論文 - 豊里　竹彦

Moderating effects of interprofessional collaboration on the relationship between moral sensitivity and job satisfaction among nursing assistants: A cross-sectional study

T. Toyosato, A. Arakaki, K. Motonaga, C. Maeshiro, M. Tokeshi

International Journal of Nursing Sciences   in press   2026年02月 [ 査読有り ]

掲載種別: 研究論文（学術雑誌）

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医療におけるLGBT Affirmative Practice Scaleの作成

山里ひろみ, 豊里竹彦, 眞榮城千夏子

GID(性同一性障害)学会雑誌   16 ( 1 ) 17 - 24   2023年12月 [ 査読有り ]

掲載種別: 研究論文（学術雑誌）

Child-rearing Assistance Enhances Physical Activity and Health-related Quality of Life among Japanese Grandmothers

Endoh, Y; Tamashiro, Y; Toyosato, T; Omine, F; Takeda, M; Kobayashi, M; Endoh, H

JOURNAL OF INTERGENERATIONAL RELATIONSHIPS ( Journal of Intergenerational Relationships )  21 ( 2 ) 155 - 175   2023年04月 [ 査読有り ]

掲載種別: 研究論文（学術雑誌）

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Factors Associated with Delayed Diagnosis among Patients with COVID-19 in Okinawa, Japan

Oiwake, HY; Nonaka, D; Toyosato, T

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH ( International Journal of Environmental Research and Public Health )  19 ( 14 ) 8634 - 8634   2022年07月 [ 査読有り ]

掲載種別: 研究論文（学術雑誌）

　概要を見る

The delayed presentation and diagnosis of COVID-19 can contribute to spread of the disease to others but can also cause severe conditions. This study examined factors associated with delayed diagnosis among patients with COVID-19 in Okinawa, Japan. We used the data from 7125 reported cases of people living in Okinawa prefecture with symptom onset between September 2020 and March 2021. The outcome variable was the number of days from symptom onset to diagnosis. The predictor variables included age, sex, occupation, residential area, presumed infection route, and the day of the week. Cox regression analysis was used to compare the outcome between categories for each predictor variable. The median number of days from onset to diagnosis was 3 days, with an interquartile range of 1 to 5 days. Significantly more time from onset to diagnosis was observed in patients in their 60s vs. those in their 20s (hazard ratio: 0.88; 95% confidence interval: 0.81–0.96); hospitality workers were compared to office workers (0.90; 0.83–0.97), patients with unknown infection routes to those with known infection routes (0.77; 0.70–0.84), and those with symptom onset on Sundays/national holidays to those with symptom onset on weekdays (0.90; 0.85–0.96).

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The moderating effect of place attachment on the relationship between economic status and well-being among the older adults in Japan

Sawada, S; Toyosato, T

GERIATRIC NURSING ( Geriatric Nursing )  42 ( 3 ) 721 - 726   2021年05月 [ 査読有り ]

掲載種別: 研究論文（学術雑誌）

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Visiting Nurses' Perspectives on Practices to Achieve End-of-Life Cancer Patients' Wishes for Death at Home: A Qualitative Study.

Teruya N, Sunagawa Y, Sunagawa H, Toyosato T

Asia-Pacific journal of oncology nursing ( Asia-Pacific Journal of Oncology Nursing )  6 ( 4 ) 389 - 396   2019年10月 [ 査読有り ]

掲載種別: 研究論文（学術雑誌）

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Association between Daily Life Difficulties and Acceptance of Disability in Cancer Survivors after Total Laryngectomy: a Cross-Sectional Survey.

