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

根据研究目的，设计了四种问卷形式（产妇出院前问卷、产妇丈夫问卷、产妇帮助过的重要人员问卷、产妇产后一个月问卷）。自1995年3月至9月，要求在东京都和千叶县的七个机构分娩的产妇参加这项研究。在征得受试者同意后发放问卷。纵向问卷调查表通过邮件收集。同时，对5年以上产科医生、儿科医生和护理人员进行半结构式访谈，发放问卷1500份，其中产妇在出院前回答问卷1368份，产妇丈夫回答问卷641份，帮助过产妇的更重要的人回答问卷582份。 ...更多信息 收集产妇1999年12月至1999年12月的问卷调查和产后1个月内的问卷调查共572份。对调查内容进行整理和统计分析。问卷调查和访谈的结果表明：1.在问卷调查中，住院时间、分娩方式、身体状况恢复等是影响产妇出院的重要因素：2.产妇出院后，大多数都得到了一定的帮助，帮助者主要是母亲：3.在访谈调查中，产科机构的管理医师认为病床的使用和收入是影响产妇出院的重要因素; 4.儿科医生考虑新生儿的健康状况和母亲的育儿能力，5.护理人员考虑产妇的身心状况和家庭生活方式，目前已进行了详细的分析和评价，以发展与住院时间个体决策相关的护理诊断方法学。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