{"created":"2023-06-19T13:30:24.256376+00:00","id":306,"links":{},"metadata":{"_buckets":{"deposit":"140e9d4e-3b6e-4bdd-8a33-800ddb6b5f66"},"_deposit":{"created_by":14,"id":"306","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"306"},"status":"published"},"_oai":{"id":"oai:jrckicn.repo.nii.ac.jp:00000306","sets":["2"]},"author_link":["1039","315","1040"],"control_number":"306","item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-10-02","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"21","bibliographicPageStart":"8","bibliographicVolumeNumber":"20","bibliographic_titles":[{"bibliographic_title":"日本助産学会誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Journal of Japan Academy of Midwifery","bibliographic_titleLang":"en"}]}]},"item_10001_description_19":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"目　的\r\n　自然流産後夫婦の関係変化とその要因を明らかにし，夫婦を対象としたケアの方向性，援助方法を考案する基礎資料とする。\r\n方　法\r\n　自然流産後3か月から2年経過し，掲示やホームページによる公募に応じた夫婦を対象とし，後方視による関係変化についての記述内容をデータとして，質的，帰納的に内容分析を行った。\r\n結　果\r\n　166名（男性14名，女性152名）が，流産後の夫婦関係の変化内容を記述し，その内容177件をデータとした。夫婦関係の変化内容として【個の成長・成熟と夫婦関係のよい循環過程】，【親密な良い関係のさらなる向上】，【関係の深化と発展】という3つのポジティブな変化と【希薄な悪い関係のさらなる悪化】，【関係の断絶と破綻】という2つのネガティブな変化が得られた。\r\n　ネガティブ変化にかかわる要因として【事実誤認と相互理解の困難】，【配偶者を負の方向で評価】，【悲哀のプロセスの共有困難】，【普段の夫婦関係が希薄】，【子どもを持つことについての感情や思考のすれ違い】，【性生活の困難】，【夫婦としての存在意味喪失】の7つが得られた。\r\n　ポジティブ変化にかかわる要因として【適切な事実認識】，【配偶者の肯定的評価】，【自己開示と自己確認】，【悲哀のプロセス共有】，【関係向上への努力】，【親としての自覚と努力】の6つが得られた。\r\n結　論\r\n　流産は衝撃的な対象（胎児）喪失体験であり，危機的状況を引き起こす重大なストレス因子であること，夫婦関係創成期，家族創成期に困難を連続して体験すること，親になる意思確認や夫婦，あるいは家族であることの確認の機会であること，正しい事実認識や悲哀のプロセス共有が危機的状況を乗り越える鍵となり，個と夫婦の発達を促す契機にもなり得るが，反対に感情や思考のすれ違いが生じやすく，関係の断絶と破綻も生じやすいことが示唆された。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"Purpose\nThe aim of this study was to explore the ways miscarriage can alter a couple's marital relationship and its related factors.\nMethod\nA qualitative, contextual analysis was conducted of 166 subjects--women who had miscarried from three months to two years earlier and their spouses. They were recruited by notices on bulletin board at women's centers, through an Internet Web Site, and through acquaintances. An open-ended question, “How did the miscarriage alter/ affect your relationship?” was asked on questionnaires. 14 males and 152 females responded, describing changes in their relationship after miscarriage. The descriptions were coded into 177 data, which were grouped and analyzed using inductive and contextual methods.\nResults\nThe contents were compiled into five categories: two negative changes-a worsening of a shallow relation and the aggravation and breakdown of the relation; and three positive changes-better cycle of the development and maturing of each person as an individual and as a couple; a deepening and evolving of each couple’s relation; and a\nimprovement of intimate relations. Eight factors were involved in the negative changes: a) mutual misunderstanding of the difficulties encountered; b) a negative judgment of one’s spouse; c) an inability to share the mourning process; d) a continued shallow marital relationship; e) a decrease in communication; f) a lack of agreement on the desirability of having a child; g) sexual difficulties; and h) a general doubting of the value of remaining as a couple. Seven factors were involved in the positive changes: a) strengthening of the couple's bond by sharing the difficulty;\nb) a recognition of the miscarriage and his/her spouse's reaction; c) a positive evaluation of his/her spouse; d) an open-mindedness to the partner and reconfirmation of his/her own feelings toward the partner; e) a sharing of the mourning process; f) an affirmation of and commitment to improve the marital relationship; and g) a selfawareness and striving for being a parent.