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本研究は、北海道市町村保健師の精神的健康に関連する要因を明らかにすることを目的とした。方法として、北海道内の176市町村に勤務する保健師1,343名に無記名自記式質問紙を郵送した。その結果、549名より回答があり(回収率40.9%)、そのうち460名(有効回答率34.3%)に分析を行った。精神的健康は日本語版精神健康調査票28項目版(以下、GHQ28)の質問項目を用いて測定した。精神的健康に関連する要因として、対象者の属性(性別、年齢、学歴、職位、看護師経験の有無、所属部門、所属部門以外での経験の有無、保健師経験年数、保健師が勤務する人口規模、職場体制(地区分担制等))の10項目との関連についてロジスティク回帰分析を行った。結果、市町村保健師の精神的健康に関連する要因は"性別""年齢階級""保健師経験年数""看護師経験の有無""保健師が勤務する人口規模"であった。本研究により、保健師の精神的健康は、保健師としてのこれまでの経験や保健師が勤務する人口規模との関連が示唆され保健師の精神的健康を良好に保つためにも検討すべき視点が提示できた。(著者抄録)The purpose of this study is to clarify factors related to the mental health of public health nurses. An anonymous self-administered questionnaire was mailed to 1,343 public health nurses working in 176 municipalities in Hokkaido. As a result, out of 549 respondents（recovery rate: 40.9%）, 460 respondents （valid response rate: 83.8%）were included in the analysis. Mental health was measured using the question items of the Japanese version of the General Health Questionnaire 28（GHQ28）. We used logistic regression analysis to analyze the relationship with 10 items（gender, Age, educational background, position, nursing experience, affiliation department, experience other than affiliation department,years of experience as a public health nurse, size of the population sarved by public health nurse, workplace system（district sharing system））as factors related to mental health. As a result, the factors related to the mental health of public health nurses were “gender”“age class” “years of experience as a public health nurse”“nursing experience” and “size of the population sarved by public health nurse”. By this study, It is suggested that the mental health of public health nurses is related to their experience as public health nurses and the size of the population sarved by public health nurse, and presents perspectives that should be considered in order to maintain good mental health of public health nurses. |
