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Factors that Affect the Estimated Revenue of Kantaki Services: 影响Kantaki服务预估收入的因素:
Pub Date : 1900-01-01 DOI: 10.14391/ajhs.20.34
Rika Watanabe, Eiko Nakanishi, Kuniko Haga, H. Ono, M. Muya, Kenji Awamura, Masashi Manabe, M. Nii, Takanori Kawano, R. Sakashita
Objectives: In order to cope with a rapidly aging national population, the Japanese government promotes the use of a comprehensive community care system known as Kantaki, which was established in 2012. Aimed at older populations, Kantaki offers a variety of services, including home-visit nursing care, day care, and overnight care. This study clarified the factors that affect the estimated revenue of Kantaki services through a secondary analysis of detailed information released by the Ministry of Health, Labour and Welfare (MHLW). Our goal was to provide information that may facilitate the stable management of Kantaki operations across Japan. Methods: We conducted a secondary analysis of official statistics data and detailed information released by the MHLW in April 2020. As such, we calculated the estimated revenue for Kantaki services. We then conducted a logistic regression analysis with estimated revenue set as the dependent variable in order to assess the magnitude of each influencing factor. Results: A total of 594 multifunctional in-home long-term care services were established. Of these, 506 met the requirements for Kantaki set in this study’s analysis. The logistic regression analysis showed that items with large odds ratios included tube feeding (2.59), enhanced working conditions for care workers (I) (2.58), and colostomy/ileostomy care (1.76). Conclusion: To achieve stable management practices for Kantaki, it is important to handle at-home medical needs through the use of skilled care workers, who must be properly trained and ensured stable employment.
目标:为了应对迅速老龄化的全国人口,日本政府推广了一种名为Kantaki的综合社区护理系统,该系统于2012年建立。针对老年人口,Kantaki提供各种服务,包括家访护理,日托和隔夜护理。本研究通过对卫生、劳动和福利部(MHLW)发布的详细信息进行二次分析,阐明了影响kan塔基服务估计收入的因素。我们的目标是提供信息,以促进kan塔基在日本各地业务的稳定管理。方法:对卫生部2020年4月发布的官方统计数据和详细信息进行二次分析。因此,我们计算了Kantaki服务的估计收入。然后,我们以估计收入集为因变量进行逻辑回归分析,以评估每个影响因素的程度。结果:共建立594家多功能居家长期护理服务机构。其中506个符合本研究分析中设定的Kantaki要求。logistic回归分析显示,优势比较大的项目包括管饲(2.59)、改善护理人员的工作条件(I)(2.58)和结肠造口/回肠造口护理(1.76)。结论:要实现Kantaki的稳定管理实践,重要的是通过使用熟练的护理人员来处理家庭医疗需求,必须对他们进行适当的培训并确保稳定的就业。
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引用次数: 1
Quality of Life During Chemotherapy in Japanese Patients with Unresectable Advanced Pancreatic Cancer 日本晚期不可切除胰腺癌患者化疗期间的生活质量
Pub Date : 1900-01-01 DOI: 10.26226/morressier.59a6b346d462b80290b54a7d
Kaoru Shibayama, T. Kosugi, K. Shinchi, Y. Kawaguchi, T. Otsuka, F. Koga, Shunya Nakashita, N. Oza, N. Ureshino, E. Sadashima, K. Kurobe
Objectives: To assess the quality of life (QoL) in Japanese patients receiving standard chemotherapy for unresectable pancreatic cancer. Patients and Methods: This prospective observational study included 30 Japanese patients with unresectable pancreatic cancer (PS 0–1) who were starting standard first-line chemotherapy. QoL was assessed using the European Organization for Research and Treatment for Cancer Quality of Life Core Questionnaire, version 3.0. Anxiety and depression were measured using the Hospital Anxiety and Depression Scale. Assessments were performed at baseline, 2 weeks, and then monthly during chemotherapy. Results: At baseline, the global health status (GHS) score was low (50/100), and 9 patients (30%) were experiencing significant levels of mental distress. Scores for the GHS, five functional scales (physical, role, emotional, cognitive, and social), nine symptoms (fatigue, nausea and vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties), anxiety and depression generally did not deteriorate during chemotherapy. However, the QoL scores varied during chemotherapy according to the patients’ characteristics. Patients who achieved tumor control tended to have well-controlled QoL scores. A high survival rate was significantly associated with having a high baseline GHS score. Conclusions: Japanese patients with unresectable pancreatic cancer might maintain their QoL during standard chemotherapy, with tumor control being associated with well-controlled QoL. In addition, a high QoL at baseline was associated with a good prognosis.
