養護教諭の「慢性疾患の子どもへの支援」に関する因果的構造モデルの構築

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  • Construction of a Causal Structure Model of Yogo Teacher Support for Children with Chronic Diseases
  • ヨウゴ キョウユ ノ マンセイ シッカン ノ コドモ エノ シエン ニ カンスル インガテキ コウゾウ モデル ノ コウチク

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<p>　In the current school environment there is an increasing number of students that require medical monitoring and nursing care. Present educational reforms that seek a shift to “special needs education”-education that provides educational support appropriate to each child's individual learning needs- have created an even greater need for distinct support for children with chronic diseases. In order to give these children the care they need, each child should first of all be provided with the common support measures implemented in such cases. On top of that, an even better support system can be developed by implementing support measures tailored to the individual needs of the child. This research, therefore, aims to construct a causal structure model for a common support system in Yogo teachers' “support for children with chronic diseases.” For this purpose, it is proposed that “Yogo teachers' “support for children with chronic diseases’ should be comprised of direct and indirect support, and the degree to which this support can be implemented affects the personal level of Yogo teachers' satisfaction with the support they provide.” The validity of this hypothesis and the applicability of the model are then verified. A common support system implemented along the guidelines of this model would be one effective form of support.</p><p>　The survey was administered to a total of 192 Yogo teachers: 108 from elementary schools, 53 from junior high schools, and 31 from senior high schools. The survey method was a questionnaire mailed to participants. Data analysis was performed with SPSS 15.0J for Windows, Amos 7.0J.</p><p>　Data analysis yielded the following information:</p><p>1．The “Causal Structure Model of Yogo Teacher Support for Children with Chronic Diseases” constructed by this research had the following fit indices: GFI＝0．971; AGFI＝0.935; and RMSEA＝0.049. This is a high assessment for a model.</p><p>2． “Direct Support” under this model was influenced by “Health Care Support” (path coefficient of 0.83) , “Educational Support” (path coefficient of 0.81) , and “Consideration for Children with Chronic Diseases” (path coefficient of 0.68) , in that order. Similarly, “Indirect Support” was influenced by “Connections with Families/Other Institutions” (path coefficient of 0.75) , “Connections within School” (path coefficient of 0.66) , “Connections outside School” (path coefficient of 0.54) , and “Guidance for Classmates/Other Students” (path coefficient of 0.48) , in that order. The priority order of support should be considered to correspond to the strength of the path coefficient.</p><p>3．A covariant relationship was recognized in the error variable between “Educational Support” and “Guidance for Classmates/Other Students” (covariance value of 0.30) , and also between “Health Care Support” and “Connections outside School” (covariance value of 0.24) , suggesting that it is important to provide related support.</p><p>4．A covariant relationship was recognized in the latent variable between “Direct Support” and “Indirect Support” (covariance value of 0.86) , suggesting that it is important to provide support linking the two.</p><p>5．In “Support for Children with Chronic Diseases,” it was recognized that “Direct Support” has significant influence with a path coefficient of 0.58 and that “Indirect Support” has moderate influence with a path coefficient of 0.30. This kind of “Support for Children with Chronic Diseases,” with its path coefficient of 0.47, exerted a significant effect on Yogo teachers' personal level of satisfaction with their support.</p><p>View PDF for the rest of the abstract</p>

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  • 学校保健研究

    学校保健研究 50 (5), 371-384, 2008-12-20

    一般社団法人 日本学校保健学会

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