{"created":"2024-03-05T07:15:09.518496+00:00","id":2000043,"links":{},"metadata":{"_buckets":{"deposit":"18aa7303-f97e-4c6c-a6de-529387af8061"},"_deposit":{"created_by":14,"id":"2000043","owner":"14","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"2000043"},"status":"published"},"_oai":{"id":"oai:wayo.repo.nii.ac.jp:02000043","sets":["1:218:1709086882699"]},"author_link":[],"control_number":"2000043","item_4_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2024-03-01","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"25","bibliographicPageStart":"15","bibliographicVolumeNumber":"65","bibliographic_titles":[{"bibliographic_title":"和洋女子大学紀要","bibliographic_titleLang":"ja"},{"bibliographic_title":"The journal of Wayo Women's University","bibliographic_titleLang":"en"}]}]},"item_4_description_19":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"PDF","subitem_description_type":"Other"}]},"item_4_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"慣れない環境に順応することが難しい発達障害児にとって、医療機関の受診は容易ではない。診察室内の装飾が気になり、じっとしていられない、特定の音に強い苦痛を感じパニックになる、など、感覚過敏に伴う対処が上手くなされず引き起こされる行動要因に物理的環境因子がある。本研究は、発達障害児が安心して受診できる物理的環境を明らかにし、適切な環境づくりについて示唆を得ることを目的とした。日本小児神経学会のHP上で、発達障害児の診療医師、小児専門医として登録されている医師が勤務する292施設の医師・看護師ら876名を対象に、郵送法による自記式質問紙調査を行った。日本全国の各地から221部（回収率25.2％）の返送があり、そのうち欠損値のある１名を除外した220名（有効回答率99.5％）を分析に供した。統計解析はText Mining Studio ver.7.1.2を使用し、数量的データは単純集計を行い、記述データは係り受け頻度分析、注目分析を行った。対象者の年齢は、50歳代以上100名（45.5％）、40歳代80名（36.4％）の順であった。職種は、看護師138名（62.7％）、医師78名（35.5％）でほとんどを占めた。分析の結果、発達障害児が安心して受診できる物理的環境は、1．寝転ぶことができ、玩具で遊べる、待合室と診察室を融合した一定程度のフロアスペースであること、2．発達障害児に共通する視覚情報の提供として、入室から退室までの見通しがもてるような「スケジュール」、「絵カード」、「パンフレット」を室内に準備すること、3．音や声を制限した静かな空間に、受容的な遊びの絵本や図鑑などを揃え、必要時利用できる個室を整備する、といった内容が明らかとなり、集団環境における標準化の方向性が示唆された。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_4_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.18909/0002000043","subitem_identifier_reg_type":"JaLC"}]},"item_4_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"和洋女子大学","subitem_publisher_language":"ja"}]},"item_4_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"24326925","subitem_source_identifier_type":"EISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"石舘,美弥子","creatorNameLang":"ja"},{"creatorName":"イシダテ，ミヤコ","creatorNameLang":"ja-Kana"},{"creatorName":"ISHIDATE,Miyako","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"加藤,千明","creatorNameLang":"ja"},{"creatorName":"カトウ，チアキ","creatorNameLang":"ja-Kana"},{"creatorName":"KATO,Chiaki","creatorNameLang":"en"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2024-03-19"}],"filename":"K202465J015025.pdf","filesize":[{"value":"954 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"url":"https://wayo.repo.nii.ac.jp/record/2000043/files/K202465J015025.pdf"},"version_id":"7a69b8c3-9d00-42f7-ac58-70b536f619bb"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"発達障害児","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"外来受診","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"物理的環境","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"医療者","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Children with Developmental Disorder","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Outpatient Clinic, Physical Setting","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Medical staffs","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"発達障害児が安心して受診できる物理的環境の検討 −医療者の視点から−","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"発達障害児が安心して受診できる物理的環境の検討 −医療者の視点から−","subitem_title_language":"ja"},{"subitem_title":"Comfortable Physical Setting in Clinical sites for Children with Developmental Disorders − From the viewpoint of medical staffs −","subitem_title_language":"en"}]},"item_type_id":"4","owner":"14","path":["1709086882699"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-03-19"},"publish_date":"2024-03-19","publish_status":"0","recid":"2000043","relation_version_is_last":true,"title":["発達障害児が安心して受診できる物理的環境の検討 −医療者の視点から−"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2024-04-12T06:12:35.237239+00:00"}