私立総合大学附属病院の女性看護師における職業性ストレスと身体症状との関連
「緒言」医療の現場において患者に寄り添い, 患者の身体的なケアのみならず闘病に伴う様々な精神的な負担を緩和させる看護師の役割は非常に大きい. 現在, 日本は65歳以上の高齢者が人口の27.3%を占める超高齢社会に入っている. 1947～49年のベビーブームで生まれた団塊の世代が75歳以上となる2025年の医療需要増加に向け, 看護職員の増員が図られているが, 看護師の離職や偏在が依然として問題となっている. 厚生労働省の看護職員需給見通しに関する検討会では, 常勤職員の主な退職理由として, 本人の健康問題, 人間関係, 家族の健康・介護問題, 出産・育児, 結婚等が挙げられている. 看護師とい...
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| Published in | 日本衛生学雑誌 Vol. 73; no. 3; pp. 388 - 394 |
|---|---|
| Main Authors | , , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人日本衛生学会
2018
日本衛生学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-5082 1882-6482 |
| DOI | 10.1265/jjh.73.388 |
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| Abstract | 「緒言」医療の現場において患者に寄り添い, 患者の身体的なケアのみならず闘病に伴う様々な精神的な負担を緩和させる看護師の役割は非常に大きい. 現在, 日本は65歳以上の高齢者が人口の27.3%を占める超高齢社会に入っている. 1947～49年のベビーブームで生まれた団塊の世代が75歳以上となる2025年の医療需要増加に向け, 看護職員の増員が図られているが, 看護師の離職や偏在が依然として問題となっている. 厚生労働省の看護職員需給見通しに関する検討会では, 常勤職員の主な退職理由として, 本人の健康問題, 人間関係, 家族の健康・介護問題, 出産・育児, 結婚等が挙げられている. 看護師という職業は, 歴史的に女性が多く就いていたため, 日本文化に根付く社会的性別役割分業である「女性は家」に関連するところの婚姻状況や子供の有無で就労が継続できないことが以前から指摘されている. |
|---|---|
| AbstractList | 「緒言」医療の現場において患者に寄り添い, 患者の身体的なケアのみならず闘病に伴う様々な精神的な負担を緩和させる看護師の役割は非常に大きい. 現在, 日本は65歳以上の高齢者が人口の27.3%を占める超高齢社会に入っている. 1947～49年のベビーブームで生まれた団塊の世代が75歳以上となる2025年の医療需要増加に向け, 看護職員の増員が図られているが, 看護師の離職や偏在が依然として問題となっている. 厚生労働省の看護職員需給見通しに関する検討会では, 常勤職員の主な退職理由として, 本人の健康問題, 人間関係, 家族の健康・介護問題, 出産・育児, 結婚等が挙げられている. 看護師という職業は, 歴史的に女性が多く就いていたため, 日本文化に根付く社会的性別役割分業である「女性は家」に関連するところの婚姻状況や子供の有無で就労が継続できないことが以前から指摘されている. |
| Author | 平池, 春子 吉岡, 希 長澤, 徹 笹森, 幸文 冲永, 寛子 浅山, 敬 野村, 恭子 土谷, 明子 大久保, 孝義 竹之下, 真一 中田, 善規 |
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| References | (16) Kroenke K, Spitzer RL, Williams JB, Linzer M, Hahn SR, deGruy FV 3rd, Brody D. Physical symptoms in primary care. Predictors of psychiatric disorders and functional impairment. Arch Fam Med 1994;3(9):774–779. (18) Hannan LM, Monteilh CP, Gerr F, Kleinbaum DG, Marcus M. Job strain and risk of musculoskeletal symptoms among a prospective cohort of occupational computer users. Scand J Work Environ Health 2005;31(5):375–386. (4) Yamaguchi Y, Inoue T, Harada H, Oike M. Job control, work-family balance and nurses’ intention to leave their profession and organization: A comparative cross-sectional survey. Int J Nurs Stud (Epub: 2016.9.19) 2016;64:52–62. doi: 10.1016/j.ijnurstu.2016.09.003. (24) 鈴木 昌，船曵知弘，伊藤壮一，宮武 諭，城下晃子，堀 進悟，相川直樹．初期臨床研修医の専門分野選択に関する調査―男女共同参画の視点から―．日本救急医学会雑誌 2009;20:181–190. (9) 内野恵子，島田凉子．本邦における新人看護師の離職についての文献研究．心身健康科学 2015;11(1):18–23. (19) Nakao M, Yano E. Reporting of somatic symptoms as a screening marker for detecting major depression in a population of Japanese white-collar workers. J Clin Epidemiol 2003;56(10):1021–1026. (8) Ohue T, Moriyama M, Nakaya T. Examination of a cognitive model of stress, burnout, and intention to resign for Japanese nurses. Jpn J Nurs Sci (Epub: 2010.10.13) 2011;8(1):76–86. doi: 10.1111/j.1742-7924.2010.00161.x (e-pub on ahead). (15) Nakao M, Fricchione G, Myers P, Zuttermeister PC, Baim M, Mandle CL, Medich C, Wells-Federman CL, Martin Arcari P, Ennis M, Barsky AJ, Benson H. Anxiety is a good indicator for somatic symptom reduction through behavioral medicine intervention in a mind/body medicine clinic. Psychother Psychosom 2001;70:50–57. (23) Jannati Y, Mohammadi R, Seyedfatemi N. Iranian clinical nurses’ coping strategies for job stress. J Occup Health (Epub: 2011.1.17) 2011;53(2):123–129. (1) 内閣府．