目的:评价日本胰腺癌患者接受标准化疗后的生活质量(QoL)。患者和方法:这项前瞻性观察性研究包括30名日本不可切除胰腺癌(ps0 - 1)患者,他们开始了标准的一线化疗。QoL采用欧洲癌症研究与治疗组织生活质量核心问卷3.0版进行评估。焦虑和抑郁采用医院焦虑和抑郁量表进行测量。化疗期间分别在基线、2周和每月进行评估。结果:在基线时,全球健康状况(GHS)评分较低(50/100),9名患者(30%)经历显著水平的精神困扰。GHS评分、五种功能量表(身体、角色、情感、认知和社会)、九种症状(疲劳、恶心呕吐、疼痛、呼吸困难、失眠、食欲不振、便秘、腹泻和经济困难)、焦虑和抑郁在化疗期间一般没有恶化。然而,生活质量评分在化疗期间根据患者的特点有所不同。获得肿瘤控制的患者往往有良好控制的生活质量评分。高生存率与高基线GHS评分显著相关。结论:日本不可切除胰腺癌患者在标准化疗期间可维持其生活质量,肿瘤控制与生活质量控制良好相关。此外,高的基线生活质量与良好的预后相关。
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引用次数: 1
The Verification of Reliability and Validity of Shimonoseki City University Lecturer Evaluation Scale (SLES) 马关市立大学讲师评价量表信效度的验证
Pub Date : 1900-01-01 DOI: 10.14391/ajhs.20.48
Minji Kim, Mamiko Ota, Chang-Rong Han
Lecturer evaluation by students is one of the methods that are likely to provide important information in evaluating the “quality” of education. However, the current situation is that it is being promoted without investigation of reliability and validity. The purpose of this study is to verify the reliability, content validity, and construct validity of Shimonoseki city university Lecturer Evaluation Scale (SLES), which is a lecturer evaluation by students. The subjects were 1,286 students in the freshman to senior of economics. SLES is a comprehensive scale can be applied to three types of lectures: face-to-face lecture, simultaneous bidirectional lecture, and on-demand lecture. The reliability was verified using Cronbach’ s α co efficient, and construct validity was verified using structural equation modeling. As a result of the analysis, the reliability was 0.912 for the face-to-face type, 0.930 for the simultaneous bidirectional type, and 0.919 for the on-demand type. In terms of construct validity, a high degree of suitability was shown in all lecture form. This study suggests that SLES can be used effectively with undergraduate students. and on-demand lectures. Further investigation with large samples with larger sample size is recommended.
学生评价讲师是评价教育“质量”的重要手段之一。然而,目前的情况是,它是在没有调查信度和效度的情况下推广的。本研究的目的是验证下关城市大学讲师评价量表(SLES)的信度、内容效度和结构效度。研究对象为1286名经济专业大一至大四的学生。SLES是一种综合量表,可适用于三种类型的讲座:面对面讲座、同步双向讲座和点播讲座。采用Cronbach α系数法验证信度,采用结构方程模型验证结构效度。分析结果表明,面对面型的信度为0.912,同时双向型的信度为0.930,按需型的信度为0.919。在构念效度方面,所有讲课形式均表现出较高的适宜性。本研究表明,SLES可以有效地用于本科生。以及点播讲座。建议用更大的样本量进行进一步的调查。
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引用次数: 0
Preliminary Study on Verb Acquisition Status and Related Factors in Children with Down Syndrome 唐氏综合征儿童动词习得状况及相关因素的初步研究
Pub Date : 1900-01-01 DOI: 10.14391/ajhs.18.81
Haruna Okamiya, M. Kojima
Conditions supporting the acquisition of verbs by children with Down syndrome were investigated from early childhood to lower grades of elementary school. Moreover, correlations between verb acquisition and parents’ approaches to their children were analyzed. Participants were parents having children with Down syndrome that had acquired meaningful words (n=27). The “words and grammar” version of the Japanese MacArthur Bates Communicative Development Inventories (JCDls) was administered to examine the parents’ involvement. The results indicated that when the total number of expressed vocabularies exceeded 200, the rate of acquiring verbs increased even in children with Down syndrome, which indicated that “200 words” was an important criterion. Moreover, results suggested that reading and writing letters and numbers as well as teaching children the polite use of language used by parents supported verb acquisition by children with Down syndrome. polite language.” Otomo et al. (2005) examined language development in TD children from early childhood to childhood and suggested “teaching polite language” might provide new perspectives and expression methods to children, which were not previously in the children’s repertory. The results of the present study suggest that parents’ approaches to DS children, i.e., teaching polite language, might increase expressive vocabulary words.
