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Japanese

Title 医療的ケア児 (者) の生活の節目に着目した看護実践と課題に関する文献検討
Subtitle 総説
Authors 松浦めぐみ, 石丸美奈
Authors (kana)
Organization 千葉県立保健医療大学 / 千葉大学大学院看護学研究科博士後期課程, 千葉大学大学院看護学研究院
Journal 千葉看護学会会誌
Volume 31
Number 2
Page 1-8
Year/Month 2026 / 2
Article 報告
Publisher 千葉看護学会
Abstract 目的:医療的ケア児(者)の生活の節目に着目して看護実践と課題を文献検討により包括的に明らかにし, 社会参加に向けた今後の支援のあり方や取り組むべき研究課題への示唆を得る. 方法:医中誌webを用い, 2016年以降の和文献で, 「医療的ケア」「医ケア」「医療依存度の高い」「医療ニーズ」と, 「看護」「保健」「医療」「福祉」「療育」「教育」「訪問」「援助」「支援」「育児」「退院」「介入」を掛け合わせて検索し, 53文献を分析対象とした. 看護支援と課題を支援時期と看護職の所属別に集約, 意味内容の類似性で分類した. 結果:対象文献はすべて医療的ケア(以下, 医ケア)児に関するものであった. 支援時期は入院中, 在宅移行, 在宅生活に分類された. 看護職は【親の不安を受け止める】など, 親に寄り添う支援をしていた. また【支援者ネットワークを構築し, 自宅でも集団の場でも同様のケアが提供できるよう連携】し, 制度の狭間からこぼれ落ちることがないよう予防的に支援していた. 課題には【児の自立に向けて, 親を含めた教育的な関わりが必要である】【ケアマネジメントの担い手が不明で, 情報集約ができにくい】があった. 結論:看護職は多職種連携の要となり, 医ケア児と家族が制度の狭間からこぼれ落ちることがないよう予防的に支援していた. しかし, 自立に向けた支援は手探りであり, 今後医ケア児(者)と親の自立に向けた研究の必要性が示唆された.
Practice 看護学
Keywords children (individuals) with medical care needs, nursing practice and issues, life milestones, literature review

English

Title A LITERATURE REVIEW OF NURSING PRACTICES AND ISSUES FOCUSING ON LIFE MILESTONES OF CHILDREN (INDIVIDUALS) WITH MEDICAL CARE NEEDS
Subtitle
Authors Megumi Matsuura*1,*2, Mina Ishimaru*3
Authors (kana)
Organization *1:Chiba Prefectural University of Health Sciences, *2:Doctoral Program, Graduate School of Nursing, Chiba University, *3:Graduate School of Nursing, Chiba University
Journal Journal of Chiba Academy of Nursing Science
Volume 31
Number 2
Page 1-8
Year/Month 2026 / 2
Article Report
Publisher Chiba Academy of Nursing Science
Abstract Objective: To comprehensively clarify nursing practices and issues at life milestones of children (individuals) with medical care needs through a literature review and to gain insights into future support approaches and research issues for social participation. Methods: Using the Medical Journal Web, we searched Japanese literature published since 2016 by combining the terms "medical care, " "medical dependency, " and "medical needs" with "nursing, " "health, " "welfare, " "rehabilitation, " "education, " "visit, " "assistance, " "support, " "childcare, " "discharge, " and "intervention." A total of 53 articles were analyzed. Nursing support and issues were categorized by support periods and nursing affiliations, and subsequently classified by similarity of meaning. Results: All of the reviewed literature focused on children (individuals) with medical care needs. Support periods were classified as hospitalization, transition to home, and home life. Nurses provided support by "accepting parental anxiety" and accompanying parents. They also "constructed support networks to provide consistent care both at home and in group settings through collaboration" and provided preventive support to avoid relevant aspects escaping notice in the system. Issues included the need for "educational involvement including parents toward children's independence" and that "care management responsibility is unclear, making information consolidation difficult." Conclusions: Nurses serve as coordinators of multidisciplinary collaboration, providing preventive support to prevent children with medical care needs and their families from escaping attention because of gaps in the system. However, the investigation of support toward independence was exploratory, suggesting the need for future research on independence of children (individuals) with medical care needs and their parents.
Practice Nursing
Keywords children (individuals) with medical care needs, nursing practice and issues, life milestones, literature review
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