Research on lifestyle changes and adaptations after hospital discharge for families with very low birth weight infants

极低出生体重儿家庭出院后生活方式改变与适应研究

• 批准号: 12672349
• 负责人: FUJIMOTO Eiko
• 金额: $ 2.18万
• 依托单位: SEIREI CHRISTOPHER COLLEGE
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2000
• 资助国家: 日本
• 起止时间: 2000 至 2002
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-12672349/
• 关键词: very low birth weight infant; transition; living activity time; trouble of daily life; 生活上の変化; 育児困難; 母親の健康; サポート; 家族の適応過程; 継続ケア

The purpose of Study 1 was to clarify (1) the differences in lifestyle and troubles of daily life between expectations and reality one month after delivery and (2) the differences in lifestyle and troubles of daily life between one and two months after delivery for mothers with full-term infants. Subjects were 191 consenting mothers who participated in the first survey, which was conducted during hospitalization (questionnaire recovery rate: 93.6%). The recovery rate for the second survey conducted at about one month after delivery was 94.8%, while that for the third aurvey conducted about two months after delivery was 81.2%. The results were as follows: 1) The mothers expected that child rearing would not go smoothly for the first month after delivery, but that they would have more time with their husbands and friends; 2) The mothers were able to expect some degree of accuracy the amount of time they would be able to spend for themselves, and 3) At about two months after delivery, the lifestyle of mothers was significantly improved further than 1 month, and the level of trouble was significantly decreased. The purpose of Study 2 was to clarify lifestyle changes and adaptations after discharge for mothers with very low birth weight infants. A semi-structured interview was conducted with five consenting mothers whose children were discharged from the NICU of a general hospital within the past year. The results confirmed the following: 1) These mothers expected to wake up frequently at night after discharge, and the largest lifestyle change was altered sleeping patterns; 2) While these mothers received help from family members for the living activity, some mothers were unable to ask family members to baby-sit because their infants were so small; and 3) It was four or five months after the expected date of birth before a routine could be established in daily living activities

研究1的目的是明确（1）分娩后1个月的生活方式和日常生活问题的期望与现实之间的差异，以及（2）分娩后1个月和2个月的生活方式和日常生活问题的差异。受试者是191名同意参加第一次调查的母亲，该调查是在住院期间进行的（问卷回收率：93.6%）。产后1个月左右进行的第二次调查的回收率为94.8%，产后2个月左右进行的第三次调查的回收率为81.2%。结果如下：1）母亲们期望孩子在产后的第一个月不会顺利抚养，但她们会有更多的时间与丈夫和朋友在一起; 2）母亲能够预期一定程度的准确性，他们将能够为自己花费的时间，和3）在分娩后约两个月，母亲的生活方式显着改善进一步超过1个月，麻烦的程度明显降低了。研究2的目的是阐明极低出生体重儿母亲出院后生活方式的改变和适应。一个半结构化的采访进行了五个同意的母亲，他们的孩子从新生儿重症监护室的综合医院在过去的一年中。研究结果证实：1）这些母亲期望出院后经常在夜间醒来，最大的生活方式改变是改变睡眠模式; 2）这些母亲在生活活动方面得到家人的帮助，但有些母亲因为婴儿太小而无法要求家人照看婴儿; 3）在预产期后4 ~ 5个月才能建立起日常生活习惯