平成29年版高齢社会白書．2017．http://www8.cao.go.jp/kourei/whitepaper/w-2017/zenbun/pdf/1s1s_01.pdf (2018.3.26) (11) Nomura K, Nakao M, Takeuchi T, Yano E. Associations of insomnia with job strain, control, and support among male Japanese workers. Sleep Med (Epub: 2008.10.29) 2009;10(6):626–629. doi: 10.1016/j.sleep.2008.06.010. (13) Karasek, RA, Theorell T. Healthy work: Stress, productivity, and the reconstruction of working life. New York: Basic Books, 1990. (14) Nakao M, Yamanaka G, Kuboki T. Suicidal ideation and somatic symptoms of patients with mind/body distress in a Japanese psychosomatic clinic. Suicide Life Threat Behav 2002;32(1):80–90. (21) Kawakami N, Fujigaki Y. Reliability and validity of the Japanese version of Job Content Questionnaire: replication and extension in computer company employees. Ind Health 1996;34(4):295–306. (7) Saijo Y, Yoshioka E, Kawanishi Y, Nakagi Y, Itoh T, Yoshida T. Relationships of job demand, job control, and social support on intention to leave and depressive symptoms in Japanese nurses. Ind Health (Epub: 2015.8.28) 2016;54(1):32–41. doi: 10.2486/indhealth.2015-0083 (e-pub on ahead). (12) Nomura K, Nakao M, Sato M, Ishikawa H, Yano E. The association of the reporting of somatic symptoms with job stress and active coping among Japanese white-collar workers. J Occup Health 2007;49(5):370–375. (20) Li J, Ding H, Han W, Jin L, Kong LN, Mao KN, Wang H, Wu JP, Wu Y, Yang L, Zhou Y, Wang YX, Wang W, Loerbroks A, Angerer P. The association of work stress with somatic symptoms in Chinese working women: a large cross-sectional survey. J Psychosom Res (Epub: 2016.8.3) 2016;89:7–10. doi: 10.1016/j.jpsychores.2016.08.001. (6) Cho GJ, Kang J. Type D personality and post-traumatic stress disorder symptoms among intensive care unit nurses: The mediating effect of resilience. PLoS One 2017;12(4):e0175067. doi: 10.1371/journal.pone.0175067. (22) Taka F, Nomura K, Horie S, Takemoto K, Takeuchi M, Takenoshita S, Murakami A, Hiraike H, Okinaga H, Smith DR. Organizational climate with gender equity and burnout among university academics in Japan. Ind Health (Epub: 2016.10.1) 2016;54(6):480–487. (5) Asaoka S, Aritake S, Komada Y, Ozaki A, Odagiri Y, Inoue S, Shimomitsu T, Inoue Y. Factors associated with shift work disorder in nurses working with rapid-rotation schedules in Japan: the nurses’ sleep health project. Chronobiol Int (Epub: 2013.2.27) 2013;30(4):628–636. doi: 10.3109/07420528.2012.762010. (2) 厚生労働省．第七次看護職員需給見通しに関する検討会報告書（概要）．2010．