Concept Analysis of Japanese Nursing Care for Hospitalized Pregnant Women with Threatened Premature Delivery

Yamamoto, Hiromi

Thursday, July 14, 2011

Hiromi Yamamoto, MSN, RM, RN
Department of nursing, Hiroshima International University, Kure, Japan
Nobuko Hirata, PhD, RN, RM
Department of Health Science, Kyusyu University, Fukuoka, Japan

Learning Objective 1: The learner will be able to learn methods of nursing for hospitalized pregnant women with threatened premature delivery by understanding the character of nursing.

Learning Objective 2: The learner will be able to learn methods of nursing for pregnant women who require bed rest or hospitalization.

Recently, the rate of premature delivery has been increasing in Japan and sexually-transmitted diseases are also becoming more common. Treatment for premature delivery tends to be short-term tocolysis in Europe and the United States, while long-term tocolysis in typical in Japan. Therefore, in Japan, patients can encounter problems that are specific to the unique management of premature delivery. For example, patients can experience stress due to limited activity and changes in lifestyle. Although nursing care addresses physical symptoms and psychological and social issues, it has been suggested that nursing care for pregnant women that emphasizes enjoying pregnant life, relaxing at the hospital and the feelings of pregnant women is insufficient. As no systemized nursing approach to caring for these women has been developed, this research was conducted in order to elucidate the characteristics of nursing care for pregnant women with threatened premature delivery.

Data were collected through a literature review. The CINHAL (1989-2008) and MEDLINE (1889-2008) databases were searched using “Hospitalization”, “Bed Rest” and “Pregnancy” as keywords. In addition, the Ichushi web (1989-2008) database was searched using “Hospitalization”, “Bed Rest” and “Threatened Premature Delivery” as keywords. A total of 112 articles were identified. Among the selected articles, 42 describing actual nursing methods and the nursing results were subjected to analysis. Concept-analysis using Rodgers’ method was conducted. Initially, actual nursing methods identified from the results mentioned in articles were extracted and sorted according to attributes, antecedents and consequences. Subsequently, the affinity and difference of each description was analyzed and categorized.

The results identified factors such as a complicating disease as attribute, and nursing care for those factors as antecedents. In addition, consequences such as decreasing anxiety among pregnant women with threatened premature delivery were identified.

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