Hada Yayoi, Yamasaki Hatsumi, Sugimoto Naomi, Kimura Midori, Mouri Yoshitaka
Nagata Ward Office Kobe-City Public Health and Welfare Division.
Nihon Koshu Eisei Zasshi. 2005 Oct;52(10):886-97.
For maternal and child health, in addition to assistance to children, support to guardians is needed with the change in the social environment due to child-rearing. In Kobe city, from 2002/ 04/01, interview sheets for health check-ups at 4 months, 18 months and 3 years of age were revised and questions about child-rearing were added. The purpose of the present study was to clarify revisions to interview sheets regarding childcare support.
A total of 3,308 cases of mothers and children who underwent their health check-ups between 2002/04/01 and 2002/12/31 were surveyed, and the replies in the interview sheets were analyzed using the chi-square test for independence and the Pearson's correlation coefficient.
In addition to children's development, factors for child-rearing in the home, including cooperation from the father, are of great importance. Moreover, subjectivity about mother's child-rearing is influenced by the support of child-rearing friends.
Public health nurses should use not only the replies in interview sheets but also the appearance of guardians at health check-ups as important factors for screening. Further consideration of the influence of each question for evaluation is necessary to establish screening standards.
为了保障母婴健康,除了帮助儿童外,鉴于育儿导致的社会环境变化,还需要对监护人提供支持。在神户市,从2002年4月1日起,对4个月、18个月和3岁儿童健康检查的访谈表进行了修订,并增加了有关育儿的问题。本研究的目的是阐明育儿支持访谈表的修订内容。
对2002年4月1日至2002年12月31日期间接受健康检查的3308对母婴进行了调查,并使用独立性卡方检验和皮尔逊相关系数对访谈表中的回复进行了分析。
除了儿童的发育外,家庭中的育儿因素,包括来自父亲的合作,也非常重要。此外,母亲育儿的主观性受育儿朋友支持的影响。
公共卫生护士不仅应将访谈表中的回复,还应将监护人在健康检查时的表现作为筛查的重要因素。为了建立筛查标准,有必要进一步考虑每个评估问题的影响。