日本看護医療学会雑誌 26巻2号 (2024年12月発行)

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Original Article

Factors Related to Nursing Students' Knowledge and Attitude toward LGBTQ+ Persons in Japan Hiroki HIRAI , Akiko KONDO , Janelle MOROSS 26巻2号 , 2024年12月 , pp.1-12

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Abstract

　Aim: This study aimed to assess the level of nursing students’ knowledge and attitudes toward LGBTQ+ persons and to identify factors associated with their knowledge and attitudes toward them in Japan.

　Methods: A cross-sectional online survey was conducted at a university in a metropolitan area of Japan in 2022. Potential participants were all students in the School of Nursing (N=231). The questionnaire consisted of demographic data and items focused on knowledge and attitude regarding LGBTQ+ persons. Statistically significant factors in bivariate analyses were forcibly entered into multiple linear regression and multiple logistic regression analyses.

　Results: A total of 219 students responded to the questionnaire (response rate=95%). 3rd-4th school year students had significantly friendlier attitudes than 1st-2nd school years (p=0.013). Students closer to the LGBTQ+ community had higher knowledge (p=0.002). In addition, students who reported themselves as LGBTQ+ had significantly higher knowledge than heterosexual students (p=0.016). Male (p=0.003) students had lower knowledge than female. Regarding knowledge items, the lowest percentage of correct answers (10.5%) was about gender-affirming surgery. Regarding attitudes items, the lowest percentage of students (13.2%) felt that taking a gender history from patients was important.

　Conclusions: Nursing students' LGBTQ+ knowledge and attitudes were associated with the school year, gender, sexual orientation, and relationship with LGBTQ+ persons. Including transgender content and engaging with LGBTQ+ persons will be important in future lectures for nursing students.

Brief Report

Peel Test of Medical Tape on Healthy Participants : A Study Focusing on Peeling Speed on the Abdominal Skin Yuki SAKAIDA , Yumiko UEDA 26巻2号 , 2024年12月 , pp.13-20

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Abstract

　Aim: This study aimed to conduct a pilot test of peel testing to investigate peel speed using multiple medical tapes on the human skin.

　Methods: The four target samples used in this study were GENTLEFIX^TM 3M, Porous Tape^TM KYOWA, Transpore^TM White Surgical Tape 3M, and Surgical Tape^TM KYOWA. A sample 12 or 12.5 mm in width and 130mm in length was applied to the abdomen of the research participants for at least 300 min. Three types of peeling speed conditions were used, 5, 15, and 30 mm/s; one measurement was taken for each peeling speed.

　Results: The study included 10: 2 male and 8 female participants, all of which aged 19 years. Three of the four medical tapes that were subjected to peel tests in this study showed minimum values at a peel speed of 5mm/s. The Kruskal-Wallis test was used to assess the peel force at different peel speeds of 5, 15, and 30 mm/s. The results showed no significant difference in the peel force at different peel speeds.

　Conclusions: This report summarizes the results of our investigation of peeling techniques that could be more suitable for human skin. Peeling medical tape off from human abdominal skin at different speeds, there was no significant difference in peel force between the speeds.

資料

新型コロナウィルス感染症患者への看護におけるジレンマの変化群別にみた看護師の患者に触れる実態大黒　理惠 26巻2号 , 2024年12月 , pp.21-28

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要　　旨

　【目的】コロナ患者への看護におけるジレンマの変化群別に、看護師のコロナ患者に触れる実態を明らかにすることとした。

　【方法】機縁法により募集した13 病院の看護師352名を対象に、日常的な看護援助30場面と心理面への援助10場面で看護師が患者に触れる実態（触れている回数と触れている時間）をweb調査し、ジレンマの変化により3群に分け群間比較した。

　【結果・考察】63名（回収率17.9%）の対象者を不変群24名、増加群9名、減少群30名とした。触れている回数は40場面で、触れている時間は注射の場面と点滴をつなぐ場面を除く38場面で群間差はなかった。注射の場面と点滴をつなぐ場面では、コロナ禍以前は様々な機会を利用し継続的に援助を行っていたが、感染対策の面から頻回な観察が困難となったことから群間差があったと推測した。それ以外の日常的な看護援助場面では感染対策を意識して行いその精度を高めていたこと、心理面への援助場面では触れることに替わる方法を行ったことから群間差はなかったと考えた。