[Updated on Apr. 18] Integration of CiNii Articles into CiNii Research

NICUにおけるわが子の痛み体験とケア参加に関する母親の認識 <研究報告>


Bibliographic Information

Other Title
  • NICU ニ オケル ワガコ ノ イタミ タイケン ト ケア サンカ ニ カンスル ハハオヤ ノ ニンシキ
  • NICUにおけるわが子の痛み体験とケア参加に関する母親の認識
  • Mothers' perception of their infant's pain experience in the NICU and their involvement in his/her pain care

Search this article



【目的】 わが国では,処置に付き添う親の心理的負担への配慮により,「親は処置に付き添わない」というのが多くの施設における方針である.そこで本研究では,NICUに入院しているわが子の痛み体験およびケア参加に関する母親の認識を明らかにすることとした. 【方法】 対象は,総合周産期母子医療センターNICUに入院し,回復室に移床後で経過が安定し退院の見通しが立っている新生児の母親とした.調査方法は無記名式構成型質問紙調査(自由記載含む)とし,質問内容は回答者の子どもの背景,わが子の痛みに関する認識,痛みを伴う処置の付き添いに関する認識わが子を痛みから護るための対処への認識とした.データはすべて,記述的に分析した. 【結果】 101名の有効回答を得た.80%の母親がわが子は痛みを感じていると認識し,多くの母親は痛みからわが子を護るために,自らが痛みに気づき,緩和法を実施できるようになること,医療者には最新の知識を持って痛みのケアを行うことを望んだ.78%の母親は痛みを伴う処置に付き添いたいとし,その理由は,「痛みの緩和」「痛み経験の共有」「処置経過の理解」「医療スタッフとの関係性:役に立ちたい」だった.付き添いたくない理由は,「動揺」「医療スタッフとの関係性:信頼し任せる・規則に従う」であった. 【結論】 調査結果より,母親のケア参加を推進していくには,最新の知識に基づき,個別的な母親のニーズをサポートできること,およびガイドラインを参考に痛みのケアを実践し,必要な改善行っていくことが求められていると考える.

Objectives : Traditionally, Japanese neonatal intensive care units (NICUs) have avoided involving parents in infant pain care out of consideration for the feelings of the parents. Therefore, we surveyed mothers' perceptions of their infant's pain experience and their involvement in the child's pain care. Methods : An anonymous structured questionnaire (including comment fields) was sent by mail to 173 mothers whose infants had been admitted to an NICU, transferred to a growing care unit (GCU), and scheduled for discharge from the hospital. The questions asked concerned the background of the respondent's infant, their infant's pain experience, and their involvement in infant pain care. All data were descriptively analyzed. Result : In total, 101 valid responses were received. Eighty percent of the respondents thought that their infant had experienced pain. Many of the respondents wished to have skills in pain assessment and relief, and wanted medical or nursing care to be carried out using the most up-to-date knowledge about neonatal pain. Seventy-eight percent of respondents wished to be with their infant during painful procedures to provide pain relief, share the pain experience, understand the process of the painful procedure, and develop a relationship with medical staff (they wanted to help medical staff during the painful procedure). The reasons "not to attend" were agitation and the relationship with medical staff (they entrusted the painful procedure to the medical staff; they obeyed the rules). Conclusion : It is necessary that medical staff individually support mothers using the most up-to-date knowledge, and practice based on neonatal pain guidelines in order to push forward with parents' involvement in infant pain care in the NICUs.



Citations (0)*help

See more


See more

Related Articles

See more

Related Data

See more

Related Books

See more

Related Dissertations

See more

Related Projects

See more

Related Products

See more


Report a problem

Back to top