本研究调查了唐氏综合症儿童从幼儿到小学低年级的动词习得情况。此外,我们还分析了动词习得与父母对待孩子的方式之间的相关性。参与者是患有唐氏综合症的孩子的父母,他们已经学会了有意义的单词(n=27)。使用日本麦克阿瑟·贝茨交际发展量表(JCDls)的“单词和语法”版本来检查父母的参与。结果表明,当表达的词汇总数超过200个时,即使是唐氏综合症儿童,动词习得率也会增加,这表明“200个单词”是一个重要的标准。此外,研究结果表明,读写字母和数字以及教孩子礼貌地使用父母使用的语言有助于唐氏综合症儿童的动词习得。礼貌的语言。”Otomo et al.(2005)研究了TD儿童从幼儿期到儿童期的语言发展,认为“教授礼貌语言”可能会为儿童提供新的视角和表达方法,这是儿童以前没有的。本研究的结果表明,父母对残疾儿童的方法,即教授礼貌语言,可能会增加表达性词汇。
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引用次数: 0
A Survey on International Nursing Education of National Universities in Japan 日本国立大学国际护理教育调查
Pub Date : 1900-01-01 DOI: 10.14391/AJHS.12.8
Akina Ishibashi, Y. Fukuyama, H. Matsunaga, Norihito Noguchi, Sae Tanaka, K. Shinchi
Objective: In this study, we clarified the current status of international nursing education at the national university and investigated issues related to education in the future. Method: Self-administered questionnaires were distributed by mail to the educators responsible for international nursing education (one per university) at 42 nursing departments of national universities. The survey period was from July 1 st to September 30 th 2016. Results: Responses were received from all 20 universities with full-time educators. For the 22 universities without full-time educators, information was collected by phone, email, and from the homepage of their specific university. As a result, information was obtained for all 42 universities. Of these, 85.7% implemented international nursing education and 52.4% have established it as a compulsory subject. In all, there were 61.9% universities with full-time nurses acting as academic advisors. Most of educators considered that “understanding of different cultures,” “world health policies,” and “content relating to international cooperation” were essential contents for education in the future. Discussion: As 52.4% of the universities that were surveyed treated international nursing as a compulsory subject, it is considered that whether or not one receives lectures on international nursing education is largely effected by the system of the university and the choice of the student. Regarding issues in the future, the construction of a curriculum aiming for the development of human resources with the capacity for practical application and rich in internationality is necessary.
目的:了解国立大学国际护理教育的现状,探讨未来教育的相关问题。方法:采用邮寄方式向42所国立大学护理系负责国际护理教育的教育工作者(每所大学1份)进行问卷调查。调查时间为2016年7月1日至9月30日。结果:我们收到了来自所有20所有全职教师的大学的反馈。对于没有全职教师的22所大学,信息是通过电话、电子邮件和从其特定大学的主页收集的。结果,获得了所有42所大学的资料。其中,85.7%的学校实施了国际护理教育,52.4%的学校将国际护理教育设置为必修课程。总共有61.9%的大学有专职护士担任学术顾问。大多数教育工作者认为,"了解不同文化"、"世界卫生政策"和"与国际合作有关的内容"是今后教育的基本内容。讨论:52.4%的受访大学将国际护理作为必修科目,因此认为是否接受国际护理教育讲座在很大程度上受到学校制度和学生选择的影响。针对未来的问题,有必要构建一门以培养具有实际应用能力和丰富国际化的人力资源为目标的课程。
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引用次数: 2
The Effects of a Self-management Support Program for Lifestyle-related Diseases on Communication Skills of Nursing Students 生活方式相关疾病自我管理支持计划对护生沟通技巧的影响
Pub Date : 1900-01-01 DOI: 10.14391/AJHS.8.81
Kyoko Tagami, C. Itaki, Toshiko Tomisawa, Maiko Kitajima, Mayumi Urusizaka
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引用次数: 0
Consideration of Constructs for the Social Skill Training Program Development for Children with ADHD Tendency::Focus on the Analysis of the Practical Report 对ADHD倾向儿童社会技能训练方案构建的思考——以实践报告分析为重点
Pub Date : 1900-01-01 DOI: 10.14391/AJHS.14.66
Aiko Kohara, Haejin Kwon, Y. Komine, Changwan Han
The IN-Child means of “inclusive education needs child”. There is In-Child who shows remarkable difficulty in a behavior face about 3.6% in Japan (Ministry of Education, Culture, Sports, Science and Technology, 2012). However, there are a few concrete teaching programs to improve social skills according to the characteristics of ADHD tendency, and the effectiveness of its teaching programs has not yet been verified. The purpose of this study is to decide on the social skill training program for the children with ADHD tendencies in regular classes. We searched the practical reports on children with ADHD tendencies in foreign countries by using the ERIC-Institute of Education Science thesis database. Among them, 23 papers were related to practical reports. Since there were practices listed in the review paper, a total of 12 cases were analyzed. There were many programs that used rewards, such as token economy, thereby indicating that a program promoting voluntary activities with a reward is believed to be effective for children with ADHD tendencies.
