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図書
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研究代表者 田淵紀子
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論文
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河村, 美芳 ; 田淵, 紀子 ; Kawamura, Miho ; Tabuchi, Noriko
概要:
本研究は、自然卒乳の迎え方と、自然卒乳を迎えた母親の心情を明らかにすることを目的とした。自然卒乳後の母親 10 名に半構成的面接を行い、逐語録を作成し、その内容を質的記述的に分析した。自然卒乳時の母子の様子と自然卒乳後の母親の心情について
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、類似性を見出した。 自然卒乳の迎え方は、 1 ) 子どもから突然飲まなくなった卒乳 ２ ) 授乳せずに過ごした状況がきっかけとなった卒乳 ３ ) 徐々に授乳回数が減りいつの間にかなくなった卒乳、の３ パターンがあった。 自然卒乳後、卒乳の事実をスムーズに受けいれられた母親と、受けいれがたい母親がいた。前者は卒乳後間もなく【授乳がなくなったことによるメリットの実感】があった。後者は卒乳後【授乳を介した密着感を失う淋しさ】【想い描いていた卒乳より早い卒乳による未完了感】【理想の卒乳ができなかった心残り】があり卒乳の事実を受けいれがたかった。しかし、【授乳がなくなったことによるメリットの実感】【自分から卒乳した子どもの成長の称賛】により、徐々に卒乳の事実を受け入れていた。【理想の卒乳ができなかった心残り】は面接時にも抱かれ続けていたが、面接を通して卒乳までの授乳体験を語り直すことで【全授乳期間における価値ある体験の再認識】が生じ、自分の卒乳のかたちとして受け入れようとしていた。以上より、自然卒乳後、卒乳の事実を受けいれがたい母親のこころに寄り添う支援の必要性が示唆された。<br />This study was performed to clarify the acceptance of natural weaning and the feelings of mothers who experienced natural weaning. We conducted a semi-structured interview survey with 10 mothers who have experienced natural weaning, developed word-for-word interview records, and analyzed the content by a qualitative and descriptive method. We found similarities in the behaviors of mothers and children at the time of natural weaning and the feelings of mothers after natural weaning. There are three types of natural weaning: 1) the child suddenly does not suckle from the breast; ２) the mother stops breastfeeding triggered by a certain period without breastfeeding; and ３) the frequency of breastfeeding gradually decreases unintentionally, resulting in natural weaning. Some mothers accepted natural weaning without difficulty but others had feelings of unease. Mothers of the former type felt “the advantage of being free from breastfeeding after completing weaning,” while those of the latter type felt “loneliness due to the loss of the intimate attachment with their children via breastfeeding,” “incomplete because of earlier weaning than expected,” and “regret because the course of ideal weaning did not proceed as planned” and they had difficulty in accepting that weaning had occurred. However, these latter mothers gradually accepted that they had completed weaning because they felt “the advantage of being free from breastfeeding after completing weaning” and “admiration of the growth of their children who completed weaning.” During the interview, they still expressed “regret because the course of ideal weaning did not proceed as planned”; however, by reviewing the experience from the start to end of breastfeeding, they “recognized the worthwhile experience of breastfeeding” and tried to accept their own experience. The results of this study suggested that there is a necessity for mental support of mothers who have difficulty in accepting the experience of weaning.
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田淵, 紀子 ; Tabuchi, Noriko
概要:
取得学位 : 博士（保健学）, 学位授与番号 : 医博甲第1944号 , 学位授与年月日 : 平成20年3月22日, 学位授与大学 : 金沢大学, 審査結果の報告日 : 平成20年2月22日, 主査 :島田 啓子 , 副査 :坂井 明美,
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須釜 淳子
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論文
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鬼頭, 泰子 ; 田淵, 紀子 ; 藤田, 景子 ; 奥村, 真美 ; 中野, 育子
概要:
This study was performed to clarify ways in which nurses can become involved with the families of patients with cancer a
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nd their children, and how these children could be cared for during the time their mother was admitted to hospital. The research methods in this study included semi-structured interviews conducted with 20 nurses involved in cancer nursing. For the analysis, a qualitative descriptive method was used to extract the contexts associated with nurses’ involvement with children. Their meanings were read and codified. Seven categories related to the nursing of children who had mothers suffering from cancer and were admitted to hospital were extracted: Involvement that understands the children’ s feelings based on their life background and behavioral aspects; Involvement that concerns children being respected as members of their family that is supportive to the mother; Involvement in accordance with children’s age, development, and experience; Involvement in consideration of the balance between patient’s role and maternal role; Involvement such that the future mother–child or family relationships will not be hampered by illness and treatment; Involvement such that the family can proceed toward same direction; and Assistance of people who may support the children. These were the categories from the four perspectives concerning “direct approach to children of female cancer patients”, “indirect approach to children through female cancer patients,” “approach to mother–child relationship between female cancer patients and their children,” and “approach to families surrounding female cancer patients and children.” This support from nurses that may care for children of mothers who are suffering from cancer may not be limited to direct involvement with the child. Nurses’ involvement that supports the family by respecting the maternal role of the mothers, even if they are patients living among family dynamics, is necessary. The results of this study suggested that nursing intervention is necessary from the early period of cancer treatment in addition to the terminal period.
