{"created":"2022-05-26T01:21:25.121313+00:00","id":2000505,"links":{},"metadata":{"_buckets":{"deposit":"17bf8ede-d7d3-4db2-8c23-44942d153110"},"_deposit":{"id":"2000505","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"2000505"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:02000505","sets":[]},"author_link":[],"item_1627361970403":{"attribute_name":"\u51fa\u7248\u30bf\u30a4\u30d7","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_7_biblio_info_6":{"attribute_name":"\u66f8\u8a8c\u60c5\u5831","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-06","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"26","bibliographicPageStart":"19","bibliographicVolumeNumber":"44","bibliographic_titles":[{"bibliographic_title":"\u65b0\u6f5f\u6b6f\u5b66\u4f1a\u96d1\u8a8c","bibliographic_titleLang":"ja"}]}]},"item_7_description_4":{"attribute_name":"\u6284\u9332","attribute_value_mlt":[{"subitem_description":"To improve treatment success, the present study aimed to identify ideal treatment for cleft lip and palate from the perspective of patients and their families by investigating maternal feelings and the treatment decision-making process. Semi-structured interviews were conducted on 8 mothers (age range, 33-43 years) of children with cleft lip and palate who had completed first-line surgical treatment at Niigata University Medical & Dental Hospital. Verbatim transcripts were created, and then the data were coded for each context and categorized by repeated comparison and integration to derive the main concepts. The following concepts were extracted regarding maternal feelings and treatment decision-making from the time of the child's birth: 'shock and confusion'; 'feelings of self-condemnation as a mother'; 'uncertainty about treatment and the future'; 'the possibility of surgery and the feeling of overcoming treatment'; 'a positive attitude toward treatment'; 'parent-child conflict and respect for the child's wishes'; 'help through information and support from medical professionals'; 'help through information and support from families with children with the same condition'; 'help through support from family members'; and 'trust toward medical professionals'. The following two structures were then identified based on these categories: 'a cycle of uncertainty toward treatment', and 'changes in maternal feelings coming to grips with treatment'. The present findings demonstrate that, to provide high quality treatment incorporating the perspective of patients and their families, comprehensive and continuous support based on informed consent and an understanding of the structure of maternal feelings and treatment decision-making are needed.","subitem_description_language":"en","subitem_description_type":"Other"},{"subitem_description":"\u53e3\u5507\u53e3\u84cb\u88c2\u6cbb\u7642\u3092\u6210\u529f\u306b\u5c0e\u304f\u305f\u3081\u306b\uff0c\u60a3\u8005\u304a\u3088\u3073\u5bb6\u65cf\u306e\u7acb\u5834\u306b\u7acb\u3063\u305f\u6cbb\u7642\u306e\u3042\u308a\u65b9\u3092\u898b\u3044\u3060\u3059\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u3066\uff0c\u6bcd\u89aa\u306e\u5fc3\u60c5\u3068\u6cbb\u7642\u306b\u5bfe\u3059\u308b\u610f\u601d\u6c7a\u5b9a\u904e\u7a0b\u3092\u8abf\u67fb\u3057\u305f\u3002\u5bfe\u8c61\u306f\u65b0\u6f5f\u5927\u5b66\u533b\u6b6f\u5b66\u7dcf\u5408\u75c5\u9662\u3067\u5916\u79d1\u4e00\u6b21\u6cbb\u7642\u3092\u7d42\u4e86\u3057\u305f\u53e3\u5507\u53e3\u84cb\u88c2\u5150\u306e\u6bcd\u89aa8\u540d(\u5e74\u9f62:33\uff5e43\u6b73)\u3068\u3057\u305f\u3002\u534a\u69cb\u9020\u5316\u9762\u63a5\u3092\u884c\u3044\uff0c\u9332\u97f3\u3057\u305f\u9010\u8a9e\u9332\u3092\u30c7\u30fc\u30bf\u3068\u3057\u305f\u3002\u30c7\u30fc\u30bf\u306f\u6