語りからみる高齢者の生きがい.doc
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1 The Life Worth Living (Ikigai) of the Elderly in Perspectives of the Narratives Tsuruwaka, Mari
2 i Spiritual Well-being Spiritual Well-being Spiritual Well-being
3 A B C D Spiritual Spiritual
4 iii Spiritual Well-being A-D , 5-5, 5-6,
5 1 1 : successful aging quality of life 2001a narrative
6 2 2 3 Spiritual Well-being 1 Spiritual Well-being Spiritual Well-being Spiritual Well-being 3 Spiritual Well-being 6-3 narrative narrative therapy narrative approach, 2001 Freedman Comb1996 Narrative Therapy 1997, 1999, narrative ethics
7 Hunter, 1995 Hunter, 1996; Ellos, 1998 Charon, et al, 1996The American Journal of Bioethics 2 Chamber2001 Evidence Based Medicine: EBM, 1999, 2002 Narrative Based Medicine, 2001; Greenharlgh, 1999; Elwyn, et al, Greenharlgh, et al, 1999 EBM Greenharlgh, 1999 Nicholas, 1997; Jones, 1997; Greenharlgh, et al,
8 4, narrative gerontology 4 Koch, 2000: Kenyon, et al, 2001; Randall and Gary, 2001; Birren and Cochran, 2001, 1999, 2002,
9
10 , 1980, p.14, 1989, p , 1998, meaning of life worth livingthe object of satisfaction or happinessthe most important thing, 1997, 1998, 1999 ragione d essere appagamento nella vitalo scopo di vivere la cosa piu importante nella vitaprospettive per il futuro la positivita di una persona, 1999 laison d être joie de vivre, 1999,
11 7, p.1 1 2, p.273 p
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14 10, , , , pp.88-91
15 11 4, 1980, pp.33-34, 1980, 1989, p.27, 1989, 1980, p
16 12, 1965, pp , 1965, 1965, 1965, , (1) 1964 (2) 1983 (3) 1989
17 13 (4) (5) 1996 (6) 1998 (1)
18 14 (2) (3)
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20 16 OB OB (5)
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22 successful aging activity theory disengagement theory morale life satisfaction morale Kutner 1956, 1993 Neugarten 1961 Life Satisfaction Index ALawton1975 PGC Philadelphia Geriatric Center Morale Scale, 1982, 1983 Larson subjective well-being 1993 Larson subjective well-being
23 1979 subjective well-being PGC Philadelphia Geriatric Center Morale ScaleLawton, 1975 Lawton PGC 17 PGC Lawton 3, 1979;, 1981a, 1981a b ALife Satisfaction Index A: LSIANeugarten
24 Neugarten ALife Satisfaction Index A K, 1983
25 K PGC A, 1982;, 1989a, 1990 Activities of Daily Living: ADL, 1981;, 1981b;, 1992a;, 1988, 1989, , 1986 PGC
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49 3 Spiritual Well-being Spiritual Well-being Spiritual Well-being Spiritual Well-being quality of life 1964 Lyndon, B. Jonson Beah, GNPGross Rational Product , 1996 life World Health Organization: WHO, 1996, p.13 WHO WHOQOL 6 The WHOQOL Group,
50 2-1-4 subjective well-being, Spiritual Well-being WHO Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity WHO WHO Health is a dynamic state of complete physical, mental, spiritual and social well-being and not merely the absence of disease or infirmity , Spiritual
51 p.48 WHO Spiritual Well-being Spiritual Spiritual, 2000, 2002e5-1 Spiritual , 27 Spiritual Well-being Spiritual Spiritual Well-being Spiritual Well-being Spiritual Well-being White House Conference on Aging Spiritual Well-being Tedrick, 1985;, Religion and Aging 3 47
