{"created":"2021-03-01T06:38:25.126951+00:00","id":32158,"links":{},"metadata":{"_buckets":{"deposit":"5cbe0d00-81c1-4997-862d-e61426513767"},"_deposit":{"id":"32158","owners":[],"pid":{"revision_id":0,"type":"depid","value":"32158"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00032158","sets":["159:160:161","453:455"]},"item_6_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-03-25","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"37","bibliographicPageStart":"1","bibliographic_titles":[{}]}]},"item_6_date_granted_51":{"attribute_name":"学位授与年月日","attribute_value_mlt":[{"subitem_dategranted":"2019-03-25"}]},"item_6_degree_grantor_49":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_name":"新潟大学"}]}]},"item_6_degree_name_48":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"博士（保健学）"}]},"item_6_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Ⅰ．研究の背景\n　東日本大震災に関連した東京電力福島第一原子力発電所事故（以下，原発災害）により，5年以上が経過した現在も多くの人々が避難生活を送っている．これほど多くの人々が，住み慣れたふるさととは気候も風土も異なる遠く離れた地で長期に渡る避難生活を余儀なくされたことはこれまでにない．\n　過去の災害から，災害による避難生活が被災者の睡眠や心身の健康状態に影響を及ぼすことは明らかになっているが，5年以上の避難生活を送る人々の生活や心身の状態を明らかにした研究はみられない．\n　原発災害により避難している住民健康診断結果から，震災後，壮年期男性の肥満，高血圧，糖尿病，脂質異常を有する者の割合の有意な増加が報告され，その原因として避難生活によるストレスと睡眠状態が影響している可能性があると指摘されている．壮年期男性は，地域社会・家庭において復興の中心としての役割を期待されストレスが高くなる．\n　これらのことから，原発災害により長期に避難する壮年期男性の睡眠とストレス及びその生活の状況を把握する必要があると考えた．\n　\nⅡ．研究目的\n1）原発災害により長期の避難生活を送る壮年期男性の睡眠とストレスを生理学的な評価及び心理的な評価を通して把握する\n2）原発災害により長期に避難する壮年期男性の語りを通して睡眠とストレスの背景にある生活の状況や体験・思いなどを明らかにする\n\nⅢ．研究方法\n　本研究は，睡眠とストレスに関する量的なデータを収集・分析し，次に睡眠とストレスの背景にある生活の状況に関する質的なデータを収集・分析し，その結果を統合し解釈を導き出す混合研究法説明的順次デザインを用いて研究を行った．\n　はじめに，睡眠とストレスに関する生理学的評価及び心理的評価による量的なデータを収集・分析するためにActigraph，唾液ストレスバイオマーカー，ピッツバーグ睡眠調査票日本語版，精神健康調査票及び健康関連QOL 尺度を用いて調査を行い，対応のあるサンプルのｔ検定，pearson の積率相関係数を用いて分析した（ｐ＜0.05）．\n　次に，協力者が実際にどのような避難生活を送っているのかを把握するために半構造化面接を行いてデータ収集を行い，その結果を質的記述的に分析した．\n　研究協力者は，東日本大震災に関連した福島第一原子力発電所事故により被災し，5年以上応急仮設住宅（以下，仮設住宅）及び復興公営住宅（以下、復興住宅）において避難生活を送っている壮年期男性10名である．\n　本研究のデータ収集期間は2015年11月～2018年2月であり，研究協力者には，研究の目的・方法，倫理的配慮などについて文書及び口頭で説明し，同意書を取り交わした．本研究は新潟大学医学部倫理委員会の承認（承認番号2324）を得て実施した．\n\nⅣ．結果\n　原発災害により長期に避難する壮年期男性の睡眠は，生理学的評価において，仮設住宅居住時と復興住宅居住時の有意な変化は認められなかった．しかし，主観的評価においては，仮設住宅居住時と比較して復興住宅居住時の主観的睡眠状態は有意に悪化していることが明らかになった．\n　原発災害によって長期に避難する壮年期男性のストレスは，生理学的評価において，仮設住宅居住時と復興住宅居住時での有意な変化はみられなかった．一方，調査票を用いた心理的評価において，仮設住宅居住時と比較して復興住宅居住時に有意に悪化したことが明らかになった．\n　協力者の語りから原発災害により長期の避難生活を送る壮年期男性の避難生活は【ふるさとと我が家への諦めるしかない現実と諦めきれない思いを抱きながらの避難生活】及び【アンビバレンスな思いを抱きながらの見通しが立たない避難生活】といった複雑な状況やそれによる苦悩や葛藤を抱きながらの避難生活であることが明らかになった．\n　\nⅤ．考察\n　原発災害により長期に避難する壮年期男性の睡眠とストレスは，生理学的評価において仮設住宅居住時と復興住宅居住時において有意な変化が認められなかった．しかし，主観的睡眠と心理的ストレスは復興住宅居住時に有意に悪化していた．その理由として，複雑な状況におかれたことによる葛藤やアンビバレンスな思いなどが影響していることが示された．\n　\nⅥ．結論\n1）原発災害により長期に避難する壮年期男性の睡眠とストレスは，生理学的評価では，仮設住宅居住時と復興住宅居住時に有意な変化は認められなかった．しかし，主観的睡眠と心理的ストレスにおいては，仮設住宅居住時と比較して復興住宅居住時が有意に悪化していた．\n2）原発災害により長期の避難生活を送る壮年期男性の主観的睡眠と心理的なストレスが復興住宅転居後に有意に悪化したことの背景には，【ふるさとと我が家への諦めるしかない現実と諦めきれない思いを抱きながらの避難生活】及び【アンビバレンスな思いを抱きながらの見通しが立たない避難生活】といった複雑な思いを抱きながらの避難生活があることが示された．","subitem_description_type":"Abstract"},{"subitem_description":"I. Background of the study\n　A number of people are still take sheltering due to accident at the Tokyo Electric Power Company's Fukushima Daiichi Nuclear Power Station (as follows nuclear disaster) caused by the Great East Japan Earthquake. It is the first time for the country that such a lot of people are forced to shelter in distant places at which weather and climate are different from those in their hometown for over 5 years due to a nuclear disaster.  