産後1カ月の母親の育児困難感の影響要因についての検討

Factors influencing mothers' feelings of difficulty related to childrearing one month after childbirth

要旨：本研究の目的は，産後1カ月の母親における育児困難感の影響要因を明らかにし，育児支援のあり方について検討することである．本研究に同意が得られた332名の母親に対して自記式質問紙調査を実施し，全ての項目に回答のあった271名を分析対象とした．その結果，育児困難感と音響過敏，自責感，抑うつ気分などとの間に有意な関連性が認められた（p＜0.05）．以上から，この時期の育児困難感を抱える母親への対応は，安静を保たせるとともに，一人静かに過ごせるようにする，介入の際の声の大きさに注意をするなど，疲労や過敏性の背景に，より配慮した支え方をする必要があることが示唆された．

　The aim of this study was investigate the factors influencing mothers' feelings of difficulty towards to childrearing one month after childbirth, and to examine the methods of childrearing support. 332 subjects agreed to participate in this study, which used a self-report questionnaire, and 271 subjects answered all the items. The subjects experiencing sonophobia, self-accusation and feelings of depression were significantly higher among the mothers having feelings of difficulty with childrearing (p＜0.05). These results suggest that occupational therapy focusing on mothers' tiredness and history of hypersensitivity (i.e. encouraging adequate rest, quiet time alone, and monitoring the loudness of the therapists' voice) is necessary to provide adequate support.