{"created":"2023-10-12T02:28:08.206207+00:00","id":2000035,"links":{},"metadata":{"_buckets":{"deposit":"8bd560a9-2a01-4515-8510-bc98a888dc72"},"_deposit":{"created_by":17,"id":"2000035","owners":[17],"pid":{"revision_id":0,"type":"depid","value":"2000035"},"status":"published"},"_oai":{"id":"oai:kokushikan.repo.nii.ac.jp:02000035","sets":["928:1337:1338:1406"]},"author_link":["25354","23411","24635","9510","25828"],"control_number":"2000035","item_10002_biblio_info_168":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-10-28","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"33","bibliographicPageStart":"21","bibliographicVolumeNumber":"7","bibliographic_titles":[{"bibliographic_title":"国士舘防災・救急救助総合研究","bibliographic_titleLang":"ja"},{"bibliographic_title":"Journal of disaster management and emergency medical system, Kokushikan University","bibliographic_titleLang":"en"}]}]},"item_10002_description_151":{"attribute_name":"著者ID","attribute_value_mlt":[{"subitem_description":"J-GLOBAL ID : 200901068139604573","subitem_description_type":"Other"},{"subitem_description":"J-GLOBAL ID : 201901011323029170","subitem_description_type":"Other"},{"subitem_description":"J-GLOBAL ID : 202001017118484343","subitem_description_type":"Other"},{"subitem_description":"J-GLOBAL ID : 200901036533126564","subitem_description_type":"Other"}]},"item_10002_description_161":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"［目的］ 心停止事案の口頭指導が遅延する要因の1つとして、高齢者による通報時のコミュニケーション困難事例が挙げられる。本研究では、高齢者による心停止通報に関するコミュニケーション特性を分析した。\n［方法］ 2014年4月から2016年3月までに、富士五湖消防本部へ高齢者が119番通報を行い、通信指令員が口頭指導を実施した心停止233例の通報音声分析を行った。心停止を疑うキーワードの抽出、通報者の年齢層の違いによる発話表現の違い、BCPR実施率などを比較した。\n［結果］ 通報内容から心停止を疑うキーワードは、「呼吸していない」、「冷たくなっている」、「倒れている」などが抽出された。\n　高齢者における口頭指導遅延の理由は、「わからない」や「できない」など、拒否するケースが27%を占めた。そのほかにも、聴覚や理解力の低下した高齢者とコミュニケーションを取らなければならないという多重問題が浮き彫りとなった。\n　また、BCPR実施率は、高齢通報者では、成人に比べ実施なしが多く (Adult vs. Elderly, 38.9% vs. 41.3%; p=0.03)、実施にかかる時間も、高齢者では遅延していた (Adult vs. Elderly, 132sec. vs. 146sec.; p=0.14)。\n［結論］ 高齢者に対する適切な口頭指導の在り方は、成人と異なることが、本研究から示唆された。今後、心停止の通報という時間制約がある中で、BCPRを誘導するためにも、「通信指令員のための高齢者対応のコミュニケーション教育」などの構築が必要である。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10002_description_175":{"attribute_name":"論文ID(CRID)","attribute_value_mlt":[{"subitem_description":"1520572360408550528","subitem_description_type":"Other"}]},"item_10002_description_180":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_10002_heading_148":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"論文","subitem_heading_headline":"Articles"}]},"item_10002_publisher_169":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"国士舘大学防災・救急救助総合研究所","subitem_publisher_language":"ja"}]},"item_10002_relation_173":{"attribute_name":"論文ID(NAID)","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"40022751567","subitem_relation_type_select":"NAID"}}]},"item_10002_relation_178":{"attribute_name":"所蔵情報","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"『国士舘 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