初妊婦における妊娠中のセルフケア行動が出産と母親役割達成感に及ぼす影響  [in Japanese] Effect of self-care behavior by primiparae during pregnancy on delivery and sense of achieving a maternal role  [in Japanese]

[目的]妊娠期におけるセルフケア行動の実践が出産と母親役割達成感に及ぼす影響を検討する。[方法]出産後57日までの初産婦178名を対象に妊娠中のセルフケア行動の実践状況,分娩時の状況(在脂週数,出生児体重,分娩時の異常),母親役割達成感を調査した。[結果]1)セルフケア行動の実践と分娩時の状況との関連はなかった。2)セルフケア行動をよく実践している妊婦の母親役割達成感は高かった。3)妊娠中の母親役割準備と生理・身体的なセルフケア行動によって,母親役割達成感の17%が説明された。[結論]妊娠中の身体面と心理面のセルフケア行動が相互に助長しあい,産後の子どもとの関係性のもち方や母親としての自己成長につながることが示唆された。

Objective: This study was conducted to assess the effects of the practical application of self-care behavior during pregnancy on delivery and the sense of achieving a maternal role. Methods: 178 primiparae were surveyed until 57 days after delivery regarding their practical application of self-care behavior during pregnancy, their delivery (duration of gestation period, newborn weight and problems during delivery) and their sense of achieving a maternal role. Results: 1) There was no correlation between implementation of self-care behavior and delivery. 2) The sense of achieving a maternal role was higher among women who effectively implemented self-care behavior. 3) 17% of those women who experienced a stronger sense of achieving a maternal role were explained by preparations for taking on a maternal role as well as physiological and physical self-care behavior during pregnancy. Conclusion: Physical and physiological self-care behavior during pregnancy were suggested to be mutually complementary and lead to the development of a relationship between mother and child after delivery as well as self-growth as a mother.