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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12001/17231

 
Title :痛みを伴う処置を受ける際の付き添いに対する保護者の認識
Title alternative :The Efficacy of Parental Presence When Children Receive Painful Medical Procedures
Authors :大浦, 早智
仲村, 美津枝
儀間, 繼子
Authors alternative :Oura, Sachi
Nakamura, Mitsue
Gima, Tsugiko
Authors affiliation :琉球大学医学部附属病院
名桜大学人間健康学部看護学科
琉球大学医学部保健学科小児看護教室
Ryukyu University hospital
Faculty of Human Health Science of Meio University
Faculty of Medicine, University of the Ryukyus
Issue Date :29-Mar-2013
Publisher :名桜大学総合研究所
Type Local :紀要論文
Type (NII) :Departmental Bulletin Paper
ISSN :1881-5243
Abstract :本研究の目的は,子どもが痛みを伴う処置を受けた時,保護者は子どもの付添いについて,どのように考えていたかを明らかにし,子どもとその保護者の希望にそった付添いの在り方を検討することである。A県6保育園の保護者313名のうち付き添いが可能な病院であれば98.6%の保護者が,付添いを希望していたが,57.7%の保護者は子どもの処置時に付添えなかった経験を持っていた。しかし,付き添った保護者の方が子どもが「怖がった」「暴れた」「泣いた」とする割合は,付き添わなかった保護者よりも有意に少なくなっていた。付添いができないと断られたと仮定した場合は,お願いしてぜひ付添うと回答した保護者の割合は39.0%に減少した。また,過去に付き添いができた保護者は,付き添いを断られてもお願いしてぜひ付き添うとしたものが55.7%であったのに対し,過去に断られた経験のある保護者は26.7%にとどまった。過去に付添いができたかできなかったかにより,その後の保護者の付添いへの認識にも差が出ることが示唆された。保護者の付添いにより児への安寧が示唆されたが,病院の方針により保護者は付添いを諦める現状があり,看護者は処置時の保護者の付添いを積極的に呼びかける必要がある。
This study aimed to clarify parents' desire to accompany their children when the children received painful medical procedures, and to find a desirable way to deal with this issue. Although 98.6% of 313 parents in six nurseries wished to be present if the hospital allows, 57.7% of the parents experienced not being allowed to be present. As to children's uneasiness such as fear,crying, and acting up, the children accompanied by parents showed significantly lower ratios than unaccompanied ones. When parents experienced not being allowed to be with their children, the percentage of parents asking to be present insistently decreased to only 39.0% among all parents. Besides, parents who had experienced being allowed to accompany their children indicated that 55.7% of those asked more often. On the contrary, it was only 26.7% of parents who had experienced refusal to be present who asked more. These results suggested that parents' awareness about being present was different in respect to whether they had experience of being allowed to attend their children's care or not. Although it was suggested that the children's relief depended on parents' accompanying them, parents generally tend to give up asking due to hospitals' rules. Therefore, hospital rules need to be changed in order to allow parents to accompany their children, and nurses should positively recommend parents and guardians to be present when children receive painful medical procedures.
Rights :名桜大学総合研究所
URI :http://hdl.handle.net/20.500.12001/17231
Citation :名桜大学総合研究 no.22 p.41 -46
Appears in Collections:Meio Daigaku Sougou Kenkyu

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