NICUに入院した子どもの退院を決心するまでの母親の経験 : 入院が長期化しやすい疾患をもつ子どもの母親に焦点をあてて <原著>

Experiences of mothers with infants admitted to neonatal intensive care unit preceding the decision to discharge : Focusing on mothers with infants suffering from diseases that might require long hospitalization <Article>

Kido Yuko

Yokoo Kyoko

Fukuhara Rie

Ozawa Mio

Fujimoto Saori

日本新生児看護学会誌

Journal of Japan Academy of Neonatal Nursing

本研究の目的は,入院が長期化しやすい疾患をもつ子どもの母親が,NICUに入院している子どもの退院を決心するまでの経験を明らかにし,NICU退院支援における看護上の示唆を得ることとした.

研究参加者は,子どもがNICUに入院中の母親8名とし,データは半構造化面接法によって収集した.面接内容は,子どもと一緒に暮らすことへの考えや思いとした.データ分析は,Colaizziの現象学的方法を参考に行った.

その結果,母親がNICUに入院した子どもの退院を決心するまでの経験は,込み上げる愛おしさ,経過への安堵,親子分離の受け入れ,出生したことの受け入れ,退院後の生活を想定した不安,退院に対する家族からの精神的支え,育児への自信獲得,家族が一緒に暮らすことへの一貫した考え,家族のあるべき姿の再認識の9テーマで表された。これらはさらに,子どもへの肯定感情,親としての納得,退院への本格的な準備,退院への確固たる意思の4テーマクラスターに集約できた.

親としての納得,退院への確固たる意思のテーマクラスターから,NICU退院支援における新たな看護上の示唆が得られた.

The purpose of the study was to observe the experiences of mothers with infants suffering from diseases that might require long hospitalization at NICU, preceding the decision to discharge and to obtain clinical implications regarding discharge support in NICU.

Semi-structured interviews were conducted with eight mothers with infants admitted to the NICU. Data on their thoughts and feelings about living with their infants was collected and analyzed with reference to Colaizzi's phenomenological method.

The analysis resulted in the identification of four theme clusters with nine themes. The theme cluster 'Positive feelings towards infant' comprised two themes: Growing sense of affection and Feeling relieved at the progress. The theme cluster 'Acceptance as parents' comprised two themes: Acceptance of parent-infant separation and Acceptance of birth. The theme cluster 'Preparing for discharge' comprised three themes: Anxiety about life after discharge, Psychological support from family on discharge, and Becoming confident in infant-care. The theme cluster 'Determination on discharge' comprised two themes: Consistent thinking regarding living together as a family and Renewed recognition of how a family should be.

New clinical implication was obtained from the theme clusters 'Acceptance as parents' and 'Determination on discharge'.

NICU

母親

経験

退院支援

Neonatal Intensive Care Unit (NICU)

Mother

Experience

Discharge support

Medical sciences [ 490 ]

jpn

日本新生児看護学会

Copyright (c) 2012 日本新生児看護学会

[ISSN] 1343-9111

[NCID] AA11269499