著者

三隅 順子 前原 澄子 森 恵美 Misumi Junko Maehara Sumiko Mori Emi ミスミ ジュンコ マエハラ スミコ モリ エミ

出版者

千葉看護学会

雑誌

千葉看護学会会誌 (ISSN:13448846)

巻号頁・発行日

vol.2, no.1, pp.16-22, 1996-06-28

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本研究では,夫付き添い分娩において産婦の不安の軽減に効果のある夫の関わり方を明らかにすることを目的とした。対象は,研究協力の得られた25組の夫婦であり,医学的に問題のない18歳から35歳までの初産婦とその夫であった。産婦の不安を測定するために分娩中に主観的な不安と痛み,そして生理的指標として血圧・脈拍について測定し,また夫の関わり方については,極期において約90分の観察とコード記録を行った。その結果,夫の「手を握る」関わりの割合と産婦の状態不安の変化には相関(r=-0.66, p<0.05)があり,夫が産婦と共に過ごし「手を握る」ことは産婦の不安の軽減に役立っていたことがわかった。また,産婦の不安には産婦の性格や夫との関係が影響していることが考えられた。The purpose of this study was to evaluate the effects of husband's attendance attitude to reduce maternal anxiety in labor and delivery. The subjects who expressed informed consents were 25 married women and their husbands. Women were 18 to 35 years old primiparas, with no complicating medical or obstetrical conditions, and no physiological and psychosocial ploblem. In order to measure maternal anxiety, the self reported anxiety and labor pain were provided during labor and delivery. And also blood pressure and puls were measured. Husband's attendance attitude was observed and coded about 90 munites at labor room. Finding was that husband's attitude as ""taking wife's hand"" was beneficial effects to reduce maternal anxiety. This means that it's very important that husband stay with wife with feeling the sympathy of her experience. And characters of women and marital adjustment were produce effects on maternal anxiety.

著者

清水 安子 黒田 久美子 内海 香子 正木 治恵 Shimizu Yasuko Kuroda Kumiko Uchiumi Kyoko Masaki Harue シミズ ヤスコ クロダ クミコ ウチウミ キョウコ マサキ ハルエ

出版者

千葉看護学会

雑誌

千葉看護学会会誌 (ISSN:13448846)

巻号頁・発行日

vol.11, no.2, pp.23-30, 2005-12-30

被引用文献数

1

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本研究の目的は,糖尿病患者の看護効果測定ツールの開発に向けて,糖尿病患者のセルフケア能力の要素を抽出することである。1990年以降,千葉大学大学院看護学研究科の修士論文・博士論文で糖尿病患者を対象に看護援助や面接を通して行われた質的研究8論文を選択し,質的分析によりセルフケア能力の要素を抽出し,その要素の構造が導き出された。抽出されたセルフケア能力の要素は,【糖尿病や自己管理に関する基礎知識】【ストレス対処力】【サポート活用力】【モニタリング力】【応用力】【調整力】【自己の身体を捉える力】【自己管理の自己推進力】【糖尿病をもちつつ自己実現していく力】の9つの要素であった。セルフケアの能力の要素は,【糖尿病や自己管理に関する基礎知識】を基点に,【応用力】【調整力】を高めつつ発展する『自己管理方法の確立』という方向と,【自己の身体を捉える力】【自己管理の自己推進力】を高めつつ発展する『自己理解の深まりと自己実現』という方向の2つの方向が見出され,両方向の能力の中心に【モニタリング力】が位置づけられた。そして,これらの能力を総合的に活用していく中で,【糖尿病をもちつつ自己実現していく力】を高め,2つの方向が融合していく構造が導き出された。また,【ストレス対処力】【サポート活用力】は,この全てのプロセスで活用するセルフケア能力として位置づけられた。The purpose of this study was to extract the self-care agency elements for patients with diabetes toward the development of nursing effect measurement tools. From among the masters' and doctoral theses written by students of the Graduate School of Nursing at Chiba University after 1990, which involved the provision of nursing support for or interviews with diabetics, eight theses that dealt with qualitative study were selected to extract the self-care agency elements for diabetics by qualitative analysis. As a result, the structure of these elements was drawn. The nine self-care agency elements extracted are as follows: "basic knowledge of diabetes and self-management," "stress-coping ability," "ability to make the most of support," "monitoring ability," "application ability," "adjustment ability," "ability to obtain a clear understanding of one's body," "ability to promote self-management," and "ability to achieve self-realization despite having diabetes." With "basic knowledge of diabetes and self-management" as the starting point, the self-care agency elements are divided into two directions. One direction is toward the 'establishment of self-management methods' while enhancing "application ability" and "adjustment ability." The other is toward 'deeper self-understanding and self-realization' while enhancing the "ability to obtain a clear understanding of one's body" and the "ability to promote self-management." On the other hand, the "monitoring ability" is positioned at the center of those two directions. As a result, the structure was found wherein, the utilization of these abilities in a comprehensive manner leads to the enhancement of the "ability to achieve self-realization despite having diabetes" and the eventual fusion of the two directions. The "stress-coping ability" and the "ability to make the most of support" are positioned as the abilities used in all processes.

