入院中の乳児に付き添う母親の母乳育児に対する考えと心理・その根底にある思い  [in Japanese] Ideas and psychology of breastfeeding, and underlying thoughts, in mothers accompanying hospitalized infants  [in Japanese]

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Abstract

<p><b>目 的</b></p><p>入院中の乳児に付き添う母親の母乳育児に対する考えとその考えの根底にある思い,および,母乳育児に対する考えに伴う心理を明らかにし,付き添いをしながら母乳育児を継続する母親への支援を考察することを目的とした。</p><p><b>対象と方法</b></p><p>子どもが1歳になる前に小児科入院病棟を有する医療3施設に入院し,付き添い中に母乳育児を行っていた母親11名に,子どもの退院後3ヶ月から5ヶ月の時点で,付き添い中の母乳育児について振り返ってもらい,母親の母乳育児に対する考えとその根底にある思い,母乳育児に伴う心理について半構成的面接を実施した。得られたデータは質的帰納的に分析した。</p><p><b>結 果</b></p><p>母親の母乳育児に対する考えは,【これまで同様の母乳育児を遂行】【子どもの成長発達のためには母乳が一番】【頑張っている子どもに母親としてできること】であった。さらに,その考えの根底にある思いは【ゆずれない母乳育児への価値観】【親としての責任】【母乳を通じて子どもとつながっている】であった。母乳育児に伴う心理として,『スムーズにいかない母親役割』『母乳育児に対する考えと現状の不一致』『育児に没頭できる機会』『支援に対する感謝』があった。</p><p><b>結 論</b></p><p>看護者が母親の付き添い生活の中で前向きな気持ちを増やすための支援として,母親の母乳育児に対する考えを支持する必要がある。看護者が母乳育児支援の知識を身につけ,母親の不安に対応し,必要時助産師に早期支援を要請すること,常に母親の困りごとを把握し,気軽に相談できる機会を持つことで,支援に対する感謝や育児に没頭できる機会などの気づきとなる。このことは母親の母乳育児に対する考えを肯定する自信につながると考えられた。</p>

<p><b>Objectives</b></p><p>This study aimed to examine ideas that mothers accompanying hospitalized infants have about breastfeeding and their underlying thoughts, as well as the psychology that accompanies such ideas, and to discuss support for mothers who continue to breastfeed while accompanying their infants in the hospital.</p><p><b>Patients and Methods</b></p><p>We conducted semi-structured interviews with 11 mothers, who had continued breastfeeding while accompanying their infants aged <1 year who were hospitalized in three medical facilities with pediatric inpatient wards. The mothers were asked to recall their experience of breastfeeding while accompanying their hospitalized infants at 3-5 months after their infants were discharged. The mothers' ideas about breastfeeding, underlying thoughts, and the psychology accompanying breastfeeding. Data obtained from these interviews were analyzed qualitatively and inductively.</p><p><b>Results</b></p><p>Among mothers' ideas about breastfeeding were "continue breastfeeding in the same way as before," "breast milk is best for babies' growth and development," and "it is what I can do as a mother of a struggling child." Underlying these ideas were "unshakable values regarding breastfeeding," "responsibility as a parent," and "connection to the child through breast milk." As for the psychology associated with breastfeeding, "the mother's role that is not smoothly fulfilled," "conflict with one's ideas about and actual state of breastfeeding," "opportunity to engage in childcare," and "appreciation for support" were extracted.</p><p><b>Conclusions</b></p><p>As a form of support to increase the positive feelings among mothers as they live their lives accompanying their nursing infant in the hospital, nurses must continue to support the mothers' thoughts on breastfeeding. As nurses gain knowledge regarding support for breastfeeding, address the concerns of mothers, request support from an early stage from midwives when necessary, have an ongoing understanding of the concerns of mothers, and provide an environment where they are easily approachable, these become an awareness for opportunities to be thankful toward the support and an opportunity to focus on childcare. Through this process, we surmise that mothers will be able to develop positive thinking and confidence about breastfeeding.</p>

Journal

  • Journal of Japan Academy of Midwifery

    Journal of Japan Academy of Midwifery 33(1), 3-13, 2019

    Japan Academy of Midwifery

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