Authorship：Last author   Language：Japanese  

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DOI： 10.2188/jea.JE20230279

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：Elsevier BV  

DOI： 10.1016/j.psychres.2024.115806

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Authorship：Lead author   Language：English   Publishing type：Research paper (scientific journal)   Publisher：Elsevier BV  

DOI： 10.1016/j.nurpra.2023.104845

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Authorship：Lead author   Language：Japanese   Publishing type：Research paper (other academic)  

DOI： 10.11477/mf.1686202360

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Authorship：Lead author   Language：Japanese   Publishing type：Research paper (other academic)  

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Language：Japanese   Publisher：(公社)日本看護科学学会  

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Language：Japanese   Publisher：日本NP学会  

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Authorship：Last author   Language：English   Publishing type：Research paper (scientific journal)   Publisher：Elsevier {BV}  

Background: Disaster evacuation centres are often the first place for disaster-affected people to stay after a disaster as a form of temporary housing. Recent major disasters in Australia and Japan have raised issues regarding access to evacuation centres by vulnerable populations. Objectives: This paper reports a comparative analysis of the Australian and Japanese experience. This study aimed to identify the challenges for stakeholders in disaster health emergency management, in relation to establishing and managing evacuation centres for vulnerable populations, as well as possible solutions to address these challenges. Methods: Semi-structured interviews were conducted with 11 participants from both countries. Interview data were analysed thematically using the NVivo software. Results: Six themes were extracted: Low awareness of the need to protect vulnerable people, ensuring adequate staffing with suitable emergency workers, responding to cultural considerations, increasing awareness of the needs of vulnerable people in communities, ensuring effective coordination within centres, and improving preparedness for cultural diversity. Conclusions: Both countries experienced similar challenges, such as a shortage of relief staff and difficulty establishing effective coordination roles. Coordination and preparedness required a clear delineation of roles and responsibilities as well as communication between local governments and stakeholders in communities during the non-disaster period.

DOI： 10.1016/j.ijdrr.2022.103165

Scopus

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Publishing type：Research paper (scientific journal)   Publisher：Public Library of Science (PLoS)  

Suicide prevention is a crucial policy issue in Japan to be addressed nationally. Nevertheless, if there are regional differences in suicide, even in adjacent sub-regions, measures may need to be taken at the sub-regional level. Previous studies have not compared regional differences in suicide based on the size of policy units, such as prefectures, secondary medical areas, and municipalities. This study used the number of suicides from open data for 10 years from 2009 to 2018 to obtain shrinkage estimates of the standardized mortality ratio (SMR) using the Bayesian hierarchical model. We visualized and compared the regional disparities in suicide for each policy unit. For each gender and policy unit, adjacent regions had similar clusters of SMRs and positive spatial autocorrelation of global Moran’s I (p < 0.001 for each). Comparisons between each policy unit showed that even if the SMR was low for the prefectural units, there were regions with high SMRs in municipalities and secondary medical areas, and vice versa. It was found that assessing suicide solely on a prefecture-by-prefecture basis may overlook regional disparities in suicide. This research emphasizes the need to establish suicide indicators at the secondary medical or municipal level and execute individual suicide prevention interventions in neighboring communities. Prefectures can also play a role in developing collaborative cooperation between neighboring regions by acting as actors.

DOI： 10.1371/journal.pgph.0000271

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：Wiley  

DOI： 10.1111/inr.12790

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Other Link： https://onlinelibrary.wiley.com/doi/full-xml/10.1111/inr.12790

Authorship：Last author   Publishing type：Research paper (scientific journal)  

DOI： 10.51028/jjdisatmed.27.2_129

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Authorship：Lead author   Language：English   Publishing type：Research paper (scientific journal)  

Importance: Although the suicide rate in Japan increased during the COVID-19 pandemic, the reasons for suicide have yet to be comprehensively investigated. Objective: To assess which reasons for suicide had rates that exceeded the expected number of suicide deaths for that reason during the COVID-19 pandemic. Design, Setting, and Participants: This national, population-based cross-sectional study of data on suicides gathered by the Ministry of Health, Labor, and Welfare from January 2020 to May 2021 used a times-series analysis on the numbers of reason-identified suicides. Data of decedents were recorded by the National Police Agency and compiled by the Ministry of Health, Labor, and Welfare. Exposure: For category analysis, we compared data from January 2020 to May 2021 with data from December 2014 to June 2020. For subcategory analysis, data from January 2020 to May 2021 were compared with data from January 2019 to June 2020. Main Outcomes and Measures: The main outcome was the monthly excess suicide rate, ie, the difference between the observed number of monthly suicide deaths and the upper bound of the 1-sided 95% CI for the expected number of suicide deaths in that month. Reasons for suicide were categorized into family, health, economy, work, relationships, school, and others, which were further divided into 52 subcategories. A quasi-Poisson regression model was used to estimate the expected number of monthly suicides. Individual regression models were used for each of the 7 categories, 52 subcategories, men, women, and both genders. Results: From the 29 938 suicides (9984 [33.3%] women; 1093 [3.7%] aged <20 years; 3147 [10.5%] aged >80 years), there were 21 027 reason-identified suicides (7415 [35.3%] women). For both genders, all categories indicated monthly excess suicide rates, except for school in men. October 2020 had the highest excess suicide rates for all cases (observed, 1577; upper bound of 95% CI for expected number of suicides, 1254; 25.8% greater). In men, the highest monthly excess suicide rate was 24.3% for the other category in August 2020 (observed, 87; upper bound of 95% CI for expected number, 70); in women, it was 85.7% for school in August 2020 (observed, 26; upper bound of 95% CI for expected number, 14). Conclusions and Relevance: In this study, observed suicides corresponding to all 7 categories of reasons exceeded the monthly estimates (based on data from before or during the COVID-19 pandemic), except for school-related reasons in men. This study can be used as a basis for developing intervention programs for suicide prevention.

