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All Journal Journal of Rural Community Nursing Practice
Naohiro Hohashi
Division of Family Health Care Nursing, Graduate School of Health Sciences, Kobe University, Japan
Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences

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Ethnographic Research on the Impact of COVID-19 on Families with Older Adults Residing on Remote Islands in Japan: Directed Content Analysis Based on the Concentric Sphere Family Environment Theory Naohiro Hohashi; Jaroensuk Pinyo; Shiho Araki; Minami Taniguchi
Journal of Rural Community Nursing Practice Vol. 1 No. 1 (2023): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v1i1.89

Abstract

Coronavirus disease 2019 (COVID-19) impacts not only on the health of individuals, but also on family functioning and a family’s well-being. Japan’s remote outer islands, with their aging populations, harbor a unique culture, and it is believed that the COVID-19 pandemic has impacted on such populations in a distinct manner. This study aims to clarify the impacts of COVID-19 on families with older adults residing on remote islands, using the Concentric Sphere Family Environment Theory (CSFET) as a theoretical framework. We conducted family ethnographic research including semi-structured interviews with 14 families on Japanese islands whose total population numbers approximately 34,000, and performed directed content analysis of impacts on the families using CSFET. Forty-three categories were extracted according to the five systems of the CSFET. For example, negative impacts such as “occurrence of concerns over the scarcity of medical institutions” in the macro system; positive impacts such as “growing consideration of the life span of older adult family members” in the chrono system; and context-sensitive impacts such as “changes in family’s awareness of infections arising from the contents of information on infectious diseases” in the macro system were identified. The islands’ characteristics, such as vulnerabilities in terms of medical care, isolated environment and strong community ties, were considered as impacting both within and outside of the family. Accordingly families with older adults experienced negative impacts, but also found positive impacts in their difficulties.
Chinese Medicine Constitution that Influences Sleep Quality and Fatigue among Chinese Nurses Working in Shifts in Japan and China Zhixia Wang; Naohiro Hohashi; Xiaoyu Wu
Journal of Rural Community Nursing Practice Vol. 1 No. 2 (2023): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v1i2.205

Abstract

Nurses who work in shifts may face poor sleep quality and oppressive fatigue. The purpose of this study was to clarify Chinese medicine constitution that influences sleep quality and fatigue among Chinese nurses engaged in shift work. Considering that these conditions might differ according to living environments, studies were conducted both in Japan and China. Data were gathered using the attributes of nurses, the Pittsburgh Sleep Quality Index to evaluate sleep quality, the Jikaku-sho shirabe to evaluate fatigue, and the Constitution in Chinese Medicine Questionnaire, which evaluates Chinese medicine constitution according to nine criteria. The survey was conducted via internet, with data analyzed from 100 Chinese subjects in Japan and 100 Chinese subjects in China. Increase in age, living in China, Qi-deficiency constitution and Blood-stasis constitution were causal factors for lower sleep quality. Sleep quality was significantly lower among nurses in China than those in Japan. The following factors were observed to be causal factors for increased fatigue: longer histories of working in shifts, living in Japan, poorer quality sleep, Qi-deficiency constitution, Yang- and Yin-deficiency constitution, Qi-stagnation constitution and Inherited special constitution. Nurses in Japan showed significantly greater fatigue at the end of a night shift than did those in China. It is suggested that adjustments of Qi-deficiency constitution and Blood-stasis constitution can improve sleep quality in nurses who work in shifts. We believe that improving sleep quality and making adjustments to the five types of Chinese medicine constitution can work to reduce fatigue.
Co-Authors Jaroensuk Pinyo Minami Taniguchi Shiho Araki Xiaoyu Wu Zhixia Wang