52 15 U.S. Department of Health, Education, and Welfare Special Staff on Aging, 1961; White House Conference on Aging, Spiritual Well-being Spiritual Well-being Moberg1971Spiritual Well-being Spiritual p.3 Spiritual White House Conference on Aging, 1973 Spiritual Spiritual Spiritual 29 Spiritual 48
53 NICA Spiritual Well-being National Interfaith Coalition on Aging 1971 Spiritual Well-being 1972 National Interfaith Coalition on Aging NICA NICA Spiritual NICA Spiritual Well-being Spiritual well-being is the affirmation of life in a relationship with God, self, community, and environment that nurtures and celebrates wholenessnational Interfaith Coalition on Aging, 1975, p.4 NICA Spiritual Well-being Spiritual Well-being Spiritual Well-being National Interfaith Coalition on Aging, NICA Spiritual and Ethical Values System Concerns Spiritual Well-being Cook, et al, Spiritual Well-being Delloff, 1983Spiritual Well-being 12 Spiritual Well-being Stein, Spiritual Well-being 11 49
54 Spiritual, Ethics, Values, and Roles Advance Directive White House Conference on Aging, 1995Erkenbrack, et al, Spiritual Well-being Spiritual Well-being Spiritual Spiritual Well-being Moberg, 1978a Marquette Moberg 1971 Spiritual Well-being Spiritual Well-being Spiritual Well-being 1971 Spiritual Well-being Spiritual Well-being 1972 NICA Spiritual Well-being Spiritual Well-being Spiritual Well-being National 50
55 Symposium on Spiritual & Ethical Value System Concerns The Whole Aging Person: Wellness, Health Promotion, and Spirituality 1971 Spiritual Well-being Spiritual Well-being Spiritual Well-being Spiritual Well-being Spiritual Well-being Spiritual Well-being MEDLINE AGELINE Spiritual Well-being Spiritual Well-being Spiritual Spiritual Moberg, 1978b 1970 Religious Spiritual Moberg, 1979a b, 1984 Spiritual Spiritual Well-being Scale Ellison, 1983Spiritual Well-being 2 1 Religious Well-being 2 Existential Well-being Spiritual Well-being Bufford, et al, 1991: Fehring, et al, 1987 Spiritual Well-being Holland, et al, 1999: Baider, et al,
56 hospice cure Holistic Medicine total pain Spiritual Saunders, Spiritual Spiritual Well-being Body-Mind-Spirit Watson, 1985;, 1974 Spiritual Spiritual, 2001 primary care Spiritual Well-being Ruffing-Rahal, 1984Brooke, 1987Foley, et al, 1998 Spiritual Well-being Hungelmann Spiritual Well-being Spiritual Well-being Harmonious Interconnectedness JAREL Spiritual Well-being Scale Hungelmann, et al, 1996 MacKinlay2001 Spiritual spiritual themes of aging 4 Leetun1996 Wellness Spirituality Protocol Spiritual Well-being 4 52
57 53 Spiritual Well-being Spiritual Well-being Wholeness Spiritual Well-being 1997Spiritual Well-being Spiritual Well-being
58 New Elder Citizen
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105 Care of death and dying Saunders1978 Care Holistic Medicine On Death and Dying, 1971 Care of Death and Dying, 1991
106 OCDP(the Organized Care of the Dying Patient) Spiritual Saunders1988 Spiritual Spiritual Pain4 total ppain Spiritual Saunders 1988Spiritual, 1994 Spiritual the need for meaning and purpose in life the need to give love the need to receive love the need for hope and creativity Highfield, et al, 1983search for meaningsense of forgiveness need for love need for hope 102
