{"id":165,"date":"2018-06-26T21:48:51","date_gmt":"2018-06-26T12:48:51","guid":{"rendered":"http:\/\/wecare.m4.coreserver.jp\/wecare.blog\/?p=165"},"modified":"2019-06-09T17:56:54","modified_gmt":"2019-06-09T08:56:54","slug":"%e9%aa%a8%e7%9b%a4%e3%82%92%e5%ae%89%e5%ae%9a%e5%8c%96%e3%81%99%e3%82%8b%e3%82%b7%e3%82%b9%e3%83%86%e3%83%a0%e3%81%af%e3%81%aa%e3%82%93%e3%81%a7%e3%81%97%e3%82%87%e3%81%86%e3%81%8b","status":"publish","type":"post","link":"https:\/\/wecareweb.net\/fujisawa\/2018\/06\/26\/%e9%aa%a8%e7%9b%a4%e3%82%92%e5%ae%89%e5%ae%9a%e5%8c%96%e3%81%99%e3%82%8b%e3%82%b7%e3%82%b9%e3%83%86%e3%83%a0%e3%81%af%e3%81%aa%e3%82%93%e3%81%a7%e3%81%97%e3%82%87%e3%81%86%e3%81%8b\/","title":{"rendered":"\u9aa8\u76e4\u3092\u5b89\u5b9a\u5316\u3059\u308b\u30b7\u30b9\u30c6\u30e0\u306f\u306a\u3093\u3067\u3057\u3087\u3046\u304b?"},"content":{"rendered":"

\u9aa8\u76e4\u306f\u3001\u4ed9\u9aa8\u3068\u5de6\u53f3\u306e\u5bdb\u9aa8\u304c\u529b\u5b66\u7684\u306b\u9589\u9396\u74b0\u3092\u69cb\u6210\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u4ed9\u8178\u95a2\u7bc0\u53ca\u3073\u6065\u9aa8\u7d50\u5408\u3068\u3044\u3063\u305f\u53ef\u52d5\u69cb\u9020\u304c\u3042\u308b\u305f\u3081\u3001\u9aa8\u76e4\u3092\u5b89\u5b9a\u5316\u3059\u308b\u306b\u306f\u80fd\u52d5\u7684\u306b\u9589\u9396\u3092\u88dc\u5f37\u3059\u308b\u30b7\u30b9\u30c6\u30e0\u304c\u4e0d\u53ef\u6b20\u3067\u3059\u3002\u80fd\u52d5\u7684\u30b7\u30b9\u30c6\u30e0\u306f\u3001\u6b21\u306e\u7b4b\u8089\u304c\u69cb\u6210\u3057\u307e\u3059\u3002<\/p>\n

\u591a\u88c2\u7b4b\u3001\u8179\u6a2a\u7b4b\u3001\u8179\u659c\u7b4b\u306e\u524d\u4e0b\u65b9\u90e8\b\u306e\u53ce\u7e2e\u306f\u9aa8\u76e4\u3092\u5727\u7e2e\u3059\u308b\u30ca\u30c3\u30c4\u30af\u30e9\u30c3\u30ab\u30fc\u52b9\u679c\u3092\u69cb\u6210\u3059\u308b<\/p>\n

\u9aa8\u76e4\u5e95\u7b4b\u306f\u4ed9\u8178\u95a2\u7bc0\u3092\u5185\u5074\u304b\u3089\u5727\u7e2e\u3059\u308b<\/p>\n

\u5927\u6bbf\u7b4b\u3001\u68a8\u72b6\u7b4b\u3001\u8179\u76f4\u7b4b\u3001\u5916\u8179\u659c\u7b4b\u3001\u5185\u8179\u659c\u7b4b\u3001\u810a\u67f1\u8d77\u7acb\u7b4b\u3001\u8170\u65b9\u5f62\u7b4b\u306f\u4ed9\u8178\u95a2\u7bc0\u306e\u5727\u7e2e\u3092\u5897\u52a0\u3055\u305b\u308b<\/p>\n

