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en: Relationship between reasons for not undergoing cervical cancer screening and the intention to undergo screening in the future among nursing university students in Japan

ja: 女子看護大学生における子宮頸がん検診未受診理由と今後の受診意向との関連

en:
 Objective : The aim of this study was to clarify the relationship between reasons for not undergoing cervical cancer screening and the intention to undergo screening in the future among female nursing university students.

Methods : A questionnaire survey was conducted for female nursing students enrolled at a university in Japan. The survey was conducted using Microsoft Forms in September and October in 2023. This study was approved by the Ethics Committee of Tokushima University Hospital.

Results : Data from 233 students were analyzed. Knowledge regarding cervical cancer and screening was significantly higher among 2nd, 3rd, and 4th-year students compared with 1st-year students (p = 0.001, p < 0.001, and p < 0.001, respectively). Among the 233 students, 148 were aged 20 years or older, and of these, 18.2% had a history of cervical cancer screening. The screening rate was 22.6% among students in the 3rd year and above. Among students without a history of screening, those who did not intend to undergo screening in the future had significantly higher 'concerned about bleeding' (p = 0.04) and 'it does not concern me as a young person' (p = 0.02) responses than those who intended to undergo screening in the future.

Conclusions : To promote cervical cancer screening, it is important to raise awareness with a focus on preconception care, enabling individuals to recognize their future risk of cervical cancer. Furthermore, expanding the content of current informational leaflets to include more details about bleeding and its management could help alleviate concerns. Continuous outreach through smartphones targeting both young women and their mothers, as well as further improvements to the screening provision system to improve accessibility, are necessary to ensure greater participation.

ja:
抄 録 目的:本研究は，女子看護大学生を対象とし，子宮頸がん検診未受診理由と今後の受診意向の関連を明らかにすることを目的とした．

方法:地方都市にあるA大学に在籍している1年生から4年生の女子看護大学生を対象に，2023年9月から10月にMicrosoft Formsを用いて質問紙調査を実施した．本研究は倫理審査委員会の承認を受け対象者の同意を得て実施した．

結果:233名を分析対象とした(有効回答率82．3%)．子宮頸がんと検診に関する知識数は1年生より2年生，3年生，4年生のほうが有意に多かった (p=0．001，p<0．001，p<0．001)．子宮頸がん検診対象者である20歳以上の学生(n=148)の受診率は18．2%で，3年生以上の学生(n=115)では22．6%であった．子宮頸がん検診受診歴がない者のうち，今後も受診しない群 (n=43，35．5%) は，今後は受診したい群 (n=78，64．5%) よりも「出血しそうだから」と思う者の割合が有意に高く (p=0．04)，「若い自分には無関係だと思うから」と思う者の割合が有意に高かった (p=0．02)．

結論:子宮頸がん検診の啓発においては，プレコンセプションケアを念頭に，将来の子宮頸がん罹患リスクを我が事として捉えられるよう啓発すること，検査時や検査後の出血に関する情報や出血した際の対処法にも焦点をあてて現行のリーフレット内容を拡充し出血に対する予期不安を和らげることの重要性が示唆された．また，検診対象者とその母親に対するスマートフォンを活用した継続的な働きかけや，多忙な中でも受診しやすい検診提供体制の更なる拡充が必要であると思われる．

en: JNI : The Journal of Nursing Investigation


en: Concerns in daily life of fathers of 2- to 3-month-old infants

ja: 生後2∼3か月の児を育てる父親が日々の生活の中で悩んだ状況

en: Shikoku Acta Medica

ja: 四国医学雑誌


en: Experiences of husbands attending their wives' childbirth

ja: 立ち会い分娩をした夫の体験

en: 目的:本研究では，立ち会い分娩をした夫の体験を明らかにすることを目的とする． 方法:本研究に同意の得られた，初産婦の夫11名を対象として，妻の産褥入院期間中に，インタビューガイドに基づき，入院から分娩後2時間までの体験についてインタビューを行い，質的記述的に分析した． 結果:立ち会い分娩における夫の体験として，171のエピソード，44のコード，16のサブカテゴリーが抽出され，【わが子を迎える喜びと感動が湧く】，【無力な自分にとにかくできることを手探りでやってみる】，【母親となる妻へ称賛の念を抱く】，【父親としての意識が芽生える】，【医療者にさまざまな感情を抱きながら，任せる】，【自分なりに分娩の様相を読み取ろうとする】の6つのカテゴリーが抽出された． 結論:夫は，わが子を迎える喜びと感動が湧く中で，自分の無力さを感じながら，それでも自分にできることを手探りでやろうとしている様子が伺えた．医療者には，苦しむ妻を前にして，自分の辛さや不安を表出することなく，ひたすら立ち会い続けている夫の心情を酌み取り，夫にとってもよい分娩体験となるような関わりが求められる．

