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母亲对健康足月新生儿进行皮肤接触护理的体验——一种现象学研究。

Mothers' experiences of skin-to-skin care of healthy full-term newborns--a phenomenology study.

机构信息

Department of Obstetrics and Gynaecology, Oestfold Hospital Trust, Fredrikstad, Norway.

出版信息

Sex Reprod Healthc. 2011 Aug;2(3):107-11. doi: 10.1016/j.srhc.2011.03.003. Epub 2011 Apr 12.

DOI:10.1016/j.srhc.2011.03.003
PMID:21742289
Abstract

OBJECTIVES

Previous reports have shown that skin-to-skin contact immediately after birth is the optimal form of care for a full-term, healthy infant and its mother. As this is rarely researched the aim of this study was to explore experiences of skin-to-skin care in healthy mothers of healthy, full-term infants in the first days after birth.

STUDY DESIGN

Using a lifeworld phenomenological approach, 20 women who had childbirth in hospital and were practising skin-to-skin care were interviewed 1-2 weeks after birth. Analysis of all interview texts was directed towards discovering qualitative meanings through a process of identifying meaning units. These were then clustered and analysed with the aim of describing themes of meaning and the essence of the phenomenon.

FINDINGS

The mothers wanted to give their newborn child the best possible care and the skin-to-skin care started a positive spiral. A mutual interaction developed which acted as a generator releasing energy to the mother who wanted to continue the practice which in terms increased mother-infant affinity. Happiness, peace and satisfaction were expressed by the newborns; also a child who was crying or troublesome exhibited a positive response to skin-to-skin care.

CONCLUSION

The study provides insight and knowledge which should guide attitudes and promote practices of this simple healthcare intervention; skin-to-skin contact care to healthy infants born at term. Healthcare professionals should support affinity between a mother and her newborn through facilitation and the provision of information about its benefits.

摘要

目的

之前的报告表明,新生儿出生后立即进行皮肤接触是对足月、健康婴儿及其母亲的最佳护理形式。由于这方面的研究很少,本研究的目的是探讨健康足月婴儿的母亲在产后头几天进行皮肤接触护理的体验。

研究设计

采用生活世界现象学方法,对 20 名在医院分娩并进行皮肤接触护理的妇女在产后 1-2 周进行访谈。对所有访谈文本的分析旨在通过识别意义单位的过程发现定性意义。然后对这些意义单位进行聚类和分析,以描述意义主题和现象的本质。

结果

母亲们希望给新生儿提供尽可能好的护理,皮肤接触护理开始产生积极的影响。母婴之间相互作用,相互促进,母亲释放出继续进行护理的能量,这进一步增强了母婴之间的亲和力。新生儿表现出幸福、平静和满足;即使是哭闹或烦躁的婴儿,也对皮肤接触护理有积极的反应。

结论

本研究提供了深入的见解和知识,应指导态度,并促进这种简单的医疗保健干预措施的实践,即对足月出生的健康婴儿进行皮肤接触护理。医疗保健专业人员应通过促进和提供有关其益处的信息,支持母亲与新生儿之间的亲和力。

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