著者

三浦 弘恵 舟島 なをみ 鈴木 恵子 Miura Hiroe Funashima Naomi Suzuki Satoko ミウラ ヒロエ フナシマ ナヲミ スズキ サトコ

出版者

千葉看護学会

雑誌

千葉看護学会会誌 (ISSN:13448846)

巻号頁・発行日

vol.11, no.1, pp.31-37, 2005-06-30

被引用文献数

1

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本研究の目的は,在宅における看護実践を自己評価するための尺度を作成し,その信頼性・妥当性を検証することである。本研究は,在宅看護を家庭で療養するクライエントとその家族に対し,その居宅を中心とする通常の生活の場において看護職者が健康上の問題を解決・回避できるよう支援する活動と定義する。尺度の開発は,(1)在宅看護場面における看護職者の行動を説明する6概念を基盤とした質問項目の作成と尺度化,(2)質問項目の内容的妥当性の検討と修正,(3)調査実施による質問項目の分析・選定,(4)選定項目により再構成した尺度の信頼性・妥当性の検討の4段階の手続きを経た。調査に用いた測定用具は,6下位尺度48質問項目から成る自己評価尺度であり,対象は無作為に抽出した保健所・市町村,訪問看護ステーションに就業し,在宅看護に携わる看護職者656名であった。質問紙回収数は380部(回収率57.9%)であり,このうち全質問項目に回答のあった311部を分析対象とした。クロンバックα信頼性係数,項目間相関,I-T(項目-全体)相関の分析,因子分析の結果に基づき合計18項目を削除し,30項目を選定した。再構成した尺度全体のクロンバックα信頼性係数は0.95であり,尺度が内的整合性を確保していることを示した。また,因子分析の結果は,尺度が構成概念妥当性を確保していることを示した。The purpose of this study was to develop Self-Evaluation Sacle on Home Health Care Nursing, which had reliability and validity. The scale was constructed six subscales, which were findings of the previous research. The previous research was conducted qualitatively and inductively to conceptualize nurses' behavior in home health care nursing. As a result of continuing comparative analysis, six explanatory concepts emerged. They were positioned six subscales. Every subscale was constructed with eight items made from the bottom of the concepts. Expert panel discussion and pilot study were conducted to establish content validity. Self-Evaluation Sacle on Home Health Care Nursing was 5-point Likert Scale with forty-eight items. The instrument packets, including the scale and a demographic questionnaire, were distributed to 656 nurses of 66 health centers and communities, and 38 visiting nursing stations which were randomly sampled. 380 (57.9%) nurse responded, and 311 valid data were analyzed. The 30 items were selected based on the result of item analysis. Chronbach alpha of the item-select version was .952. Factor analysis was used test construct validity of it. The result shows that item select version based on 6 explanatory concepts of home health care nursing, and then the construct validity was confirmed.

著者

天谷 真奈美 岩崎 弥生 Amagai Manami Iwasaki Yayoi アマガイ マナミ イワサキ ヤヨイ

出版者

千葉看護学会

雑誌

千葉看護学会会誌 (ISSN:13448846)

巻号頁・発行日

vol.12, no.1, pp.79-85, 2006-06-30

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本研究の目的は社会的ひきこもり青年を抱える親のパワーレスと,そのエンパワメントの拡大に働く看護援助を明らかにすることである。対象は社会的ひきこもり青年の親で3事例である。ひきこもり青年は20歳半ばから30歳前半の全て男性で,3年から7.5年ひきこもっていた。看護援助指針に基づいて親に援助を実施し,質的分析を行った。また看護援助の効果を測定する質問紙調査を行った。結果,社会的ひきこもり青年を抱える親のパワーレスは7カテゴリーが抽出された。親のエンパワメントの拡大に働く看護援助カテゴリーは,【パートナーシップを確立し孤立感を和らげる援助】,【子育ての振り返りを見守る援助】【否定的自己感と向き合いつつ自尊感情を取り戻す援助】,【適切な対人距離がとれるよう認識を促す援助】,【親が見逃している他者の力量・可能性・思いに対する感受性を高める援助】,【多様な見方・意味づけの提示で,柔軟な物事の理解・とらえ方を拡大する援助】,【問題解決能力を養う援助】の7つが抽出された。これらの看護援助によって,家庭内のコミュニケーション,協働関係の再構築,ひきこもり青年の社会参加行動にも変化が得られた。特に子育ての振り返りを見守る援助は,過去の子育てに関する親の負担感と子供に対する罪悪感の表出を促し,葛藤の整理を行う上で効果的であった。家族の課題に現実的に対処する力を生み出す意味でも重要であることが示唆された。The purpose of this study was two-fold: a) to elucidate factors associated with parents' powerlessness in caring for the children who were socially withdrawn; b) to help those parents empower themselves in their struggles with their socially withdrawn children. Participants in the study were 3 mothers whose children have been socially withdrawn for long time. The socially withdrawn children were in their mid-twenties through mid-thirties. They had confined themselves in their homes from 3 to 7.5 years. Nursing care was given to those mothers after delineating intervention guide-lines on their enhancing empowerment. Data, which were collected for the study period of six months, were analyzed qualitatively and inductively. A questionnaire was used to measure the effects of nursing care. There were 7 categories of the mothers' powerlessness with regard to their children's socially withdrawnness. As well, there were 7 categories of the nursing care provided to those mothers.: 1) partnership established between the mothers and the nursing researcher, 2) looking back their parenting, 3) regaining self-esteem despite regrets, 4) setting a distance appropriately between their children and themselves, 5) enhancing the levels of sensitivity in identifying their family strengths, 6) being able to interpret different meanings form multiple perspective, and 7) enhancing problem-solving skills. As a result of nursing care provided for their mothers, higher levels of empowerment were observed on the mothers as well as on the rest of the family members. In particular, the following behavioral changes were noted: a) improved communication patterns among the family members; b) re-established mutual support between parents; c) no longer socially withdrawn, but getting out of their houses, getting employed, or going to vocational school. Especially nursing intervention supporting mothers to reflect their own parenting have been contributed providing the opportunities to express parenting burden and feeling of guilty, and regulate th