Nahas V, Amasheh N
Department of Nursing, Chinese University of Hong Kong.
J Transcult Nurs. 1999 Jan;10(1):37-45. doi: 10.1177/104365969901000113.
This study discovers, describes, and explains the personal experiences, perceptions, and care meanings of Jordanian women who have suffered postpartum depression. Most postpartum cases often are misdiagnosed as exclusively psychological and untreated by health care professionals without consideration to the cultural meanings of this problem. Understanding the experiences of these women is important, as their expressions often are contextually and culturally influenced. Using Leininger's Theory of Culture Care Diversity and Universality, a purposive sample of 22 Jordanian women diagnosed with postpartum depression, living in Sydney, were interviewed. The ethnonursing research method and data analysis procedures were used. Results revealed that Jordanian mothers experienced severe loss of control over emotions of loneliness, hopelessness, and feelings of being a bad mother. Three major themes focusing on the care meanings and experiences of Jordanian women are discussed: (a) Care means strong family support and kinship during the postpartum period, (b) care is carrying out and fulfilling traditional gender roles as mother and wife, and (c) care is preservation of Jordanian childbearing customs as expressed in the celebration of the birth of the baby.
本研究发现、描述并解释了患有产后抑郁症的约旦女性的个人经历、认知及护理意义。大多数产后病例常被误诊为单纯的心理问题，且医疗保健专业人员未予治疗，而未考虑该问题的文化意义。了解这些女性的经历很重要，因为她们的表达往往受到情境和文化的影响。运用莱宁格的文化护理多样性与普遍性理论，对居住在悉尼的22名被诊断为产后抑郁症的约旦女性进行了目的抽样访谈。采用了民族护理学研究方法和数据分析程序。结果显示，约旦母亲经历了对孤独、绝望情绪以及身为坏母亲感觉的严重失控。讨论了聚焦约旦女性护理意义和经历的三个主要主题：(a) 护理意味着产后时期强大的家庭支持和亲属关系，(b) 护理是履行作为母亲和妻子的传统性别角色，(c) 护理是如庆祝婴儿出生所体现的对约旦生育习俗的保留。
