Japanese

Title	NICUから中間施設を経て退院を目指す重症心身障がい児の在宅ケアへの移行支援のプロセス
Subtitle	研究
Authors	森山雄三*1, 二宮球美*2
Authors (kana)
Organization	*1熊本保健科学大学, *2九州看護福祉大学大学院看護福祉学研究科看護学専攻
Journal	日本小児看護学会誌
Volume	30
Number
Page	35-42
Year/Month	2021 /
Article	報告
Publisher	日本小児看護学会
Abstract	「抄録」本研究はNICUから中間施設の役割をもつ総合病院小児科病棟に転院した重症心身障がい児の母親・家族に対する在宅ケアへの移行支援のプロセスについて明らかにすることを目的とした質的帰納的研究である. 中間施設の役割をもつ総合病院の小児科病棟で勤務する看護師9名を対象に半構造化面接を行った. データの分析は修正版グラウンデッド・セオリー・アプローチを用いた. 分析の結果, 移行支援のプロセスは, <母子分離の埋め合わせ>, <移行支援戦略の策定>, <在宅ケアへの適応を促進する移行支援の強化>, <母親・家族の個別性に合わせたゴールの評価>の4つのカテゴリーから形成されることが明らかとなった. 中間施設における在宅移行支援機能と在宅生活支援機能の強みを生かして, 母子関係構築を基盤とした重症児と家族の絆づくりと母親・家族の心身の状況に合わせて支援の進捗を調整することが重要である.
Practice	看護学
Keywords	重症心身障がい児, 母親・家族, 中間施設, 移行支援, 支援プロセス, children with sever motor and intellectual disabilitie, mother and family menbers, intermediate facility, transition support, process of support

English

Title	Process of the shift support to the caring at home of the children with sever motor and intellectual disabilities aiming at the discharge through intermediate facility from NICU
Subtitle
Authors	Yuzo Moriyama*1, Tamami Ninomiya*2
Authors (kana)
Organization	*1Kumamoto Health Science University, *2Kyushu University of Nursing and Social Welfare Graduate School
Journal	Journal of Japanese Society of Child Health Nursing
Volume	30
Number
Page	35-42
Year/Month	2021 /
Article	Report
Publisher	Japanese Society of Child Health Nursing
Abstract	[Abstract] Our qualitative and inductive research aimed to clarify transitional support for the home care procedures for mothers and family members of infants with severe motor and intellectual disabilities. These infants were first transferred from NICU and admitted to the general hospital pediatric ward which provides an interim facility. We conducted semi-structured interviews with nine nurses working in the pediatric ward at the general hospital. We analyzed the results using the Modified Grounded Theory Approach. The results indicated that the support provided for transitioning from an interim facility to home care consisted of the following four categories; removing the gap of mother-infant separation, implementing transitional support strategies, intensifying transitional support to promote adaptation to home care, and evaluating the objectives for each mother and family members. Interim facilities improve home transition support, including home health and living care functions. It is crucial to develop family bonds focused on the mother-child relationship with seriously handicapped children and ensure that support is individually calibrated to the needs of each mother and family members' mental and physical wellbeing.
Practice	Nursing
Keywords	children with sever motor and intellectual disabilitie, mother and family menbers, intermediate facility, transition support, process of support

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