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development of a home care support model focusing on attachment formation in children with severe motor and intellectual disabilities

Research Project

Project/Area Number 18K17609
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 58080:Gerontological nursing and community health nursing-related
Research InstitutionKio University (2019-2022)
Osaka City University (2018)

Principal Investigator

Tanaka Yoko  畿央大学, 健康科学部, 准教授 (60448727)

Project Period (FY) 2018-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2020: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2019: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords愛着形成支援 / 重症心身障害児 / 医療的ケア児 / 地域在宅ケア / 母子保健 / 尺度開発 / 愛着 / ストレングスモデル / 在宅ケア児 / 愛着形成 / 小児在宅ケア / 在宅支援 / 重度心身障害児 / ストレングス理論
Outline of Final Research Achievements

For constructing an attachment support model for children with severe physical and mental disabilities at home, 69 items were prepared from qualitative inductive analysis by conducting semi-structured interviews. These experts were knowledgeable about attachment formation support for children with severe physical and mental disabilities and their families. Our goal was to determine the support model's content and surface validity. We conducted an anonymous web-based questionnaire survey of nurses with experience in home-visit pediatric nursing at 1,581 home-visit nursing stations nationwide within 3 months to examine the reliability and validity of the scale. These results confirmed that the 11 items and two subscales of the attachment formation support model developed in this study have a certain degree of reliability and validity as support models.

Academic Significance and Societal Importance of the Research Achievements

地域在宅ケアにおいては、重症心身障害児および医療的ケア児の家族への支援が重要である。そのためには、子どもと家族の愛着形成に焦点をあてストレングスについて支援ニーズの情報を収集しアセスメントを実践することが必要であるが、現状ではそれらを把握する方法が開発されているとはいえず、本研究のテーマは学術的に重要である。本研究では、ストレングス理論を基盤とし、在宅小児ケアが必要な障害児とその家族の愛着形成に焦点をあてて、在宅小児ケアにおける支援ニーズの検証し、独創性の高い研究である。開発された在宅小児愛着形成支援モデルの活用は、地域在宅ケアの発展に寄与するものであると考える。

Report

(6 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (9 results)

All 2022 2021 2020

All Presentation (9 results) (of which Int'l Joint Research: 4 results)

  • [Presentation] Content validity of a rating scale for assessing the support needs of home caregivers who are having difficulty establishing attachment relationships with children with severe physical and mental disabilities2022

    • Author(s)
      Yoko Tanaka , Ayu Kono
    • Organizer
      The 7th International Nursing Research Conference of World Academy of Nursing Science (7th WANS)
    • Related Report
      2022 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 重症心身障がい児とその家族の 愛着形成支援評価尺度 に関する内容妥当性の検討2022

    • Author(s)
      田中 陽子
    • Organizer
      第11回日本公衆衛生看護学会学術集会(仙台)
    • Related Report
      2022 Annual Research Report
  • [Presentation] 在宅重症心身障害児とその家族への愛着形成支援尺度の開発2022

    • Author(s)
      田中陽子 , 河野あゆみ
    • Organizer
      第42回日本看護科学学会学術集会(広島)
    • Related Report
      2022 Annual Research Report
  • [Presentation] Trajectory Equifinality Approach to characterize the process of attachment formation between severely handicapped children and their mothers2022

    • Author(s)
      YokoTanaka,AyumiKono
    • Organizer
      6th International Conference of Global Network of Public Health Nursing
    • Related Report
      2021 Research-status Report
    • Int'l Joint Research
  • [Presentation] 重症心身障害児とその家族の愛着形成過程における影響要因の検討2021

    • Author(s)
      田中陽子,河野あゆみ
    • Organizer
      第41回日本看護科学学会学術集会
    • Related Report
      2021 Research-status Report
  • [Presentation] 重症心身障害児とその家族の愛着形成過程における支援ニーズの検討2020

    • Author(s)
      田中陽子,河野あゆみ.
    • Organizer
      第40回日本看護科学学会学術集会 東京
    • Related Report
      2020 Research-status Report
  • [Presentation] 愛着形成に焦点をあてた重症心身障害児とその家族への在宅支援の検討2020

    • Author(s)
      田中陽子,河野あゆみ.
    • Organizer
      日本地域看護学会第23回学術集会 大阪
    • Related Report
      2020 Research-status Report
  • [Presentation] Home support of visiting nurses focusing on attachment formation in children with severe physical and intellectual disabilities2020

    • Author(s)
      YokoTanaka,AyumiKono,
    • Organizer
      EAFONS, Chiang Mai
    • Related Report
      2020 Research-status Report
    • Int'l Joint Research
  • [Presentation] Home support of visiting nurses focusing on attachment formation in children with severe physical and intellectual disabilities2020

    • Author(s)
      YokoTanaka,AyumiKono,SatokoOkawa
    • Organizer
      EAFONS,10-11 January 2020, Chiang Mai, Thailand
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research

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Published: 2018-04-23   Modified: 2024-01-30  

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