DOI： 10.1001/jamanetworkopen.2021.45870

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Authorship：Last author,　Corresponding author   Language：Japanese   Publishing type：Research paper (scientific journal)  

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Language：Japanese   Publisher：日本NP学会  

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Language：Japanese   Publisher：日本NP学会  

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：Elsevier {BV}  

File： 1-s2.0-S0020748921001474-main.pdf

DOI： 10.1016/j.ijnurstu.2021.104000

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：Elsevier BV  

DOI： 10.1016/j.psychres.2021.114173

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：Wiley  

DOI： 10.1111/phn.12939

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Other Link： https://onlinelibrary.wiley.com/doi/full-xml/10.1111/phn.12939

Publishing type：Research paper (scientific journal)   Publisher：MDPI AG  

The World Health Organization (WHO) and its partners established the WHO Thematic Platform for Health Emergency and Disaster Risk Management Research Network (HEALTH EDRM RN) in 2016 to respond to the increasing burden of recent health emergencies and disasters. The mission of the HEALTH EDRM RN, whose secretariat is located at the WHO Kobe Centre (WKC), is to promote global research collaboration and strengthen research activities to inform policies and programs by generating new evidence to manage health risks associated with all types of emergencies and disasters. With the strong support and involvement of all WHO regional offices, the HEALTH EDRM RN now works with more than 200 global experts and partners to pursue its mission. The first Core Group Meetings of the HEALTH EDRM RN were held on 17–18 October 2019, and concluded with the HEALTH EDRM RN-activity priorities to (1) promote operational research to better meet the needs of emergency- and disaster-exposed individuals and communities and efforts to translate science to policies and programs and (2) strengthen the research capacity of the Health EDRM community. In collaboration with the Japanese Association for Disaster Medicine, the WKC held a workshop on 21 February 2020, in which 20 Japanese experts from different research fields participated to further discuss these two points. This paper summarizes the discussion at the workshop.

DOI： 10.3390/ijerph18094447

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Publishing type：Research paper (scientific journal)   Publisher：Elsevier BV  

DOI： 10.1016/j.psychres.2021.113913

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Authorship：Lead author,　Corresponding author   Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：The Japan Primary Care Association  

DOI： 10.14442/generalist.44.2

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：Elsevier {BV}  

Suicide is an extreme consequence of the psychological burden associated with the coronavirus disease 2019 (COVID-19) counter-measures. A quasi-Poisson regression was applied to monthly suicide mortality data obtained from the National Police Agency to estimate the gender-specific excess/exiguous suicide deaths during the COVID-19 pandemic in Japan up to September 2020. We found excess suicide deaths among women in July, August and September, but not among men. Our results indicate the importance of COVID-19 related suicide prevention, especially for women. Timely access to mental health care and financial and social support is urgently needed, as is optimal treatment for mental illness.

DOI： 10.1016/j.psychres.2020.113622

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Authorship：Lead author,　Corresponding author  

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Language：English   Publishing type：Research paper (scientific journal)  

As the coronavirus disease 2019 (COVID-19) pandemic rages on, the mental health of both the infected and non-infected is a rising concern. We used administrative survey data (16402 responses in the last two weeks) using a chatbot on LINE, the most popular social networking service (SNS) in Japan, to show that people with COVID-19 patients in a close setting had higher psychological distress level than those without. We believe that the results indicate an urgent need to prioritize the establishment and implementation of mental health and psychosocial support tailored to family, close relatives, and friends of COVID-19 patients.

DOI： 10.1016/j.psychres.2020.113067

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Language：Japanese   Publisher：日本防菌防黴学会  

東日本大震災被災地の4避難施設において、真菌叢調査を行った。その結果、室内空気中の浮遊真菌数は、真菌汚染の基準とされる1,000CFU/m3以上となった施設は無く、ヒト危害性の高い菌種の検出濃度も低かったことから、直接的な健康被害の原因となる真菌の異常発育は確認されなかった。しかし、Aspergillus属菌の菌数および菌種は、一般家屋室内と比較して異常な状態を示し、注意が必要と考えられた。また、避難施設の清掃ボランティアチームの衛生活動と施設内の真菌叢変動との関連性について検討したところ、本活動は、避難施設内の真菌叢正常化に対して一定の効果をもたらしたことが示された。しかし、効果の継続性はなく、定期的な清掃が必要不可欠であることが明らかとなった。避難施設は真菌叢が変化しやすい環境であることを認識し、衛生状態に留意しなくてはならない。(著者抄録)

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Authorship：Last author   Language：English   Publishing type：Research paper (scientific journal)   Publisher：Institute of Island Studies  

Objective: To clarify the tacit knowledge of Japanese public-health nurses who administer culturally sensitive disaster nursing for small island communities. Design: Qualitative and inductive study. Sample: Eleven public-health nurses who provided disaster aid on one of six affected islands. Measurements: Semi-structured interviews, with qualitative analysis of data. Nursing actions that were based on consideration for islanders’ culture were categorized in terms of similarity. Results: Categories of culturally sensitive disaster nursing were identified for each disaster phase of the recovery process. These included confirming islanders’ safety and using existing interpersonal bonds to notify others (acute phase); assisting shelter management by facilitating the application of local rules and bonds (semi-acute phase); compensating for weakened neighbour-based relationships through public services (mid-term phase); and supporting the completion of necessary procedures by utilizing/adjusting islanders’ existing relationships with local government personnel (long-term phase). Cultural elements included interpersonal bonds and relationship, which emerged across phases. Conclusion: Public-health nurses should utilize culture not only to comfort islanders, but also to strengthen their sense of coherence and resilience as islander. They should also remember the nursing principle of compensating for a lack of self-care. To provide effective aid, the changes in cultural influences with recovery phases should be considered.

