ブックタイトル同志社看護　第１巻

概要

同志社看護　第１巻

同志社看護Doshisha Kango Vol.1, pp.19-28, 2016－報告－初産婦における産後1週のストレス反応からみた産後4週における育児ストレスの特徴に関する研究（第2報）Study of Characteristics of Childcare Stress at 4 Weeks Postpartum basedon Stress Reaction at 1 Week Postpartum among Primipara Women（2ndReport）佐野めぐみ1），眞鍋えみ子Megumi Sano，Emiko Manabe1）AbstractPurpose：This study was conducted to clarify childcare stressors，cognitive assessment andcoping characteristics among primapara women in a state of strong stress reactions at 4 weekspostpartum．Method：A questionnaire survey was conducted targeted at 70 primapara women at 1 and 4weeks postpartum．The contents of the survey consisted of the Childcare Stressor Scale，CognitiveAppraisal Rating Scale，Coping Scale and Public Health Research Foundation Stress Check ListShort Form（PHRF-SCL-SF）．Results：A cluster analysis of the PHRF-SCL-SF was conducted at 1 week postpartum targetedat 27 women categorized as a high stress reaction group．These subjects consisted of 12 women（44.4％）of a persistent stress group who were categorized as the high stress reaction group at both1 week and 4 weeks postpartum，and 15 women（55.6％）of a diminished stress reaction groupwho were categorized as the high stress reaction group at 1 week postpartum but categorized as alow stress reaction group at week 4 postpartum．The Mann-Whitney U test was performed usingthese two groups as independent variables and using subscale scores of the Childhood StressorScale，Cognitive Appraisal Rating Scale and Coping Scale as dependent variables．Amongchildcare stressors，the persistent stress group demonstrated high scores for "decreased sense ofeffectiveness as parent"，"inadequate childcare knowledge and skills" and "sense of constraint dueto childcare"．Those subjects who felt a high level of stress attributable to their baby crying atnight or after feeding consisted of 6 subjects（50.0％）in the persistent stress group and 2 subjects（13.3％）in the diminished stress group，and cognitive assessment scores were higher for "assessedas threatening" and lower for "controllability" among the persistent stress group．There were nosignificant differences observed with respect to coping．Discussion：The characteristics of childcare stressors and cognitive assessment amongprimapara women in whom high stress reactions persisted at week 4 postpartum were able tobe identified．These were thought to be attributable to a sense of confusion and things not goingas expected with respect to feeding and childcare they experienced for the first time as a resultof being first-time mothers，as well as being forced to a lead a lifestyle in an environment thatsubjects them to restrictions such as a lack of recreational activities．In order to prevent this，itwas suggested to be important for nursing professionals to provide specific guidance to first-time1）同志社女子大学看護学部Faculty of Nursing，Doshisha Women?s College of Liberal Arts19