博士学位論文内容の要旨

博士学位論文内容の要旨

氏 名

所 属 人間健康科学研究科 人間健康科学専攻 学 位 の 種 類 博士（看護学）

学 位 記 番 号 健博 第

号 学位授与の日付 平

年

月

日

課程・論文の別 学位規則第４条第１項該当

学 位 論 文 題 名

（ネパールにおける初産婦のための新生児ケア教育プログラムの 開発と評価）

論 文 審 査 委 員 主査 教 授 安達 久美子 委員 教 授 勝野 とわ子 委員 教 授 習田 明裕

委員

講 師 土田 晋也（東京大学医学部付属病院）

【論文の内容の要旨】

ABSTRACT

The health and survival of newborns depend on high levels of attention and care from others.

The growth and development of some infants is unhealthy because of their mother’s lack of knowledge or the use of inappropriate or traditional child-rearing practices that may be harmful.

It was a randomized controlled trial design to determine the impact of structured newborn education to promote maternal and infant health in Nepal. Participants included 143 primiparous mothers who had delivered a healthy baby with full-term infants. The intervention group received around 10-15 minutes, one to one education prior discharge with the trained registered nurses. In addition, they received a follow-up telephone call to offer support at two weeks postpartum. Data was collected before intervention at the postnatal unit and at 5-6 weeks of postpartum at follow-up appointment.

The decrease in the number of children attending the health center in the

intervention group compared to the control group was significant, which revealed that our

structured newborn educational and support program promote infant health. The results

further revealed statistically significant differences between the intervention and control

博士学位論文内容の要旨

groups in their maternal knowledge of newborn care, anxiety, and their confidence during the postpartum period. Moreover, there was an inverse relationship between anxiety and maternal knowledge about newborn care and confidence, whereas, a positive relationship between maternal knowledge of newborn care and confidence.

In conclusion, the structured educational program for newborn care enhanced the

newborn care of primiparas. Thus, this program has the potential to become a powerful

nursing intervention for virtually all mother and infant-health concerns. This type of

education is low cost, feasible, and easy to deliver; thus, it is important to integrate it into

routine newborn-care education to promote maternal and infant well-being in the Nepali

society.