DOI： 10.24043/isj

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Authorship：Last author   Language：English   Publisher：国立保健医療科学院  

本稿の目的は、災害対策と対応に関して文化的な方法の概念を、日本とニュージーランドの2大自然災害を例示して、紹介することである。また、本稿では、両国で積み重ねられてきた経験から、全国的または地方の災害対策の構造の概要を提供する。つづいて、文化的に安全なことの概念を、2011年の日本およびニュージーランドの地震での文化に即した災害対応の展開において紹介する。本稿はまた、文化に即した災害対応とコミュニティレジリエンスの関連を展開する。(著者抄録)

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Other Link： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2019&ichushi_jid=J03876&link_issn=&doc_id=20191126390004&doc_link_id=10.20683%2Fjniph.68.4_334&url=https%3A%2F%2Fdoi.org%2F10.20683%2Fjniph.68.4_334&type=J-STAGE&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00007_3.gif

Language：Japanese   Publisher：国立保健医療科学院  

日本および世界で多発する自然災害に対し、世界基準の対策が整備されつつある。これらの世界基準を各地の実情に即して、より効果的に適応するために、文化に即して災害時公衆衛生看護活動をすることが必要となる。これらは未だ暗黙知といえ、形式知として世界の看護職と共有するべく、筆者らは研究を進めている。本稿では、文化に即した災害時公衆衛生看護活動の概念枠組みを提示することを目的として、災害・文化・看護に関する汎用されている諸説・定義を整理した。まず、本稿では災害を次のように整理し定義した。「自然現象や人の行為により、人と取り巻く環境に損害を受け、コミュニティの機能が維持できなくなり、外からの援助なしには人々の基本的ニードを満たすための行動様式の維持が困難になる状態」。次に、文化を次のように定義した。「一定の生活圏域の人々が獲得・蓄積・共有・伝承してきた、災害を含む世界観・価値観・信念・規範に基づく思考・態度・行動様式、これらは人々の考え・意思決定・行動を導き、パーソナリティや存在意義を形成する」災害時公衆衛生看護活動は次のように定義した。「災害発生前から事後までの全過程を通じて、人々とコミュニティが、病気や障がいの予防・健康維持と回復・平穏な死に向けて、平常時との落差を縮小して生活行動と政策を含めた環境を整えられるよう、人々とコミュニティと協働し、公正で安全な社会の維持・再構築を目指す活動」。補足として、文化に即した災害時保健活動の成果、及び活動時の留意点を述べる。成果として、看護のアウトカムとしての安寧をもたらす一助となり、アイデンティティクライシスの予防にもなり得、さらに人々の規範や知恵を活かした効果的な活動となりうる。留意点は、保健師自身の文化を自覚し、文化的に安全(cultural safety)な活動を推進することが求められる。(著者抄録)

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Other Link： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2019&ichushi_jid=J03876&link_issn=&doc_id=20191126390005&doc_link_id=10.20683%2Fjniph.68.4_343&url=https%3A%2F%2Fdoi.org%2F10.20683%2Fjniph.68.4_343&type=J-STAGE&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00007_3.gif

Language：English   Publishing type：Research paper (scientific journal)   Publisher：Informa {UK} Limited  

OBJECTIVE: Approximately 70,000 Japan Ground Self-Defense Force (JGSDF) personnel were dispatched in the wake of the 2011 Great East Japan Earthquake and the tsunami and nuclear disaster that followed. This study was conducted to evaluate the mental health of the JGSDF personnel and the correlates. METHODS: Data collected from 56,753 participants at three time points (one, six, and 12 months after mission completion) were analyzed. Those who scored 25 or more points on the Impact of Events Scale-Revised (IES-R) and the Kessler Psychological Distress Scale (K10) were allocated into the high posttraumatic stress response (high-PTSR) group, and the high general psychological distress (high-GPD) group, respectively. RESULTS: The multiple logistic regression analysis identified the following factors as the significant risk factor related to high-PTSR or high-GPD status, with odds ratios of 2.0 or higher: deployment length of three or more months, being personally affected by the disaster, and being overworked continuously for three or more months after mission completion. No significant association was observed for duties with radiation exposure risk. CONCLUSIONS: Our findings suggest that disaster workers may be able to conduct disaster relief activities more safely with mission-related considerations of shorter deployment length and recognizing the effects on personnel personally affected by the disaster, in addition to avoiding overworking personnel after mission completion.

