Japanese

Title	NICU / GCUに入院した児の母親の退院準備に対する主観的評価と関連要因
Subtitle	研究報告
Authors	佐田富浩子1), 佐藤珠美2), 中野理佳2), 高守史子3)
Authors (kana)
Organization	1)佐賀大学医学部附属病院, 2)佐賀大学医学部看護学科, 3)佐賀大学医学部附属病院臨床研究センター
Journal	日本新生児看護学会誌
Volume	27
Number
Page	10-18
Year/Month	2021 / 5
Article	報告
Publisher	日本新生児看護学会
Abstract	【研究目的】NICU/GCU入院児の母親の退院準備に対する主観的評価の背景特徴及び関連要因を明らかにする. 【方法】412名の母親を対象に自記式質問紙調査を実施した. 主観的評価に基づき退院準備出来ていない群と出来ている群について, 特徴を把握するためカイ二乗検定又はt検定を行った. 関連要因はロジスティック回帰モデルにより分析した. 【結果】166名(回収率40.3%)のうち26名(15.7%)の母親は退院準備出来ていなかった. 退院準備出来ていないひとは, 背景特徴として院外よりも院内が多く(p=0.039), 夫と一緒に退院指導を受けていない(p=0.003)傾向があった. 母親自身の健康状態は, 不健康感(p<0.001), 不眠(p=0.030), 食欲不振(p=0.045), 疲労感(p=0.042)の認識が有意に関係した. 子どもの世話への自信は, 沐浴(p=0.015), 寝具類(p<0.001), 体温測定(p=0.036), 発熱など状態変化(p<0.001), 夜泣き(p<0.001), 嘔吐(p=0.010), 便秘・下痢(p=0.001), 皮膚トラブルの対処(p=0.006)が有意に関連していた. 【考察】母親が退院準備出来ていると認識するには, 退院に向けた子どもの世話や退院後に遭遇しやすいトラブルへの対処法を身に付け自信に繋げることが必要である. さらに退院支援の際には母親への健康状態への配慮と父親の参加が有効と考えられる.
Practice	看護学
Keywords	新生児集中治療室, 母親, 退院準備, 主観的評価, 関連要因, NICU, mother, discharge preparation, subjective evaluation, related factors

English

Title	Subjective Evaluation and Related Factors of Mothers Preparing for Discharge Whose Children Were Admitted to NICU / GCU
Subtitle	Study Report
Authors	Hiroko Satatomi1), Tamami Sato2), Rika Nakano2), Ayako Takamori3)
Authors (kana)
Organization	1)Saga University medical school affiliated hospital, 2)Department of Nursing, Saga University School of Medicine, 3)Clinical Research Center, Saga University Hospital
Journal	Journal of Japan Academy of Neonatal Nursing
Volume	27
Number
Page	10-18
Year/Month	2021 / 5
Article	Report
Publisher	Japan Academy of Neonatal Nursing
Abstract	[Objective]: To clarify background characteristics and related factors of subjective evaluation of mothers preparing for discharge whose children were admitted to NICU/GCU. [Method]: A self-administered survey was conducted on 412 mothers. Chi-square test or t-test was performed to understand the characteristics of groups that were ready and not ready for discharge based on subjective evaluation. Related factors were analyzed using the logistic regression model. [Results]: Out of 166 participants (response rate 40.3%), 26 (15.7%) mothers were not ready to be discharged. Mothers who were not ready for discharge tended to have background characteristics, in which more of them experienced in-hospital delivery than outside (p=0.039) and participated in the care transition program without their husbands (p=0.003). The physical condition of mothers was significantly related to the perception of unhealthy feeling (p<0.001), insomnia (p=0.030), loss of appetite (p=0.045), and fatigue (p=0.042). For the confidence in child care, bathing (p=0.015), bedding (p<0.001), body temperature measurement (p=0.036), change of state such as fever (p<0.001), crying at night (p<0.001), vomiting (p<0.010), constipation or diarrhea (p=0.001), and coping with skin problems (p=0.006) were significantly associated. [Discussion]: In order for a mother to recognize that she is ready for discharge, it is necessary to learn how to take care of her child and cope with problems that are likely to occur after discharge for her to feel confident. Furthermore, when supporting discharge, consideration for the physical condition of mothers and participation of fathers are suggested to be effective.
Practice	Nursing
Keywords	NICU, mother, discharge preparation, subjective evaluation, related factors

• 全文ダウンロード： 従量制、基本料金制の方共に770円(税込) です。

参考文献