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生活困窮者次世代家族の食育・生活習慣セルフケア能力獲得支援の保健師活動指針の開発

制定公共卫生护士活动指南，支持贫困人口的下一代家庭获得饮食教育和生活方式自我保健技能

基本信息

批准号：
21K11019
负责人：
田村須賀子
金额：
$ 2.16万
依托单位：
University of Toyama
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2021
资助国家：
日本
起止时间：
2021-04-01 至 2024-03-31
项目状态：
已结题

项目摘要

生活保護受給等の経済的生活困窮者・家族への健康自己管理支援のため、市町村の生活保護担当課に配置された保健師(以下、生活保護担当課保健師)による支援活動の特徴を明確にし、食育推進と生活習慣病予防等のセルフケア能力獲得に向けた支援活動方法を検討する。特に幼少・学童期からの糖尿病等生活習慣病予防自己管理に向けて、学校給食と子ども食堂実施者との協働について提言する。生活保護担当課保健師による生活保護受給者等の経済的生活困窮者・家族への食育推進・糖尿病等生活習慣病予防健康自己管理支援の方法とアウトリーチ機能について、熟練保健師(原則5年以上の実務経験)の実践事例を調査する。データ収集は、生活保護担当課保健師に個別支援再現記録を作成してもらい、研究者がその記述内容を理解するためインタビューで内容確認する。ここでの記述表現は、保健師が内面で考えたことが、事実に忠実に伝わるよう、研究協力保健師が文章推敲・加筆修正し、再び研究者が確認するというやりとりを合意できるまで繰り返す。データ分析は、保健師の行為と意図の内容に、視点をあてた詳細な分析を行う。分析の視点は、先行研究とこれまでの研究経過で修正を重ねて採用してきたもので、(1)看護援助を提供する者と受ける者との相互作用、(2)家庭・地域生活を含めた援助提供、(3)援助ニーズの優先度の判断と援助提供方法の選択、(4)対象の過去の経験に対する援助提供、(5)保健医療福祉サービスへの適用、(6) 看護援助の他事例や保健事業・施策への反映、(7)関係職種との連携、である。この記述データの記述と分析の適切さは、研究組織内の家庭訪問実践・教育経験のある看護研究者2名に検討してもらう。幼少・学童期からの糖尿病等生活習慣病予防自己管理に関して、子ども食堂実施者と健康生活指導に関わる小中学校教諭・養護教諭から食育推進・生活習慣改善への取り組み実態を調査する。

The daily life support recipients are those living in poverty, the family health self-management support system, and the daily life support section of municipalities, towns and villages are equipped with health nurses (hereinafter, daily life support The public health nurse in charge is responsible for clarifying special features of support activities, promotion of food education, and prevention of lifestyle-related diseases, etc., and support activity methods for acquiring abilities. Special advice is given to young children and school children to prevent and manage lifestyle-related diseases such as diabetes, and to provide advice on how to provide food at school and in the cafeteria. Public health nurse in charge of daily living protection section, daily living protection recipients and other poor people living in poverty, promotion of food education for families, and prevention of lifestyle-related diseases such as diabetes Methods of self-care management support include functional health care, skilled health practitioners (in principle, more than 5 years of experience), and research on practical cases. Collected by データ, individual support reproduction record made by the health nurse in charge of daily life care, and recorded by the researcher narrated and understood by the researcher.ここでのnarrative performanceは, health practitioner が内で考えたことが, 事実に中実に伝わるよう, research collaborative health care The teacher refined and revised the article, and then the researcher confirmed that it was satisfactory and returned it.データanalysisは, health nurse's behavior and meaningのcontentに, point of viewをあてたdetailed analysisを行う. Analysis point of view, advance research, research, revision, heavy use, adoption , (1) The interaction between the provider and the recipient of nursing care assistance, (2) Family and local life Including the provision of assistance, (3) Judgment of the priority of assistance and selection of methods of providing assistance, (4) Provision of assistance in the past of 対樓に対する, (5) Application of health and medical welfare, (6) Other examples of nursing care assistance, health care projects and policies, and reflections, (7) related occupations, and joint cooperation and cooperation.このnarrative, データのnarrative and analysis, and 2 に検してもらう, who conduct family visits and practice education and care within the research organization. Self-management of lifestyle-related diseases such as diabetes and diabetes in early childhood and school age, self-management of lifestyle diseases such as diabetes, and healthy living guidance for children in the cafeteria, primary and secondary school education and maintenance education, promotion of food education, and improvement of living habits, investigation of the status of the group.