107 103 religious Schoebeck, 1994 Spiritual Spiritual Spiritual, 2001 Saunders, Spiritual Spiritual 1977 Spiritual, 2000
108 Spiritual 4 Spiritual A, B, C, D V 5-3 7
109 A A-199/05/19 A1 A2 V A3 V A A4 A5 V A6 V A7 V A8 A-299/05/31 A9 V A A10 A11 A12 A13 A-399/06/10 A V A14 A15 85
110 A16 V A17 V A18 V A A19 A20 V A21 A22 A23 A24 A-499/06/29 A25 A26 A A E A27 A28 E E A29 E A30 V A A31 V A32 A33 A-599/11/25 A35 V A36 V A 106
111 A37 V 107
112 5-5 B 89 B B-199/05/19 B1 V B2 V B3 V B4 B5 V B6 B-299/05/21 B B7 V B8 V B9 V B10 V B11 V B B12 B13 F B B14 F B-399/05/24 B15 108
113 109 V B16 B17 B-499/06/23 B V B18 V B B B19 V B20 B21 V B22 V B23 V B24 B-599/07/08 B25 B26 V B27 B28 V B-699/07/08 B29 V B30 V B31
114 110 V B32 V B33 B-799/07/12 B34 V B35 V B36 V B37 B38 V B39 V B40
115 C C-199/05/28 C C1 V C-299/05/31 C2 V C3 C-399/06/04 C4 C5 V C6 V C7 V C8 C-499/06/11 C9 C10 85
116 112 V C11 C12 V C13 C14 V C15 C V C16 V C17 V C18 V C19 V C-599/06/13 C20 G V C21 C22 C-699/06/16 C G C23
117 113 V C24 C C C25 V C26 C-799/06/24 C27 V C28 V C-899/07/08 C C29 V C30 1 C-999/07/10 C31 C32 V C33 C-1099/07/12 C34 V C35 V C36
118 C-1199/07/19 C C37 are the world V We are the world C C38 C394 V C C40 V C41 C-1299/08/02 C V C C42 V 11 V C43 V C44 C-1399/08/18 V C45 C46 V C47 114
119 115 V C48 V C49 V C C50 C51 C52 V C53 45 V C54 C-1499/08/24 C55 V C56 C-1599/08/29 C57 V C58 C59
120 D D-199/03/26 D D1 V D2 D3 V D4 D5 V D6 D7 D-299/03/26 D8 V D9 V D10 2 D11 V D D13 D14 V D15 V 63
121 117 D16 D17 V D18 D19 D20 V D21 D-399/3/29 D D V D22 D23 V D D D D D D D24 D25 V D26 V D27 D28 2
122 5-8 4 A A A9 A30 A13, A22 A A4, A11 A3 A5 A6, A7 A A16, A17, A20 A36 A8 A20, A26 B B B6, B12, B17 B7, B8 B23 B B9, B40 B-1, B-2 B B40 B-4B18, B25, B26 B B5, B10, B14, B29 B28, B35, B36 118
123 C C C6, C15 C2, C29, C31, C46 C32 C26C C-12, C-14, C-15 C-12 C-6 C C C44 C55 C59 C C-1,C-3 C-7 C1 C3, C4 C7, C8, C21, C22 C19, C23 C11, C12, C17, C28 C39-41 C C 3 1 C-7 2 C-8 C-12 C-10) 3 C-13 C50, C51, C57, C58 C52, C53 D D 3 D5, D6, D27 D11, D28 D D2, D3, D13, D26 D7 D15 D22 D25 D20 119
124 120 D7 D D D12, D24 D D
125 Spiritual ABCD A A4 A5B B2 B23C C29 C31D D D12 D14 D15 Spiritual Saunders, Spiritual A BCD A
126 122 B 3 C C D D D 1997 Spiritual Spiritual Spiritual, 1997 Spiritual
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136 6-3 Spiritual Well-being Spiritual Well-being Spiritual Well-being 2 Hungelmann Spiritual Well-being Spiritual Well-being 2 Spiritual Well-being Harmonious Interconnectedness Spiritual Well-being MacKinlay, 2001; Leetun, Spiritual Well-being Hungelmann Spiritual Well-being 2 (Harmonious Interconnectedness) ( ) Ultimate Others (GodLife Principle) Past (Self) (Present) Future OthersNature Hungelmann, et al.,
137 133 Spiritual Well-being 2 Spiritual Well-being Spiritual Well-being Hungelmann Spiritual Well-being Spiritual Well-being Spiritual Well-being Spiritual Well-being, 2002
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139 pp pp pp pp A-D
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279 1 Spiritual Well-being 2 The American Journal of Bioethics Chamber2001 The Fiction of Bioethics: A Précis , 1993, URL b, 2002b WHO 24 URL 275
