@article{oai:mie-u.repo.nii.ac.jp:00014762, author = {大北, 真弓 and Okita, Mayumi}, journal = {三重看護学誌, Mie Nursing Journal}, month = {Mar}, note = {application/pdf, The aim of this study was to clarify how nurses perceived the signs and causes of pain experienced by children with severe motor and intellectual disabilities (SMID). Eight visiting nurses participated in a semi-structured interview. The extracted qualitative data was analyzed using Berelson’s Content Analysis. As a result, the causes of pain recognized by nurses were 11 categories, including "sputum and suction" and "body position changing". The signs of pain recognized by nurses were 8 behavioral responses, including "crying", "frowning" and "tensing," and 3 physiological responses such as "increased heart rate". To prevent or relieve the pain of children with SMID, it is necessary to understand for nurses the pain of children with SMID, and to assessment their pain correctly., 本研究の目的は,重症心身障害児が経験する痛みのサインと原因を看護師がどのように捉えているのかを明らかにすることであった.重症心身障害児を看ている訪問看護師8名を対象に,面接調査を実施した.抽出された定性データは,Berelsonの内容分析法を用いて分類した.結果,看護師が認識した痛みの原因は,「痰の貯留や吸引」「体位変換」など11カテゴリーであった.痛みのサインは,「涙を流したり,泣き顔になったりする」「筋緊張が強くなる」などの8つの行動反応と,「心拍数の増加」など3つの生理学的反応であった.看護師は,重症心身障害児の痛みを予防または緩和するために,痛みに関する知識を持ち,痛みを正しく捉える力を習得する必要がある.}, pages = {17--24}, title = {看護師が捉えた重症心身障害児の痛みのサインと原因}, volume = {24}, year = {2022}, yomi = {オオキタ, マユミ} }