わが国の保健医療領域におけるセクシュアリティの概念分析

A Concept Analysis of Sexuality in Japan's Health and Medical Care Domain

要旨

　目的：わが国の保健医療領域者がセクシュアリティのアセスメントに活用できるセクシュアリティの操作的定義を開発することである．

　方法：Walker＆Avantの概念分析の手法を参考に，教科書・辞書に掲載されている定義，原著論文の操作的定義を検討した後，医中誌Webを用いて1995年から2010年までの期間で検索した32件の原著論文を分析した．

　結果：わが国の保健医療領域におけるセクシュアリティは，個人の性的特性と性的対象者との相互作用であり，個人の性的特性には，性の関心度，性の重要度，男性性・女性性の評価が含まれ，性的対象者との相互作用には，共に過ごすこと，言語的コミュニケーション，スキンシップ，相互の思いやり，性行為のありさまが含まれるとすることができる．

　結論：開発した操作的定義は実存性があり，保健医療者はセクシュアリティのアセスメントに活用できる．

Abstract

　Purpose: The purpose of this study was to develop an operational definition of sexuality for use in assessments by professionals in Japan's health and medical areas.

　Method: After reviewing the definitions in textbooks and dictionaries and operational definitions in original articles, analysis was conducted on 32 original articles collected by searches of the ICHUSHI Web from 1995 to 2010, with reference to the Walker ＆ Avant conceptual analysis method.

　Results: In considering sexuality in health and medical care domains in Japan, it was clarified that sexuality relates to the personal sexual characteristics and interaction with a sexual partner. Personal sexual characteristics included "degree of concern for sex," "the importance of sex," and "male- and female-related evaluations." Interaction with a sexual partner included "spending time together," "verbal communication," "physical contact('skinship')," "mutual consideration," and "condition of sexual intercourse."

　Conclusion: Because our developed operational definition verifies the existence of sexuality, it is available for assessment by Japan's health and medical professionals.