From the past disasters, it has already been revealed that life as an evacuee due to disaster exerts an influence on sleep an psychosomatic condition of the victims. However, there have been no studies that clarified life and psychosomatic condition of people sheltering for more than five years. The health diagnosis result of the government of the local where victims are sheltering due to the nuclear disaster revealed significant increase in the rate of late middle age males having obesity, high blood pressure, diabetes and lipid abnormality after the earthquake disaster, and it has been pointed out that stress and sleep troubles caused by sheltering may influence it. Since late middle age males are expected to assume a central role in the community, family and in reconstruction, their stress increases. Therefore it is necessary to grasp the actual situation of refugee life of late middle age males who are forced to shelter due to the nuclear disaster for more than five years, which is unprecedentedly long.\n\nII. Purpose \n1）The purpose of this study is to clarify sleep and stress of late middle age males evacuating for nuclear disaster for a long period using physiologic and psychological evaluation\n2）The purpose of this study is to clarify situation of life, experiences, thoughts, etc. in the background of sleep and stress through a story of late middle age males evacuating for nuclear disaster for a long period \n\nIII. Method \nIn this study was performed based on the mixed approach explanatory sequential design that collects both quantitative data and qualitative data, unify results and derive interpretation. In order to collect and analyze quantitative data of sleep and stress by physiologic evaluation and psychological evaluation, the authors performed the investigation using Actigraph, saliva stress biomarker, the Pittsburgh sleep questionnaire \nJapanese edition, mental health questionnaire and health-related QOL scale, and Analyzed by paired t-test and Pearson's correlation coefficient (p <0.05). Next, in order to grasp how subjects were feeling spending refugee life, we performed a semi-structured interview and analyzed the results qualitatively and descriptively. The authors requested ten late middle age males who suffered from the nuclear disaster caused by the Great East Japan Earthquake, lived in emergency temporary housing (hereinafter called temporary housing) more than five years, moved to reconstruction public house (the following, reconstruction housing) and spend refugee life there to participate in the study. Data collection period of this study was from November, 2015 to February, 2018. The purpose and method of the study, and ethical consideration were explained to the study subjects, orally and in written document, and written consent was obtained. This study was approved by Niigata University School of Medicine Ethical Review Board (authorization number 2324).\n\nIV. Result\nFor sleep of late middle age males evacuating due to nuclear disaster for a long period, evaluation by Actigraph revealed that there was not significant difference in their objective sleep state between the life in temporary housing residence and reconstruction housing. However, the evaluation with sleep questionnaire revealed that the sleep state at the time of the reconstruction housing significantly worsened more than temporary housing. Moreover, the evaluation with saliva stress biomarker showed no significant difference in the stress of the late middle age males evacuating due to the nuclear disaster for a long period between the life in life in temporary housing residence and reconstruction housing. However, the questionnaire results clarified that their sleep state significantly worsened when they moved from temporary housing to reconstruction housing. Further, the narration of subjects revealed that the long-term refugee life of the middle age males due to nuclear disaster is \"Refugee life with feeling the reality that they have to give up for their hometown and their home and at the same time they cannot give up for them\" and \"Refugee life with no sight for future with feeling of ambivalence\".