\u66f4\u306b\u5c40\u5728\u7684\u306a\u5b89\u5b9a\u5316\u30b7\u30b9\u30c6\u30e0\u3068\u3057\u3066\u306f\u3001\u8170\u690e\u306b\u4ed8\u7740\u3059\u308b\u30ed\u30fc\u30ab\u30eb\u7b4b\u304c\u30cb\u30e5\u30fc\u30c8\u30e9\u30eb\u30be\u30fc\u30f3\u3067\u306e\u5206\u7bc0\u9593\u5b89\u5b9a\u6027\u3092\u9ad8\u3081\u3001\u305d\u306e\u3046\u3061\u591a\u88c2\u7b4b\u3001\u8178\u8170\u7b4b\u3001\u8170\u65b9\u5f62\u7b4b\u3001\u810a\u67f1\u8d77\u7acb\u7b4b\u3001\u8179\u6a2a\u7b4b\u3001\u5185\u8179\u659c\u7b4b\u306f\u9aa8\u76e4\u3082\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3057\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u5c40\u5728\u7684\u30b7\u30b9\u30c6\u30e0\u306f\u3001\u5ea7\u4f4d\u3067\u30b9\u30e9\u30f3\u30d7\u59ff\u52e2\u3084\u3092\u53d6\u3063\u305f\u308a\u3001\u80f8\u90e8\u3092\u76f4\u7acb\u3055\u305b\u308b\u3068\u6291\u5236\u3055\u308c\u307e\u3059\u3002\u4e00\u65b9\u3067\u5750\u9aa8\u3092\u7acb\u3066\u3066\u5ea7\u308b\u3068\u3001\u6d3b\u6027\u5316\u3055\u308c\u307e\u3059\u3002<\/p>\n

\u52d5\u7684\u5b89\u5b9a\u6027\u306b\u5f71\u97ff\u3059\u308bIAP\uff08\u8179\u8154\u5185\u5727\uff09\u306b\u306f\u3001\u9aa8\u76e4\u5e95\u3084\u8179\u58c1\u3001\u6a2a\u9694\u819c\u304c\u95a2\u308f\u308a\u307e\u3059\u3002<\/p>\n

\n
\n
\n

(Thompson, O\u2019Sullivan et al. 2003)<\/p>\n

\u80a1\u95a2\u7bc0\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306f\u3001\u8170\u690e\u9aa8\u76e4\u306e\u30a2\u30e9\u30a4\u30e1\u30f3\u30c8\u3068\u5c40\u5728\u7684\u5b89\u5b9a\u5316\u30b7\u30b9\u30c6\u30e0\u306e\u6d3b\u6027\u5316\u306b\u91cd\u8981\u306a\u8981\u7d20\u306b\u306a\u308a\u307e\u3059\u3002\u8ca0\u8377\u304c\u5c0f\u3055\u3044\u6761\u4ef6\u4e0b\u3067\u3059\u3068\u3001\u30ed\u30fc\u30ab\u30eb\u7b4b\u306e\u7dca\u5f35\u6d3b\u6027\u5316\u306b\u4f4e\u30ec\u30d9\u30eb\u306eIAP\u3068\u30ea\u30e9\u30c3\u30af\u30b9\u3057\u305f\u547c\u5438\u304c\u5927\u4e8b\u306b\u306a\u308a\u307e\u3059\u3002\u9ad8\u8ca0\u8377\u306e\u5834\u5408\u306f\u3001\u30ed\u30fc\u30ab\u30eb\u7b4b\u306e\u6d3b\u6027\u306b\u306f\u9ad8\u30ec\u30d9\u30eb\u306eIAP\u3068\u30a2\u30a6\u30bf\u30fc\u7b4b\u3068\u306e\u540c\u6642\u53ce\u7e2e\u3092\u884c\u3063\u3066\u3001\u9aa8\u76e4\u3068\u80f8\u90ed\u3092\u5f37\u56fa\u306b\u9023\u7d50\u3057\u3066\u904b\u52d5\u3092\u5236\u9650\u3059\u308b\u3053\u3068\u3067\u5b89\u5b9a\u5316\u3057\u307e\u3059\u3002\u305d\u306e\u3068\u304d\u6a2a\u9694\u819c\u304cIAP\u306e\u5236\u5fa1\u3092\u4ecb\u3057\u3066\u30b9\u30bf\u30d3\u30e9\u30a4\u30b6\u30fc\u3068\u3057\u3066\u6a5f\u80fd\u3057\u307e\u3059\u3002<\/p>\n

\u80f8\u90ed\u304b\u3089\u8170\u90e8\u306e\u7b4b\u819c\u306f\u3001\u4e09\u5c64\u69cb\u9020\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u7b4b\u819c\u5c64\u306f\u3001\u8d77\u7acb\u7b4b\u3092\u5305\u307f\u8fbc\u307f\u3001\u8179\u6a2a\u7b4b\u3068\u5185\u8179\u659c\u7b4b\u5f8c\u90e8\u7dda\u7dad\u3001\u5927\u6bbf\u7b4b\u3001\u4e0b\u90e8\u50e7\u5e3d\u7b4b\u3001\u30cf\u30e0\u30b9\u30c8\u30ea\u30f3\u30b0\u30b9\u306e\u4e2d\u8118\u7dda\u7dad\u306b\u4ed8\u7740\u3057\u307e\u3059\u3002\u305d\u3057\u3066\u7e26\u3001\u6a2a\u3001\u659c\u3081\u65b9\u5411\u306b\u30c6\u30f3\u30b7\u30e7\u30f3\u3092\u304b\u3051\u3066\u4f53\u58c1\u3092\u5f37\u5316\u3057\u307e\u3059\u3002<\/p>\n