http://www.mhlw.go.jp/topics/2011/01/dl/tp0119-1_35.pdf (2018.3.26) (10) Tei-Tominaga M, Miki A. A longitudinal study of factors associated with intentions to leave among newly graduated nurses in eight advanced treatment hospitals in Japan. Ind Health 2010;48(3):305–316. (17) Nakao M, Myers P, Fricchione G, Zuttermeister PC, Barsky AJ, Benson H. Somatization and symptom reduction through a behavioral medicine intervention in a mind/body medicine clinic. Behav Med 2001;26:169–176. (25) Gyllensten K, Andersson G, Muller H. Experiences of reduced work hours for nurses and assistant nurses at a surgical department: a qualitative study. BMC Nurs 2017;16:16. doi: 10.1186/s12912-017-0210-x. (3) Watai I, Nishikido N, Murashima S. Development of a Japanese Version of the Work-Family Conflict Scale (WFCS), and examination of its validity and reliability. Sangyo Eiseigaku Zasshi 2006;48(3):71–81. |
| References_xml | – reference: (6) Cho GJ, Kang J. Type D personality and post-traumatic stress disorder symptoms among intensive care unit nurses: The mediating effect of resilience. PLoS One 2017;12(4):e0175067. doi: 10.1371/journal.pone.0175067. – reference: (15) Nakao M, Fricchione G, Myers P, Zuttermeister PC, Baim M, Mandle CL, Medich C, Wells-Federman CL, Martin Arcari P, Ennis M, Barsky AJ, Benson H. Anxiety is a good indicator for somatic symptom reduction through behavioral medicine intervention in a mind/body medicine clinic. Psychother Psychosom 2001;70:50–57. – reference: (12) Nomura K, Nakao M, Sato M, Ishikawa H, Yano E. The association of the reporting of somatic symptoms with job stress and active coping among Japanese white-collar workers. J Occup Health 2007;49(5):370–375. – reference: (8) Ohue T, Moriyama M, Nakaya T. Examination of a cognitive model of stress, burnout, and intention to resign for Japanese nurses. Jpn J Nurs Sci (Epub: 2010.10.13) 2011;8(1):76–86. doi: 10.1111/j.1742-7924.2010.00161.x (e-pub on ahead). – reference: (24) 鈴木 昌，船曵知弘，伊藤壮一，宮武 諭，城下晃子，堀 進悟，相川直樹．初期臨床研修医の専門分野選択に関する調査―男女共同参画の視点から―．日本救急医学会雑誌 2009;20:181–190. – reference: (18) Hannan LM, Monteilh CP, Gerr F, Kleinbaum DG, Marcus M. Job strain and risk of musculoskeletal symptoms among a prospective cohort of occupational computer users. Scand J Work Environ Health 2005;31(5):375–386. – reference: (17) Nakao M, Myers P, Fricchione G, Zuttermeister PC, Barsky AJ, Benson H. Somatization and symptom reduction through a behavioral medicine intervention in a mind/body medicine clinic. Behav Med 2001;26:169–176. – reference: (2) 厚生労働省．第七次看護職員需給見通しに関する検討会報告書（概要）．2010．http://www.mhlw.go.jp/topics/2011/01/dl/tp0119-1_35.pdf (2018.3.26) – reference: (14) Nakao M, Yamanaka G, Kuboki T. Suicidal ideation and somatic symptoms of patients with mind/body distress in a Japanese psychosomatic clinic. Suicide Life Threat Behav 2002;32(1):80–90. – reference: (7) Saijo Y, Yoshioka E, Kawanishi Y, Nakagi Y, Itoh T, Yoshida T. Relationships of job demand, job control, and social support on intention to leave and depressive symptoms in Japanese nurses. Ind Health (Epub: 2015.8.28) 2016;54(1):32–41. doi: 10.2486/indhealth.2015-0083 (e-pub on ahead). – reference: (21) Kawakami N, Fujigaki Y. Reliability and validity of the Japanese version of Job Content Questionnaire: replication and extension in computer company employees. Ind Health 1996;34(4):295–306. – reference: (23) Jannati Y, Mohammadi R, Seyedfatemi N. Iranian clinical nurses’ coping strategies for job stress. J Occup Health (Epub: 2011.1.17) 