REARCH ON COMMUNITY HEALTH DIAGNOSIS BY PUBLIC HEALTH NURSE

我们于1998年对京都府1,400名20岁以上居民的身体、心理和社会健康状况以及生活方式结构进行了研究。本研究采用半结构式问卷调查法，对这些居民的健康状况进行了调查，并对调查方法的优缺点提出了三点建议通过对现有资料、问卷调查和访谈调查的分析比较，（1）现有资料的分析有利于了解社区概况，但不利于了解健康与生活方式的关系;（2）问卷调查有利于概括生活方式信息，但不利于提供详细信息，（3）访谈调查在了解居民的感受和关系方面有优势，但在了解被调查者的基本情况和个人情况方面存在不足，因此，要全面了解居民的感受和关系，需要对现有的调查材料、问卷调查和访谈调查进行综合分析，进行社区诊断。

WE STUDIED THE PHYSICAL, MENTAL AND SOCIAL HEALTH STATUS, AND STRUCTURE OF LIFE STYLES AMONG 1,400 RESIDENTS OVER 20 YEARS OLD LIVING IN KYOTO PREFECTURE IN 1998.BETWEEN DECEMBER 2000 AND APRIL 2001, WE INVESTIGATED THE HEALTH STATUS OF THESE RESIDENTS BY INTERVIEW USING A SEMI STRUCTURAL QUESTIONNAIRE.THIS REPORT SUGGESTED THE FOLLOWING 3 POINTS REGARDING THE MERITS AND DEMERITS OF RESEARCH METHODS COMPARING THE ANALYSIS OF EXISTING MENTERIAL, QUESTIONNAIRE SURVEY AND INTERVIEW SURVEY, (1) ANALYSIS OF EXISTING METERIAL HAS MERITS IN UNDERSTANDING THE OUTLINE OF COMMUNITY, BUT DEMERITS IN UNDERSTANDING THE RELATI0NSHIP BETWEEN HEALTH AND LIFE STYLES, (2) THE QUESTIONNAIRE SURVEY HAS MERITS IN SUMMARIZING LIFE STYLE INFORMATION, BUT DEMERITS IN PROVIDING DETAILED INFORMATION, (3) THE INTERVIEW SURVEY HAS MERITS IN UNDERSTANDING FEELINGS AND RELATIONSHIPS AMONG THE RESIDENTS, BUT DEMERITS IN BAIS AND INDIVIDUALITY OF THE ANSERERS.IN CONCLUSION, A COMMUNITY DIAGNOSIS IS REQUIRED FOR COMPREHENSIVE UNDERSTANDING USING ALL THESE THREE METHODS CONSISTING OF ANALYSIS OF EXISTING METERIAL, QUESTIONNAIRE SURVEY AND THE INTERVIEW SURVEY.