Wan Ming Wai, Moulton Steff, Abel Kathryn M
Centre for Women's Mental Health Research, Division of Psychiatry, The University of Manchester, M13 9PL Manchester, UK.
Gen Hosp Psychiatry. 2008 Mar-Apr;30(2):177-84. doi: 10.1016/j.genhosppsych.2007.12.001.
The study sought to (1) understand the perspectives of perinatal psychiatric and antenatal health service workers on the service and support needs of mothers with schizophrenia; (2) obtain their views on the feasibility and potential effectiveness of a proposed parenting intervention tailored for this group.
Twenty-eight perinatal psychiatry and antenatal service workers were interviewed using a semi-structured methodology, and anonymised verbatim transcripts analysed for content themes.
Many respondents felt that women with schizophrenia received insufficient postnatal support. Perceived needs were: support with adjustment/coping; parenting skills and sensitivity training; maintaining mental health; continuity of care and community support; and encouraging bonding. Service integration/continuity and social stigma were recurring themes that impacted on recommendations, such as the need for interdisciplinary communication and mental health education for midwives. The parenting program was generally well received, although many raised concerns regarding patient involvement and specific intervention characteristics.
The views of health workers are a valuable complement to the service user perspective. They highlight the needs of this high-risk group in their transition to motherhood, and how they might be met, as well as a need for staff training so that parenting interventions are better understood as positive prevention work.
本研究旨在（1）了解围产期精神病学和产前保健服务工作者对精神分裂症母亲的服务及支持需求的看法；（2）获取他们对一项为该群体量身定制的拟议育儿干预措施的可行性和潜在效果的意见。
采用半结构化方法对28名围产期精神病学和产前保健服务工作者进行访谈，并对匿名的逐字记录进行内容主题分析。
许多受访者认为精神分裂症女性产后得到的支持不足。感知到的需求包括：适应/应对方面的支持；育儿技能和敏感性培训；维持心理健康；护理连续性和社区支持；以及促进母婴联结。服务整合/连续性和社会污名是反复出现的主题，影响了相关建议，比如对跨学科沟通和为助产士开展心理健康教育的需求。育儿项目总体上受到好评，不过许多人对患者参与度和具体干预特点表示担忧。
卫生工作者的观点是对服务使用者观点的宝贵补充。它们凸显了这一高风险群体在向母亲角色转变过程中的需求，以及满足这些需求的方式，还表明需要对工作人员进行培训，以便更好地将育儿干预理解为积极的预防工作。