2011;53(2):123–129. – reference: (16) Kroenke K, Spitzer RL, Williams JB, Linzer M, Hahn SR, deGruy FV 3rd, Brody D. Physical symptoms in primary care. Predictors of psychiatric disorders and functional impairment. Arch Fam Med 1994;3(9):774–779. – reference: (25) Gyllensten K, Andersson G, Muller H. Experiences of reduced work hours for nurses and assistant nurses at a surgical department: a qualitative study. BMC Nurs 2017;16:16. doi: 10.1186/s12912-017-0210-x. – reference: (19) Nakao M, Yano E. Reporting of somatic symptoms as a screening marker for detecting major depression in a population of Japanese white-collar workers. J Clin Epidemiol 2003;56(10):1021–1026. – reference: (22) Taka F, Nomura K, Horie S, Takemoto K, Takeuchi M, Takenoshita S, Murakami A, Hiraike H, Okinaga H, Smith DR. Organizational climate with gender equity and burnout among university academics in Japan. Ind Health (Epub: 2016.10.1) 2016;54(6):480–487. – reference: (20) Li J, Ding H, Han W, Jin L, Kong LN, Mao KN, Wang H, Wu JP, Wu Y, Yang L, Zhou Y, Wang YX, Wang W, Loerbroks A, Angerer P. The association of work stress with somatic symptoms in Chinese working women: a large cross-sectional survey. J Psychosom Res (Epub: 2016.8.3) 2016;89:7–10. doi: 10.1016/j.jpsychores.2016.08.001. – reference: (1) 内閣府．平成29年版高齢社会白書．2017．http://www8.cao.go.jp/kourei/whitepaper/w-2017/zenbun/pdf/1s1s_01.pdf (2018.3.26) – reference: (10) Tei-Tominaga M, Miki A. A longitudinal study of factors associated with intentions to leave among newly graduated nurses in eight advanced treatment hospitals in Japan. Ind Health 2010;48(3):305–316. – reference: (11) Nomura K, Nakao M, Takeuchi T, Yano E. Associations of insomnia with job strain, control, and support among male Japanese workers. Sleep Med (Epub: 2008.10.29) 2009;10(6):626–629. doi: 10.1016/j.sleep.2008.06.010. – reference: (9) 内野恵子，島田凉子．本邦における新人看護師の離職についての文献研究．心身健康科学 2015;11(1):18–23. – reference: (13) Karasek, RA, Theorell T. Healthy work: Stress, productivity, and the reconstruction of working life. New York: Basic Books, 1990. – reference: (3) Watai I, Nishikido N, Murashima S. Development of a Japanese Version of the Work-Family Conflict Scale (WFCS), and examination of its validity and reliability. Sangyo Eiseigaku Zasshi 2006;48(3):71–81. – reference: (5) Asaoka S, Aritake S, Komada Y, Ozaki A, Odagiri Y, Inoue S, Shimomitsu T, Inoue Y. Factors associated with shift work disorder in nurses working with rapid-rotation schedules in Japan: the nurses’ sleep health project. Chronobiol Int (Epub: 2013.2.27) 2013;30(4):628–636. doi: 10.3109/07420528.2012.762010. – reference: (4) Yamaguchi Y, Inoue T, Harada H, Oike M. Job control, work-family balance and nurses’ intention to leave their profession and organization: A comparative cross-sectional survey. Int J Nurs Stud (Epub: 2016.9.19) 2016;64:52–62. doi: 10.1016/j.ijnurstu.2016.09.003. |
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| Title | 私立総合大学附属病院の女性看護師における職業性ストレスと身体症状との関連 |
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| ispartofPNX | 日本衛生学雑誌, 2018, Vol.73(3), pp.388-394 |
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