280 25 Spiritual Spiritual Pain, 1999, Spiritual Pain 34, , b Chaplain a c d
281 , 1965, 3, , 1981, 14, , 2001,., 1997,., 2000, Spiritual QOL 2(2), , 1992, 75 (1), , 1988, 10(2), , 1989, 24(4), , 1992,., 2002,., 2000, 41, , 2001,, , 1999,., E. H.,, J. M.,, H. Q., 1997,., 2000, QOL, , 1997,., PIL, 1993,., 1999,., 1996, Spiritual Pain 8(9), , 2001,., 1996, 6 2, , 1994,., 1999,., 1999,. 277
282 , 1977,., 1998,., 1993,., 1986,., 1985,, , 1980,., 1981, PIL 3, , 1968,., 1989,., 1997, 38(2), , 1973,.,, 1999,., 1996, 87(3), , 1989,, , 1999,., 1987,., 1995, 1995 BIOETHICS NETWORK19, 3-4., 2000,.,, 1971,., 2001, 11(1), , 2000,.,, 2001,., B. G.,, A. L., 1988,., 2001,, , 1998,. 278
283 ,, 1994,.,,., 1994, 6., 1988,., 1991, 21., 1996,., 2001,., 2002,., 1997,., 1998,., 1999,., 2000,., 1989, NHK., 1981a, PGC 3, , 1981b, 17, 36-49, 1982, 4, , 1983, 2 5, , 1992a, 35, 3-9., 1992b, 75(12), 62-67, 1993,, , 2002, 8, , 1989a, 11, , 1989b, PGC 29,
284 , 1990, 12, , 1992,., 1993,., 1995,., 1997, 2., 1998,., 1993,., 1999,., 1999, EBM., 1976, 26, , 2000,, 1-8., 2001, 3(1), , 1974,., 1997,., 2000a, QOL 2(2), 3-8., 2000b,., 1991, 36, , 2001,., 2002,., 1981a, PGM (1) 3, , 1981b, PGM (2) 3, , 1986, 12,
285 , 1990, 12, , 1985,., 1972,., 1983, 7, , 1986, 39 (12), , 1993,., 1987,., 2001, () 2, ,, 1997, 7(5), ,,, 1990,., 2002, 15(1), , 1999,, , 1964, 8, , 2001,., 2001,, , 1999, 69, , 2001,., 1989, 9(2), , 1990, PIL NIIGATA Educational Psychologist7, , 1984, 20, , 2000, WHO 10(2), , 1999, WHO BIOETHICS NETWORK29,
286 , 1999,., 2000, 9, , 2002a,, , 2002b, Spiritual Well-being 11, , 2002c, 43, 2-15., 2002d, 53, 1-5., 2002e, Bioethics Study Network1(2), 6-5., 2002f, BIOETHICS NETWORK34, 21., 2000, 11, , 2001, 12, , 2002, Spiritual Well-being 7(1), ,, 1991,.,, 1974,,., 1993,., 1987,., 2001a,., 2001b,., 2002a,., 2002b, 5., 1996,., 2000, 2(1), , 1996, QOL QOLWHO QOL1(1),
287 , 1999, QOL WHOQOL9(1), , 1995,., 1984,., 2001, 7, 4-14., 1998,., 1994,., 1990, 32, 3-11, 1999,., 1998,., 2000, 41, , 1984,.,, 1991,,.,,, 1998,., 1994,., 1996,., 1997,., 1991,., 1992,., 2001,.,,, 1997,., 1999,, , 1983,., 1984,, , 2002, QOL 8, , 2000,., 1995,., 1988, 6., 2000, 36,
288 ., 1989, 29, 75-85, 1967,.,, 1982,.,, 1999,,.,, 2000, 1.,, 2001, 2., 1981,., 1984, 5 (1), , 1988, 28, 3-18, 1979, 11, 15-31, 1988, 27, 3-13, 1989, 30, 3-16,,, 1997,.,, 1992, QOLQOLOT 26, 4-8.,, 2001,., 1990,., 1988, 10(2), , 1971,., 1998, 7, 1-12., 2002, A13A, , 2000, 41, , 2001,, , 1981,. 284
289 , 2001, 3(4), , 1998,., 2000,., 2001, QOL 48 (4), , 1999, TBS., 1981, 14, 22-35, 2000, 41, 3-13, 2001,,
290 Baider, L., Russak, S., Perry, S., et al., 1999, The Role of Religious and Spiritual Beliefs in Coping with Malignant Melanoma: An Israeli Sample, Psycho-Oncology, 8, pp Beah, P., 1987, Quality of Life in Psychosomatic Research: A Psychometric Model, Psychopathology, 20, (3-4), pp Birren, E., Cochran, K., 2001, Telling the Stories of Life through Guided Autobiography Groups, Baltimore, The John Hopkins University Press. Brandshaw A, 1996, The Spiritual Dimension of Hospice: The Secularization of an Ideal, Social Science Medicine, 43(3), pp