{"created":"2023-06-19T07:44:31.724216+00:00","id":168,"links":{},"metadata":{"_buckets":{"deposit":"f8812533-34d8-4104-a7e6-b375d1ac9c64"},"_deposit":{"created_by":17,"id":"168","owners":[17],"pid":{"revision_id":0,"type":"depid","value":"168"},"status":"published"},"_oai":{"id":"oai:ncn.repo.nii.ac.jp:00000168","sets":["1:47"]},"author_link":["63"],"control_number":"168","item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-03-31","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"24","bibliographicPageStart":"13","bibliographicVolumeNumber":"16","bibliographic_titles":[{"bibliographic_title":"長野県看護大学紀要","bibliographic_titleLang":"ja"},{"bibliographic_title":"Bulletin Nagano College of Nursing","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"人を対象とする介入の効果の実験的方法による検証においては，心理的要因の制御が重要であるが，そのための標準的方法である盲検化は，看護介入の効果の検証では，通常，使用できず，ランダム化対照群 比較試験(ＲＣＴ)のみを行うことが多い．これによって生じ得る問題と対策を検討し，以下の見解を得た.1) 心理的要因の影響は一般にかなり大きいと考えられる.2)プラセボ効果は本来の効果の一部として扱う必要があ り，介入ぞ法はこれを十分活用すべきである.3)ホーソン効果とピグマリオン効果の制御には，前向き観察研究 か開発前後の群間比較が現実的である.４)定常的過程への介入の効果の有無の検証では，１群前後比較が妥当な場合が多い.5)心理的要因は常に研究者の期待に沿う方向に作用するので，その対策がないＲＣＴの結果は信用できない.6)効果の検証において論理的妥当性を重視する必要がある.7)注意深いインタビューにより効果が生じる過程を明らかにできる可能性がある．","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"Since blinding and randomization are usually unrealistic by ethical and practical reasons in testing effects of nursing interventions, alternative solutions are required for dealing with psychological biases and inequality of baseline conditions between groups. The following findings were obtained. 1) The placebo effect, Hawthorne effect, and Pygmalion effect can be clinically very significant. 2) The placebo effect must be regarded as a part of the net effect of intervention because, unlike other two components of psychological effects, it cannot be controlled in quantitative studies, hence a completely new intervention program should be persuasive to the participants about its effectiveness to maximize its placebo effects, which will qualify the program as a standard intervention for reference. 3) Observational research or before-and-after-development two-group comparison are realistic solutions for equalizing the Hawthorn and Pygmalion effects between groups. 4) Use of one-group before-after comparison is often justifiable for interventions in non-transitional processes. 5) Results of RCTs are unreliable without controlling psychological effects because resulting biases are always in favor of the researchers' expectations; hence evidence levels of RCTs and observations require reexamination. 6) Reasoning is sometimes more appropriate for examination of effects than an experimental trial. 7) Interviews can reveal the process of effects but cannot prove existence of the effects.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"長野県看護大学","subitem_publisher_language":"ja"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1345-1782","subitem_source_identifier_type":"PISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"多賀谷, 昭","creatorNameLang":"ja"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2014-08-23"}],"displaytype":"detail","filename":"1345178216024121.pdf","filesize":[{"value":"11.5 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"本文ＰＤＦ","url":"https://ncn.repo.nii.ac.jp/record/168/files/1345178216024121.pdf"},"version_id":"65470c35-b096-44e3-97f3-f6a93b2856c8"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"研究方法","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"看護介入","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"効果検証","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"心理的要因","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"RCT","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"research","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"methodology","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"nursing","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"intervention","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"test of effect","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"psychological effects","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"RCT","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"看護研究における介入効果の検証方法","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"看護研究における介入効果の検証方法","subitem_title_language":"ja"},{"subitem_title":"Problems in  trials of nursing interventions and their realistic solutions","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"17","path":["47"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2014-08-23"},"publish_date":"2014-08-23","publish_status":"0","recid":"168","relation_version_is_last":true,"title":["看護研究における介入効果の検証方法"],"weko_creator_id":"17","weko_shared_id":-1},"updated":"2024-01-19T06:27:36.415345+00:00"}