@article{oai:niigata-u.repo.nii.ac.jp:00025676, author = {住吉, 智子 and 田辺, 義浩 and 佐野, 富子 and 野田, 忠}, issue = {1}, journal = {新潟歯学会雑誌, 新潟歯学会雑誌}, month = {Jul}, note = {We investigated the interaction between child patients and their mothers during dental treatment. Subjects were 5 pairs of mother-child who visited the Pediatric Dentistry of Niigata University Dental Hospital. The age of the children ranged from 5 to 7 years. The behavior of the mothers during dental treatment of their children was observed with consideration for negative behavior of their children. The results were as follows: 1) In 117 scenes, the behavior of the 5 children was assessed (33 scenes (28.1%) were Definitely negative, 23 scenes (19.7%) were negative, 34 scenes (29.1%) were Definitely positive and 27 scenes (23.1%) were positive behavior). 2) In 117 scenes, the behavior of the 5 mothers was assessed (42 scenes (35.9%) were positive support, 38 scenes (32.5%) were passive support and 37 scenes (31.6%) were observing in silence. 3) Of the mothers' approaches to the children, the most frequent action was calling the child's name and saying words of encouragement (32.5%). Others were giving instructions and controlling the child's behavior(24.2%), explaining (22.5%) and scolding'' (9.1%). The remaining actions (12.5%) were allocated into other action. 4) The results of the present study indicated that the roles of the mothers for their children at dental situation were supporting them for overcoming the treatment, alleviating their stress and allaying their fearful feeling., 今回我々は、小児が歯科治療に付き添う母親から、どのような影響を受けているかを明らかにすることを目的として、歯科治療時に不適応を認める患児について母子の行動を評価した。対象は新潟大学歯学部附属病院小児歯科診療室を受診した患児と母親5組とした。結果を以下に示す。 1)5組の患児の適応状態評価場面は117場面あり、「Definitely negative」は33場面(28.1%)であり、「Negative」は23場面(19.7%)であった。「Definitely positive」は34場面(29.1%)、「Positive」は27場面(23.1%)であった。 2)5組の母親の行動評価場面は117場面あり、「積極的支援」は42場面(35.9%)、「消極的支援」は38場面(32.5%)、「注視・沈黙」は37場面(31.6%)であった。 3)5組の母親の患児への言動は「呼名・はげまし」(32.5%)が最も多く、続いて「指示・制止」(24・2%)、「説明」(22.5%)であった。最も少なかったのは「叱責」(9.1%)であり、分類されなかったものは「その他」(12.5%)とした。 4)歯科治療に付き添う母親は患児に対し「治療・処置への支援」、「治療時のストレスの共有」および「不安や恐怖心の緩和」を行っており、小児患者はこれらの役割を母親に期待していることが示唆された。}, pages = {23--29}, title = {歯科治療時における不適応児とその母親の行動観察}, volume = {33}, year = {2003} }