2022 Fiscal Year Final Research Report

Development of a support model for high-risk pregnant women based on their perceived quality of life

Research Project

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Project/Area Number	18K10418
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 58070:Lifelong developmental nursing-related
Research Institution	Niigata University
Principal Investigator	Nishikata Mayumi 新潟大学, 医歯学系, 准教授 (90405051)
Co-Investigator(Kenkyū-buntansha)	宮坂道夫新潟大学, 医歯学系, 教授 (30282619) 定方美恵子新潟大学, 医歯学系, 教授 (00179532) 有森直子新潟大学, 医歯学系, 教授 (90218975) 高桑好一新潟大学, 医歯学総合病院, 教授 (80187939) 小林恵子新潟大学, 医歯学系, 教授 (50300091) 田中美央新潟大学, 医歯学系, 准教授 (00405052)
Project Period (FY)	2018-04-01 – 2023-03-31
Keywords	ハイリスク妊婦 / 個人的QOL / QOL評価
Outline of Final Research Achievements	The purpose of this study is to develop a support model based on the perceived quality of life (QOL) of high-risk pregnant women. High-risk pregnant women in the hospital were surveyed regarding their perceived QOL while in the hospital. The results were collated and presented to midwives in the form of semistructured for developing an improved support model while remaining compatible with conventional care. The data were subjected to exploratory content analysis. 1. In terms of compatibility with the current care provided to high-risk pregnant women: ensure a more patient-centered approach．2． The following two areas in which care could be potentially improved were identified:1) Flexible visiting times, locations, and methods should be provided for families, thereby allowing women to demonstrate their care for their families. 2) Health professionals should pay attention to patient preferences and needs regarding pregnancy.
Free Research Field	生涯発達看護学
Academic Significance and Societal Importance of the Research Achievements	出生数が減少する中で、母体・胎児集中治療室に入院するようなハイリスク妊婦は増加している。緊急性が高く、急変時の対応が求められるハイリスク妊婦へのケアにおいて、医療者は症状や体調の管理に注目しがちである。本研究では、ハイリスク妊婦当事者のQOL構成要素を素材として従来行われているケアとの整合性、改善可能なケアについて検討を行った点に意義を有する。