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論文
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鬼頭, 泰子 ; 古株, ひろみ ; 川端, 智子 ; 田淵, 紀子
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内, 織恵 ; 島田, 啓子 ; 田淵, 紀子
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論文
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田淵, 紀子 ; 根本, 鉄 ; 島田, 啓子 ; 松田, 康子 ; 間島, 佳代乃 ; 古田, ひろみ
概要:
【目的】本研究目的は、保温に効果があるとされる“テビロン”肌着を新生児に着用させ、発汗データロガーを用いて、肌着の内側と外側の温湿度測定により臨床での有用性を検討することである。 【方法】対象は、2010年9月～2011年6月にＡ病院で正期
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産、経膣分娩にて出生した新生児８例である。データ収集方法は、出生後テビロン肌着を着衣し、翌日の脱衣までの間の肌着内外の温度と相対湿度を身体発汗データロガーにて連続測定した。その間の新生児の行動（啼泣、授乳等）は授乳記録用紙から把握した。10秒ごとに記録された温度と相対湿度データは解析ソフトOrigin 8を用いて絶対湿度に変換した後、発汗のタイミングと発汗 レベルを検出した。発汗のタイミングと発汗レベルは経時的に新生児の啼泣・授乳等の行動記録を合わせて分析した。 【結果】衣服内の温度は32℃ から38℃ の範囲であった。相対湿度は20％から90％前後であった。啼泣時は、内側絶対湿度が急激に上昇後下降した。抱っこや授乳時は外側の絶対湿度が急上昇後下降するなど絶対湿度の変動が大きかった。一方、睡眠時は皮膚蒸散量が減少しており、内側の温湿度が外側の温湿度より高かった。また、母親が抱っこや授乳・添え乳時に肌着の外側の温度が高くなる傾向があった。 【考察】今回の結果より、テビロン肌着は水分を外に吐き出す機能を有しており、新生児が啼泣するなど発汗しても、すみやかにさらっとした爽快感が得られると考えられた。また、新生児と母親の行動（睡眠、啼泣、授乳、添え乳、添い寝）等の記録と肌着内外の温湿度データが示す解釈とが一致していたことから、連続モニターが示す発汗データロガーは、新生児の状態と母親の育児行動を推察し得る有益なデータにもなり得ることが考えられ、さらに母子関係を予測する指標としての可能性が示唆された。 【結論】テビロン肌着は、水分量を外に吐き出す機能を有しており、臨床での有用性が示唆された。[Objectives] The purpose of this study was to test the effectiveness of underwear made of “Teviron” material, with reportedly excellent thermal insulation and moisture vapor transmission, for newborn use. A sweat data logger was put inside and outside the underwear worn by newborns and the clinical usefulness was evaluated by examining the environment inside and outside the underwear. [Methods] The study involved 8 newborns vaginally delivered at full-term in Hospital A, between September 2010 and June 2011. Regarding the data collection method, Teviron underwear was put on newborns after birth, and serial measurements of temperature inside and outside the underwear, and relative humidity using a body sweat data logger were taken until the underwear were removed the next day. Newborns’ behaviors during the time (e.g., crying and breast-milk intake) were recorded on report forms. Data on temperature and relative humidity recorded every 10 seconds were converted to absolute humidity using the analysis software, Origin 8. The timing and level of sweating were also investigated, and analyzed over time based on behavioral records such as newborns’ crying and breast-milk intake. [Results] Temperature inside the clothing ranged from 32 to 38℃. The relative humidity ranged from 20 to approximately 90%. When crying, the absolute humidity in the clothing increased and then decreased rapidly. When the newborns were being held and nursed, the absolute humidity outside the clothing increased and then decreased rapidly, indicating that the absolute humidity ranged markedly. Meanwhile, when sleeping, the inside temperature and humidity were higher than the outside values, because evaporative losses from the skin decreased. When mothers breast fed newborns while holding them in a transverse lying position, the temperature outside the underwear tended to increase. [Discussion] These results suggest the Teviron underwear has the function of letting moisture out ; thus newborns can rapidly feel dry to the touch even though they become sweaty due to crying. Because behavioral records of newborns and mothers - e.g., sleeping, crying, lactating, and sleeping together - agreed with the interpretation based on temperature and humidity data inside and outside the underwear, the sweating data logger, employing serial monitoring may provide useful data whereby we can infer newborns’ activity and mothers’ child-care behavior, and there is a possibility of it becoming an indicator whereby we can predict maternal and child relationships. [Conclusion] Teviron underwear had the function of letting moisture out, possibly contributing to the comfort of newborns.
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論文
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平松, 知子 ; 津田, 朗子 ; 稲垣, 美智子 ; 島田, 啓子 ; 須釜, 淳子 ; 田淵, 紀子 ; 河村, 一海 ; 泉, キヨ子 ; 長谷川, 雅美 ; 坂井, 明美 ; 木村, 留美子 ; 紺家, 千津子 ; 大桑, 麻由美 ; 多崎, 恵子 ; 松井, 希代子 ; 村角, 直子 ; 正源寺, 美穂 ; 長田, 恭子 ; 亀田, 幸枝 ; 関塚, 真美 ; 小藤, 幹恵 ; 広瀬, 育子 ; 干場, 順子 ; 千代, 恵子 ; 飛田, 敦子 ; 村上, 恵美
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亀田, 幸枝 ; 島田, 啓子 ; 田淵, 紀子 ; 関塚, 真美 ; 坂井, 明美
概要:
金沢大学 大学院医学系研究科保健学専攻看護科学領域<br />原著論文/比較研究
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論文
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島田, 啓子 ; 亀田, 幸枝 ; 丸山, 綾香 ; 津田, 朗子 ; 坂井, 明美 ; 田淵, 紀子 ; 関塚, 真美 ; 古田, ひろみ
概要:
金沢大学 医学部保健学科 母性・小児看護学<br />原著論文
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