Japanese

Title	新生児集中治療室 / 回復治療室 (NICU / GCU) に入院した後期早産児の母親が抱く想い
Subtitle	原著
Authors	市川香織1), 高橋智恵2), 小野有紀3), 手塚麻耶3), 岸千尋3), 小柳星華3), 角田奈々3)
Authors (kana)
Organization	1)東京情報大学看護学部看護学科, 2)ちよいろ助産院, 3)ピジョン株式会社
Journal	日本新生児看護学会誌
Volume	27
Number
Page	2-9
Year/Month	2021 / 5
Article	原著
Publisher	日本新生児看護学会
Abstract	【目的】NICU/GCUに入院した後期早産児の母親が, 妊娠中, 出産時, 児のNICU/GCU入院中にどのような想いを抱いていたかを明らかにし, 母親への支援のあり方を検討した. 【方法】NICU/GCUに入院した後期早産児の母親に対して, インターネットによる自記式アンケート調査の後, 半構造化インタビューを実施し, 母親の想いを質的記述的に分析した. 【結果】9名の母親のインタビューから, 24のサブカテゴリー, 10のカテゴリーに抽象化された. NICU/GCUに入院となった後期早産児を出産した母親たちは, 常にわが子の無事を願い, 思い描いていた【普通の妊娠・出産を諦めざるを得ないしょうがなさ】を抱いていた. また, NICU/GCUという世界に戸惑い, 超低出生体重児の母親と同じように, 【わが子への申し訳なさ】や【わが子の状態に一喜一憂する】想いを持っていた. 医療従事者に対しては, 対応に満足しながらも, NICUにいる重症な他児とわが子を比較して医療従事者に遠慮してしまっていた. 【結論】後期早産児の母親が抱くしょうがなさには, 《母児の安全のために生じた不可避な事実に対してのしょうがなさ》と《本当はこうしたかったことに対するしょうがなさ》があり, 母親自身が自分の想いを表出し, 少しずつ折り合いをつけていけるような支援や, 医療従事者が対応可能な範囲を見極め実践できるよう努力することが求められると考えられた. また, 育児技術の支援の際には, 母親がわが子に触れることが母親の想いを癒すケアになっていることを意識して関わることが重要である.
Practice	看護学
Keywords	後期早産児, 母親の想い, 新生児集中治療室(NICU), 回復治療室(GCU), 質的研究, late preterm infant, mother's feelings, neonatal intensive care unit, growing care unit, qualitative research

English

Title	The feelings of mothers of late preterm infants admitted to neonatal intensive care units or growing care units
Subtitle	Original Article
Authors	Kaori Ichikawa1), Chie Takahashi2), Yuki Ono3), Maya Tezuka3), Chihiro Kishi3), Seika Koyanagi3), Nana Tsunoda3)
Authors (kana)
Organization	1)Faculty of Nursing, Tokyo University of Information Sciences, 2)Chiyoiro Midwifery Clinic, 3)Pigeon Corporation
Journal	Journal of Japan Academy of Neonatal Nursing
Volume	27
Number
Page	2-9
Year/Month	2021 / 5
Article	Original article
Publisher	Japan Academy of Neonatal Nursing
Abstract	[Objective]: This study aimed to explore the feelings experienced by mothers of late preterm infants during their pregnancy, childbirth, and at the time of the infant's admission to a neonatal intensive care unit (NICU) or growing care unit (GCU). [Methods]: We conducted an online self-administered questionnaire survey and semi-structured interviews with mothers of late preterm infants admitted to NICUs or GCUs. The mothers' narratives were analyzed qualitatively and descriptively. [Results]: From interviews with nine mothers whose late preterm infants were admitted to NICUs or GCUs, their narratives were abstracted into 10 categories and 24 subcategories. These mothers revealed that they always wished for the safety of their children and had envisioned: "I have to give up normal pregnancy and childbirth". These mothers were overwhelmed by the world of NICUs and GCUs, and had the same feelings as the mothers of extremely low- birth- weight infants, such as "I am sorry for my child" or "I am pleased with/worried about my child's condition". They were satisfied with the care provided by healthcare professionals, but also had to refrain from comparing their children with other seriously ill children in the NICU. [Conclusion]: There were two things that mothers of late preterm infants could not help but "because it was unavoidable for the safety of myself and my child" or "I really wanted to do this, but I couldn't help it". Healthcare professionals must help mothers articulate their feelings better and make a compromise little by little, while simultaneously making efforts to fulfill the mothers' wishes to the extent possible. When supporting child-rearing skills, it is important to be aware that allowing mothers to frequently touch their child is a care that heals the mothers' feelings.
Practice	Nursing
Keywords	late preterm infant, mother's feelings, neonatal intensive care unit (NICU), growing care unit (GCU), qualitative research

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