DOI： 10.1080/00332747.2017.1333340

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：CAMBRIDGE UNIV PRESS  

Background. The Fukushima Daiichi and Daini Nuclear Power Plant workers experienced multiple stressors as both victims and onsite workers after the 2011 Great East Japan Earthquake and subsequent nuclear accidents. Previous studies found that disaster-related exposures, including discrimination/ slurs, were associated with their mental health. Their long-term impact has yet to be investigated.
Method. A total of 968 plant workers (Daiichi, n = 571; Daini, n = 397) completed self-written questionnaires 2-3 months (time 1) and 14-15 months (time 2) after the disaster (response rate 55.0%). Sociodemographics, disaster-related experiences, and peritraumatic distress were assessed at time 1. At time 1 and time 2, general psychological distress (GPD) and post-traumatic stress response (PTSR) were measured, respectively, using the K6 scale and Impact of Event Scale Revised. We examined multivariate covariates of time 2 GPD and PTSR, adjusting for autocorrelations in the hierarchical multiple regression analyses.
Results. Higher GPD at time 2 was predicted by higher GPD at time 1 (beta = 0.491, p &lt; 0.001) and discrimination/ slurs experiences at time 1 (beta = 0.065, p = 0.025, adjusted R-2 = 0.24). Higher PTSR at time 2 was predicted with higher PTSR at time 1 (beta = 0.548, p &lt; 0.001), higher age (beta = 0.085, p = 0.005), and discrimination/ slurs experiences at time 1 (beta = 0.079, p = 0.003, adjusted R-2 = 0.36).
Conclusions. Higher GPD at time 2 was predicted by higher GPD and discrimination/ slurs experience at time 1. Higher PTSR at time 2 was predicted by higher PTSR, higher age, and discrimination/ slurs experience at time 1.

DOI： 10.1017/S003329171600194X

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：BIOMED CENTRAL LTD  

BACKGROUND: Defense Force workers engaged in disaster relief activities might suffer from strong psychological stress due to the tasks that they had been involved. We evaluated how living environments, work environments, and individual factors psychologically affect those who engaged in disaster relief activities. METHOD: Data generated with 1506 personnel engaged in the Great East Japan Earthquake relief activity were analyzed. Those who scored ≥25 points on the Impact of Events Scale-Revised and the Kessler Psychological Distress Scale (K10) were allocated into the high post-traumatic stress response (high-PTSR) group, and the high general psychological distress (high-GPD) group, respectively. RESULTS: The multiple logistic regression analysis extracted living environment (camping within the shelter sites) as the significant risk factor for both high-PTSR (OR = 3.39, 95 % CI 2.04-5.64, p < 0.001) and high-GPD (OR = 3.35, 95 % CI 1.77-6.34, p < 0.001) groups. CONCLUSION: It is desirable for disaster workers to have a living environment in which they can keep an appropriate distance from the victims.

DOI： 10.1186/s12888-016-1058-4

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：WILEY-BLACKWELL  

DOI： 10.1111/nhs.12276

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：Royal College of Psychiatrists  

SUMMARY: United Nations peacekeeping personnel face numerous stressors due to their challenging deployments. Past studies have had inconsistent results regarding whether or not their deployment experience affects their mental health outcomes. Further studies are required to ascertain the associations between their outcomes and factors before, during and after their peacekeeping missions. DECLARATIONS OF INTEREST: None. COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2016. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.

DOI： 10.1192/bjpo.bp.115.002410

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DOI： 10.1186/s40635-015-0069-7

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：CAMBRIDGE UNIV PRESS  

OBJECTIVE: We sought to elucidate news article reporting of adverse public psychosocial behaviors, in particular, rumor-related coverage (eg, panic, demagoguery) and exclusive behavior coverage (negative behaviors, eg, discrimination, bullying) during the 2009 influenza A (H1N1) influenza pandemic in Japan. METHODS: We examined 154 Internet news-site articles reporting adverse public psychosocial responses in the first 60 days of the outbreak. Rumor-related coverage and exclusive behavior coverage were dichotomously coded as included or not. Moreover, we assessed whether or not health information (eg, coping methods, virus toxicity information) or emphasis on information quality (eg, importance of information, cautions about overreactions) were simultaneously reported. RESULTS: Rumor-related coverage (n=120, 77.9%) was less likely to simultaneously report public health information (eg, toxicity information, health support information, and cautions about overreactions; P<.05). Conversely, exclusive behavior coverage (n=41, 26.6%) was more likely to report public health information (P<.05). CONCLUSIONS: Rumor-related coverage was less likely to have accompanying public health information, whereas exclusive behavior coverage was more likely to include it. During public health crises, it is essential to understand that rumors and exclusive behaviors have adverse effects on the public and that accompanying public health information may help people take proactive coping actions.

DOI： 10.1017/dmp.2015.57

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Language：Japanese   Publisher：(一社)日本プライマリ・ケア連合学会  

2011年3月11日に発生した東日本大震災において、日本プライマリ・ケア連合学会は支援プロジェクト("Primary Care for All"Team、以下PCAT)を立ち上げ、医療従事者を中心とするボランティアを派遣して医療支援を行った。派遣支援は2013年3月までの2年間に及び、派遣者は総計500人以上(うち4割程度は医師)となった。2011年3月29日から同年9月までの派遣者に対しては、派遣前研修を行った。その構築と実際、そして震災のフェイズの移行に伴っての変遷について報告し、成果と問題点、将来への課題について考察する。(著者抄録)

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Other Link： https://search-tp.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2015&ichushi_jid=J05620&link_issn=&doc_id=20150715440014&doc_link_id=10.14442%2Fgeneralist.38.166&url=https%3A%2F%2Fdoi.org%2F10.14442%2Fgeneralist.38.166&type=J-STAGE&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00007_3.gif

