Journal Article 児童養護施設に入所している思春期女子の心身の変化の特徴
Changes in bodies and minds reported by adolescent girls in the home for children : their characteristics and coping strategies toward these changes

柚山, 香世子

23 ( 1 )  , pp.53 - 61 , 2017-08-31 , 千葉看護学会
[抄録] 本研究の目的は,児童養護施設に入所している思春期女子の心身の変化に対する認識とその変化に対する疑問への対処,及び関連する要因を明らかにすることである。児童養護施設に入所している12歳から15歳(小学6年生から中学3年生)の思春期女子10名を対象に半構造化面接を実施し,質的帰納的分析により以下の結論を得た。1.児童養護施設に入所している思春期女子の心身の変化に対する認識とその変化に対する疑問への対処の特徴は,二次性徴,月経周期,被虐待体験からの情緒の不安定さ,大人になることへの不安と抵抗があること,人との付き合いの難しさ(大人への関わり,友人関係,異性関係)をもつ一方で,環境を受け入れる力も持ち合わせていた。2.児童養護施設に入所している思春期女子への支援として,子どもの心身の変化への科学的な知識や対応する技術を持つ看護職は,学校の養護教諭だけでなく,施設の中にも必ず存在し,施設職員と連携し,前述した子どもの特徴に配慮した性(生)に関する支援を行う必要があると考える。
[ABSTRACT] The purposes of this study were to identify whether adolescent girls admitted to the home for children recognized a variety of changes that were taking place in their bodies and minds during their adolescence, why these changes were happening to them, and in what ways they were coping with these changes. Subjects consisted of ten adolescent girls, age 12 to 15 years (from the grade 6th through the senior year of middle school). Semi-structured interviews with qualitative-inductive data analysis methods were used. The results of this study revealed following two major findings: 1. The characteristics of the adolescent girls’ recognitions toward their changes in minds and bodies and their coping strategies toward these changes include secondary sex characteristics, menstrual periods, emotional instability resulted from experiences of being abused, feeling afraid of and resistive toward becoming adults, and experiencing difficulties with establishing relationships with others, i.e., relating to adults, friends, and males, while on the other hand, demonstrating abilities to adapt to environmental changes in general. 2. In order to assist the girls resident in the children’s home, professional nurses equipped with scientific knowledge and expertise on the changing health needs of these residents must not only act as typical school nurses, but also be present with them in the facility on a day-to-day basis, coordinate carefully with facility staff, and support the girls in learning about their own sexuality (both biologically and in terms of lifestyle).

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