Japanese

Title	内服に抵抗を示す乳児への援助の工夫とその反応
Subtitle	実践報告
Authors	清重真衣子*1, 三浦浩美*2, 舟越和代*2
Authors (kana)
Organization	*1高松赤十字病院, *2香川県立保健医療大学
Journal	日本小児看護学会誌
Volume	29
Number
Page	92-100
Year/Month	2020 /
Article	報告
Publisher	日本小児看護学会
Abstract	「抄録」本研究の目的は, 内服に抵抗を示す乳児の内服に対する苦痛を軽減し, 子どもの快や興味につながる内服援助を行った際の反応を明らかにし, 内服に対する理解やとらえ方を推察する基礎的データとすることである. 研究者らは乳児5名とその家族の内服場面を参加観察し, 子どもの内服に対する理解やとらえ方を月齢ごとの発達段階を考慮して解釈し, コード化した. 乳児は啼泣や各月齢で発達している四肢や口腔などを最大限使って不快の反応を示したが, お気に入りの絵本や指を吸わせるなどの乳児個別の「快」刺激を取り入れることで, 不快な内服を乗り越える反応を示した. また, 4か月児は薬を母乳以外のものと味覚で認識できたり, 口腔内に入る薬の味や口腔内に触れる物品の感覚で内服を理解した. さらに9か月児以降になると, 薬の中でも苦味の強い薬剤を識別できたり, 内服に使用する物品や内服介助を行う人物を見て内服を理解する反応を示した.
Practice	看護学
Keywords	乳児, 内服援助, 子どもの力, infants, support for oral administration of medications, ability of children

English

Title	Support for infants who are reluctant to take oral medications and their responses
Subtitle
Authors	Maiko Kiyoshige*1, Hiromi Miura*2, Kazuyo Funakoshi*2
Authors (kana)
Organization	*1Takamatsu Red Cross Hospital, *2Kagawa Prefectural College of Health Sciences
Journal	Journal of Japanese Society of Child Health Nursing
Volume	29
Number
Page	92-100
Year/Month	2020 /
Article	Report
Publisher	Japanese Society of Child Health Nursing
Abstract	The purpose of this study is to clarify the behavior of infants who are reluctant to take oral medications, when they are supported to take oral medications. The authors observed five infants when they were orally given medications, interpreted and coded their understanding and perception of oral medications, taking into account their developmental stages at different ages. The code analysis revealed that the infants showed unpleasant feelings by crying and using their libs and oral cavity to the fullest. However, in some cases, they overcame unpleasant oral medications when they were given their favorite "pleasure" stimuli, such as favorite picture books or sucking their fingers. Furthermore, 4-month-old infants could differentiate the taste of medications from breast milk and understand the medications by their taste in the mouth or with the sense of the object in the mouth. Furthermore, 9-month-old and older infants could sense very bitter medications in the mouth. Their responses also indicated that they could understand oral medications by looking at the objects that are used for oral medications or the person who helped them take oral medications.
Practice	Nursing
Keywords	infants, support for oral administration of medications, ability of children

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