\u8179\u6a2a\u7b4b\u306f\u3001\u547c\u5438\u3068\u30b3\u30a2\u306e\u5b89\u5b9a\u5316\u6a5f\u80fd\u3092\u62c5\u3044\u307e\u3059\u3002\u9aa8\u3078\u306e\u76f4\u63a5\u7684\u306a\u4ed8\u7740\u3092\u6301\u305f\u306a\u3044\u306e\u3067\u3059\u304c\u3001\u6301\u7d9a\u7684\u306b\u30c6\u30f3\u30b7\u30e7\u30f3\u3092\u4e0e\u3048\u3089\u308c\u308b\u3088\u3046\u306b\u30bf\u30a4\u30d71\u7dda\u7dad\u3067\u69cb\u6210\u3055\u308c\u307e\u3059\u3002\u307e\u305f\u3001\u4ed6\u306e\u8179\u7b4b\u7fa4\u304b\u3089\u72ec\u7acb\u3057\u305f\u795e\u7d4c\u5236\u5fa1\u3092\u53d7\u3051\u3001\u9aa8\u76e4\u5e95\u7b4b\u3001\u591a\u88c2\u7b4b\u3001\u5185\u8179\u659c\u7b4b\u682a\u3068\u306e\u540c\u6642\u53ce\u7e2e\u3067\u4f5c\u52d5\u3057\u307e\u3059\u3002\u6162\u6027\u8170\u75db\u60a3\u8005\u7fa4\u3067\u6a5f\u80fd\u969c\u5bb3\u304c\u307f\u3089\u308c\u308b\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

\n
\n
\n

\u00a0(Hodges & Richardson, 1996; Hodges, Richardson, & Jull, 1996)<\/p>\n

\u5185\u8179\u659c\u7b4b\u306f\u3001\u8179\u7b4b\u7fa4\u3067\u306f\u6700\u5927\u3067\u3001\u305d\u306e\u4e0b\u90e8\u7e4a\u7dad\u306f\u4f53\u58c1\u3092\u6a2a\u65ad\u3057\u3066\u8179\u6a2a\u7b4b\u306b\u795e\u7d4c\u7684\u306b\u9023\u7d50\u3057\u3001\u4ed9\u8178\u95a2\u7bc0\u3092\u5b89\u5b9a\u5316\u3057\u3066\u3044\u307e\u3059\u3002\u5074\u65b9\u306e\u7dda\u7dad\u306f\u5782\u76f4\u65b9\u5411\u306b\u8d70\u884c\u3057\u3001\u4f53\u5e79\u5c48\u7b4b\u53ca\u3073\u80f8\u90ed\u5b89\u5b9a\u306e\u4f5c\u7528\u304c\u3042\u308a\u307e\u3059\u3002\u80f8\u8170\u7b4b\u819c\u306b\u9023\u7d50\u3057\u3066\u3001\u56de\u8ee2\u5b89\u5b9a\u5316\u3068IAP\u306e\u30c9\u30e9\u30a4\u30d0\u30fc\u3068\u3057\u3066\u4f5c\u7528\u3057\u307e\u3059\u3002<\/p>\n

\u6a2a\u9694\u819c\u306f\u3001\u547c\u5438\u3068\u5b89\u5b9a\u5316\u6a5f\u80fd\u3092\u6709\u3057\u3001\u8179\u6a2a\u7b4b\u3068\u540c\u6642\u53ce\u7e2e\u3059\u308b\u3053\u3068\u3067\u4e0b\u90e8\u80f8\u90ed\u3092\u6a2a\u65b9\u5411\u306b\u62e1\u5f35\u3057\u307e\u3059\u3002<\/p>\n