Language：Japanese  

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Other Link： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2015&ichushi_jid=J05620&link_issn=&doc_id=20150715440012&doc_link_id=10.14442%2Fgeneralist.38.154&url=https%3A%2F%2Fdoi.org%2F10.14442%2Fgeneralist.38.154&type=J-STAGE&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00007_3.gif

Language：Japanese   Publisher：(一社)日本プライマリ・ケア連合学会  

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Other Link： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2015&ichushi_jid=J05620&link_issn=&doc_id=20150715440008&doc_link_id=10.14442%2Fgeneralist.38.132&url=https%3A%2F%2Fdoi.org%2F10.14442%2Fgeneralist.38.132&type=J-STAGE&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00007_3.gif

Language：Japanese   Publisher：(一社)日本プライマリ・ケア連合学会  

宮城県山元町において、独居高齢者から希望をつのり、計43名の方にIT機器を用いた健康保険サービスを提供した。現地で保健師1名がデータ管理、訪問活動を実施、またデータ管理については遠隔で行いサービスを運営した。安否確認を目的とした当サービスの利用は、管理体制や、電波状況などシステムの問題、目的と対象者に沿ったサービス内容の再考など、課題が多くみつかった。一方で、データ管理や訪問活動を介して、利用者や地域とのつながりをより深めることができた。今後、超高齢化を迎える地域で、見守り体制を整えていくには、ITサービスを利用することも効果的と思われる。しかしそれはあくまでツールとし、それ以上に、対象者と直接コミュニケーションをとれる位置に専門職者が存在し、関係機関と連携をとることが、データの解釈・活用や住民の安心感に重要であり、地域のつながりも深めていけるのでは、と考える。(著者抄録)

J-GLOBAL

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Other Link： https://search-tp.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2015&ichushi_jid=J05620&link_issn=&doc_id=20150715440017&doc_link_id=10.14442%2Fgeneralist.38.180&url=https%3A%2F%2Fdoi.org%2F10.14442%2Fgeneralist.38.180&type=J-STAGE&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00007_3.gif

Language：Japanese  

J-GLOBAL

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Other Link： https://search-tp.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2015&ichushi_jid=J05620&link_issn=&doc_id=20150715440015&doc_link_id=10.14442%2Fgeneralist.38.170&url=https%3A%2F%2Fdoi.org%2F10.14442%2Fgeneralist.38.170&type=J-STAGE&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00007_3.gif

Authorship：Lead author,　Corresponding author   Language：English   Publishing type：Research paper (scientific journal)  

BACKGROUND: On March 11, 2011, Japan experienced an unprecedented combination of earthquake/tsunami/nuclear accidents (the Great East Japan Earthquake; GEJE). We sought to identify mental health and psychosocial consequences of this compound disaster. METHOD: A systematic literature review was conducted of quantitative research articles addressing mental health of survivors and the psychological impact of the GEJE. For articles between March 2011 and December 2014, PubMed, PsychINFO, and EMBASE databases were searched with guidance on literature review method. RESULTS: Forty-nine studies met the inclusion criteria. A substantial proportion of the affected individuals experienced considerable psychological distress. Mental health outcomes included, but were not limited to, posttraumatic stress disorder, depression, and anxiety symptoms. Physical health changes, such as sleeping and eating disturbances, also occurred. In Fukushima, radioactive release induced massive fear and uncertainty in a large number of people, causing massive distress among the affected residents, especially among mothers of young children and nuclear plant workers. Stigma was additional challenge to the Fukushima residents. The review identified several groups with vulnerabilities, such as disaster workers, children, internally displaced people, patients with psychiatric disorders, and the bereaved. CONCLUSIONS: Following the GEJE, a considerable proportion of the population was mentally affected to a significant degree. The affected individuals showed a wide array of mental and physical consequences. In Fukushima, the impact of nuclear disaster was immense and complex, leading to fear of radiation, safety issues, and stigma issues.

DOI： 10.1186/s40696-015-0008-x

PubMed

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J-GLOBAL

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Authorship：Lead author,　Corresponding author   Language：Japanese   Publisher：日本保健医療行動科学会  

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Other Link： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2014&ichushi_jid=J06368&link_issn=&doc_id=20140807440005&doc_link_id=%2Fcp1hokou%2F2014%2F002901%2F005%2F0040-0047%26dl%3D0&url=http%3A%2F%2Fwww.medicalonline.jp%2Fjamas.php%3FGoodsID%3D%2Fcp1hokou%2F2014%2F002901%2F005%2F0040-0047%26dl%3D0&type=MedicalOnline&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00004_2.gif

Authorship：Lead author,　Corresponding author   Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：World Health Organization, Western Pacific Regional Office  

DOI： 10.5365/wpsar.2013.4.2.010

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Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：Ovid Technologies (Wolters Kluwer Health)  

The Emergency Department (ED) is a point of contact for victims of violence after an act of criminal activity has occurred. Hence, ED clinicians are in a key position to have a significant impact on both the medical and legal outcomes of the forensic patient population. The purpose of this study was to describe and compare forensic knowledge, practice, and experiences of ED nurses and physicians. Specific aims were to (1) describe experiences of nurses and physicians related to forensic practice; (2) compare clinical forensic knowledge and experience between nurses and physicians; and (3) describe forensic learning needs. This descriptive, correlational study utilized a survey questionnaire completed by 134 ED nurses and physicians. Results of the survey revealed no significant differences in the education, knowledge, and confidence with forensic patients between ED nurses and physicians. However, just over half of the sample reported feeling confident in managing forensic patients indicating a need for increased forensic education. Practice implications indicate that forensic education is needed and desired among ED nurses and physicians within the clinical setting. Further studie

