Japanese

Title	低出生体重児を出産した母親が生活を再構築していく過程で支援に望む思い
Subtitle	研究報告
Authors	永井智子
Authors (kana)
Organization	目白大学看護学部
Journal	聖路加看護学会誌
Volume	26
Number
Page	11-19
Year/Month	2022 /
Article	報告
Publisher	聖路加看護学会
Abstract	「抄録」「目的」 : 本研究では, 低出生体重児を出産した母親が生活を再構築する過程において, 医療者, 家族, 制度や仕組みに対して, どのような思いをもっていたのか, および支援に望む思いを母親の視点から記述することを目的とした. 「方法」 : 研究対象は, 出生体重が2,500g未満かつNICU・GCUに入院し, 医療的な処置を受けた1歳から就学前の児を育てる母親とした. 7人の母親に半構造的インタビューを実施し, 質的記述的に分析をした. 「結果」 : 低出生体重児の母親が生活を再構築する過程において支援に望む思いは, 【かけがえのない子という思いを共有したい】【医療者のような知識がなくても, おいてきぼりにしないでほしい】【一般的な子育て情報ではない自分の子どもに合った情報がほしい】【もう一歩踏みこんでかかわってほしい】【小さく生まれた他児の存在に触れて, 成長のイメージをもちたい】【同時に変化する家庭生活を支えてほしい】【小さく生まれたという意識と隣り合わせだからこそ, いまの時間の大切さを共有したい】という7つのテーマが示された. 「結論」 : 低出生体重児を育てる母親は, かけがえのない子という思いを周囲と共有し, わが子に合った情報を得ることを望んでいた. さらに, 児の経過が順調であっても, 母親はさまざまな気がかりをもっており, 一歩踏み込んだかかわりを望んでいた. また, 母親は生活者としての複数の役割をもっており, 変化する家庭生活に対する支援を望んでいた. 低出生体重児の母親が望む支援は幅広く, 継続的なかかわりを必要とするものであり, 母親への効果的な支援のためには, 支援者が自身の活動を振り返るのみならず, 家族や地域全体を視野に入れた支援を考えることが重要であった.
Practice	看護学
Keywords	低出生体重児, 母親, 育児, 支援, 質的研究, low birth weight infants, mothers, childcare, support, qualitative analysis

English

Title	Hope for Support for Mothers of Low Birth Weight Infants in the Process of Rebuilding Their Lives
Subtitle
Authors	Tomoko Nagai
Authors (kana)
Organization	Mejiro University, Faculty of Nursing
Journal	Journal of St. Luke's Society for Nursing Research
Volume	26
Number
Page	11-19
Year/Month	2022 /
Article	Report
Publisher	St. Luke's Society for Nursing Research
Abstract	[Purpose :] This study aimed to describe the feelings of mothers of low birth weight infants toward their supporters, including medical personnel, family members, systems, and institutions, in the process of rebuilding their lives and their desire for support. [Method :] Semi-structured interviews were conducted with seven mothers who have raised low birth weight infant and now their children aged one year to preschool age. of children aged one year to preschool age. The children had weighed less than 2500 g at birth and had been admitted to a neonatal intensive care unit (NICU) / growing care unit (GCU). The data were qualitatively analyzed. [Result :] Seven themes that defined participants' hope for support during childbirth and childcare were extracted : [I want to share my feelings about my child being irreplaceable,] [I do not know a lot like medical personnel and require an explanation in simpler terms,] [I want information specific to my child,] [I want my medical personnel to be more involved,] [I want to create an image of growth by comparing information of other low birth weight infants,] and [I want to share each moment of my experience of giving birth to a low-weight infant.] [Conclusion :] Mothers who raised low birth weight infants wanted to share their feelings about their child being irreplaceable and obtain information specific to their child. Moreover, even though their child's progress was on track, they had various concerns and wanted their supporters to be more involved. Further, because mothers play multiple roles, they wanted support to cope with the changes in their family life. Based on the results, it can be said that mothers of low birth weight infants require broad and ongoing involvement of supporters. To provide effective support, supporters must not only look back on their own support but also consider the perspective of the family and the community as a whole.
Practice	Nursing
Keywords	low birth weight infants, mothers, childcare, support, qualitative analysis

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