2．日本腎不全看護学会関東地区教育セミナー参加者の実態調査―セルフケアを学ぶ看護者の心理状態の検討

A survey involving participants in the Kanto Regional Seminar of the Japan Academy of Nephrology Nursing: Examination on the psychological state of nurses learning self-care

　本研究は透析患者へのセルフケア支援を行う看護者への効果的な支援を明らかにするために，セミナーに参加した看護者の心理状態について明らかにすることを目的に実施した．2008年8月に開催された日本腎不全看護学会関東地区教育セミナー参加者139名に対し，不安傾向尺度や自己価値感尺度など11の心理測定尺度を使用し，調査を実施した．分析方法は心理測定尺度と看護師経験年数別の比較はt検定，対象者の属性と不安傾向尺度の評価別の比較はχ²検定および一元配置分散分析を行った．その結果，問題解決型行動特性尺度では問題回避症状が出てきており，対人依存型行動特性尺度ではやや対人依存的であり，不安傾向尺度では強い不安傾向を示した．また，抑うつ尺度では軽い抑うつを認め，自己否定感尺度では自己否定感が弱かった．看護師の経験年数別と属性および心理状態の比較では，10年以上と10年未満の2群で比較検討を行ったが統計学的有意差を認めなかった．属性（性別，年齢，配偶者の有無，子どもの有無）と不安傾向のかなり強い，強い，中程度，弱いの4群間の比較は年齢で有意差を認め，多重比較の結果，不安傾向が強い群は中程度群よりも有意に低い年齢を示した．

　In this study, we examined the psychological state of nurses involved in care for dialysis patients to effectively help them provide self-care support. We conducted a survey involving 139 nurses who participated in the Kanto Regional Seminar of the Japan Academy of Nephrology Nursing, held in August 2008, employing eleven scales designed to determine their tendency towards anxiety, a sense of self-value, and other psychological conditions. We performed a t-test to examine the relationship between their scores on the psychological scales and nursing experience, and conducted theχ² test and one-way analysis of variance to examine their characteristics at different anxiety levels. Regarding their performance on the scale to examine problem-solving behavior, problem avoidance was noted in a large number of nurses. In terms of personal relationships, a relatively high level of dependency was observed. A high level of anxiety and mild depression were noted, while no self-denial was expressed. Regarding working experience, no marked difference in the psychological state was noted between the two groups: those with experience of over/less than ten years. We performed a multiple comparison to examine the relationships between the characteristics of nurses (gender, with or without spouse and children, and age) and their levels of anxiety tendency (very strong, strong, moderate, and weak). The average age of the“strong”was significantly lower than that of the“moderate”group.