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Developing support network for the parents and the child with rare chromosomal abnormality

Research Project

Project/Area Number 18K17554
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 58070:Lifelong developmental nursing-related
Research InstitutionYamaguchi University

Principal Investigator

Kutsunugi Saeko  山口大学, 大学院医学系研究科, 助教 (50513785)

Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2020: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2019: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Keywords染色体異常 / 稀少疾患 / 遺伝看護 / ネットワーク / 家族会 / 難病 / 看護支援
Outline of Final Research Achievements

This study aimed to investigate the process mothers go through in coming to terms with raising a child with chromosomal structural abnormalities.Sixteen mothers living in Japan were interviewed and a modified grounded theory approach was used for the analysis.
Having support and meeting peer of mothers with similar issues is essential for mothers to review their perspectives that healthy children are the standard against which to measure their child and to motivate them to raise their children, but it was extremely difficult to have such opportunities due to rarity of the disorder. It is crucial to accumulate more practical information so that mothers can access and use it. Mothers also need support to enhance their self-worth while giving due consideration to the possibility that they may conscious of being stigmatized. Nurses need to advocate for these children and families to get the appropriate help, understanding and support.

Academic Significance and Societal Importance of the Research Achievements

近年の遺伝学的検査の技術の進歩により、染色体構造異常に関しても多くの情報が得られるようになった。以前であれば「原因不明の先天異常」等の診断しかつけることができなかった症例であっても、詳細な染色体の欠失/重複部位や、それを基にした診断名がつけられるようになりつつある。世界的にIRDiRCが2011年に設立されたのに続き、日本においても2015年にIRUDが立ち上げられている。しかし、診断がついても、子育てを行うための具体的な情報は得られにくい。このような状況下で疾患をもつ子どもの家族の体験を明らかにし、支援の方策を検討することは急務であると考え、本プロジェクトを実施した。

Report

(4 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (5 results)

All 2020 2019 2018

All Journal Article (2 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 2 results,  Open Access: 1 results) Presentation (3 results) (of which Int'l Joint Research: 1 results,  Invited: 1 results)

  • [Journal Article] Mothers' experiences of parenting a child with chromosomal structural abnormalities: The journey to acceptance2020

    • Author(s)
      Kutsunugi Saeko、Tsujino Kumiko、Murakami Kyoko、Iida Kazuko、Gima Tsugiko、Endoh Yumiko、Tamashiro Yoko、Stone Teresa E.、Kobayashi Jun
    • Journal Title

      Japan Journal of Nursing Science

      Volume: 18 Issue: 2

    • DOI

      10.1111/jjns.12387

    • NAID

      210000184981

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Developing competencies in genetics nursing: Education intervention for perinatal and pediatric nurses2020

    • Author(s)
      Murakami Kyoko、Kutsunugi Saeko、Tsujino Kumiko、Stone Teresa E.、Ito Misae、Iida Kazuko
    • Journal Title

      Nursing & Health Sciences

      Volume: - Issue: 2 Pages: 1-10

    • DOI

      10.1111/nhs.12680

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 染色体構造異常のある子どもをもつ母親が、ありのままのわが子を肯定できるようになるプロセス2020

    • Author(s)
      沓脱小枝子, 辻野久美子, 村上京子, 飯田加寿子, 小林潤
    • Organizer
      日本遺伝看護学会第19回学術大会
    • Related Report
      2020 Annual Research Report
  • [Presentation] Developing cancer genetics health literacy in hospital nurses2019

    • Author(s)
      Murakami K, Kutsunugi S, Ito M, Iida K, Tsujino K, Stone T
    • Organizer
      2019 ISONG World Congress
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] 看護教育における遺伝に関する教育の実際2018

    • Author(s)
      村上京子、沓脱小枝子
    • Organizer
      日本遺伝看護学会第17回学術大会
    • Related Report
      2018 Research-status Report
    • Invited

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Published: 2018-04-23   Modified: 2022-01-27  

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