Teruya N, Sunagawa Y, Toyosato T, Yokota T

Asia-Pacific journal of oncology nursing ( Asia-Pacific Journal of Oncology Nursing )  6 ( 2 ) 170 - 176   2019年04月 [ 査読有り ]

掲載種別: 研究論文（学術雑誌）

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統合失調症を患う息子に対応する母親のケア意識の変容プロセス

髙原美鈴, 古謝安子, 宮城哲哉, 豊里竹彦, 與古田孝夫

琉球医学会誌 ( 琉球医学会 )  38 ( 1-4 ) 73 - 82   2019年 [ 査読有り ]

掲載種別: 研究論文（学術雑誌）

　概要を見る

男性統合失調症患者8名(平均年齢43歳)の母親(平均年齢70歳)を対象に、息子に対応する母親のケア意識の変容プロセスについて検討した。息子は精神病未治療期間平均5.3年、罹病期間平均20年、調査時に入院中3名で、母親は病院が主催している家族会参加者である。母親にはインタビューガイドによる半構造化面接を行い、内容は診断前から現在までの困難および病態の変化、具体的な家族の対応及び生活状況とした。面接は平均120分であった。M-GTAによる分析から「病的言動への対応と孤立」「継続する治療で繰り返す再燃に耐える」「息子と共に生きる覚悟と希望」のカテゴリーに分類され、母親は家族や家族会の支えによりケア意識が徐々に変化したことが明らかとなった。

Perception of research difficulties affects staff nurses’ motivation towards research Paeticipation: the impact of understanding research value and collegial support

豊里 竹彦, 玉城 陽子

Ryukyu. M.J   印刷中   2019年 [ 査読有り ]

掲載種別: 研究論文（学術雑誌）

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Physiological and nutritional intake characteristics of pregnant women according to their recommended gestational weight gain in relation to the birth weight of their full-term infants

Tamashiro Y, Endoh Y, Toyosato T, Yokota T, Omine F, Tsujino K

Ryukyu Medical Journal   38 ( 1-4 ) 61 - 72   2018年 [ 査読有り ]

掲載種別: 研究論文（学術雑誌）

精神科病院に勤務する作業療法士のレジリエンスとストレスコーピングおよび精神健康との関連

嘉数栄司, 豊里竹彦, 嵩原美鈴, 與古田孝夫

琉球医学会誌 ( 琉球医学会 )  37 ( 1-4 ) 73 - 83   2018年 [ 査読有り ]

掲載種別: 研究論文（学術雑誌）

病院看護師の死生観とターミナルケア態度との関連

籏武恭平, 豊里竹彦, 眞榮城千夏子, 平安名由美子, 髙原美鈴, 照屋典子, 玉城陽子, 遠藤由美子, 古謝安子, 與古田孝夫

琉球医学会誌 ( 琉球医学会 )  37 ( 1-4 ) 5 - 12   2018年 [ 査読有り ]

掲載種別: 研究論文（学術雑誌）

　概要を見る

The purpose of this study was to clarify the association between hospital nursesʼ views of life and death and their attitudes toward terminal care, as well as the effects of education and training on views of life and death，to elucidate suggestions for improving the quality of terminal care. Of 1470 subjects, 1101 nurses experienced in terminal care completed a questionnaire about their views of life and death and their attitudes toward terminal care and basic nurse attributes. After invalid responses were excluded, 1006 responses were analyzed to clarify the relationship between views of life and death and attitudes toward terminal care and to identify factors related to views of life and death. Nurses who associate death with anxiety, fear and release from pain, or who avoid thinking about death, show a negative attitude toward terminal care. Moreover, nurses who have received education about death show less avoidance in thinking about death, and nurses with greater experience caring for terminal patients show less avoidance in thinking about death and show less anxiety with death. The study clarifies that nursesʼ views of life and death affect their attitudes toward terminal care. Lowering fear of death, death avoidance, and acceptance of escape is necessary for improving attitudes toward terminal care. To achieve this, nurses should be conscious of caring terminal patients so that they can be at peace in their last moments, and education about death should be provided in an ongoing and systematic manner both at school and in the hospital.

