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所属 |
大学院医学系研究科（保健学専攻） 看護学講座 |
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研究分野・キーワード |
自殺予防対策,メンタルヘルス |
出身大学院 【 表示 ／ 非表示 】
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-2019年03月
秋田大学 医学系研究科 博士課程医学専攻 博士課程 修了
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-1988年03月
上越教育大学 学校教育研究科 修士課程 修了
職務経歴（学内） 【 表示 ／ 非表示 】
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2020年04月-継続中
秋田大学 大学院医学系研究科（保健学専攻） 看護学講座 准教授
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2009年04月-2020年03月
秋田大学 大学院医学系研究科（医学専攻等） 保健学専攻 基礎看護学講座 准教授
学位論文 【 表示 ／ 非表示 】
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Hisanaga Sasaki, Toyoto Iwata, Eri Maeda, and Katsuyuki Murata
秋田医学 45 ( 3-4 ) 113 - 120 2019年03月 [査読有り]
単著
A cross-sectional study was conducted to clarify what factors were associated with personal and perceived stigma against talking about suicide, considered as prejudicial attitudes, prior to a community-based intervention for suicide prevention. Among 1,442 residents aged 20 years and over who lived in a rural town in northern Japan and returned questionnaire forms containing complete information, 852 answered that they avoided talking about suicide (i.e., personal stigma) and 897 answered that they thought that people avoided talking about suicide (i.e., perceived stigma). The personal and perceived stigma was observed more frequently in females and those aged 40 years and over. The perceived stigma was significantly associated with both bereavement experiences from suicide of a family member and of a friend, belief that suicide is preventable (i.e., preventability), and suicidal ideation within one month. The personal stigma was significantly associated with bereavement experience from suicide of a friend and preventability. This is the first report to demonstrate stigma against talking about suicide at the community level. In addition, these data suggest that persons with perceived stigma against talking about suicide have stronger suicidal ideation than those with the personal stigma. A community-based education is needed to reduce such prejudicial attitudes toward suicide.
論文 【 表示 ／ 非表示 】
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特集 「自殺対策」のいま -藤里町の取り組み-地域参加型の自殺対策
佐々木 久長, 小山 恵里子, 石田 郁, 播摩 優子
保健師ジャーナル ( 株式会社医学書院 ) 77 ( 3 ) 219 - 223 2021年03月
ISSN:1348-8333
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短報 身体抑制における臨床看護師の倫理的問題に対する態度とクリティカルシンキングの関連
小野 良子, 佐々木 久長, 伊藤 登茂子
日本看護倫理学会誌 ( 株式会社医学書院 ) 12 ( 1 ) 67 - 72 2020年03月
ISSN:1883-244X
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YONG Roseline KF, FUJITA Koji, CHAU Patsy YK, SASAKI Hisanaga
日本公衆衛生雑誌 ( 日本公衆衛生学会 ) 67 ( 4 ) 237 - 246 2020年 [査読有り]
ISSN:0546-1766
国内共著
<p><b>Objectives</b> This study aimed to assess the relevance of hikikomori to a variety of socio-demographic characteristics and socio-psychological conditions and examined these relationships by gender.</p><p><b>Methods</b> The study employed a cross-sectional design. A questionnaire survey was conducted among 2,459 participants aged 15-64 years and living in Happo-cho, Akita. The outcome variable, hikikomori, was characterized by "not having participated in any social events nor interacted with others besides family members for more than six months." Exposure variables included sex, age, marital status, occupational status, outdoor frequencies, health, socio-psychological well-being, and availability of social support. Using Chi-square test of independence and multiple logistic regression, the results indicated the impact of the individual factors and the combined impact of all potential variables on the likelihood of being hikikomori in both participant groups: men and women.</p><p><b>Results</b> The effective response rate was 54.5%. Those who socially withdrew for six months or more (<i>n</i>=164 (6.7%); 53.7% men, 46.2% women) were classified as being hikikomori; of these, 45.7% had been withdrawn for more than 10 years. Hikikomori men were more likely to have severe symptoms of mental illness, poorer overall self-rated health, feelings of distress, and passive suicidal ideation than non-hikikomori men, but not hikikomori women. Furthermore, after adjusting for all tested variables as possible confounding factors, being jobless and having fewer outdoor frequencies were associated with being a hikikomori man, and being a homemaker and having no social support were associated with being a hikikomori woman.</p><p><b>Conclusion</b> Occupational status and outdoor frequencies are relevant factors for assessing the likelihood of being a hikikomori. Characteristics of hikikomori manifest differently in men and women. Having social support may help women avoid transitioning into a hikikomori. Incorporating emotional and mental health management into intervention programs may help better target potential beneficiaries among Japanese men.</p>
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身体抑制における臨床看護師の倫理的問題に対する態度とクリティカルシンキングの関連
小野 良子, 佐々木 久長, 伊藤 登茂子
日本看護倫理学会誌 ( 日本看護倫理学会 ) 12 ( 1 ) 67 - 72 2020年 [査読有り]
ISSN:1883-244X
国内共著
<p>本研究の目的は，身体抑制の倫理的問題に対する態度とクリティカルシンキングの関連について明らかにすることである。身体抑制の事例を作成し，クリティカルシンキング尺度を用いてA県内の急性期病院10施設の臨床看護師へ無記名自記式質問紙調査を実施した。分析対象者は202名（有効回答率27.0％）であった。「問題の認識」で「問題あり」の群と「道徳判断」で「規則・基準に基づく判断」をした群のクリティカルシンキング尺度得点が有意に高かった。「行動」においては，「身体抑制をする」「しない」「どちらともいえない」の3群間でクリティカルシンキング尺度得点に有意差は認められなかった。臨床看護師はクリティカルシンキングを用いて多面的な「問題の認識」をし、相対的に「道徳判断」をしていた。しかし，「行動」においてはクリティカルシンキングではなく組織倫理に影響を受けている可能性が示唆された。</p>