DOI： 10.1111/j.1939-3938.2012.01144.x

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Authorship：Lead author,　Corresponding author   Language：English   Publishing type：Research paper (scientific journal)   Publisher：WILEY-BLACKWELL  

Aim:
To determine the efficacy and effectiveness of the closed suctioning system.
Method:
Literature review articles were accessed from the following databases: PubMed, EMBASE, CINAHL, and Cochrane Library. The literature review criteria included: all publication styles except meta-analysis, participants that were &gt;= 18 years, written in English, and published between 1973 and 2008.
Results:
This literature review revealed that the efficacy and effectiveness of the closed suctioning system remains to be demonstrated. The device manufacturers&apos; studies focused on cost reduction, cross-contamination, and preservation of the oxygen saturation of patients during endotracheal suctioning; however, the clinical studies focused on the use of closed suctioning systems to prevent ventilator-associated pneumonia. The reviewed studies had small sample sizes with heterogeneous demographics and non-randomized controls. Recent studies suggest that closed suctioning systems are no better than open suctioning systems in terms of mortality, morbidity, or the cost-benefit ratio. A few studies did indicate that the closed suctioning system might reduce the loss of lung volume and oxygen desaturation.
Conclusion:
The studies reviewed in this article suggest that the evidence on the efficacy and effectiveness of closed suctioning systems is inconclusive. Only limited populations will benefit clinically from the use of this device. There is a need for further studies with randomized controlled trials to explore the use of closed suction systems and to update current clinical practise guidelines.

DOI： 10.1111/j.1742-7924.2010.00143.x

Web of Science

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Total pages：xviii, 501p   Language：Japanese

CiNii Books

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Language：Japanese  

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Language：Japanese  

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Language：Japanese  

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Language：Ukrainian   Publisher：Ecosystem of Psychological Assistance  

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Language：Japanese  

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Language：Japanese   Publisher：(株)照林社  

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Language：Japanese   Publishing type：Lecture material (seminar, tutorial, course, lecture, etc.)  

教育講演24

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Language：Japanese   Publishing type：Lecture material (seminar, tutorial, course, lecture, etc.)  

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Language：Japanese  

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Language：Japanese   Publisher：(一社)日本疫学会  

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J-GLOBAL

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J-GLOBAL

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Language：Japanese   Publisher：(一社)日本救急看護学会  

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Language：Japanese   Publishing type：Lecture material (seminar, tutorial, course, lecture, etc.)  

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Language：Japanese  

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Language：Japanese  

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Language：Japanese   Publisher：(一社)日本社会精神医学会  

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Language：Japanese   Publisher：(一社)日本クリティカルケア看護学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：English   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：宮崎大学医学部看護学科  

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Other Link： https://search-tp.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2021&ichushi_jid=J04270&link_issn=&doc_id=20210420310004&doc_link_id=2100480&url=https%3A%2F%2Fkango-sakuin.nurse.or.jp%2Fnid%2F2100480&type=%8D%C5%90V%8A%C5%8C%EC%8D%F5%88%F8Web&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00014_1.gif

Language：Japanese   Publisher：(一社)日本プライマリ・ケア連合学会  

目的:2つのGIS情報を突合し,南海トラフ地震時の宮崎県内プライマリ・ケア提供施設の被害を可視化,被害想定に基づいた実現可能性の高い対応策を考察する.方法:国土数値情報の津波浸水想定データと日本医師会地域医療情報システム内医療機関情報データを突合させた.結果:721の診療所と140の病院の内,診療所では139施設521床,病院では31施設4,713床が被災することが明らかになった.医療圏でみると,50%以上の施設が被災する地域は,延岡西臼杵(診療所,58.7%;病院,60.0%),日向入郷(診療所,84.2%;病院,61.5%)の県北地域であり,県北沿岸部の被害偏重が明らかになった.結論:長期にわたる全県的被害へ対応するために,施設単体でなく隣県地域施設との連携体制により地域医療の継続性を高め,プライマリ・ケアだからこそできる平時からの住民共同の備えが必要である.(著者抄録)

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Other Link： https://search-tp.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2021&ichushi_jid=J05620&link_issn=&doc_id=20210329410001&doc_link_id=10.14442%2Fgeneralist.44.2&url=https%3A%2F%2Fdoi.org%2F10.14442%2Fgeneralist.44.2&type=J-STAGE&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00007_3.gif

Language：Japanese   Publisher：(福)全国社会福祉協議会  

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Language：Japanese   Publisher：(公社)日本看護科学学会  

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Language：Japanese   Publisher：日本公衆衛生学会  

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Language：Japanese   Publisher：日本公衆衛生学会  

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Language：Japanese   Publisher：(一社)日本災害看護学会編集委員会  

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Language：Japanese   Publisher：(一社)日本災害看護学会編集委員会  

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Language：Japanese   Publisher：(公社)日本精神神経学会  

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Language：Japanese   Publisher：(一社)日本在宅医療連合学会  

J-GLOBAL

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(公社)日本看護科学学会  

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Language：Japanese   Publisher：精神医療学会  

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Language：Japanese   Publisher：(株)南山堂  

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Other Link： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2019&ichushi_jid=J00821&link_issn=&doc_id=20190612190014&doc_link_id=%2Faf5thrpc%2F2019%2F010106%2F015%2F0700-0704%26dl%3D0&url=http%3A%2F%2Fwww.medicalonline.jp%2Fjamas.php%3FGoodsID%3D%2Faf5thrpc%2F2019%2F010106%2F015%2F0700-0704%26dl%3D0&type=MedicalOnline&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00004_2.gif

