@article{oai:nagoya.repo.nii.ac.jp:00027421, author = {浦田, 有香 and 永田, 雅子 and URATA, Yuka and NAGATA, Masako}, journal = {名古屋大学大学院教育発達科学研究科紀要. 心理発達科学}, month = {Dec}, note = {This review aimed to examine the psychological supports for Infants admitted to a NICU and their families. We picked up on domestic and foreign studies on early intervention to build and promote the relationship between infants in NICU and their families, especially their mothers. The support for infants in NICU and their families varies across the ages. In Japan, medical treatments for the infants gave priority to survival without subsequent complications until the 1990s. Therefore, their families had troubles to rear the children and to form an attachment with them because of the limitation of family visits. However, Developmental Care (DC) and Family-Centered Care (FCC) were introduced to Japan. DC adjusted the stimulations such as lights, sounds, pains and positions relating with the infants in NICU. Moreover, FCC made their families involve in the nursing care actively. With these cares, medical staffs in NICU treated the infants in NICU as original individuals and respect their families’ opinions. Based on DC, FCC, approaches focusing on infants’ competence such as NBAS and NIDCAP came into use. NBAS was a tool to assess infants’ social interaction, motor system as well as autonomic nerve system. It was widely used not only as an assessment tool, but also as a research tool. According to many researchers, NBAS was effective to promote the relationship between infants and their families. Therefore, NBAS came into use for clinical purpose (Nugent, Brazelton, 1989). NIDCAP was a newborn individualized developmental care and assessment program. NIDCAP made individual nursing care plan for premature infants according to their behaviors. NBO was a family-based, relationship building tool. NBO was based on Clinical NBAS. It aimed to foster positive parent-infant interaction. To share infants’ features with their families was an important concept. Studies on NBO revealed that NBO relieved maternal depression (Nugent, Bartlett, & Valim, 2014). Moreover, NBO was simple and not invasive. Thus, it was used by doctors, nurses, midwives, physical therapist and clinical psychologists in hospital, clinics and home visit(Nicolson, 2015 ; Holland, & Watkins, 2015). However, there are few research about the efficacy of NBO. Especially in Japan, psychological supports for Infants admitted to a NICU and their families have not been established yet. Therefore, a preliminary study was conducted to investigate the possibility of utilization of NBO in NICU as an intervention for infants and their families. We made interviews with four clinical psychologists in NICU (3 interviewees to be analyzed). Results showed that NBO was useful to promote mothers’ responsiveness to their infants. Moreover, the clinical psychologist in NICU tried to improve the way to share the infants’ features with the families. Furthermore, they have some difficulties utilizing NBO because NICU had not made enough preparations to receive it. However, there were still very few research about NBO. Further studies and practices about NBO were expected in Japan.}, pages = {79--92}, title = {NICUに入院する新生児とその家族の支援方法としての新生児行動観察(The Newborn Behavioral Observation system:NBO)の活用性についての検討 : 新生児とその家族への支援に関するレビューと今後の展望}, volume = {65}, year = {2018} }