\n\nV. Discussion\nThere was no significant change in sleep and stress of men who evacuated for long period due to nuclear disaster at the time of temporary housing occupation and residential housing occupancy in physiological evaluation. However, subjective sleep and psychological stress were significantly worsened when residential housing settled. As a \nreason for this, it was shown that conflict and ambivalent feelings are affecting. \n\nⅥ．Conclusion\n1）There was no significant change in sleep and stress of men who evacuated for long period due to nuclear disaster at the time of temporary housing occupation and residential housing occupancy in physiological evaluation. However, subjective sleep and psychological stress were significantly worsened when residential housing settled.\n2）The subjective sleep and psychological stress of the late middle age males evacuating due to nuclear disaster for a long period has been significantly deteriorated after the reconstruction residential movements are \"Refugee life with feeling the reality. It was shown that there is evacuation life with complicated feelings such as \"they hit not their give and up\" for them and \"Refugee life with no sight for future with feeling of ambivalence\".","subitem_description_type":"Abstract"}]},"item_6_description_5":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"学位の種類: 博士（保健学）. 報告番号: 甲第4623号. 学位記番号: 新大院博（保）甲第30号. 学位授与年月日: 平成31年3月25日","subitem_description_type":"Other"}]},"item_6_description_53":{"attribute_name":"学位記番号","attribute_value_mlt":[{"subitem_description":"新大院博（保）甲第30号","subitem_description_type":"Other"}]},"item_6_dissertation_number_52":{"attribute_name":"学位授与番号","attribute_value_mlt":[{"subitem_dissertationnumber":"13101甲第4623号"}]},"item_6_publisher_7":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"新潟大学"}]},"item_6_select_19":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_select_item":"ETD"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"秦, 有華"}],"nameIdentifiers":[{"nameIdentifier":"175302","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-09-10"}],"displaytype":"detail","filename":"h30bbk30.pdf","filesize":[{"value":"6.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"本文","url":"https://niigata-u.repo.nii.ac.jp/record/32158/files/h30bbk30.pdf"},"version_id":"6b3f9cef-38da-45a0-9a7e-c1241eef96d9"},{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-09-10"}],"displaytype":"detail","filename":"h30bbk30_a.pdf","filesize":[{"value":"223.1 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"要旨","url":"https://niigata-u.repo.nii.ac.jp/record/32158/files/h30bbk30_a.pdf"},"version_id":"ebc7fbe8-7555-4281-988d-b5aada90bbec"}]},"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":"thesis","resourceuri":"http://purl.org/coar/resource_type/c_46ec"}]},"item_title":"原発災害により長期に避難する壮年期男性の睡眠とストレス，その生活に関する研究","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"原発災害により長期に避難する壮年期男性の睡眠とストレス，その生活に関する研究"},{"subitem_title":"原発災害により長期に避難する壮年期男性の睡眠とストレス，その生活に関する研究","subitem_title_language":"en"}]},"item_type_id":"6","owner":"1","path":["455","161"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-07-08"},"publish_date":"2019-07-08","publish_status":"0","recid":"32158","relation_version_is_last":true,"title":["原発災害により長期に避難する壮年期男性の睡眠とストレス，その生活に関する研究"],"weko_creator_id":"1","weko_shared_id":2},"updated":"2022-12-15T04:02:32.623100+00:00"}