@article{oai:toyama.repo.nii.ac.jp:00002610, author = {北, 悠理 and 溝口, 茜 and 寺田, 有希 and 長谷川, ともみ and 永山, くに子}, issue = {2}, journal = {富山大学看護学会誌}, month = {Mar}, note = {application/pdf, The life expectancy of a preterm infant was improved using new techniques in neonatal intensive care. Kangaroo-care (KC), a recently introduced technique, is used to promote the formation of the relationship between mother and preterm infant. In this paper, we describe results (7 pairs of mother and preterm infant) obtained during participant observation (51 sessions). To quantify our results, we assumed that the progress of the relationship between mother and child could be described using Hashimoto's index (a model of the development of parental-child relationships). In each sample, results revealed that the relationship between the mother and child progressed as the number of KC sessions was increased. However, the time course of this progress seems to depend on several factors. Some of these factors possibly include: birth weight (extremely-low-birth-weight infant), gestational age (less than 30 Weeks)and time of commencement of KC (more than one month after birth). In addition, we also noted that progress was lost temporarily in the case that a child's physical condition worsened briefly. By analyzing an example carefully in this way, we were able to confirm it about significance of KC some other time., 近年の新生児集中治療の進歩によって,早期産児の生命予後が改善され,出生後の母子の愛着形成を促進するために多くの施設でカンガルーケア(以下KCとする)が導入されている.本研究は,KCを実施した7組の早期産の母子を対象に,延べ51回の参加観察を行い,橋本の「親と子の関係性の発達モデル」を指標として,母子の関係性の変化を記述することを目的として行った. その結果全事例においてKCの回数を重ねるごとに母子の関係性は進展していたが,うち2例においてはステージの進展は緩慢だった.緩慢となった要因としては,児の在胎週数が短く,超低出生体重児であり,KCの開始までに長い期間を要していたことが共通していた.また,児の状態が一時重篤となった事例においても関係性の一時的な後退は見られたが,KC再開により速やかに関係性は回復したことがわかった.この様に事例を丁寧に分析することによって改めてKCの意義について確認できた., Article, 富山大学看護学会誌, 第6巻2号, 2007.3., page 47-56}, pages = {47--56}, title = {早期産児における母子の関係性の進展 : カンガルーケアを実施した7事例の検討}, volume = {6}, year = {2007} }