@article{oai:ryotokuji-u.repo.nii.ac.jp:00000466, author = {山口, 真理 and Yamaguchi, Mari}, issue = {15}, journal = {了德寺大学研究紀要, The Bullentin of Ryotokuji University}, month = {}, note = {保健師が母子健康手帳交付時の面接において,どのような点に継続支援の必要性を感じ,養育ハイリスク妊婦と判断していくのかを明らかにすることである.  母子健康手帳交付面接を実施している自治体保健師11名に対し,妊婦との面接でどのような点に気づき,どのように養育ハイリスク妊婦と判断していくのかについて,半構成的インタビューを行った.  保健師が養育ハイリスク妊婦と判断していく過程として,時間を軸とした段階を経ていた.面接前の第一印象での気づきの段階では【妊婦に対する違和感】,面接を通しての気づきの段階では【ハイリスクな妊娠の経緯】【養育に影響しかねない妊婦に関する気がかり】【養育につながる父親(パートナー)に関する気づき】【妊婦をサポートする情報の捉え】というカテゴリーが抽出された.保健師は最終的に,経済的な情報の探り,養育能力の探り,周囲のサポートの探りという3つの点から養育ハイリスク妊婦について判断し,家庭訪問,見守り,ネットワークの構築という支援につなげていた., To clarify how and on what aspects public health nurses feel necessity of continued support as well as determine pregnant women to have a high-risk in child rearing during interview at the time of maternity record book issuance. A semi-structured interview was conducted for 11 public health nurses of local governments which conducted interviews for maternity record book issuance regarding aspects they recognized during interviews with pregnant women and way of determination of high-risk in their child rearing.  In the process of determination of high-risk of child rearing in pregnant women, public health nurses passed through stages along the axis of time. While a category of [Feeling of strangeness] was extracted during a stage of awareness by first impression before interview, those of [History of pregnant women with high-risk], [Concern about pregnant women with possible impacts on child rearing], [Awareness regarding father (partner) related to child rearing] and [Capturing of information regarding support for pregnant women] were extracted during a stage of awareness through interviews. Finally, public health nurses determined pregnant women with high-risk in child rearing based on research on three points, i.e., economic information, child rearing capability and support by surrounding people, resulting in providing supports by way of home visit, watching and building of network.}, pages = {81--96}, title = {母子健康手帳交付面接での保健師の養育ハイリスク妊婦への気づき}, year = {2021}, yomi = {ヤマグチ, マリ} }