喉頭摘出者の不安・抑うつ傾向と個人属性および日常生活における困難感との関連

照屋 典子, 砂川 洋子, 豊里 竹彦, 伊波 華, 知念 正佳, 木村 安貴, 與古田 孝夫

Palliative Care Research ( 日本緩和医療学会 )  13 ( 1 ) 49 - 56   2018年

掲載種別: 研究論文（学術雑誌）

　概要を見る

<p>本研究は，喉頭摘出者の不安・抑うつ傾向と個人属性および日常生活における困難感との関連性を検討することを目的とした． A県患者会に所属する135名を対象に無記名の質問紙調査を行った．調査内容は基本属性，日常生活における困難感，不安・うつ尺度（NAS-J-L 6項目）である．有効回答が得られた43名を対象として重回帰分析を行った結果，年齢（β=－0.369，p=0.004），外出・趣味に関する困難感（β=0.419，p=0.002）は不安・うつ尺度得点と有意な関連性が認められ，若年，中年者および外出・趣味に困難を有する者では不安・抑うつ傾向が高いことが明らかとなった．看護者はこれらの対象者に対し，より注意深く心理状況や生活環境のアセスメントを行い，継続的な心理社会的支援を行う必要性が示唆された．</p>

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沖縄県の地域住民の経済状況と地域愛着が親扶養意識に及ぼす影響について

德元 裕子, 豊里 竹彦, 眞榮城 千夏子, 平安名 由美子, 遠藤 由美子, 照屋 典子, 玉城 陽子, 髙原 美鈴, 與古田 孝夫

日本健康学会誌 ( 日本健康学会 )  84 ( 1 ) 3 - 11   2018年

掲載種別: 研究論文（学術雑誌）

　概要を見る

<p><b>Objective: </b>This study aimed to clarify the association between sense of filial responsibility, local residents’ subjective economic status, and attachment to the local community, and to contribute to local community policies and measures including support systems for elderly in need of care and family.</p><p><b>Methods: </b>We conducted in<tt>-</tt>home interviews in 2015 in Okinawa, Japan. A total of 2,663 local residents were selected, and after invalid responses were excluded, 1,656 responses (62.2%) were analyzed. Participants were asked about demographic variables (sex, age, marital status, birth order, subjective health, living arrangement), subjective economic status, attachment to the local community, and sense of filial responsibility (such as caring for and supporting their elderly parents).</p><p><b>Results: </b>Age, marital status, birth order, and attachment to the local community were positively associated with sense of filial responsibility. Participants with low subjective economic status had low sense of filial responsibility. Even if subjective economic status was low, participants with high attachment to the local community had significantly high sense of filial responsibility. Moreover, participants with high attachment to the local community provided and received more instrumental support than participants with low attachment to the local community.</p><p><b>Conclusions: </b>Our findings suggest that high attachment to the local community can form a support system in local areas, and that support systems in turn help local residents when they support their parents. In light of these findings, measures for creating networks between local residents, as well as improvement of the physical environment, are necessary for local community planning.</p>

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救急・集中治療領域の終末期治療における代理意思決定支援実践尺度の開発

下地 智之, 豊里 竹彦, 眞榮城 千夏子, 平安名 由美子, 垣花 シゲ

日本看護科学会誌 ( 公益社団法人 日本看護科学学会 )  37 ( 0 ) 437 - 445   2017年

掲載種別: 研究論文（学術雑誌）

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<p><b>目的：</b>救急・集中治療領域における終末期治療の代理意思決定支援実践尺度を開発し信頼性および妥当性を検証する．</p><p><b>方法：</b>尺度原案は文献検討および内容妥当性を検討し作成した．全国の救命救急センター病床/ICUにて，看護師473名に質問紙調査を実施した．項目分析，IT相関，GP分析，探索的因子分析，基準関連妥当性の検証，既知集団法，および再テスト法を行った．外的基準は看護師の倫理的行動尺度を用いた．</p><p><b>結果：</b>探索的因子分析の結果，4因子18項目が抽出され，第1因子から順に【他職種連携】【代理意思決定の準備】【偏りのない姿勢と説明の確認】【代理意思決定を考える促し】と命名した．尺度全体のクロンバックαは0.89（下位因子0.74～0.84）であった．再テスト法の級内相関係数は0.71で，看護師の倫理的行動尺度との相関係数ρは0.54であった．資格および学習経験のある群が有意に高値であった．</p><p><b>結論：</b>救急・集中治療領域の終末期治療における代理意思決定支援実践尺度の信頼性および妥当性が確認された．</p>

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救急看護師の職場および家族看護ストレスが抑うつ傾向に及ぼす影響

