Abstract
My objective is to develop a nursing intervention program where parents and nurses collaborate to support the autonomy of preschool age children toward day surgery. In the first report, a picture book was prepared describing the care in which the parent reads a story about day surgery to the child along with explaining the support method which has been adjusted to the feelings speech and behavior of the child. A trial was also conducted of nursing intervention that encouraged the parent to apply the picture book on the basis of the child's character and past experience. The intervention was effectuated with the parents of 25 children aged 3~6 years-old for whom day surgery was scheduled on an outpatient basis. From the semi-structured interviews after the intervention, the parental care after the intervention was classified into four patterns: protecting, sharing, groping, and conforming. After the intervention, the parents provided their children with [parental intersubjective care] and formed [intersubjective parent-child relationships]. The parental intersubjective care was comprised of five care elements: «attitude and approach to the child», «awareness of the child's particular way of understanding», «reading the child's feelings», «according the child's demand» and «conveying the parents' requests and intentions to the child in an understandable way». For the medical experience of the child, the intersubjective parent-child relationship exerts an influence on the personality and ability, possibility of each so that parent and child may actualize their own personality and ability, possibility.
