産婦の不安を軽減するための看護の方法に関する研究

The Study of a Nursing Care to Reduce Maternal Anxiety on Labor and Delivery

要約

　正常な妊娠分娩経過をたどった産婦の不安を軽減するための看護方法の効果を，分娩経過に即して不安を多角的に測定し，評価することを目的として研究を行った．分娩開始した産婦を無作為に2群に分け，一方は施設内でのルチーンの看護を受ける対照群，他方は研究者が分娩終了まで持続的に付き添う実験群とし，対象は各々9名づつ合計18名が得られた．分娩経過に沿って，血中カテコールアミンの測定，および，状態不安尺度，産痛評価表，ラマーズ法評価表を用いて測定し，2群において各項目の測定値に関して比較した．その結果，産婦の不安は分娩という状況から生じる状態不安であり，看護者が持続的に付き添うという看護方法は産婦の不安の軽減に効果がみられた．

Abstract

　The purpose of this study was to evaluate the effects of a nursing care as continous attending with mother to reduce matermal anxiety in labor and delivery. The subjects who expressed informed consent were 18 married women, 18 to 37 years old, with no complicating medical or obsteric conditions, and no physiologic and psychosocial problem.

　Initial assignment of mothers to exprimental (attending by a invesitigator as nurse) or control group (routin care) was random. In order to measure matermal anxiety mulilaterally, comparisons of the self-reported anxiety, plasma catecholeamine, labor pain, and Lamaze method evaluation was provided during labor and delivery on 2 groups. Finding were maternal anxiety was the state anxiety promoted by condition of delivery and it was concluded that the continous attending by a nurse had some beneficial effects to reduce matermal anxiety.