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“我们感觉像一体的,他们却把我们看作是两个”:新父母对产后护理的不满。

'We feel like one, they see us as two': new parents' discontent with postnatal care.

机构信息

Obstetrics and Gynaecology, Department of Clinical Science, Umeå University, Umeå,

出版信息

Midwifery. 2010 Aug;26(4):463-8. doi: 10.1016/j.midw.2008.10.006. Epub 2008 Dec 11.

DOI:10.1016/j.midw.2008.10.006
PMID:19084301
Abstract

OBJECTIVE

postnatal care has gone through remarkable changes, such as reducing the length of hospital stay and increasing the parents' responsibility. Focusing on dissatisfaction, this study describes how new parents experience postpartum care.

DESIGN

cross-sectional, population-based study, based on questionnaires.

PARTICIPANTS

1474 parents.

MEASUREMENTS AND FINDINGS

the questionnaires, posted six months after childbirth, addressed how parents experienced postnatal care. The data were analysed with descriptive statistics and content analysis.

KEY CONCLUSIONS

a main finding was that the close emotional attachment between the parents was not always supported by staff. The father was treated as an outsider and the care was described as 'a woman's world'. The asymmetric encounter between parents and staff was pronounced with respect to decision-making, and some designated this as 'paternalism'. A great deal of the discontent with health care may be due to organisational failure, and the postnatal care should be more prioritised in the health-care organisation.

IMPLICATIONS FOR PRACTICE

midwives should acknowledge that parents, irrespective of gender, should have equal opportunities as parents during postpartum care as parenting is a joint project.

摘要

目的

产后护理经历了显著的变化,例如缩短住院时间和增加父母的责任。本研究关注不满,描述新父母如何体验产后护理。

设计

基于问卷调查的横断面、基于人群的研究。

参与者

1474 名父母。

测量和发现

产后六个月寄出的问卷,询问父母对产后护理的体验。使用描述性统计和内容分析对数据进行分析。

主要结论

一个主要发现是,父母之间的亲密情感联系并不总是得到工作人员的支持。父亲被视为局外人,护理被描述为“女人的世界”。父母和工作人员之间的不对称遭遇在决策方面很明显,一些人将其称为“家长制”。对医疗保健的不满很大程度上可能是由于组织失败造成的,产后护理应该在医疗保健组织中得到更多的重视。

对实践的影响

助产士应该承认,父母无论性别如何,在产后护理期间都应该有平等的机会作为父母,因为育儿是一个共同的项目。

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Midwifery. 2010 Aug;26(4):463-8. doi: 10.1016/j.midw.2008.10.006. Epub 2008 Dec 11.
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