{"created":"2023-07-27T06:51:08.145706+00:00","id":44419,"links":{},"metadata":{"_buckets":{"deposit":"7c6aaa4a-1f27-4dbe-b1f9-ffb62cdd116f"},"_deposit":{"created_by":18,"id":"44419","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"44419"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00044419","sets":["2812:2813:2831"]},"author_link":["285","75943"],"item_9_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2003-03","bibliographicIssueDateType":"Issued"},"bibliographicPageStart":"78p.","bibliographicVolumeNumber":"2000-2002","bibliographic_titles":[{"bibliographic_title":"平成14(2002)年度 科学研究費補助金 基盤研究(C) 研究成果報告書"},{"bibliographic_title":"2002 Fiscal Year Final Research Report","bibliographic_titleLang":"en"}]}]},"item_9_creator_33":{"attribute_name":"著者別表示","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{}],"nameIdentifiers":[{},{}]}]},"item_9_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"虚血性心疾患(以下IHD)患者でタイプA行動パターン(以下タイプA)を示す患者の行動修正を目的に、日本人的特性やQOLを考慮した内容のプログラムを以下の手順で作成し、その過程から当該分野における特徴的な知見を得ることができた。(1)発症前はタイプAであったが発症後にタイプAを修正できた患者とできなかった患者の両方に面接を行い、それぞれの特徴的な点を導き出した。その結果タイプAを修正できなかった患者では、仕事に対して自分自身の徹底した信念をもっており、それが生きる上での支えになっていること、タイプAであり続けることがよくないことはわかっているが、タイプAである自分の存在価値は認めており、だからその行動パターンを変えたくない思いが自分の根底に存在していることが判明した。また患者がタイプAのままでいることが療養生活での必要な行動をとるということによい影響を及ぼしているのではないかとも示唆された。(2)(1)で得られた結果を参考にプログラムを作成した。プログラム作成にあたり、認知療法的アプローチと教育療法的アプローチの両方の利点を取り入れた。さらにストレス緩和を目的として、仕事時間内における有効な余暇の取り入れ方や余暇時間でのリラクゼーション技法の活用方法を取り入れたものとした。(3)(1)のタイプAを修正できなかった患者に外来受診時の待ち時間を利用してプログラム介入した。その際患者自身のタイプAの認識や行動修正できないという思いについての把握、行動修正への意欲および行動修正可能と思う行動の確認等も面接法で実施した。(4)(3)で得られた反応を参考にしながら、今までに行動修正についての指導を受けたことがないタイプAのIHD患者にプログラムに沿って介入し、どんな患者に対しても使用できる内容であるか、また改良すべき部分はどこかについて検討した。\n今後は作成したプログラムをより多くのIHD患者に使用しさらなる改良を加えることで行動修正の効果的な介入への手だてとしていきたい。","subitem_description_type":"Abstract"},{"subitem_description":"For the purpose of the patient modification of type A behavior pattern (type A) in the ischemic heart disease patient (IHD), the program of the content considering Japanese characteristic and QOL was made by following procedures, and it was possible to obtain a characteristic knowledge in the concerned field from the process. 【1!○】In making patient who corrected type A as the result, it was proven to become a bracket as it has the belief in which self it was thorough for the work and as it is effective. And, the existence value of the self which was type A had been recognized, though that being type A, is not good has been proven, and it was proven that so, it did not want to change the behavior pattern, and that the thought exists in the foundation of the self. And, it indicated, even if the good effect be may caused that there is a patient in as of type A taking the necessary behavior in the medical treatment life. 【2!○】In the programming, We took in both cognitive therapy approach a nd educational therapy approach. And the activation method of relaxation technique in work hour in harvest and for the leisure hour in the effective leisure was supposed to be adopted more and more for the purpose of the stress relaxation. 【3!○】Programed to making patient who corrected type A using the queueing time in ambulatory seeking diagnosis and intervened. And, the following were also carried out by the interview technique : Recognition of type A of patient he and grasp on the thought that the behavior can not be modified, volition to the behavior modification and confirmation of the behavior which thinks that it can be modified. 【4!○】Where whether it intervenes in the IHD patient of type A which has not received the guidance on the modification of behavior pattern until now along the program and is the content which can be used for what kind of patient and part to be improved again examined.\nIt wants to make it to be a tool of the behavior modification to the effective intervention by using in future made program for more many IHD patients, and adding further improvement.","subitem_description_type":"Abstract"}]},"item_9_description_22":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"研究課題/領域番号:12672317, 研究期間(年度):2000-2002","subitem_description_type":"Other"},{"subitem_description":"出典：「日本人的特性やQOLを考慮した虚血性心疾患患者の行動パターン修正プログラムの作成」研究成果報告書　課題番号12672317\n  (KAKEN：科学研究費助成事業データベース（国立情報学研究所）)\n　　　本文データは著者版報告書より作成","subitem_description_type":"Other"}]},"item_9_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.24517/00050761","subitem_identifier_reg_type":"JaLC"}]},"item_9_publisher_17":{"attribute_name":"公開者","attribute_value_mlt":[{"subitem_publisher":"金沢大学医薬保健研究域保健学系"}]},"item_9_relation_28":{"attribute_name":"関連URI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"https://kaken.nii.ac.jp/search/?qm=50251963"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://kaken.nii.ac.jp/search/?qm=50251963","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-12672317/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-12672317/","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-12672317/126723172002kenkyu_seika_hokoku_gaiyo/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-12672317/126723172002kenkyu_seika_hokoku_gaiyo/","subitem_relation_type_select":"URI"}}]},"item_9_version_type_25":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-05-17"}],"displaytype":"detail","filename":"ME-PR-KAWAMURA-K-kaken 2003-78p.pdf","filesize":[{"value":"3.9 MB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"ME-PR-KAWAMURA-K-kaken 2003-78p.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/44419/files/ME-PR-KAWAMURA-K-kaken 2003-78p.pdf"},"version_id":"93a0ed93-d38b-4ee6-a63e-7283444ad105"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"research report","resourceuri":"http://purl.org/coar/resource_type/c_18ws"}]},"item_title":"日本人的特性やQOLを考慮した虚血性心疾患患者の行動パターン修正プログラムの作成","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"日本人的特性やQOLを考慮した虚血性心疾患患者の行動パターン修正プログラムの作成"},{"subitem_title":"A design for behavioral modification program of the IHD patient, behavior considering Japanese characteristic and Quality of Life","subitem_title_language":"en"}]},"item_type_id":"9","owner":"18","path":["2831"],"pubdate":{"attribute_name":"公開日","attribute_value":"2018-05-17"},"publish_date":"2018-05-17","publish_status":"0","recid":"44419","relation_version_is_last":true,"title":["日本人的特性やQOLを考慮した虚血性心疾患患者の行動パターン修正プログラムの作成"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2023-07-27T14:41:00.613815+00:00"}