Language：Japanese   Publisher：(株)南山堂  

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Other Link： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2019&ichushi_jid=J00821&link_issn=&doc_id=20190612190005&doc_link_id=%2Faf5thrpc%2F2019%2F010106%2F006%2F0657-0660%26dl%3D0&url=http%3A%2F%2Fwww.medicalonline.jp%2Fjamas.php%3FGoodsID%3D%2Faf5thrpc%2F2019%2F010106%2F006%2F0657-0660%26dl%3D0&type=MedicalOnline&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00004_2.gif

Language：Japanese   Publisher：(一社)日本睡眠学会  

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Language：Japanese   Publisher：(株)杏林書院  

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Other Link： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2019&ichushi_jid=J01351&link_issn=&doc_id=20190311150005&doc_link_id=1901034&url=https%3A%2F%2Fkango-sakuin.nurse.or.jp%2Fnid%2F1901034&type=%8D%C5%90V%8A%C5%8C%EC%8D%F5%88%F8Web&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00014_1.gif

Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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J-GLOBAL

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Language：Japanese   Publisher：(一社)日本小児救急医学会  

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Language：Japanese   Publisher：お茶の水看護学研究会  

【目的】世界的な看護職者不足を背景に、看護職者の移住は国際的な関心を集めている。海外で就業・就学する日本人看護職者は増加しているが、海外在住の日本人看護職者を対象とした調査は少ない。本研究は米国在住の日本人看護職者を対象に、移住の契機となる留学の理由と準備を明らかにすることを目的とした。【方法】看護に関する学習・就労経験のある日本人看護職者を対象にインターネットを用いた横断的調査を実施し、留学の理由や準備について回答を得た。【結果】82名の回答のうち、半数以上の項目に回答した64名(有効回答率78.0%)を分析対象とした。88%が女性、44%が30歳代であった。留学の理由で、最も多かったのは「何か大きなことに挑戦してみたかったから」(80%)であった。事前の留学の準備で最も多く実施されたのは「語学学校へ通った」(70%)で、「奨学金や助成金の申請」は最も実施されていなかった(17%)。「留学情報が得られるセンターへ行った」は役に立ったという評価が最も少なかった(56%)。【考察】先行研究では看護職者の主な移住動機として経済的理由が挙げられてきたが、日本人看護職者は向学心や意欲を動機として留学する傾向が示された。日本人看護職者の語学力の向上や、留学情報の有用性・利便性の向上、奨学金や助成金制度の充実等を図り、意欲の高い日本人看護職者の移住・留学を促進し、看護の発展や国際貢献につなげていくことが望ましいと考えられた。(著者抄録)

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Other Link： https://search-tp.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2018&ichushi_jid=J05189&link_issn=&doc_id=20180814030002&doc_link_id=%2Ffm3ochan%2F2018%2F001201%2F002%2F0016-0024%26dl%3D0&url=https%3A%2F%2Fwww.medicalonline.jp%2Fjamas.php%3FGoodsID%3D%2Ffm3ochan%2F2018%2F001201%2F002%2F0016-0024%26dl%3D0&type=MedicalOnline&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00004_2.gif

Language：Japanese   Publishing type：Article, review, commentary, editorial, etc. (scientific journal)  

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Language：Japanese   Publishing type：Article, review, commentary, editorial, etc. (bulletin of university, research institution)  

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Language：Japanese   Publishing type：Article, review, commentary, editorial, etc. (scientific journal)  

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Language：Japanese   Publisher：日本公衆衛生学会  

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Language：Japanese   Publisher：日本公衆衛生学会  

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Language：Japanese   Publisher：日本公衆衛生学会  

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Language：Japanese   Publisher：日本公衆衛生学会  

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Language：Japanese   Publisher：日本公衆衛生学会  

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Language：Japanese   Publisher：日本公衆衛生学会  

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Language：Japanese   Publisher：日本公衆衛生学会  

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Language：Japanese   Publishing type：Article, review, commentary, editorial, etc. (bulletin of university, research institution)   Publisher：(一社)日本プライマリ・ケア連合学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本救急看護学会  

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Language：Japanese   Publisher：(一社)日本救急看護学会  

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Language：Japanese   Publisher：日本公衆衛生学会  

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Language：Japanese   Publisher：(公社)日本リハビリテーション医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本防衛衛生学会  

J-GLOBAL

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Language：Japanese   Publisher：(公財)先進医薬研究振興財団  

J-GLOBAL

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J-GLOBAL

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Language：Japanese   Publisher：(一社)日本防衛衛生学会  

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Language：Japanese   Publisher：(一社)日本防衛衛生学会  

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Language：Japanese   Publisher：(公社)日本看護科学学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

東日本大震災(2011年)は、阪神淡路大震災(1995年)を想定して構築されてきたわが国の災害対策を根幹から揺るがすこととなった。特に、地域住民を災害から保護する役割を担う基礎自治体がその機能を失うことは災害対策基本法のなかでも想定されておらず、結果として支援を必要とする地域に適切な支援が入らず、情報が集中する地域に支援が集中するという支援のミスマッチが生じることになった。このような大規模災害に対応していく上で、(1)災害発生直後より効率的に公衆衛生情報を収集し、(2)さまざまな情報源から情報を集め、(3)集められた情報を的確かつ迅速に評価することで、(4)適切に人的、物的資源を配分することが必須である。厚生労働省は、地域における健康危機事案への対応能力の向上を目指して平成13年度より地方自治体における保健行政職員を対象とした健康危機管理研修を実施してきたが、その内容は総花的であり、必ずしも大規模災害を対象としたものではなかった。そこで、平成24年度よりICT(information communication technology)の活用、クラスターアプローチ、スフィアスタンダードおよび心理的応急処置(psychological first aid;PFA)を導入することで災害時における地域の健康危機管理能力の強化を図っている。(著者抄録)