IN-Child的意思是“全纳教育需要孩子”。在日本,约有3.6%的in - child在行为面表现出显著的困难(Ministry of Education, Culture, Sports, Science and Technology, 2012)。然而,目前针对ADHD倾向特点的社交技能提高的具体教学方案并不多见,其教学方案的有效性尚未得到验证。本研究的目的在于探讨ADHD倾向儿童在常规课堂上的社交技能训练方案。我们利用ERIC-Institute of Education Science论文数据库检索国外关于ADHD倾向儿童的实践报告。其中有23篇论文是与实践报告相关的。由于综述文章中有列举的实践,所以总共分析了12个案例。有许多项目使用奖励,例如代币经济,从而表明一个鼓励有奖励的自愿活动的项目被认为对有多动症倾向的儿童有效。
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引用次数: 0
Review of Studies on Syntactic Development in Children and Adults with Intellectual and Developmental Disorders: 智力发育障碍儿童和成人句法发展研究综述
Pub Date : 1900-01-01 DOI: 10.14391/AJHS.16.119
M. Koizumi, M. Kojima
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引用次数: 2
Development of the Disability Awareness Program (DAP) scale; 残疾意识项目(DAP)量表的编制
Pub Date : 1900-01-01 DOI: 10.14391/ajhs.18.63
Mamiko Ota, Haejin Kwon, Changwan Han, M. Kohzuki
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引用次数: 1
Gender Impact Analysis Assessment in Korea 韩国性别影响分析评估
Pub Date : 1900-01-01 DOI: 10.14391/ajhs.6.32
Hyeran Kim
In 1995, ‘The Beijing Women's Conference’ agreed to assess the situation of women's policy in each country. And that agreement should be the promotion of the gender analysis of policies in terms of the emergence of the important issue. This approach to mainstreaming of women and women's issue was going to be important for Women's Policy in Korea. Indicators of women's policy development and evaluation, the quality of life for women and the ability of women to achieve equality have been developed. Gender Impact Analysis Assessment1) (GIAA) is not only for a women's policy. GIAA is applicable to all government policies. All government policies considered as a neutral policy could be included in GIAA. A similar concept of GIAA is as follows: gender analysis, gender sensitive analysis, and gender-based analysis, etc. The purpose of this paper is to examine the status of GIAA system and present alternatives for the development of system. Gender Impact Analysis Assessment (GIAA), women’s policy, gender analysis hrkim@jsu.ac.kr(Hyeran KIM) Asian J Human Services, 2014, 6:32-46. © 2014 Asian Society of Human Services
1995年,“北京妇女会议”同意评估每个国家的妇女政策情况。这项协议应该是促进在出现这一重要问题方面对政策进行性别分析。这种将妇女和妇女问题纳入主流的做法对韩国的妇女政策将是重要的。制定了妇女政策制定和评价、妇女生活质量和妇女实现平等能力的指标。性别影响分析评估(GIAA)不仅针对妇女政策。GIAA适用于所有政府政策。所有被视为中立政策的政府政策均可列入GIAA。GIAA的类似概念如下:性别分析、性别敏感分析和基于性别的分析等。本文的目的是研究GIAA系统的现状,并提出系统发展的备选方案。性别影响分析评估(GIAA),妇女政策,性别分析hrkim@jsu.ac.kr(金惠兰)社会服务学报,2014,(6):32-46。©2014亚洲人类服务协会
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引用次数: 0
期刊
Asian journal of human services
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