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Authorship：Coinvestigator(s)  Grant type：Competitive

To explore the experiences accompanying the grief of families who have lost a child, a visual narrative method (drawing interviews) was used to investigate the past, present, and future relationships with the child, as well as the grief, targeting parents who have lost a child. A total of 56 drawings were collected from 16 participants, and pattern analysis and case studies were conducted based on their narratives.The changes in the relationship with the child were characterized by a reversal of roles between subject and object, such as transitioning from "embracing" and "watching over" in the past and present, to being "embraced" and "watched over."
Furthermore, to create a space for sharing grief and explore the meaning of that space, ten sharing sessions were held during the period. The meanings generated by these spaces included "feeling that one is not alone," "a space to express sadness," and "a space to talk about the child."

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Authorship：Coinvestigator(s)  Grant type：Competitive

This study is aimed at revealing need for the grief care and planning a further support program. Through interviews to the parents losing their kids, following things seem common and often-heard opinions; “We don’t want to think he/she (kids) never exist from the very beginning.” “Wanna you to know and understand him/her.” “Want a place where I am able to explain myself.”
In this grief care program, four times of group interviews and a single event ware done. In addition, a support book was also prepared.

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Authorship：Coinvestigator(s) 

This study was Action Research for exploration the possibility of Children's Hospice in Japan. The purpose of this research was to clarify the experiences of children with life threatening illness and their parents, and their palliative care needs. Palliative care needs of them are needs for their development. Especially, QOL in infancy and after graduate high school were decreasing. We have concerned with three cases of children in terminal stage and found not only medical care but also the necessity of children's and family developmental support. Next, we made some citizen forum and meetings as enlighten programs for pediatric palliative care (children's hospice), and some programs to support the children's and the family's QOL. Finally, we made a network for children's hospice through cooperating with not only heath care providers but also ordinary people and people in multiple ranges. Through the process of action research, a direction for children's hospice in Japan were showed.

Authorship：Principal investigator 

Grant amount：\4030000 （ Direct Cost: \3100000 、 Indirect Cost：\930000 ）

This research aimed to uncover the state of families with children in outpatientchemotherapy to realize nursing care supports their health promotion. The parents ofchildren with acute lymphoblastic leukemia who have faced outpatient chemotherapywere interviewed and their daily life experience was studied by questionnaire method. Our survey revealed that most parents suffered from difficulties in managing theirchild' s physical condition during the outpatient therapy. Nursing supports finelytailored to each family are strongly required.

Authorship：Coinvestigator(s) 

目的:子ども達の健全育成のための生活習慣の改善と睡眠衛生からみた介入法を構築するために、遅寝の規定要因を明らかにすることと、特に両親の子ども睡眠に対する認識の特徴を知り、夜型生活への改善について、質的・量的視点から乳幼児期の睡眠の安定性が精神に及ぼす影響を評価する。
方法:平成22年度第3ステップ;睡眠日誌、シール帳による睡眠・覚醒行動を継続観測(睡眠教材「早寝、早起き元気さんシール帳」を用いた家庭実践)による睡眠行動の定着と、5名の親子への睡眠の質評価(Actigrapと携帯脳波による)および、睡眠・生活行動改善に向けた親子取り組みのインタビューにより、睡眠健康習慣の介入法を検討した。
結果:(1)1-2年目に実施してきた睡眠健康教室に参加した親子インタビューから抽出されたサブカテゴリーを基に、睡眠環境の工夫、子どもの睡眠に関する親の認識など「子どもの睡眠を整えるための親の困難さ」について検討した。父親の帰宅時刻、子どもとの過ごす時間など親子の関係性から遅寝改善の方向性を探るための演繹的なアプローチは今後の課題である。
(2)実験・計測的アプローチによる事例検討:親子で早寝生活習慣に取り組んだ約100名ChiSCoP(Child Sleep Cohort Project)会員から、同意の得られた5名について、携帯脳波およびアクチグラフ(Actigraph)と睡眠日誌を同時に継続測定し、夜型生活の睡眠リズムの特徴と睡眠の質評価を行なった。5日間の携帯脳波による睡眠の質評価では、深いノンレム睡眠は1日36.5-63.4%前後を認め,睡眠効率79.3-96.5%であった。年2回10日間の24時間睡眠日誌を記載することで、経年的に生活リズムがついてきたこと、シール帳チェックリストによって、「太陽さんにごあいさつ」「トイレ習慣」などの項目に子ども自身が早起き生活への前向きな取り組みの行動促進化を図っていた。
(3)教育方法の充実化;「お父さん、お母さんも早起きさん」の達成度が低かったが、子どもの発達年齢に合わせた認知行動的接近を目指した、早寝得点満点時の王冠マーク獲得は、親子の睡眠習慣改善の意識づけになっていた。「眠育」スローガンに睡眠健康教育やシンポジウム、地域でのシール帳の取り組みをDVD教材やWeb指導教材につなげることができた。