DISASTER CONSCIOUSNESS AND CHANGE OF CONDUCT THROUGH EDUCATION OF DISASTER NURSING IN A DEVELOPING COUNTRY

这项为期2年的研究在发展中国家之一尼加拉瓜进行，旨在阐明预防灾害和改变灾害意识的理想灾害护理教育，并讨论国际护理合作。第一年对171名护生和30名护理人员在灾难护理教育前后进行灾难意识问卷调查。在这些对象中，我们开展了灾难护理讲座，并使用紧急训练系统进行桌面模拟。学生对灾害的态度较消极的人数减少，认为护士应积极参与防灾教育的人数减少。第二年，我们在一个社区增加了一个护理实践，有56名学生和34名护士。编制社区护理实习专用问卷，并对小组工作结果进行分析。结果，他们似乎可以确定与健康和防灾水平有关的问题以及护士在社区中的作用。通过灾难护理教育，观察灾难护理意识的变化，并通过社区护理实践，形成具体行动。两年的研究结果显示，未来的行动转型的可能性，建议灾难护理教育的引进桌上模拟。在社会基础设施薄弱的发展中国家，以社区为基础的灾害预防为目的的灾害护理教育可以有效地将灾害的损害降至最低，并被认为是未来国际护理合作的主题。

This 2 year research done in Nicaragua, one of developing countries aimed at clarifying an ideal disaster nursing education for disaster prevention and change of disaster consciousness and discussing international nursing cooperation. The first year We got an answer of questionnaire about disaster consciousness from 171 nursing students and 30 nurses before and after disaster nursing education. In these objects, We carried out lectures about disaster nursing and used Emergo Train System for on desk simulation. The number of students who were more passive to disaster reduced and the number of student who thought nurses should have taken active role in disaster prevention and education. The second year we added a nursing practice at a community to 56 students and 34 nurses. A exclusive questionnaire to community nursing practice was prepared and result of group work was also analyzed. As a result, it seemed that they could identify problems related to health and disaster prevention level and a role of nurses at community. A change was watched about disaster consciousness after disaster nursing education and a concrete action was imaged by community nursing practice. The findings for two years show possibility of future action transformation was suggested as disaster nursing education by introduction of on desk simulation. The disaster nursing education that intended community-based disaster prevention is effective to leave the damage of a disaster to a minimum in developing countries where a social infrastructure was weak, and it was thought that it could be a future theme of international nursing cooperation.