Research on support of parents with mild developmental disabilities in nursery school under 3 years old

2018 Fiscal Year Final Research Report

• Project/Area Number: 15K15930
• Research Category: Grant-in-Aid for Challenging Exploratory Research
• Allocation Type: Multi-year Fund
• Research Field: Community health nursing
• Research Institution: Chubu Gakuin University
• Principal Investigator: Uematsu Katsuko (植松勝子) 中部学院大学, 看護リハビリテーション学部, 講師 (30720429)
• Project Period (FY): 2015-04-01 – 2019-03-31
• Keywords: 発達障がい児早期支援 / 保護者支援 / 母子保健と保育所の連携協働 / １歳６カ月児健康診査 / 社会性の発達

Outline of Final Research Achievements

As early detection of developmentally disabled children, it is important to grasp the state of social development from the second half of the infancy and to screen at the 18-month health checkup. For parents using child care for children under 3 years of age, a system is needed that allows a nurse to intervene in screening at the 18-month health checkup.
As cooperation of nursery school and maternal and child health, we carry out patrol consultation by public health nurse, and the making of system that public health nurse and childcare person can cooperate in collaboration is necessary. It is necessary to create a mechanism that allows working mothers to understand the characteristics of the child's development by holding a learning mechanism on the development of children who can participate in childcare and the parents can participate using holidays.

Free Research Field

地域看護学

Academic Significance and Societal Importance of the Research Achievements

健やか親子21（第2次）の重点課題「育てにくさに寄り添う支援」の具体的な支援体制として、乳児期後半の母子保健事業を実施している市町村が増加しており、発達障がい児の早期支援に寄与している状況が明らかになった。しかし、1歳６カ月児健診における社会性の発達のスクリーニングには市町村格差が生じていた。
未満児保育の増加により、1歳6カ月児健診後の親子療育を実施しにくい状況にあり、保育所入所前の乳児期後半における支援の在り方、入所後の母子保健と保育所の連携について、保健師と保育士の連携協働が必要である。その対策として未満児保育における巡回相談や1歳６カ月児健診に保育士が介入しやすい体制作りが必要である。