\nConclusion\nThese results reconfirmed that a miscarriage is a major stress factor which can cause a crisis in a marital relationship. They also suggest that the ways that women and men face the miscarriage and faced themselves and whether they share the mourning process relates to the development of the relationship. The data also suggests\nthat a miscarriage lets the couple confirm whether they want to have a child or not. Finally, the data suggests that a miscarriage, if encountered positively, can help the couple grow from growth into an existential humanistic relationship.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本助産学会"}]},"item_10001_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"一般社団法人日本助産学会"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.jyosan.jp/","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"日本助産学会誌(J-STAGE)"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.jstage.jst.go.jp/browse/jjam/-char/ja/","subitem_relation_type_select":"URI"}}]},"item_10001_relation_18":{"attribute_name":"他の資源との関係","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"J-STAGE版"}],"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.3418/jjam.20.2_8","subitem_relation_type_select":"DOI"}}]},"item_10001_rights_15":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"©2006 日本助産学会"},{"subitem_rights":"本文データは学協会の許諾に基づきJ-STAGEから複製したものである。"}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN10216477","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1882-4307","subitem_source_identifier_type":"EISSN"}]},"item_10001_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"TAKENOUE, Keiko","creatorNameLang":"en"},{"creatorName":"竹ノ上, ケイ子","creatorNameLang":"ja"},{"creatorName":"タケノウエ, ケイコ","creatorNameLang":"ja-Kana"}],"familyNames":[{},{},{}],"givenNames":[{},{},{}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"SATOH, Tamami","creatorNameLang":"en"},{"creatorName":"佐藤, 珠美","creatorNameLang":"ja"},{"creatorName":"サトウ, タマミ","creatorNameLang":"ja-Kana"}],"familyNames":[{},{},{}],"givenNames":[{},{},{}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"TSUJI, Keiko","creatorNameLang":"en"},{"creatorName":"辻, 恵子","creatorNameLang":"ja"},{"creatorName":"ツジ, ケイコ","creatorNameLang":"ja-Kana"}],"familyNames":[{},{},{}],"givenNames":[{},{},{}],"nameIdentifiers":[{},{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2013-08-09"}],"displaytype":"detail","filename":"★自然流産後の夫婦が感じた関係変化とその要因.pdf","filesize":[{"value":"953.8 kB"}],"format":"application/pdf","license_note":"著作財産権は、すべて学会に帰属する。https://www.jyosan.jp/modules/journal/index.php?content_id=1","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"本文","url":"https://jrckicn.repo.nii.ac.jp/record/306/files/★自然流産後の夫婦が感じた関係変化とその要因.pdf"},"version_id":"f9226b97-2b11-4c2f-af48-e3a5e3d4a8cb"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"自然流産","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"夫婦関係の変化内容","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"変化の要因","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"記述内容分析","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"miscarriage","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"spontaneous abortion","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"altered marital relationship","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"factor","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"content analysis","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"}]},"item_title":"自然流産後の夫婦が感じた関係変化とその要因 : 体験者の記述内容分析から","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"自然流産後の夫婦が感じた関係変化とその要因 : 体験者の記述内容分析から","subitem_title_language":"ja"},{"subitem_title":"An exploratory study of miscarriage on altered marital relationships and factors","subitem_title_language":"en"},{"subitem_title":"シゼン リュウザンゴ ノ フウフ ガ カンジタ カンケイ ヘンカ ト ソノ ヨウイン : タイケンシャ ノ キジュツ ナイヨウ ブンセキ カラ","subitem_title_language":"ja-Kana"}]},"item_type_id":"10001","owner":"14","path":["2"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2013-08-09"},"publish_date":"2013-08-09","publish_status":"0","recid":"306","relation_version_is_last":true,"title":["自然流産後の夫婦が感じた関係変化とその要因 : 体験者の記述内容分析から"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2024-01-24T00:29:12.418140+00:00"}