慢性病をもつ高齢者の性に関する看護師の認識，感情と援助への行動意図との関係

Relationship between Nurses' Recognition and Emotion towards Sexuality regarding Older Adults with Chronic Illness and Nursing Practice Intention

　本研究は，慢性病をもつ高齢者の性に関する看護師の認識，感情と性に関する援助との行動意図がどのような関連にあるかを検討した．研究デザインは横断的相関関係探索型であり，測定用具には，看護師の高齢者の性に関する認識質問紙（NROSQ），看護師の高齢者の性に関する感情質問紙（NEOSQ），高齢者の性に関する援助への行動意図質問紙（NPIOSQ）を用いた．対象は一般病院で高齢者の看護に携わる539名であり，対象者の平均年齢は33.5歳（SD＝9.2）であった．

　重回帰分析の結果，高齢者の性に関する援助への積極的行動意図は，個別的な性のあり方，あるべき性への固執，性役割の喪失，タブー視，受容，性に関する看護教育の経験という6つの変数によって32％が説明された．今後，看護師の看護基礎教育および継続教育において，セクシュアリティおよび老いによるセクシュアリティへの影響に関する教育の必要性が示唆された．

　The objective of this study was to determine the relationship between recognition of and emotion towards sexuality regarding elderly with chronic illness, and nursing practice intention regarding sexuality. The cross-sectional, correctional research design was selected, data were consisted of the Nurses' Recognition of Older Adult Sexuality Questionnaire (NROSQ), Nurses' Emotion of Older Adult Sexuality Questionnaire (NEOSQ) and Nurses' Practice Intention for Older Adults Sexuality Questionnaire (NPIOSQ). The subjects were 539 nurses caring for elderly in the hospitals. The average of their ages was 33.5 years (SD = 9.2).

　Multiple regression analysis indicated that sexual identity, stereotype for sexual image, loss of sexual role, taboos surrounding sexuality, acceptance for sexuality, and experience of education relating sexuality accounted for 32% of the variance in positive intention to practice. The implications of the study suggest the need for an improvement in nursing education and nurse continuing education regarding sexuality and the impact of the aging process on sexuality.