{"created":"2023-06-23T12:19:09.717118+00:00","id":1013,"links":{},"metadata":{"_buckets":{"deposit":"69935ca9-e413-435f-964c-e7f4472e2e32"},"_deposit":{"created_by":15,"id":"1013","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"1013"},"status":"published"},"_oai":{"id":"oai:niconurs.repo.nii.ac.jp:00001013","sets":["6"]},"author_link":["2048","2049"],"control_number":"1013","item_2_alternative_title_19":{"attribute_name":"その他の言語のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"The experiences of women with diabetes from pregnancy through to childbirth"}]},"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-12-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"318","bibliographicPageStart":"310","bibliographicVolumeNumber":"29","bibliographic_titles":[{"bibliographic_title":"日本助産学会誌"},{"bibliographic_title":"Journal of Japan Academy of Midwifery","bibliographic_titleLang":"en"}]}]},"item_2_description_14":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_2_description_39":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Journal Article","subitem_description_type":"Other"}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"目　的\n　糖尿病をもつ女性の妊娠から出産にいたるまでの過程における体験を見出すこと。\n対象と方法\n　研究参加者は糖尿病を基礎疾患にもち，妊娠し生児の出産を体験した女性。研究デザインは質的記述的研究とし，データ収集は半構成的面接，分析方法はグラウンデッド・セオリー・アプローチによる分析手法を用いた。分析レベルはアクシャルコーディング段階までとし，現象の抽出と現象ごとのカテゴリー関連図による，ストーリーラインの生成を行った。\n結　果\n　研究参加者は8名であり，初産婦・経産婦，経膣分娩・帝王切開術，1型糖尿病・2型糖尿病と背景はさまざまであった。8名分のデータからカテゴリー関連図をもとにパラダイムを統合させた。結果，糖尿病をもつ女性の妊娠から出産にいたるまでの体験として，【自らの意思により妊娠を選択する】，【試行錯誤の中で主体的に血糖コントロールに挑む】，【妊娠による食事の変化と格闘する】，【おなかの中の子どもをあるがままに受け入れる】という，4つの現象が見出された。また，各々の現象のプロセスとしてのストーリーが導かれた。\n結　論\n　糖尿病をもつ女性の妊娠から出産にいたるまでの体験は，自らの意思で妊娠を選択することによる血糖コントロールへの意識の高まり，迷いながらも妊娠中の血糖コントロールにおいて自分に合った方法を主体的に見つけようとする挑戦，妊娠によって迫られる食事の見直しや調整という格闘，おなかの中の子どもを奇形や疾患の有無に関わらず自分の人生の中に受け入れるというものであった。それは，独力で妊娠と糖尿病の適応調整を行うことであり，そこに葛藤や苦痛が伴う体験であった。そのため，助産師においては，糖尿病をもつ女性の主体性を尊重し，そばに寄り添いながら身体的にも心理的，社会的にも支えていくことにより，妊娠や出産にまつわる体験をwell-beingに導くことが望まれる。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"Purpose:\nTo find out the experiences of women with diabetes in the process from pregnancy through to childbirth.\nSubject and Method:\nThe participants were women who had diabetes as an underlying disease and who had also experienced pregnancy and childbirth. The study design had a qualitative descriptive research methodology. Data were collected using semi-structured interviews. The data were analyzed using a grounded theory approach. The analysis of this study was made up to the axial coding step, and a storyline generation was conducted, which consisted of extracted phenomena and diagram of category relationships by each phenomenon.\nResults:\nThe study involved eight participants with varied backgrounds such as primipara/multipara, vaginal delivery/\ncaesarean section, and type I diabetes mellitus/type II diabetes mellitus. The paradigm was constructed from eight\ndata of the participants, based on our diagram of category relationships. As a result, four phenomena were identified:\n\"making a choice of pregnancy by their own will\"; \"proactively challenging to control their blood-sugar levels\nby trial and error\"; \"fighting to manage there diet during pregnancy\"; and \"accepting the children in their bodies as\nthey are\". Additionally, stories as a process of each phenomenon were drawn out.\nConclusion:\nThe experiences of women with diabetes from pregnancy through to childbirth were: growing sense of controlling\ntheir blood-sugar levels by choosing to be pregnant by their own will; dithering but challenging to find out\nproactively what way is best for themselves in terms of controlling blood-sugar levels during pregnancy; fighting\nto revise or adjust their diet when facing advancing pregnancy; and accepting the children from their bodies with or without deformity, and with or without disease, into their lives. These experiences involved conducting adaptive\nadjustments of pregnancy and diabetes all done by their own efforts, and were associated with conflict and pain.\nTherefore, it is expected that midwives should respect the independence of diabetic women and offer support physically, psychologically, and socially while staying by their sides, so that those experiences associated with pregnancy and childbirth can lead to well-being.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_2_description_5":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"資料","subitem_description_type":"Other"}]},"item_2_full_name_2":{"attribute_name":"著者(ヨミ)","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"アマヤ, マリコ"}]}]},"item_2_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本助産学会","subitem_publisher_language":"ja"}]},"item_2_relation_11":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"info:doi/10.3418/jjam.29.310","subitem_relation_type_select":"DOI"}}]},"item_2_rights_12":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"コンテンツの著作権は、日本助産学会が有する"}]},"item_2_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"09176357","subitem_source_identifier_type":"ISSN"}]},"item_2_source_id_9":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN10216477","subitem_source_identifier_type":"NCID"}]},"item_2_text_33":{"attribute_name":"出版者（ヨミ）","attribute_value_mlt":[{"subitem_text_language":"ja-Kana","subitem_text_value":"ニホンジョサンガッカイ"}]},"item_2_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"天谷, まり子","creatorNameLang":"ja"},{"creatorName":"Amaya, Mariko","creatorNameLang":"en"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2016-02-24"}],"displaytype":"detail","filename":"29_310.pdf","filesize":[{"value":"1.0 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"糖尿病をもつ女性の妊娠から出産にいたるまでの体験","url":"https://niconurs.repo.nii.ac.jp/record/1013/files/29_310.pdf"},"version_id":"ec0410b3-eb7f-42a5-a98a-c6b373ac4be6"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"グラウンデッド・セオリー・アプローチ","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"糖尿病","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"妊産婦","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"体験","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"助産師","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"grounded theory approach","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"diabetes","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"pregnant and parturient women","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"experiences","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"midwives","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"糖尿病をもつ女性の妊娠から出産にいたるまでの体験","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"糖尿病をもつ女性の妊娠から出産にいたるまでの体験","subitem_title_language":"ja"},{"subitem_title":"The experiences of women with diabetes from pregnancy through to childbirth","subitem_title_language":"en"}]},"item_type_id":"2","owner":"15","path":["6"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2016-02-24"},"publish_date":"2016-02-24","publish_status":"0","recid":"1013","relation_version_is_last":true,"title":["糖尿病をもつ女性の妊娠から出産にいたるまでの体験"],"weko_creator_id":"15","weko_shared_id":-1},"updated":"2024-01-30T04:43:20.937402+00:00"}