妊婦の冷え症の特徴 : ブラジル人妊婦の分析 Sensitivity to cold among pregnant women : An analysis of Brazilian women

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<B>目 的</B><br> ブラジル在住のブラジル人妊婦を対象に,冷え症の自覚がある妊婦の体温及び,妊娠中の随伴症状や日常生活行動の特徴の実態を分析する。<br><B>対象と方法</B><br> 妊娠20週以降のブラジル在住ブラジル人妊婦200名を対象とし,体温測定と質問紙調査を行った。調査期間は2007年10月から2008年2月である。<br><B>結 果</B><br> 1,冷え症の自覚があった妊婦は114名(57%)であった。前額部深部温と足底部深部温の温度較差の平均は,冷え症の自覚がある妊婦は,2.8℃,冷え症の自覚がない妊婦は2.0℃で,2群間に有意差が認められた(p=0.018)。2.冷え症の自覚と冷え症を判断する基準(寺澤,1987)との比較にて,冷え症の自覚がある妊婦のうち,冷え症を判断する基準(寺澤,1987)でも冷え症である妊婦は70.2%であり,冷え症の自覚がない妊婦のうち,89.5%は冷え症を判断する基準(寺澤,1987)でも冷え症ではないと判断できた。3.妊婦の冷え症と随伴症状・日常生活行動との関連性では,「冷えの認識」と「冷えに関連した妊娠に伴う症状」は相互に因果関係は認められなかった。「不規則な生活」は「冷えに関連した妊娠に伴う症状」に正の影響を与えていた(β=0.41, p=0.049)。さらに「不規則な生活」は「冷えに関連した妊娠に伴う症状」を介して「陰性食品の摂取」に正の影響を与えていた(β=0.38, p=0.021)。<br><B>結 論</B><br> 1.冷え症の自覚がある妊婦の,前額部深部温と足底部深部温の温度較差は,冷え症の自覚がない妊婦に比べて有意に大きい。冷え症の自覚は,客観指標となる温度較差を反映している。2.冷え症の自覚がない妊婦と,冷え症を判断する基準(寺澤,1987)の一致率は約8割と高かった。3.ブラジル人妊婦は,「深部温温度較差」や「冷えの認識」と,「冷えに関連した妊娠に伴う症状」や「不規則な生活」や「陰性食品の摂取」との間に因果関係はなく,日常生活行動が冷え症に影響を与えない。

<B>Purpose</B><br> To analyze the body temperature of pregnant Brazilian women living in Brazil who are aware of <I>hiesho</I> (sensitivity to cold) and to analyze the characteristics of their accessory symptoms during pregnancy and daily activities.<br><B>Method</B><br> Subjects were 200 Brazilian women living in Brazil who were in the 20th or later week of pregnancy. Data was collected by measuring body temperature and through a paper questionnaire. The study took place between October 2007 and February 2008.<br><B>Results</B><br> 1. The average difference between forehead core temperature and core temperature of the sole of the foot among pregnant women aware of <I>hiesho</I> was 2.8°C and 2.0°C among pregnant women with no awareness of <I>hiesho</I>, a significant difference between the two groups (p=0.018). 2. In a comparison of awareness of <I>hiesho</I> and the scale for determining <I>hiesho</I>, among pregnant women aware of <I>hiesho</I>, 70.2% also met the scale for determining <I>hiesho</I>. Among pregnant women with no awareness of <I>hiesho</I>, 89.5% were determined not to have <I>hiesho</I>, also based on the scale for determining <I>hiesho</I> (Terasawa). 3. With regard to the relationship between <I>hiesho</I> among pregnant women and accessory symptoms/daily activities, no cause-and-effect relationship was observed between awareness of <I>hiesho</I> and <I>hiesho</I>-related pregnancy-associated troubles. There was a positive correlation between irregular living habits and <I>hiesho</I>-related pregnancy-associated troubles (β=0.41, p=0.049). Additionally, there was a positive correlation between irregular living habits and consumption of "unhealthy" foods through <I>hiesho</I>-related pregnancy-associated troubles (β=0.38, p=0.021).<br><B>Conclusions</B><br> 1. The difference between forehead core temperature and core temperature of the sole of the foot among pregnant women aware of <I>hiesho</I> and pregnant women with no awareness of <I>hiesho</I> was significantly large. Awareness of <I>hiesho</I> reflects temperature differences, which is an objective indicator. 2. Among pregnant women with no awareness of <I>hiesho</I>, the coincidence ratio with the scale for determining <I>hiesho</I> (Terasawa) was approximately 80%. 3. Among pregnant Brazilian women, there was no cause-and-effect relationship between differences in core temperature and awareness of <I>hiesho</I> on the one hand and <I>hiesho</I>-related pregnancy-associated troubles, irregular living habits and consumption of "unhealthy" foods on the other; daily activities have no impact on <I>hiesho</I>.

収録刊行物

  • 日本助産学会誌

    日本助産学会誌 24(2), 205-214, 2010-12-31

    一般社団法人 日本助産学会

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各種コード

  • NII論文ID(NAID)
    10029704434
  • NII書誌ID(NCID)
    AN10216477
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    09176357
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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