著者

山本 美佐子 水島 禮子 堀込 和代 木浪 智佳子 萬 美奈子 三国 久美 ヤマモト ミサコ ミズシマ レイコ ホリゴメ カズヨ キナミ チカコ ヨロズ ミナコ ミクニ クミ Misako Yamamoto Reiko Mizushima Kazuyo Horigome Tikako Kinami Minako Yorozu Kumi Mikuni

雑誌

北海道医療大学看護福祉学部学会誌 = Journal of School of Nursing and Social Services, Health Sciences University of Hokkaido

巻号頁・発行日

vol.3, no.1, pp.7-14, 2007-03-31

---

本研究の目的は,NICUに入院した子ども(以下NICU児)の母親の対児感情と母性意識の入院中から退院後1年間の経時的変化と,満期産児の母親との比較による特徴を明らかにすることである.接近と回避の下位尺度から成る対児感情評定尺度と育児肯定,育児否定,葛藤,成長志向から成る母性意識尺度を用い,入院中・退院後3ヶ月前後・退院後1年前後の調査を行った結果,以下のことが明らかになった.1)子どもへの接近は,入院中は満期産の母親よりも有意に低く,在胎過数と正の相関が見られたが,退院後は増加し1年後には在胎過数による相関も,満期産との差も見られなくなった.2)成長志向得点は入院中満期産と比較し有意に低く,退院後は職業との相関が見られた.育児肯定得点は入院中のみ初産のNICU児の母親が有意に低かった.NICUに入院する子どもの母親には,特に入院初期,初産で在胎過数が少ないほど母親のこころの回復過程を見守りながら,母子の相互交流を手助けする看護の重要性が確認された.The aim of this study was to determine changes in maternal consciousness and feelings toward babies admitted to Neonatal Intensive Care Unit (NICU) , and to compare their characteristics with mothers who had given birth to full-term infants. Two scales were used in this study : (1) a rating scale of feelings toward babies based on a measurement of approach and avoidance, and (2) a maternal consciousness scale that measured infant care, childcare rejection, complications, and growth. Data was collected three times : during hospitalization, three months after discharge, and one year after discharge. 1) Mothers of NICU infants were significantly less likely to approach their infants during hospitalization than mothers of full-term infant births with a positive correlation with the number of weeks of pregnancy lacking for a full-term birth. However, after hospital discharge, the degree to which mothers of NICU infants approached their infants increased. After one year, there was no correlation with weeks of pregnancy, and the previous difference with full-term infant births became indistinguishable. 2) Growth scores for NICU infants of mothers who had been discharged were significantly lower when compared with those during hospitalization. Furthermore, a correlation between infant growth and employment was found among mothers after hospital discharge. Infant care scores of mothers of NICU infants were significantly lower for mothers who were having their first child. For mothers of infants admitted to NICU, especially for mothers giving birth for the first time or being hospitalized for the first time, it is important for nurses to encourage a mutual exchange between mother and infant while also ensuring that the mother recovers psychologically.

著者

萬 美奈子 木浪 智佳子 三国 久美 山本 美佐子 ヨロズ ミナコ キナミ チカコ ミクニ クミ ヤマモト ミサコ Minako YOROZU Chikako KINAMI Kumi MIKUNI Misako YAMAMOTO

雑誌

北海道医療大学看護福祉学部紀要

巻号頁・発行日

vol.13, pp.51-58, 2006

---

近年、わが国において肥満傾向児の割合が増加している。これらの児は将来的に、肥満に起因する健康障害を引き起こす可能性が高いことから、小児期からの予防対策が重要である。本稿では、小児肥満の予防と生活習慣に焦点をあて、効果的な予防的介入方法について、それらに関する文献をもとに検討することを目的とし、以下の知見を得た。1.小児肥満を予防するためには、乳幼児期からの一次予防レベルの介入が、必要かつ効果的である。2.学童期以降では、一次予防レベルでの介入を継続するだけでなく、児の発達段階とニーズに応じ、プライバシーに配慮した二次予防レベルの介入が必要である。特に児への動機づけは重要である。3.効果的な介入を行なっていくためには、先行研究で明らかになった肥満に関連する生活習慣の改善を目指した予防活動の実施による評価研究、長期的視野に立った縦断的研究、肥満に対する認識と行動の変化に着目した研究が必要である。In Japan, the ratio of obese children has increased in the past several years. Because of a high possibility of causing health problems that originate in obesity in the future, these children's preventive measures from the infant period are important. This paper aims to investigate effective preventive interventions focusing onto the prevention and the lifestyle of the children's obesity based on the research documents. The results are obtained ; 1. To prevent childhood obesity, primary preventive interventions from early childhood are necessary and effective. 2. At school age, it is important not only to continue primary preventive interventions but also to apply the secondary preventive interventions according to the children's developmental stage and their needs with the consideration of privacy. Especially, the motivation within children is indispensable. 3. In order to actualize effective interventions, the following researches are necessary ; 1). The evaluation research on preventive activities that aim at the improvement of lifestyle related to obesity 2). Longitudinal studies of both process and outcome analysis upon interventions 3). The research focusing on the changes in the perceptions and behaviors from both obese children's and their parents' perspectives

