@article{oai:do-bunkyodai.repo.nii.ac.jp:00000350,
 author = {片倉, 裕子 and 長田, 好恵 and 立石, 和子 and Hayasaka, Hisami and Nagata, Yoshie and Tateishi, Kazuko},
 issue = {37},
 journal = {北海道文教大学研究紀要, Bulletin of Hokkaido Bunkyo University},
 month = {Mar},
 note = {近年の予防接種法の度重なる改変は，青年期を中心とした麻疹などの流行がみられ問題となっている．今回医療系の高等教育機関における感染予防に対する現状を明らかにし，その感染予防対策の枠組みの方向性を示唆することを目的に調査研究をおこなった．
　対象は，A 大学看護学科1 － 4 年生全員（377 名）．調査内容は，感染症の認知度などを質問紙で実施し，学年間の分析は，Kruskal Wallis 検定をおこなった．
　学生の予防接種は，麻疹で学年間の有意差を認め（ｐ＜ 0.05），認知度は，全項目で学年が上がるに
つれ上昇した（ｐ＜ 0.001）．また，抗体価検査費用は，2,000 － 5,000 円/ 項目，予防接種費用は，5,000円/ 項目/ 回となった．注目すべきことは，4 年生の麻疹の抗体検査結果，陰性者がいることであった．
　感染症に対する認知度の上昇は教育効果の現れであろう．感染症抗体価検査，予防接種ともに高額の費用であり経済的な負担となっていることより，医療者となる学生の感染に対する意識が高められる教育が求められている．また，費用が高額であることより保護者へは感染予防対策に関する充分な説明が必要性である．最後に，麻疹の抗体価の自然低下を視野に入れた対応の必要性が示唆された．
　感染予防対策は，臨地実習のみを見据えたものではなく教育機関自体の対策も重要であるため，事務職と教員とが連携をとり大学としての一括管理体制の構築が必要であることが明らかとなった．, Repeated amendments to the Preventive Vaccination Act in recent years has been an issue of concern amid the proliferation of diseases such as measles mostly among adolescents. This study aimed to identify the current state of infection prevention at higher education institutions offering medical degrees, and consider a framework to facilitate infection prevention strategies.
  The subjects were all (first- to fourth-year) students at the Department of Nursing of A University (n=377). Questionnaires were used to investigate items including their awareness of infectious diseases. The Kruskal-Wallis test was used to analyze data according to grade level. Regarding vaccination, significant differences were noted among the grade levels for measles (p<0.05). The level of awareness increased for all items as the students advanced to the next grade (p<0.001). Antibody test costs varied from 2,000 to 5,000 yen/item, and the vaccination cost was 5,000 yen/item/dose. Of note, some fourth-year students had negative measles antibody titers. A heightened awareness of infectious diseases was likely to be the effect of education. Given the financial burden of infection antibody titer tests and vaccinations, it is imperative to raise students’ awareness of infection to a level appropriate for healthcare professionals, through education. It is also necessary to provide students’ parents and
guardians with sufficient explanations regarding infection prevention strategies in light of the high costs of such tests. The findings also suggest the need to develop and implement strategies for the natural decline of measles antibody titers. Infection prevention strategies should not only be considered in terms of the clinical practicum, but also in terms of strategies that concern the educational institution as a whole. It is, thus, necessary to develop a
uniform management system by facilitating collaboration among teaching and administrative staff of a university., 9, KJ00009660759, 調査報告},
 pages = {85--96},
 title = {臨地実習における看護学生の感染予防管理の実態},
 year = {2013},
 yomi = {カタクラ, ユウコ and ナガタ, ヨシエ and タテイシ, カズコ}
}