Japanese

Title	新生児集中治療室 (NICU) 長期入院児の両親の愛着と不安の推移〜生後1週間と1カ月前後の質問紙調査を通して〜
Subtitle	原著
Authors	糸井麻希子1)5), 谷口英俊2)6), 川野由子2), 北村直行3), 河井昌彦4), 北島博之2), 我部山キヨ子1)7)
Authors (kana)
Organization	1)京都大学大学院医学研究科人間健康科学系専攻, 2)大阪母子医療センター, 3)三菱京都病院, 4)京都大学医学部附属病院, 5)京都光華女子大学, 6)大阪大学大学院医学系研究科小児科, 7)岐阜協立大学
Journal	日本周産期・新生児医学会雑誌
Volume	56
Number	2
Page	261-269
Year/Month	2020 / 9
Article	原著
Publisher	日本周産期・新生児医学会
Abstract	「概要」NICU入院児の両親は不安やストレスをしばしば経験する. 今回, 我々は生後1週間から1カ月における不安・愛着, 両親が希望する支援と父母間の違いを検証した. 各施設の倫理委員会の承認のもと, 3施設のNICUに入院する児の両親55組に無記名自記式質問紙調査を行い12組を解析対象とした. 質問紙は属性・愛着得点・不安得点・両親が希望する支援についての質問で構成した. 生後1週間から1カ月にかけて両親の愛着得点に変化はなく不安得点は低下した. 不安得点と児の在胎週数・出生体重に負の相関があり, 生後1カ月で母親は父親よりも処置の見守りを希望する傾向がみられた. NICU入院児の両親は, 児の生後1カ月にかけて不安は軽減していたが愛着形成は促進されなかった. 特に父親は生後1週間から1カ月にかけて母親よりも愛着が低いため, 医療者は児と父母の特性を考慮し生後からの日数をもとに愛着形成を促す関わりが求められる.
Practice	臨床医学：外科系
Keywords	NICU, attachment, anxiety, parent, longitudinal study

English

Title	The change of anxiety and attachment in the parents whose babies are hospitalized in neonatal intensive care unit more than one month : the questionnaire survey at one week and at one month old.
Subtitle
Authors	Makiko Itoi1)5), Hidetoshi Taniguchi2)6), Yuko Kawano2), Naoyuki Kitamura3), Masahiko Kawai4), Hiroyuki Kitajima2), Kiyoko Kabeyama1)7)
Authors (kana)
Organization	1)Graduate School of Medicine Kyoto University, 2)Osaka Mother's and Children's Hospital, 3)Kyoto Mitsubishi Hospital, 4)Kyoto University Hospital, 5)Kyoto Koka Women's University, 6)Osaka University Graduate School of Medicine, 7)Gifu Kyoritsu University
Journal	Journal of Japan Society of Perinatal and Neonatal Medicine
Volume	56
Number	2
Page	261-269
Year/Month	2020 / 9
Article	Original article
Publisher	Japan Society of Perinatal and Neonatal Medicine
Abstract	[Purpose] The purpose of this study is to identify the temporally change of parents' anxiety and attachment for the babies hospitalized in neonatal intensive care unit (NICU). [Method] The survey was conducted between May 1st and December 31st in 2016 at three NICUs in Kyoto and Osaka prefecture in Japan. Data were collected through the questionnaire from fifty-five parents whose babies were either premature or those with congenital disorders. Data of twenty four parents of twelve infants were analyzed. Parents were asked to answer questions at one week and one month after birth. The questionnaire includes anxiety, attachment and open questions. The study was approved by the Research Ethics Committees in each hospital. [Result] In the total score through the questionnaire, parental attachment did not change from a week after birth to one month. In addition, parents' anxiety had decreased from a week after birth to one month. The anxiety scores negatively correlated with gestational age at birth. At one month, mothers were more eager to attend procedures and cares provided to their babies compared to fathers. [Conclusion] In this prospective study, the attachment of parents whose babies were hospitalized in NICU did not increase within one month while their anxiety decreased in one month. It is crucial for medical workers to be aware of this change and their need to provide best support for parents in NICU.
Practice	Clinical surgery
Keywords	NICU, attachment, anxiety, parent, longitudinal study

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