骨髄バンクコーディネーターの職務におけるやりがいと困難

The aim of this research was to clarify fulfilling aspects and difficulties of the job of bone marrow program coordinator. An anonymous self-administered questionnaire survey requested by JMDP (Japan Marrow Donor Program) was sent to all 167 of its coordinators throughout Japan. Of those, 131 (78.4％) responded. Respondents were asked to choose from one of four multiplechoice responses to rate each of twenty-five items describing fulfilling aspects of their job and thirtyfour items that made their work difficult. The top response for the former was completing follow-up after bone marrow had been donated and the coordinator was able to confirm that the donor was in good physical health. The number-one difficulty was dealing with a donor who had continuing physical discomfort following a donation. Maximum likelihood factor analysis with promax rotation revealed four fulfillment factors, including “coordination between the donor and other concerned parties that goes smoothly,” while there were five difficulty factors, such as“the stress of feeling pressured by conflicting interests on both sides. ”Analysis of the relationship between each factor and attributes using the Mann-Whitney U test showed that fulfilling aspects of the job were experienced regardless of how long the coordinator had been on the job. On the other hand, even veteran coordinators dealt with many difficulties, suggesting that they require support.

骨髄バンクコーディネーターの職務におけるやりがいと困難を明らかにすることを目的とした。公益財団法人日本骨髄バンクより委嘱された全コーディネーター167 名を対象に、無記名質問紙調査を行い、131 名（回収率78.4％）を分析対象とした。やりがい25 項目と困難34 項目の質問の回答を４件法で求め平均点を算出した結果、やりがいは、ドナーの健康安全が守られ採取後のフォローが無事終わること、困難は、採取後に苦痛が継続するドナーに対応することが最も高かった。また最尤法プロマックス回転による因子分析を行った結果、やりがいは「ドナーや関係者との円滑な調整の進行」など４因子、困難は「調整の板挟みと拘束感」など５因子を抽出した。さらにMann-WhitneyのU 検定で各因子と属性との関連を分析した結果、やりがいは経験年数の長短にかかわらず感じることが明らかになった。経験年数が長い人も多くの困難をかかえており、支援が必要であることが示唆された。