大学保健室・診療所における心身医学的プライマリーケアの実践(プライマリーケアと心身医学)(第35回日本心身医学会総会)

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The purpose of this report is to present of primary health care with a psychosomatic and behavioral approach to university students. The subjects of my study are 13,000 students of Rikkyo University, Tokyo, Japan. Our health center has a close teamwork among doctors, nurses, dieticians and other university staff to promote students'health as well as to treat their illness. We studied basic habits of these students, freshmen to juniors, regarding eating, sleeping, smoking and drinking. As the result the data revealed that they skip breakfast (over 50%) from the second year of university life and cut their sleeping time (to midnight to 1-2 AM). To skip breakfast is closely related to the delay of their sleeping time. Smoking and drinking start from the beginning of university life. These results suggest the changes of their life style after entering university. In addition to these changes of life style, they began to confuse how to adapt to university life. The reasons for their confusion include the following : First, the entrance examination is extreme as if it were a battle in Japan since more than 30 years ago. Then, students have to work like a memory machine since primary school until high school. These extreme situations give heavy pressure on them and take away their chance to experience humanistic growth. Consequently, most of them do not know how to communicate each other with their poor self identity, poor patience and poor emotions on the campus (so-called Adultchild). Secondly, parents and school teachers have not paid enough attention to children's humanistic or spiritual education because of money- or material-centered attitudes which contaminated Japan since after the second world war. We also have a medical clinic on the campus. More than 3,500 students visit us during the school year (about 85% of them) with common diseases (flue, gastrointestinal trouble etc.) About 8% of them visit us with the complaints of mental problems such as maladaptation, anxiety or depressive state and psychosomatic reactions. Others are skin diseases, bronchial asthma and anemia etc. Conclusion : To practice the health care or treatment for the university students, it is necessary to indicate psychosomatic, behavioral and primary care approach because of the above mentioned reasons. We also have to recognize and make an approach to them as growing models.
1995-02-01

大学保健室・診療所における心身医学的プライマリーケアの実践(プライマリーケアと心身医学)(第35回日本心身医学会総会)

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