Brooke, V., 1987, The Spiritual Well-being of the Elderly, Geriatric Nursing, (July/August), pp Bufford, R. K., Paloutzian, R. F., Ellison, C. W., 1991, Norms for the Spiritual Well-being Scale, Journal of Psychology and Theology, 19, pp Buryska, J. F., 2001, Assessing the Ethical Weight of Cultural, Religious and Spiritual Claims in the Clinical Context, Journal of Medical Ethics, 27, pp Carson, A. M., 2001, That s Another Story: Narrative Methods and Ethical Practice, Journal of Medical Ethics, 27, pp Chambers, T., 2000, Centering Bioethics, Hastings Center Report, 30(1), pp Chambers, T., 2001, The Fiction of Bioethics: A Précis, The American Journal of Bioethics, 1(1), pp Charon, R., Brody, H., Clark, M. W., et al, 1996, Literature and Ethical Medicine: Five Cases from Common Practice, The Journal of Medicine and Philosophy, 21, pp Clouser, K. D., Hawkins, A. H., 1996, Literature and Medical Ethics, The Journal of Medical and Philosophy, 21, pp Cook, T. C (ed.), 1983, Religion and Aging, Generations, 8(1), pp Cook, T. C., McGinty, D. L., 1981, Spiritual and Ethical Values and National Policy on Aging, Athens, National Interfaith Coalition on Aging, pp Corr, C. A., Morgan, J. D., et al (ed.), 1994, Statements on Death, Dying, and Bereavement, London, International Work Group on Death, Dying, and Bereavement. Delloff, L., 1983, The WHCoA and WAA: Spiritual Well-being Gets Lost, Generations, 8(1), pp Dickinson, C., 1975, The Search for Spiritual Meaning, American Journal of Nursing, 75(10), Dunne, T., 2001, Spiritual Care at the End of Life, Hastings center report, (March/April), pp Elizabeth Hood Morris, L., 1996, A Spiritual Well-being Model: Use with Older Women Who 286
291 Experience Depression, Issues in mental health nursing, 17, pp Ellison, C. W., 1983, Spiritual Well-being: Conceptualization and Measurement, Journal of Psychology and Theology, 11(4), pp Ellos, W., 1998, Some Narrative Methodologies for Clinical Ethics, Cambridge Quarterly of Healthcare Ethics, 7, pp Elwyn, G., Gwyn, R., 1999, Narrative Based Medicine: Stories We Hear and Stories We Tell: Analysing Talk in Clinical Practice, British Medical Journal, 318(16/January), pp Erkenbrack, N. L., Evans, J., 1995, The National Council on Aging s National Pre-White House Conference on Aging, Washington, DC, National Council on Aging, pp Fehring, R. J., Brennan, P. F., Keller, M. L., 1987, Psychological and Spiritual Well-being in College Students, Research in Nursing and Health, 10, pp Foley, L., Wagner, J., Waskel, S. A., 1998, Spirituality in the Lives of Older Women, Journal of Women & Aging, 10(2), pp Freedom, J., Combs, G., 1996, Narrative Therapy: The Social Construction of Preferred Realities, New York, Norton. Greenhalgh, T., 1999, Narrative Based Medicine: Narrative Based Medicine in an Evidence Based World, British Medical Journal, 318, pp Greenhalgh, T., Hurwitz, B., 1999, Narrative Based Medicine: Why Study Narrative?, British Medical Journal, 318, pp Hardwig, J., 2000, Spiritual Issues at the End of Life: A Call for Discussion, Hastings Center Report, 30(2), pp Hateley, B. J., 1984, Spiritual Well-being through Life Histories, Journal of Religion & Aging, 