判断する予防の必要性】等2つ,《活動期》では,【次世代や将来に向けた影響】等4つ,《発展期》では,【地域の健康課題解決に向けた新たな文化・慣習の創造】等4つのカテゴリーに集約された。また,ライフサイクルの視点を持った活動は《基盤形成期》では,【生活習慣病の問題の構造を推察し発信する】等3つ,《活動期》では【世代間の連鎖・伝播を考慮した保健活動の展開】等5つ,《発展期》では,【住民や連携相手のエンパワーメント】等3つのカテゴリーに集約された。考察:地域における生活習慣病予防の展開方法とは時間軸と世代間の伝承性・継承性の観点から対象を捉え,家族や集団,地域において世代間で及ぼす作用や影響の連鎖を活動に用いる判断を行う。そして,先の発達段階を見越してセルフケアできるよう支援し,支援の受け手から地域全体の健康づくりの担い手となるよう活動することであった。
[ABSTRACT] Purpose: To clarify municipal public health nurses’ perspectives concerning the life cycle and prevention of lifestyle-related diseases used in cooperation with schools and workplaces, and to consider lifestyle-related disease prevention methods in the community. Method: We conducted semi-structured interviews with five municipal PHNs who played a central role in lifestyle-related disease prevention in cooperation with schools and workplaces. We carried out an inductive analysis, and the prevention of lifestyle-related diseases was classified into three phases: creating a foundation, practicing cooperative activities, and developing cooperative activities. Results: For life cycle perspectives, phase one was determining the need for prevention by recalling the past or a previous stage of development; phase two was guessing the impact on the future and subsequent generations; phase three was creating new cultures and customs to solve the region’s health issues. For perspective of the life cycle in lifestyle-related disease prevention, phase one was disclosing the guessing on the structure of the problem concerning lifestyle-related diseases; phase two was preventing lifestyle-related diseases considering intergenerational ties; phase three was empowering citizens and collaborators. Discussion: A method of preventing lifestyle-related disease in the community was developed, and is comprised of is assessing the subjects from the point of view of transmission and inheritance between time and the generations, and utilizing relationships in community from the perspective of connections and intergenerational impact, which includes subjects’ own self-care through anticipating the next stage of development. This also includes supporting the subjects as potential providers of care services, themselves, in addition to recipients of care.
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http://opac.ll.chiba-u.jp/da/curator/104118/S13448846-23-1-P081-TAK.pdf

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