RESEARCH ON NURSING DIAGNOSIS ABOUT DECISION MAKING OF MOTHER-INFANT PERIOD OF STAY IN THE HOSPITAL AFTER AN INSTITUTIONALIZED DELIVERY

按照研究目的，制作了四种问卷形式（产妇出院前问卷、产妇丈夫问卷、对产妇有更重要帮助的人问卷、产妇出生一个月后问卷），像小册子一样。自1995年3月至9月，在东京大都会和千叶县的七个机构分娩的产妇被要求参加这项研究。问卷表格在获得被试同意后发放。通过邮件收集纵向调查问卷。此外，还对具有5年以上临床经验的产科医生、儿科医生和护理人员进行了半结构化访谈。发放问卷1500份，其中产妇出院前填写的表格1368份，产妇丈夫填写的表格641份，对产妇最重要的帮助者填写的表格582份，分娩后一个月填写的表格572份。对调查内容进行整理和统计分析。问卷形式和访谈结果如下：1-在问卷形式调查中，相关住院时间、分娩方式、身体状况恢复等被指出为重要因素；2-产妇出院后，多数得到一定的帮助，支持者为产妇；3-在访谈调查中，产科机构的管理医师考虑病床的使用情况和收入情况；4-儿科医生考虑新生儿的健康状况和母亲的育儿技能，5-护理人员考虑产妇的心理和身体状况以及家庭生活方式。为开发与住院期个体决策相关的护理诊断方法学，目前已进行了详细的分析和评价。少

Following the research purpose, four sorts of questionnaire forms (to puerperas' before discharge time, to puerperas' husband, to more important person who has helped the puerpera, to puerperas' one month after the birth) were developed like a booklet. Since 1995, March to September the participation in this research was requested to the puerperas that delivered in seven institutions in the metropolitan Tokyo and in the Chiba Prefecture. The questionnaire forms were distributed after getting the consent of the subjects. Longitudinal questionnaire forms were collected by mail. Besides, a investigation based on semistructured interview related to obstetric physicians, pediatric physicians and nursing staffs with over than five years clinical experience was also carried out.It was distributed 1500 questionaires forms, 1368 forms that puerperas answered before the discharge time, 641 forms answered for puerperas' husband, 582 forms answered for the more important person who has helped the … More puerperas and 572 forms that puerperas answered on month after the birth were collected. The investigation content was codified and statistically analyzed. The findings of the questionnaire form and interview are the following :1- On the questionnaire form investigation related to the period of hospitalization, the delivery type, recovery of physical condition and so were pointed out as the important factors ; 2- after the discharge, the majority of puerperas were receiving some help, and the supporters were their mothers ; 3- on the interview investigatio, manager physicians of obstetric institutions considered the sick bed in using and the income ; 4- the pediatric physicians considered the newborn's health conditions and the mothers' skill to child care, and 5- the nursing staff considered the psychological-physical conditions of the puerperas and the family life style.To develop the nursing diagnosis methodology related to the individual decision macking of period of stay in the hospital, currently detailed analysis and evaluation has been carried out. Less