587\u8108\u3054\u3068\u306b\u30e9\u30d9\u30eb\u3092\u3064\u3051\uff0c\u6bd4\u8f03\u3068\u7d71\u5408\u3092\u7e70\u308a\u8fd4\u3059\u3053\u3068\u3067\u30ab\u30c6\u30b4\u30ea\u30fc\u5316\u3092\u884c\u3044\uff0c\u4e3b\u8981\u6982\u5ff5\u3092\u5c0e\u3044\u305f\u3002\u305d\u306e\u7d50\u679c\uff0c\u6bcd\u89aa\u306e\u5fc3\u60c5\u3068\u6cbb\u7642\u306e\u610f\u601d\u6c7a\u5b9a\u306b\u95a2\u308f\u308b\u6982\u5ff5\u3068\u3057\u3066\uff0c\u53e3\u5507\u53e3\u84cb\u88c2\u5150\u306e\u51fa\u751f\u306b\u59cb\u307e\u308a\uff0c\u3008\u30b7\u30e7\u30c3\u30af\u3068\u6238\u60d1\u3044\u3009\u3008\u6bcd\u89aa\u3068\u3057\u3066\u306e\u81ea\u8cac\u611f\u3009\u3008\u6cbb\u7642\u3068\u5c06\u6765\u3078\u306e\u4e0d\u5b89\u3009\u3008\u624b\u8853\u306e\u53ef\u80fd\u6027\u3068\u6cbb\u7642\u3092\u4e57\u308a\u3053\u3048\u305f\u5b9f\u611f\u3009\u3008\u6cbb\u7642\u3078\u306e\u524d\u5411\u304d\u306a\u59ff\u52e2\u3009\u3008\u89aa\u5b50\u306e\u5bfe\u7acb\u3068\u5b50\u3069\u3082\u306e\u610f\u601d\u306e\u5c0a\u91cd\u3009\u3008\u533b\u7642\u8005\u304b\u3089\u306e\u60c5\u5831\u3068\u30b5\u30dd\u30fc\u30c8\u306e\u6551\u3044\u3009\u3008\u540c\u75c5\u8005\u306e\u5bb6\u65cf\u304b\u3089\u306e\u60c5\u5831\u3068\u30b5\u30dd\u30fc\u30c8\u306e\u6551\u3044\u3009\u3008\u5bb6\u65cf\u304b\u3089\u306e\u30b5\u30dd\u30fc\u30c8\u306e\u6551\u3044\u3009\u3008\u533b\u7642\u8005\u306b\u5bfe\u3059\u308b\u4fe1\u983c\u3009\u304c\u62bd\u51fa\u3055\u308c\u305f\u3002\u307e\u305f\uff0c\u62bd\u51fa\u3055\u308c\u305f\u30ab\u30c6\u30b4\u30ea\u30fc\u304b\u3089\uff0c\u6cbb\u7642\u306b\u5bfe\u3059\u308b\u4e0d\u5b89\u306e\u30b5\u30a4\u30af\u30eb\u3068\uff0c\u6cbb\u7642\u306b\u53d6\u308a\u7d44\u3080\u6bcd\u89aa\u306e\u5fc3\u60c5\u306e\u5909\u5316\u3068\u3044\u30462\u3064\u306e\u69cb\u9020\u304c\u898b\u3044\u3060\u3055\u308c\u305f\u3002\u60a3\u8005\u304a\u3088\u3073\u5bb6\u65cf\u306e\u8996\u70b9\u3092\u53d6\u308a\u5165\u308c\u305f\u8cea\u306e\u9ad8\u3044\u6cbb\u7642\u3092\u5b9f\u8df5\u3059\u308b\u305f\u3081\u306b\u306f\uff0c\u6bcd\u89aa\u306e\u5fc3\u60c5\u3068\u6cbb\u7642\u306b\u5bfe\u3059\u308b\u610f\u601d\u6c7a\u5b9a\u306e\u69cb\u9020\u3092\u7406\u89e3\u3057\u305f\u3046\u3048\u3067\uff0c\u30a4\u30f3\u30d5\u30a9\u30fc\u30e0\u30c9\u30b3\u30f3\u30bb\u30f3\u30c8\u3092\u57fa\u76e4\u3068\u3057\u305f\u5305\u62ec\u7684\u3067\u7d99\u7d9a\u7684\u306a\u652f\u63f4\u306e\u5fc5\u8981\u6027\u304c\u793a\u3055\u308c\u305f\u3002","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_7_publisher_7":{"attribute_name":"\u51fa\u7248\u8005","attribute_value_mlt":[{"subitem_publisher":"\u65b0\u6f5f\u6b6f\u5b66\u4f1a","subitem_publisher_language":"ja"}]},"item_7_source_id_11":{"attribute_name":"\u66f8\u8a8c\u30ec\u30b3\u30fc\u30c9ID","attribute_value_mlt":[{"subitem_source_identifier":"AN00182415","subitem_source_identifier_type":"NCID"}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0385-0153","subitem_source_identifier_type":"PISSN"}]},"item_access_right":{"attribute_name":"\u30a2\u30af\u30bb\u30b9\u6a29","attribute_value_mlt":[{"subitem_access_right":"open 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Theory Approach","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"children with cleft lip and palate","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"mental support for mothers","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"the treatment decision-making process","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"informed consent","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"\u8a00\u8a9e","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"\u8cc7\u6e90\u30bf\u30a4\u30d7","attribute_value_mlt":[{"resourcetype":"departmental bulletin 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