1(2), pp Hay, M. W., 1989, Principles in Building Spiritual Assessment Tools, The American Journal of Hospice Care, 6, pp Hays, J. C., Meador, K. G., Branch, P. S., et al, 2001, The Spiritual History Scale in Four Dimensions (SHS-4): Validity and Reliability, The Gerontologist, 41(2), pp Hester, D. M., 2002, Narrative as Bioethics: The Fact of Social Selves and the Function of Consensus, Cambridge Quarterly of Healthcare Ethics, 11, pp Highfield, M., Carson, C., 1992, Spiritual Needs of Patients: Are They Recognized?, Cancer Nursing, 15(1), pp Holland, J., Passik, S., Kash, K., et al., 1999, The Role of Religious and Spiritual Beliefs in Coping with Malignant Melanoma, Psycho-Oncology, 8, pp Holstein, M., 2000, A Spiritual Role for the Elderly, Health Progress, 81(2), pp Hungelmann, J., Kenkel-Rossi, E., Klassen, L., et al., 1985, Spiritual Well-being in Older Adults: Harmonious Interconnectedness, Journal of Religion and Health, 24(2), pp
292 Hungelmann, J., Kenkel-Rossi, E., Klassen, L., et al., 1996, Focus on Spiritual Well-being: Harmonious Interconnectedness of Mind-Body-Spirit: Use of JAREL Spiritual Well-being Scale, Geriatric Nursing, 17(6), pp Hunter, K. M., 1995, Narrative, Reich, W. T (ed.), Encyclopedia of Bioethics, New York, Simon & Schuster Macmillan, pp Hunter, K. M., 1996, Narrative, Literature, and the Clinical Exercise of Practical Reason, The Journal of Medicine and Philosophy, 21, pp Jones, A. H., 1997, Literature and Medicine: Narrative Ethics, The Lancet, 349, pp Kearl, M., 1980, Time, Identity, and the Spiritual Needs of the Elderly, Sociological Analysis, 41(2), pp Kenyon, G., Clark, P., Brian, De Vries, 2001, Narrative Gerontology, New York, Springer Publishing Company. Koch, T., 2000, Age Speaks for Itself: Silence Voices of the Elderly, Westport, Praeger. Koening, H. G., Kvale, J. N., Ferrel, C., 1988, Religion and Well-being in Later Life, The Gerontologist, 28(1), pp Kutner, B., Franshel, D., Togo, A. M., et al., 1956, Five Hundred over Sixty: A Community Survey on Aging, New York, Russel Sage Foundation. Larson, R., Thirty Years of Research on the Subjective Well-being of Older Americans, Journal of Gerontology, 33(1), pp Lawton, M. P., 1975, The Philadelphia Geriatric Center Morale Scale: a Revision, Journal of Gerontology, 30(1), pp Ledbetter, M. F., Smith, L. A., et al., 1991, An Evaluation of the Research and Clinical Usefulness of the Spiritual Well-being Scale, Journal of Psychology and Theology, 19(1), pp Leetun, M. C., 1996, Wellness Spirituality in the Older Adult: Assessment and Intervention Protocol, Nurse Practitioner, 21(8), pp MacKinlay, E., 2001, The Spiritual Dimension of Ageing, London, Jessica Kingskey Publishers. Mickley, J. R., Soeken, K., Belcher, A., 1992, Spiritual Well-being, Religiousness and Hope among Women with Breast Cancer, IMAGE: Journal of Nursing Scholarship, 24(4), pp Moberg, D. O., 1967, The Encounter of Scientific and Religious Values Pertinent to Man s Spiritual Nature, Sociological Analysis, 28(1), pp Moberg, D. O., 1971, Spiritual Well-being: Background and Issues, Washington, DC, White House Conference on Aging. Moberg, D. O., 1978a, Spiritual Well-being and the Quality of Life Movement: A New Arena for Church-State Debate?, Journal of Church and State, 20, pp