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Other Link： https://search-tp.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2015&ichushi_jid=J06590&link_issn=&doc_id=20160113480011&doc_link_id=%2Fdi9disat%2F2015%2F002002%2F011%2F0255-0261%26dl%3D0&url=https%3A%2F%2Fwww.medicalonline.jp%2Fjamas.php%3FGoodsID%3D%2Fdi9disat%2F2015%2F002002%2F011%2F0255-0261%26dl%3D0&type=MedicalOnline&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00004_2.gif

Language：Japanese   Publisher：(一社)日本災害医学会  

2011年の東日本大震災に際して、日本プライマリ・ケア連合学会は災害支援プロジェクトを立ち上げた。600余名の多職種の医療専門職が岩手、宮城、福島にて2011年3月から2013年3月まで活動を行った。避難所や被災した医療機関での医療支援だけではなく、プライマリ・ケアレベルでの精神保健・心理社会的支援活動を数多く行った。本報告では、福祉避難所、被災医療機関、警察、そしてPCAT参加メンバーに対する精神保健・心理社会的支援活動内容を振り返り、その反省点を明らかにすることにより今後のよりよい緊急時支援における心理社会的な支援を模索することを目的とする。他職種・多機関との協働や、現地の機関やスタッフと密に連絡をとりプロジェクトを調整する専任コーディネーターの設置は、プロジェクトの成功の一助になった。一方で、スタッフの事前教育の重要性や、流動的な人的配置や行政方針のなかで活動を行う限界性も示唆された。(著者抄録)

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Other Link： https://search-tp.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2015&ichushi_jid=J06590&link_issn=&doc_id=20150728390009&doc_link_id=%2Fdi9disat%2F2015%2F002001%2F009%2F0064-0070%26dl%3D0&url=https%3A%2F%2Fwww.medicalonline.jp%2Fjamas.php%3FGoodsID%3D%2Fdi9disat%2F2015%2F002001%2F009%2F0064-0070%26dl%3D0&type=MedicalOnline&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00004_2.gif

Language：Japanese   Publisher：文化看護学会  

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Other Link： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2015&ichushi_jid=J05835&link_issn=&doc_id=20150813460007&doc_link_id=1501301&url=https%3A%2F%2Fkango-sakuin.nurse.or.jp%2Fnid%2F1501301&type=%8D%C5%90V%8A%C5%8C%EC%8D%F5%88%F8Web&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00014_1.gif

Language：Japanese   Publisher：(一社)聖路加看護学会  

目的:大規模災害時、支援者はストレスにさらされ心身に影響を受けることが知られている。本研究は、東日本大震災に際して、ある民間支援団体から派遣された医療者が抱くストレスを含めた心理状況を探求することを目的とした。方法:延べ1,000人以上の支援者、主に医療者を派遣した一民間支援団体に所属した6人の医療者に半構造的面接を行い、得られたデータはマトリックス法を用いて質的内容分析を行った。結果:対象者は、炊き出しや支援物資管理等、自らの職域外の多岐にわたる活動を行っていた。支援前は【被災地の助けになりたい】と考え、行動に移すまでに、それぞれの『被災地支援を決めた思い』をもち『支援前の準備』を行っていた。支援期間中『自分のニーズと環境のギャップ』『思い描いていた支援と現実のギャップ』『受益者のニーズとのギャップ』という【理想と現実のギャップ】を感じながらも、支援者は自発的にニーズを掘り出し、活動を行っていた。支援後に『帰ることへの罪悪感』『疲労感と脱力感』といった【引き続く思い】を感じつつも『被災地支援からの学び』があったことを明らかにした。考察:支援者らは物資面等での準備は行っていたが、心の準備については十分でなかった。加えて、休息や食事などの支援者自らのニーズを後回しとしたことは、疲労した状態で受益者の経験を聞き続けることによる代理受傷や、支援に対する否定的な感情を含めた燃え尽きに至る要因になっているのではないかと考察された。反面、活動からの学びというポジティブな側面も含まれ、心的外傷体験後成長の一助につながっているようである。心理的な疲労を軽減するには、自らの支援活動に際し、評価しやすい基準を用いることに加え、活動を肯定的にとらえられるよう柔軟に現実に沿ったゴールを設定し、かつ継続的に修正し、後方支援との連携を図りながらエビデンスに基づいた支援方法を選択する重要性が見いだされた。(著者抄録)

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Other Link： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2015&ichushi_jid=J03446&link_issn=&doc_id=20150205390002&doc_link_id=1505501&url=https%3A%2F%2Fkango-sakuin.nurse.or.jp%2Fnid%2F1505501&type=%8D%C5%90V%8A%C5%8C%EC%8D%F5%88%F8Web&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00014_1.gif

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本トラウマティック・ストレス学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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J-GLOBAL

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Language：Japanese   Publisher：(一社)聖路加看護学会  

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Language：Japanese   Publisher：(一社)日本災害医学会  

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Event date： 2020.9

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Audience： General

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