\u809b\u9580\u6319\u7b4b\u3084\u5c3e\u9aa8\u7b4b\u306a\u3069\u306e\u9aa8\u76e4\u5e95\u7b4b\u7fa4\u306f\u3001\u4ed9\u8178\u95a2\u7bc0\u306b\u9589\u9396\u529b\u3092\u63d0\u4f9b\u3057\u3066\u3044\u307e\u3059\u3002\u3068\u304f\u306b\u591a\u88c2\u7b4b\u3068\u306e\u540c\u6642\u53ce\u7e2e\u3067\u4ed9\u9aa8\u30cb\u30e5\u30fc\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u5236\u5fa1\u3057\u3066\u5b89\u5b9a\u5316\u3055\u305b\u3066\u3044\u307e\u3059\u3002<\/p>\n

(Avery & O\u2019Sullivan 2001)<\/p>\n<\/div>\n<\/div>\n<\/div>\n

\u591a\u88c2\u7b4b\u306f\u3001\u810a\u67f1\u5206\u7bc0\u9593\u306e\u524d\u5f2f\u3068\u4ed9\u9aa8\u306e\u30cb\u30e5\u30fc\u30c6\u30fc\u30b7\u30e7\u30f3\u3001\u305d\u3057\u3066\u30cb\u30e5\u30fc\u30c8\u30e9\u30eb\u30be\u30fc\u30f3\u3067\u6700\u5927\uff12\/\uff13\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3092\u63d0\u4f9b\u3057\u3066\u3044\u307e\u3059\u3002\u591a\u88c2\u7b4b\u306e\u9577\u3055\u306f\u3001\u53ef\u52d5\u57df\u5185\u3067\u306f\u6700\u5c0f\u9650\u306b\u3057\u304b\u5909\u5316\u3057\u306a\u3044\u306e\u304c\u7279\u5fb4\u3067\u3059\u3002<\/p>\n

\u8178\u8170\u7b4b\u306f\u591a\u88c2\u7b4b\u3068\u306e\u76f8\u4e57\u52b9\u679c\u306b\u3088\u3063\u3066\u3001\u8170\u690e\u524d\u5f2f\u3068\u80a1\u95a2\u7bc0\u4e0a\u3067\u306e\u9aa8\u76e4\u524d\u65b9\u56de\u65cb\u3092\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3057\u3066\u3044\u307e\u3059\u3002\u8170\u690e\u306e\u5c48\u4f38\u52d5\u4f5c\u306b\u306f\u5206\u7bc0\u9593\u306b\u3042\u308b\u56de\u8ee2\u4e2d\u5fc3\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u8178\u8170\u7b4b\u306f\u524d\u65b9\u90e8\u5206\u3067\u4e2d\u5fc3\u8ef8\u3092\u5b89\u5b9a\u5316\u3057\u3001\u9060\u5fc3\u6027\u53ce\u7e2e\u306b\u3088\u308a\u5f8c\u65b9\u3078\u306e\u4f38\u5c55\u52d5\u4f5c\u3092\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3057\u307e\u3059\u3002\u7279\u306b\u5ea7\u4f4d\u3067\u306f\u91cd\u8981\u306a\u7b4b\u8089\u3067\u3059\u3002<\/p>\n

\u8170\u65b9\u5f62\u7b4b\u306f\u3001\u8170\u4ed9\u90e8\u306e\u5074\u65b9\u5b89\u5b9a\u5316\u306b\u5bc4\u4e0e\u3057\u3001\u3068\u304f\u306b\u7247\u811a\u7acb\u811a\u6642\u306e\u5236\u5fa1\u306b\u95a2\u9023\u3057\u307e\u3059\u3002<\/p>\n

\u8170\u690e\u3092\u52d5\u7684\u306b\u5b89\u5b9a\u5316\u3057\u3066\u3044\u308b\u306e\u306f\u3001\u30ed\u30fc\u30ab\u30eb\u7b4b\u3068\u30b0\u30ed\u30fc\u30d0\u30eb\u7b4b\u306e\u540c\u6642\u53ce\u7e2e\u30d1\u30bf\u30fc\u30f3\u3067\u3059\u3002\u5206\u7bc0\u9593\u3092\u5727\u7e2e\u3059\u308b\u4e8b\u524d\u306e\u8ca0\u8377\u304c\u3001\u810a\u67f1\u30a2\u30fc\u30c1\u3092\u88dc\u5f37\u3057\u3066\u5206\u7bc0\u306e\u525b\u6027\u3068\u5b89\u5b9a\u6027\u3092\u5897\u52a0\u3055\u305b\u307e\u3059\u3002\u305d\u306e\u305f\u3081\u306b\u3001IAP\u306f\u5b89\u5b9a\u6027\u306e\u8981\u8acb\u3068\u6bd4\u4f8b\u3057\u3066\u5897\u52a0\u3057\u307e\u3059\u3002<\/p>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

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