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Nihon Koshu Eisei Zasshi ; 55(5): 318-26, 2008 May.
Article in Japanese | MEDLINE | ID: mdl-18592982

ABSTRACT

OBJECTIVE: The Japanese neonate home-visit nursing guidance program for mother-and-child health administration is unique on the world scale, because it makes support for every family possible. However, very few studies have been conducted concerning the efficacy of the neonate home-visiting guidance program. The purpose of this study was to examine the utility of the program and factor out necessary questionnaire entries to sreflect mother's child-rearing anxieties. METHOD: Questionnaire survey. The subjects were 169 mothers. RESULTS: Ninety-two (54.4%) out of 169 subjects had neonate home-visit nursing guidance. Five factors and twenty-two items were abstracted by the factor analysis method. The difference in factor scores between the groups with and without guidance was analyzed byt-test. There were significant differences in the first factor (feelings change), the second factor (body tiredness), and the fourth factor (brought up a child) between the group that had guidance and the group that had not, and the score for mother's child-care anxiety in the group that had guidance was high. Among subjects who answered "no" to the question whether their husbands gave them support in rearing their child, there were significant differences concerning child-rearing anxiety questions in the questionnaire. The attributes showing meaningful differences in child-rearing anxiety questions were: first delivery, having an extended family, unemployment, and delivery at over-30 years of age. CONCLUSION: The mother's idea that her husband is cooperative in raising their children showed a relationship with the mother's child-care anxiety, so it is important for home-visit guidance to find out whether the husband is a partner in raising children. The other necessary questionnaire items were: age, having birth experience, family structure, and being employed or unemployed. As the subjects who accepted neonate home-visit nursing guidance could be said to have some child-rearing anxiety subconsciously, it is concluded that the neonate home-visit nursing guidance program is effective for determination of mother's child rearing anxiety.


Subject(s)
Child Rearing/psychology , Adolescent , Adult , Anxiety/etiology , Female , Home Care Services , Humans , Infant , Infant, Newborn , Japan , Spouses , Stress, Psychological/etiology , Surveys and Questionnaires
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