@article{oai:n-seiryo.repo.nii.ac.jp:00001107, author = {松村, 幸子 and 二階堂, 一枝 and 篠原, 裕子 and 菅原, 京子 and 花岡, 晋平 and MATSUMURA, Kohko@@@NIKAIDOU Kazue@@@SHINOHARA Yuko@@@SUGAWARA Kyoko@@@HANAOKA Shimpei}, issue = {3}, journal = {新潟青陵大学紀要}, month = {Mar}, note = {application/pdf, In this paper, we have examined public health, medical, and social services carried out by public health nurses belonging to public administration in order to treat Niigata Minamata Disease in chronological order. And its result was analyzed from the viewpoint of Primary Health Care*. PHC has Four Principles (1) needs oriented(2) community participation (3) maximum use of resources (4) coordination and integration. From our research, we have discovered that public health nurses have done a lot for victims since this environmental problem emerged in 1965. Though the causes of Niigata Minamata Disease have various social backgrounds, there have been a lot of medical services performed by public health nurses along side local residents. These treatments have been primarily on the base of PHC. However (2) Community participation and (4) Integration and Coordination (with other medical experts and community organizers into play) could not effectively applied. * PHC was advocated in International Conference on Primary Health Care, Alma-Ata, USSR, 6-12 September 1978.n., 日本の四大公害病のlつである新潟水俣病に対する、行政に働く保健師の活動について、37年前の発生当初から現在までを時系列で整理した。その結果を1978年アルマ・アタ宣言のプライマリ・ヘルス・ケアの4原則1.住民のニーズ指向性 2.住民の主体的参加 3.資源の有効活用 4.協調、統合に照らして分析を試みた。先輩諸姉の語りや文献を通して、保健師は新潟水俣病発生以来今日まで、この問題にかかわり続けできたことが明らかとなった。複雑な社会的背景を持った問題であったが、さまざまな看護ケアが住民サイドに立って実施されていた。健康を人々の権利として位置づけたPHCの理念に沿って活動が進められていたが、住民の主体的参加、他専門職および住民組織との協調、統合については生かしきれず、今後の課題である。}, pages = {161--182}, title = {行政で働く保健師の新潟水俣病に対する活動の検証}, volume = {3}, year = {2003} }