Research of utility of community based child care support program of for infant and adolescence

本研究旨在探讨社区幼儿照顾支援计划对婴幼儿、青少年及其家长的效用。对象区是一个城镇和一个村庄的15000人-20000人。以社区为基础的幼儿保育支援计划包括为学生及其家长提供同侪辅导员的训练课程，以及以家庭功能为重点的幼儿保育焦虑问卷调查。此外，对静冈县的学校护士-教师进行了学龄儿童虐待儿童实际情况的调查，因为在去年的公共卫生护士和学校护士-教师讨论中指出了合作对虐待儿童的重要性。采用自编的父母教养与家庭功能评估工具（PAFFAT）问卷，对婴幼儿及其父母进行健康访谈，关注监护人的育儿焦虑和育儿负担 ...更多信息 我们的团队。使用PAFFAT对890名监护人进行了健康访谈。然而，能够收集健康检查数据的病例为689例。18个月龄健康检查时需进行传代观察的病例比例由引入PAFFAT前的18.3%上升到引入后的25.3%。PAFFAT中的教育功能、游戏和儿童保育满意度得分在以下病例组中显著较低。这些差异主要取决于引入PAFFAT的影响。3岁时的育儿负担感高于18个月时的育儿负担感，提示3岁以后的育儿支持是必要的。作为一个青少年项目，为初中生招募了两个同伴辅导员培训课程，并获得了30名申请者。但由于当天台风正式发出警告，它就中断了，只进行了一次航行。此外，16名监护人参加了家长同侪辅导员培训课程。初中生和监护人都认为课程内容恰当，最后他们的自尊心得到了提高。2003年10月至11月，对静冈县特殊教育学校以外的公立小学和初中的811所学校的保育教师，通过邮寄问卷的方式，对学龄儿童受虐待的实际情况进行了调查。调查对象为585人（收集率72.1%）。五年内有处理虐儿经验的学校护校教师比率为48.6%，虐儿个案为471宗。有校外训练经验的学校护教人员，对虐待儿童个案的认知程度较高，且较常考虑对家长的支援。由此，提出了对护理教师进行校外培训的有效性。少

The purpose of this research was to examine the utility of the community based child care support program for infants, adolescents and their parents. The object districts were a town and a village of 15000 people-20000 people. The community based child care support program was composed of the training courses of peer counselor for the student and their parents, and examination of the child care anxiety by the questionnaire that focused on the family function. Moreover, the investigation of actual conditions of child abuse in school age children was executed to the school nurse-teacher of the Shizuoka prefecture, because the importance of cooperation to child abuse was pointed out in the discussion of public health nurses and school nurse-teachers in last year. For the infants and their parents, the health interview to pay attention to guardian's child care anxiety and burden by using the questionnaire of the Assessment Tool for Parenting and Family Function (PAFFAT) that was developed … More by our group. The health interviews using PAFFAT were done to 890 guardians. However, the cases that were able to collect health check data were 689. The ratio of cases for which the passage observation was necessary at 18 months years old health checkup rose to 25.3% after introduction of PAFFAT from 18.3% before introduced. The score of an educational function, play, and satisfaction of child care in PAFFAT was low significantly in the group of following cases. These differences were depended on the influence of introduction of the PAFFAT. The sense of child care burden in three years old was higher than the one of 18 months years old, and it was suggested that child care support was necessary after three years old. As a program for adolescents, two peer counselor training courses were recruited for the junior high school students, and 30 applicants were obtained. But it became discontinuance by the warning official announcement by the typhoon on that day, and it carried on only one course. Moreover, 16 guardians participated in the course for parents' peer counselor training course. Both junior high school students and guardians evaluated the program contents proper, and their self esteem rose at the end.The investigation of actual conditions of child abuse at the school age was executed by the questionnaire by mailing from October to November 2003 for school nurse-teachers of 811 schools in public elementary and junior high schools excluded for the special education schools in Shizuoka prefecture. The respondents were 585 (collection rate 72.1%). The ratio of school nurse-teachers that experienced managing of the child abuse within five years was 48.6%, and the numbers of child abuse cases were 471. School nurse-teachers who had the experience of the training of outside school acknowledged the child abuse cases higher, and considered the support to parents more frequently. From this, the effectiveness of the training of outside school to the nurse-teacher was suggested. Less