母体胎児集中治療室（MFICU）から産科病棟に転棟したハイリスク妊婦の入院体験

Hospitalization Experience of High-Risk Pregnant Women Transferred from Maternal Fetal Intensive Care Unit (MFICU) to Maternity Ward

要旨

　目的：MFICUから産科病棟に転棟したハイリスク妊婦の入院体験を明らかにする．

　方法：MFICUに入室し産科病棟への転棟を経験した母親9名に半構成的面接を行ない質的記述的に分析した．

　結果：MFICUから産科病棟に転棟したハイリスク妊婦の入院体験は，転棟前は【重症な状況に気持ちを整理できず気が休まらない】【カーテン越しに重症な同室妊婦を感じひっそりと過ごす】【看護スタッフに傍で見守られる安心感】【いつかくる転棟を念頭に置く】【病状改善の実感がないまま転棟に向けた感情の揺れ】【新しい環境へ身を置き順応できるかという不安】，転棟後は【看護スタッフを独占しないようにする遠慮】【MFICUと産科病棟の違いによる戸惑いと不安】【妊婦仲間の交流から生まれた仲間意識と支え合い】【看護スタッフとの信頼関係形成による気持ちの安定】で表された．

　結論：MFICUから産科病棟への転棟を経験したハイリスク妊婦は，ストレスを増幅する体験をする一方で転棟を契機とし他者と関わることでの肯定的体験をしていた．

　Objective: This study aimed to shed light on the hospitalization experience of high-risk pregnant women transferred from the MFICU to the maternity ward.

　Method: Adopting qualitative and descriptive research design, we conducted semi-structured interviews with nine mothers admitted to the MFICU and then transferred to the maternity ward.

　Results: The hospitalization experience of high-risk pregnant women transferred from the MFICU to the maternity ward before the transfer was described as follows: “unable to relax due to difficulty of sorting the mind out about the critical situation,” “perceiving critical pregnant women in the same room through the curtain and spending time quietly,” “feeling a sense of security with nursing staff watching over them by patient's side,” “spending the time conscious of a transfer to maternity ward from MFICU that will come someday,” “emotional turmoil toward the transfer without feeling improvement in their condition,” and “anxiety about whether they can adapt to the new environment.” After being transferred to the maternity ward, their experience was expressed as follows: “refraining from monopolizing the nursing staff,” “confusion and anxiety due to the difference between the MFICU and the maternity ward,” “camaraderie and mutual support borne from interaction with fellow pregnant women,” and “stability of feelings due to the formation of trusting relationships with the nursing staff.”

　Conclusion: High-risk pregnant women who transferred from the MFICU to the maternity ward had positive interaction experiences due to the transfer, despite increased stress.