山内正三, 豊里竹彦, 髙原美鈴, 與古田孝夫

琉球医学会誌 ( 琉球医学会 )  35 ( 1-4 ) 31 - 40   2016年10月 [ 査読有り ]

掲載種別: 研究論文（学術雑誌）

Current status of extended spectrum beta-lactamase-producing Escherichia coli, Klebsiella pneumoniae and Proteus mirabilis in Okinawa prefecture, Japan

Rika Nakama, Aoi Shingaki, Hiroko Miyazato, Rikako Higa, Chota Nagamoto, Kouta Hamamoto, Shuhei Ueda, Teruyuki Hachiman, Yuki Touma, Kazufumi Miyagi, Ryuji Kawahara, Takehiko Toyosato, Itaru Hirai

JOURNAL OF INFECTION AND CHEMOTHERAPY ( ELSEVIER SCIENCE BV )  22 ( 5 ) 281 - 286   2016年05月 [ 査読有り ]

掲載種別: 研究論文（学術雑誌）

　概要を見る

Enterobacteriaceae producing extended spectrum beta-lactamase (ESBL) are distributed worldwide. In this study, 114 ESBL-producing Enterobacteriaceae were isolated by analyzing 1672 clinical isolates of Enterobacteriaceae collected from an Okinawa prefectural hospital in Japan between June 2013 and July 2014. The overall prevalence of ESBL-producing Enterobacteriaceae was 6.8%; the prevalence of different bacterial species among the ESBL-producing isolates was as follows: 11.5% Escherichia coli (90 of 783 isolates), 6.2% Klebsiella pneumoniae (19 of 307 isolates), and 11.1% Proteus mirabilis (5 of 45 isolates). The ESBL types bla(CTX-M-1, -3, -15, -2, -14, -27), and mutants of bla(SHV-1) were detected. Among them, bla(CTX-M-15) (33.3%), bla(CTX-M-14) (27.8%) and bla(CTX-M-27) (33.3%) were dominant in the E. coli isolates, whereas a bla(SHV) mutant which possessed four mutations (Tyr7Phe, Leu35Gln, Gly238Ser and Glu240Lys) in the amino acid sequence of SHV-1 dominated in the K. pneumoniae isolates (11 of 19, 57.9%). The pandemic E. coli ST131 clone was found to constitute 3.3% of the overall examined isolates and 62.2% of the ESBL-producing E. coli isolates. Our results suggest that the genetic combination of bla(CTX-M), and bla(SHV) and antibiotics-resistant profile were different from that in other regions such as other areas of Japan, Asia, Europe, and North America, especially in the ESBL-producing K. pneumoniae isolates and in the E. coli B2-O25b-ST131 isolates possessing bla(CTX-M-15) (40.7% of the E. coli B2-O25b-ST131 isolates). Taken together, our results indicate that the ESBL-producing Enterobacteriaceae in Okinawa, Japan, might be of a unique nature. (C) 2016, Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

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High Prevalence of Chromosomal blaCTX-M-14 in Escherichia coli Isolates Possessing blaCTX-M-14.

Hamamoto K, Ueda S, Toyosato T, Yamamoto Y, Hirai I

Antimicrobial agents and chemotherapy   60 ( 4 ) 2582 - 2584   2016年04月 [ 査読有り ]

掲載種別: 研究論文（学術雑誌）

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The moderating effect of supervisor and coworker support on the association between work-family conflict and psychological distress in nurses in Okinawa, Japan

Toyosato T, Nakada T and Koja Y

Ryukyu Medical Journal   35 ( 1-4 ) 41 - 50   2016年 [ 査読有り ]

掲載種別: 研究論文（学術雑誌）

The moderating effect of spiritual well-being on the association between depressive state and living arrangement in the elderly in rural Okinawa

Takehiko TOYOSATO, Yuuka IHA, Misuzu TAKAHARA, Takao YOKOTA, Yasuko KOJA

J Health & Human Ecology   82 ( 2 ) 59 - 71   2016年 [ 査読有り ]

掲載種別: 研究論文（学術雑誌）