ja: JNI : The Journal of Nursing Investigation


en: Anxieties and Care Needs of Fathers with Multiple-Birth Children

en: Purpose: The purpose of this study was to ascertain the feelings of uneasiness that fathers of multiple births may have had during their wives' pregnancy, labor, and post-delivery periods. Method: For this study, questionnaires related to anxiety were distributed to 50 fathers-to-be of multiple births, of which 29 gave valid responses. Result and Conclusion: Of this number, 26 were expecting twins, and 3 were awaiting triplets. Fifteen were becoming fathers for the first time, and 14 already had children. According to the questionnaire responses, the fathers were most worried about the safe delivery of their babies and the care of their wives during pregnancy. The support of the grandparents was considered indispensable due to time and cost involved, especially in cases where older siblings existed. In addition, the fathers felt they needed advice concerning pre- and post-partum childcare to make the difficult but necessary decisions. Based on these results, we feel it is necessary to provide sufficient information to new fathers concerning multiple birth pregnancy care and parturition resulting from sterility treatment. In addition to being present to support their wives, fathers-to-be also require support themselves, either from family members or other parents with multiple birth experience.


en: Factors associated with the discontinuation of breastfeeding until 3 months after delivery

en: Study Purpose : The purpose of this study was to calculate the degree of the influences of factors affecting the discontinuation of breastfeeding until 1 month after delivery on that until 3 months after delivery, and to identify indicators of the discontinuation of breastfeeding until3months. Methods : The subjects were 60 mothers who delivered a single infant and initiated breastfeeding in an early puerperal stage after full-term vaginal delivery. As possible indicators of breastfeeding until 3 months after delivery, 3 breast morphological factor variables(``nipple morphological abnormalities : flat nipples, true inverted nipples, and large nipples ≥17 mm in diameter'', ``nipple fissures'', and ``mammary gland tissue thickness ≤21 mm'')and5factors (bleeding volume at delivery, birth weight, the absence of breastfeeding in the last child, a smoking habit, and the absence of breastfeeding at discharge)were surveyed. The 8 factors were surveyed at the time of puerperal discharge. The continuation of breastfeeding 3 months after delivery was ascertained by telephone. The degree of the influences of each factor on the milk feeding form was analyzed by Fisher's exact method and logistic regression analysis. Results and conclusion Factors affecting the milk feeding form 3 months after delivery Among the 8 possible factors leading to the discontinuation of breastfeeding, the absence of breastfeeding at discharge(Fisher p＝0．003)alone compared with its presence resulted in mixed/ bottlefeeding 3 months after delivery. The odds ratio of each factor in the mother/child was 1．931 for the thickness of mammary gland tissue, 1．677 for bleeding volume at delivery, 2．502 for the absence of breastfeeding in the last child, and 7．337 for the absence of breastfeeding at discharge. By logistic regression analysis, only the absence of breastfeeding at discharge was correlated with mixed/bottlefeeding 3 months after delivery(odds ratio, 7．337 ; p＝0．017). These results suggest that the absence of breastfeeding at discharge is an indicator of the discontinuation of breastfeeding until 3 months after delivery.


en: Relationship between mammary gland structures during pregnancy and breast-feeding

en: Study Purpose Diagnostic indices for prediction of breast milk production and assessment of care necessary for mammary gland structure during the pregnancy period were investigated. Methods Development of mammary gland during the pregnancy period was examined via ultrasound methodology. Each subject underwent three measurements once per trimester. Quantity of post-partum breast milk production was also measured ; furthermore, the relationship between mammary gland image and production quantity was evaluated. Results and conclusion As previously reported, mammary gland reaches a certain level of development during the course of pregnancy. Four distinct types of developmental pattern were observed. Mammary gland exhibited remarkable development up to the 15th week of pregnancy in comparison with non-pregnant adult females in type 1. In type 2, mammary gland displayed significant development from the 16th to the 35th week of pregnancy. In types 3 and 4, mammary gland tissue development, which was apparent from 35 weeks, was characterized by gland thickness of > 20 mm and < 20 mm, respectively. Among these four types, type 1 mammary gland demonstrated the largest level of breast milk production. Therefore, we suggest that understanding with respect to mammary gland structure during pregnancy contributes toward individual support in breast-feeding following childbirth.


en: つわりの推移ならびに重症度と自律神経活動度との関連

ja: つわりの推移ならびに重症度と自律神経活動度との関連

en: 神戸大学大学院保健学研究科紀要

ja: 神戸大学大学院保健学研究科紀要