切迫早産妊婦の入院中における妊娠の受けとめ Attitude toward their pregnancy of hospitalized pregnant women in threatened premature labor in Japan

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著者

    • 中村 康香 NAKAMURA Yasuka
    • 東北大学大学院医学系研究科ウィメンズヘルス看護学分野 Women's Health Nursing, Tohoku University, Graduate School of Medicine
    • 跡上 富美 ATOGAMI Fumi
    • 東北大学大学院医学系研究科ウィメンズヘルス看護学分野 Women's Health Nursing, Tohoku University, Graduate School of Medicine
    • 竹内 真帆 [他] TAKEUCHI Maho
    • 東北大学大学院医学系研究科ウィメンズヘルス看護学分野 Women's Health Nursing, Tohoku University, Graduate School of Medicine
    • 吉沢 豊予子 YOSHIZAWA Toyoko
    • 東北大学大学院医学系研究科ウィメンズヘルス看護学分野 Women's Health Nursing, Tohoku University, Graduate School of Medicine

抄録

入院中の切迫早産妊婦がどのように妊娠を受けとめているのか明らかにするため,産科を取り扱う7医療施設において,切迫早産の診断がつき, 1週間以上持続点滴を伴う治療にて入院している妊婦189名に対して,妊娠についてどのように思っているかについて自由記述の回答を依頼した。分析は,自由記述の内容を,質的帰納的に分析した。その結果,肯定的受けとめとして,【うれしさと感動】【母親とわが子の実感】【付き合っていけそうな妊娠】【妊娠によるメリットを実感】【人生の糧となる体験】【家族とのつながりを実感】【出産を意識】【感謝の気持ちを実感】の8つのカテゴリ,両価的受けとめとして,【妊娠の喜びと不安】【妊娠の現実感と非現実感】【妊娠の喜びとつらさ】【妊娠継続と早期終了】の4つのカテゴリ,否定的受けとめとして,【拒否したい妊娠】【予想と異なる妊娠】【他人事の妊娠】【不安だらけの妊娠】【自分への負担がある妊娠】の5つのカテゴリが認められた。入院している切迫早産妊婦に対して,胎児の安全性が確保されるような支援を行い,妊娠に対する受けとめが少しでも肯定的になるように援助していくことが大切である。

The purpose of this study was to examine the attitude toward their pregnancy of women hospitalized for threatened premature labor in Japan. A descriptive research design with convenience sampling from five medical hospitals and two clinics was used. Participants were 189 hospitalized women diagnosed with premature labor who had received continuous 24-hour treatment with intravenous Ritodrine hydrochloride for more than 1 week. Women were presented an open-ended question to ascertain what they thought about their pregnancy. Data were analyzed using a qualitative content analysis method. Responses reflecting a positive attitude toward their pregnancy were divided into 8 categories: "feeling amazed and pleased about the pregnancy", "feeling the reality of being a mother with a new baby", "feeling able to deal with the reality of this pregnancy", "recognizing advantages of being pregnant", "feeling that the pregnancy has been a good experience", "experiencing a bond with family", "feeling prepared for childbirth", and "feeling grateful". Four categories of responses represented an ambivalent attitude, and 5 categories reflected a negative attitude, including "recognizing the challenges of pregnancy", "having a pregnancy different from expectations", "having difficulty accepting the pregnancy as their own", "feeling anxious about the pregnancy", and "experiencing the burden of pregnancy". Health care providers should provide emotional as well as medical support for hospitalized pregnant women to assure the safety of mother and infant as well as promote a positive attitude toward pregnancy.

収録刊行物

  • 母性衛生 = Maternal health

    母性衛生 = Maternal health 53(2), 313-321, 2012-07-01

    日本母性衛生学会

参考文献:  19件中 1-19件 を表示

各種コード

  • NII論文ID(NAID)
    110009480142
  • NII書誌ID(NCID)
    AN0022863X
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    03881512
  • NDL 記事登録ID
    023911715
  • NDL 請求記号
    Z19-1016
  • データ提供元
    CJP書誌  NDL  NII-ELS 
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