293 Moberg, D. O., 1978b, Spiritual Well-being: A Neglected Subject in Quality of Life Research, Social Indicators Research, 5, pp Moberg, D. O., 1978c, Presidential Address: Virtues for the Sociology of Religion, Sociological Analysis, 39(1), pp Moberg, D. O., 1979a, The Development of Social Indicators for Quality of Life Research, Sociological Analysis, 40, pp Moberg, D. O (ed.), 1979b, Spiritual Well-being: Sociological Perspectives, Washington, DC, University Press of America. Moberg, D. O., 1984, Subjective Measures of Spiritual Well-being, Review of Religious Research, 25(4), pp Moberg, D. O., 1990, Spiritual Maturity and Wholeness in the Later Years, Journal of Religious Gerontology, 7(1/2), pp Moberg. D. O (ed.), 2001, Aging and Spirituality, New York, The Haworth Pastoral Press. National Interfaith Coalition on Aging, 1975, Spiritual Well-being: A Model Ecumenical Work Product, NICA Inform, 1, p.4. Narayamasamy, A., A Critical Incident Study of Nurses Responses to the Spiritual Needs of Their Patients, Journal of Advanced Nursing, 33(4), pp Nelson, H. L (ed.), 1997, Stories and Their Limits: Narrative Approach to Bioethics, New York, Routledge. Neugarten, B. L., Havighust, J., Tobin, S. S., 1961, The Measurement of Life Satisfaction, Journal of Gerontology, 16, pp Nicholas, B., Gillett, G., 1997, Doctor s Stories, Patients Stories: A Narrative Approach to Teaching Medical Ethics, Journal of Medical Ethics, 23, pp O Connor, A. P., 1988, The Role of Spiritual Care in Hospice: Are We Meeting Patients Needs?, The American Journal of Hospice Care, 5(4), pp Orchard, H (ed.), Spirituality in Health Care Contexts, London, Jessica Kingsley Publishers. Orchard, H., Clark, D., 2001, Tending the Soul as well as the Body: Spiritual Care in Nursing and Residential Homes, International Journal of Palliative Nursing, 7(11), pp Randall, W., Gary, K., 2001, Ordinary Wisdom: Biographical Aging and the Journey of Life, Westport, Praeger. Ruffing-Rahal, M. A., 1984, The Spiritual Dimension of Well-being: Implications for the Elderly, Home Healthcare Nurse, April/March, pp Saunders, C (ed.), 1978, The Management of Terminal Malignant Disease, London, Arnold. Saunders, C., 1988, Spiritual Pain, Journal of Palliative Care, 4(3), pp Schoebeck, S., 1994, Called to Care: Addressing the Spiritual Needs of Patients, The Journal of Practical Nursing, 44(3), pp Shelly, J. A., Fish, S., 1988, Spiritual Care: The Nurse s Role, third ed., Downers Grove, Inter Varsity Press. 289
評論・社会科学 ８５号（よこ）（Ｐ）／３．佐分
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Juntendo Medical Journal
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高齢者のQuality of Lifeに関する研究
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図 1 緩和ケアチーム情報共有データベースの患者情報画面 1 患者氏名, 生年月日, 性別, 緩和ケアチームへの依頼内容について,2 入退院記録, 3カンファレンス ラウンド実施一覧,4 問題点のリスト,5 介入内容の記録. 図 2 緩和ケアチームカンファレンス ラウンドによる患者評価入力画面 (
2015; 10(2): 901 5 活動報告 緩和ケアチームデータベースの改良に向けた取り組み 渡邊裕之 1,4), 江藤美和子 2,4) 3,4), 山﨑圭一 1 2 3 4 受付日 2014 年 9 月 10 日 / 改訂日 2015 年 1 月 29 日 / 受理日 2015 年 2 月 3 日 2011 年に, ベルランド総合病院緩和ケアチーム ( 以下,PCT) で構築した PCT 情報共有データベース