行政保健師が行う妊婦支援に関する国内文献検討  [in Japanese] Review of Research Literature in Japan of Maternity Care by Public Health Nurses  [in Japanese]

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Abstract

<p>子ども虐待の相談件数は2016 年度12 万件と年々増加し<b>,</b>虐待による死亡数も改善しない状況である。行政保健師は<b>,</b>地域内の全妊婦に関わり妊娠届時から長期的視野に立って早期発見・早期対応することが可能な職種である。妊娠届出と母子健康手帳の交付は子育て支援のスタートであり<b>,</b>これらに携わる保健師の支援について今までの研究で明らかになった活動内容を活用して支援の方向性を検討することを目的で文献検討を行った。方法は<b>,</b>保健師が行った妊婦に対する子ども虐待予防や早期対応に関わる子育て支援についてデータベースを用いて検索し<b>,</b>妊娠届出からの支援活動に関する21 文献を検討した。結果は<b>,</b>妊娠届出の時点で要支援家庭であるか否かのふるい分けが可能であり<b>,</b>妊婦の背景を踏まえた早期対応で虐待予防が可能であることが示唆された。今後の課題として<b>,</b>妊娠届出時の情報内容と情報活用法と多機関多職種との細かな連携の必要が示唆された。</p>

<p><b>Purpose:</b> There are an increasing number of child abuse consultations, with 120,000 in 2016, and the number of child abuse deaths has not improved. Public health nurses are involved with all pregnant mothers in a certain area from the point of pregnancy registration over a long term, and can provide early detection and action. Pregnancy registration and the maternity handbook is the start of childcare support and we conducted a literature review in order to explore the direction of support by looking at the activities of the public health nurses who provide this initial support as noted in the research until now. <b>Method:</b> We searched databases about child abuse prevention for pregnant women by public health nurses and childcare support with early action measures, and looked at 21 articles about support from the point of pregnancy registration. <b>Result:</b> It<b>ʼ</b>s suggested that it<b>ʼ</b>s possible to determine if a household requires support at the time of pregnancy registration, and child abuse can be prevented through early action from the background of the pregnancy. Further issues can involve the close interprofessional and interorganizational coordination and the processing of information at this initial stage. <b>Discussion:</b> The following are future challenges: ①further application and evaluation of pregnancy registration and issuance of maternal and child health handbook to prevent child abuse, ②further research and evidence-based practice with expert skill in public health nurses.</p>

Journal

  • Research bulletin of Tokushima Bunri University

    Research bulletin of Tokushima Bunri University 95(0), 63-70, 2018

    Tokushima Bunri University

Codes

  • NII Article ID (NAID)
    130007602210
  • NII NACSIS-CAT ID (NCID)
    AN00172433
  • Text Lang
    JPN
  • Journal Type
    大学紀要
  • ISSN
    0286-9829
  • NDL Article ID
    029071474
  • NDL Call No.
    Z22-386
  • Data Source
    NDL  J-STAGE 
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