An Analysis of Communication between Inpatient Children and Their Mothers

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大学病院に入院している小児と母親のコミュニケーションを分析した．８組の親子の56場面を観察し，母親の対応の仕方からコミュニケーションを６型に類型化した．Ⅰ型は良好型，Ⅱ型は修復型，Ⅲ型は対応良好中断型，Ⅳ型は対応頓挫型，Ⅴ型は拒否的終結型，Ⅵ型は拒否型とした．　その結果，Ⅰ型が73％みられ，どの親子でも良好な対応がみられた一方で，どの親子にも中断や拒否を示す対応もみられた．対象者の背景とコミュニケーション類型の関連がみられたのは母親の年齢だけであった．特徴的な２事例の分析では，一方がほとんど良好な対応であったのに対し，もう一方は良好な対応が少なく拒否型が多かった．　母親には小児の感情を受け止めるためのコミュニケーションに関する感性が求められており，そのための看護介入も必要であり，重要である．Communication between inpatient children and their mothers in an university hospital was analyzed. Fifty-six units of conversation of 8 mother-child pairs were recorded and units of conversation were classified into 6 types according to mother's response; Type I good response, Type II repair, Type III good response discontinuation, Type IV response setback, Type V rejective ending, and Type VI rejection. Main results were as follows; 1) Communication types indicating good responses were observed in all the pairs, and Type I occupied 73%. 2) Types indicating interruption or rejection, however, were also observed in all the pairs. 3) Among background factors of the subjects, only mother's age was associated with the communication types. Scenes of rejection were significantly less frequent in mothers aged 30 years or more. 4) There was large variation of proportion of types of conversation; most responses were good in one case, whereas most responses were rejective responses in another case. Mothers need to have sensitiveness concerning communication with their child and need to accept child's feeling. Nursing intervention for enabling this appears to be necessary and important.
長崎大学の論文

An Analysis of Communication between Inpatient Children and Their Mothers

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