Japanese

Title	NICU入院中の超低出生体重児に対する両親の面会の実態と関連要因
Subtitle	研究報告
Authors	柳田紗希1), 金子政時1), 山崎圭子2), 松岡あやか2)
Authors (kana)
Organization	1)宮崎大学大学院看護学研究科, 2)宮崎大学医学部子育て世代・子ども健康看護科学講座
Journal	母性衛生
Volume	62
Number	4
Page	771-778
Year/Month	2022 / 1
Article	報告
Publisher	日本母性衛生学会
Abstract	「抄録」超低出生体重児(ELBWI)の両親の面会の実態と関連要因を明らかにすることを目的とした. 2012年1月〜2016年12月に新生児集中治療室に入院中のELBWIの両親41名を対象に検討を行った. 診療録から母児の背景, 児の出生から90日間の面会回数と面会時間, タッチング開始の時期を収集し, 先行研究も使用し母児の背景やタッチング開始が両親の面会に及ぼす影響を検討した. 面会の実態は生後90日間の父母それぞれの面会回数と平均面会時間で記述した. 母親の面会回数や面会時間は父親より有意に多かった. 母親の面会回数は, 夫以外の家族からの育児へのサポートがある場合に平均52回で, ない場合の平均41回と比較して有意に多かった. 父親の面会時間は児に疾患を有すると39分/回で, ない群の50分/回と比較して有意に短かった. タッチングを全ての母親が実施したが, 父親は27名(65%)であり, 開始時期は母親よりも遅かった. タッチング開始により母親の面会時間は37分/回から70分/回と有意に長くなった. 一方, タッチング開始の有無は父親の面会に関連を認めなかった. 母親の面会にはサポート体制の充実やタッチングの推奨が必要である. 父親に関しては疾患を持つ児の両親特有の気持ちを理解し心理面でのサポートの必要性があると考えられる.
Practice	公衆衛生学
Keywords	タッチング, 超低出生体重児, 面会, abuse, duration of hospital stay, frequency of hospital visit, Low-Birthweight Infant, touch

English

Title	Analysis of the factors affecting parents' hospital visit to their Extremely Low-Birthweight Infants in the Neonatal Care Unit
Subtitle	Research Reports
Authors	Saki Yanagita1), Masatoki Kaneko1), Keiko Yamazaki2), Ayaka Matsuoka2)
Authors (kana)
Organization	1)Graduate School of Nursing Science, Faculty of Nursing, University of Miyazaki, 2)Department of Maternal / Child Health Nursing and Midwifery, University of Miyazaki
Journal	Japanese Journal of Maternal Health
Volume	62
Number	4
Page	771-778
Year/Month	2022 / 1
Article	Report
Publisher	Japan Society of Maternal Health
Abstract	[Abstract] This retrospective study was conducted to understand parents' visits to their Extremely Low-Birthweight Infants in the Neonatal Care Unit and the factors that affect these visits. Forty-one parents whose infants were admitted to the Tertiary Perinatal Center between January 2012 and December 2016 were included. Information regarding the characteristics of mother, frequency of their visits, duration of visits, and the date on which parents could touch their infants were obtained from medical charts. Compared with fathers [median (min - max); 19 (0 - 52) times], mothers [42 (9 - 78) times] visited their infants more frequently. The average duration of hospital stay was longer for mothers than for fathers. The duration of hospital stay for the Primiparous mothers group was longer than that for the Multiparous group. The number of hours was greater for mothers who underwent cesarean section compared with those who underwent vaginal delivery. A history of fertility treatments also affected the frequency of visits by mothers. The duration of hospital stay was shorter in fathers whose infants had impairments compared with those whose infants did not. Mothers (n = 41) and fathers (n = 27) touched their infants 55 +- 8 and 72 +- 9 days after birth, respectively. The duration of hospital stay for mothers after touching their infants was longer compared with that before touching them, but fathers exhibited no differences. Enhancing support systems and facilitating the touching of infants is required so that mothers are encouraged to visit the hospital. However, many issues need to be resolved regarding the fathers' hospital visits.
Practice	Public Health
Keywords	abuse, duration of hospital stay, frequency of hospital visit, Low-Birthweight Infant, touch

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