妊娠期におけるマイナートラブルの概念分析  [in Japanese] A Concept Analysis of "Minor Troubles" in Pregnancy  [in Japanese]

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Abstract

【目的】看護実践の場における妊婦への支援を検討するために,妊娠期における「マイナートラブル」の概念を明確にすることである。【方法】Rodgersの概念分析のアプローチを用いた。データ収集は「医中誌Web(Ver. 5)」による,検索キーワード「マイナートラブル」とした18文献より分析した。【結果】属性は,[不快を伴う状態][妊娠週数に応じて変動する][出産への悪影響はない]を抽出した。先行要件は,妊娠による身体変化の自覚として[形態的変化][内分泌的変化],妊娠による影響を受ける変化として[生活環境の変化]を抽出した。さらに,帰結は,妊婦への影響となる[生活に困難を抱える][出産や育児に対する希望や喜びが抑制される][周囲の理解が得られない][苦痛の解消をあきらめて我慢する]を抽出した。【結論】妊娠期のマイナートラブルの概念は,「妊娠週数に応じて変動する不快を伴う状態であり,出産への悪影響がない妊婦の自覚的な現象」とした。妊娠期におけるマイナートラブルの概念分析により,妊婦への支援としては,マイナートラブルに関する知識提供,妊婦からの聞き取りにより不快を伴う状態の確認,妊婦への影響となる視点をもって関わることが必要と思われた。

[Purpose] To clarify and conceptually analyze "minor troubles" during pregnancy and to consider care for pregnant women as a part of nursing practice.[Methods] The concept analysis approach by Rodgers was used. Data were collected and analyzed from 18 references that were identified using the searching keyword for "minor trouble" by Medical Magazine Web (Ver. 5).[Results] The attributes identified were "condition accompanied by discomfort," "fluctuate according to the number of gestational weeks," and "no adverse effect on birth." The prerequisites of "morphological change," and "endocrine change" were extracted as types of awareness of change awareness due to pregnancy, and "change in living environment" were was extracted as change affected by pregnancy. Furthermore, the consequences found to affect pregnant women regarding "to have difficulties in life" that were extracted were "suppression of hope and pleasure for childbirth and child-rearing," "understanding of the surroundings cannot be obtained," and "to endure the pain relief and give up."[Conclusion] We thus defined the concept of a minor trouble in pregnancy as "a subjective phenomenon of a pregnant woman who is in a condition that is accompanied by fluctuating discomfort (depending on the number of gestational weeks) and has no adverse effect on childbirth." Conceptual analysis of minor troubles during pregnancy is necessary in order to provide knowledge about such troubles, to check pregnant women's conditions by listening to them, and to have a viewpoint that will affect pregnant women.

Journal

  • Phenomena in Nursing

    Phenomena in Nursing 2(1), O1-O9, 2018

    Clinical Nursing Reserch Support Center, University of Hyogo

Codes

  • NII Article ID (NAID)
    130007680121
  • Text Lang
    JPN
  • ISSN
    2432-4914
  • Data Source
    J-STAGE 
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