著者

萬 美奈子 木浪 智佳子 三国 久美 ヨロズ ミナコ キナミ チカコ ミクニ クミ Minako Yorozu Chikako Kinami Kumi Mikuni

雑誌

北海道医療大学看護福祉学部学会誌 = Journal of School of Nursing and Social Services, Health Sciences University of Hokkaido

巻号頁・発行日

vol.7, no.1, pp.37-44, 2011-03-31

---

未就学児の保護者を対象に,肥満予防のための保健教育に対するニーズを明らかにすることを目的に,自記式質問紙による調査を行い,347名より回答を得た.88.7%の保護者が子どもの肥満や生活習慣病予防について知りたいと回答した.保健教育の運営に関しては,集団形式で幼稚園や保育園を活用し,食事・肥満が子どもへ与える影響などの保護者の関心のある内容について,参加しやすい時間に栄養士などの専門職が実施するという方法が望まれていた.さらに,自分の子どもが将来肥満になるのではという不安を持つ保護者や,実際の肥満度が高い子どもを持つ者は,プライバシーに配慮した個別形式の保健教育を求めていた.An anonymous survey was conducted for the purpose of understanding what parents of preschool children expect from health education for preventing obesity. Questionnaires were collected from 347 respondents. To the question "Do you want to know how to prevent obesity and lifestyle-related diseases in children?", 88.7% of respondents answered "Yes." Regarding the methods for providing health education on this subject, many of the respondents reported hoping that nutritionists or other specialists would talk to groups of parents about the effects of daily diet and obesity on children. They also hoped that health education would be provided at nursery schools and kindergartens at the most convenient time of day for the parents. Respondents who have overweight children or are afraid that their children may become obese in the future tended to want more privacy-conscious, individualized instruction.

著者

木浪 智佳子 キナミ チカコ Chikako KINAMI

雑誌

北海道医療大学看護福祉学部学会誌 = Journal of School of Nursing and Social Services, Health Sciences University of Hokkaido

巻号頁・発行日

vol.3, no.1, pp.15-20, 2007-03-31

---

本研究の目的は,外来通院で緩和的化学療法を受けるがん患者の社会的側面に生じる影響を明らかにすることである.外来通院中の消化器がん患者9名に対し半構成的面接を行い,データの内容から外来通院で治療を継続することによって生じる社会的側面への影響について分析した結果,「従来の役割が維持できる」「治療中の気晴らしの選択肢がある」「気楽で気兼ねがない」「周囲の人の支援や助言を取り入れやすい」「家族や友人とつながりを持つ安堵と喜び」という外来通院での治療を肯定的にとらえる項目と,「リザーバー管理の負担」「就業の制限」「経済的な負担」といった治療継続に困難を来たす項目が抽出された.限られた時間で大勢の患者と関わる外来施設において,緩和的化学療法を安楽で効果的に継続していくための看護援助への示唆が得られた.Purpose : The purpose of this qualitative research is to identify the impact on the daily life of people receiving chemotherapy in the outpatient setting. Method : The participants were 9 outpatients who are receiving chemotherapy at a metropolitan general hospital. Data was collected by interviewing the participants using a semi-structured questionnaire and analyzed qualitatively. Results : The participants identified several advantages and disadvantages in receiving chemotherapy in the outpatient setting that allows them to live at home. The advantages included being able to continue their role within the family, having more options for diversion, being more comfortable and less feeling constraint, and more accessible to the help and advice from their own families and friends. The disadvantages were the possible burden for the family such as the management of infusion and the increase of medical expenses, the restriction of the daily life activities and work.