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父亲在分娩时陪伴婴儿接受复苏抢救:一项定性访谈研究。

Being there: a qualitative interview study with fathers present during the resuscitation of their baby at delivery.

机构信息

Department of Health, Birmingham City University, City Campus South, Westbourne Road, Edgbaston, Birmingham B15 3TN, UK.

出版信息

Arch Dis Child Fetal Neonatal Ed. 2012 Nov;97(6):F439-43. doi: 10.1136/archdischild-2011-301482. Epub 2012 Feb 28.

DOI:10.1136/archdischild-2011-301482
PMID:22375023
Abstract

OBJECTIVE

To explore fathers' experiences of the resuscitation of their baby at delivery.

DESIGN

A descriptive, retrospective design using tape-recorded semistructured interviews with fathers present during the resuscitation of their baby at delivery. Fathers described what happened, their interactions with healthcare professionals, their feelings at the time and afterwards.

SETTING

Participants were recruited from a large teaching hospital in the UK.

PARTICIPANTS

A purposive sample of 20 fathers whose baby required resuscitation at delivery.

RESULTS

Participant responses were analysed using thematic analysis. Four broad themes were identified: 'preparation', 'knowing what happened', 'his response' and 'impact on him'. Fathers had no difficulty recalling their emotions during the resuscitation. These feelings remained vivid and were mostly negative. Most fathers wanted to go to their baby during the resuscitation but did not do so. They felt they should stay with their partner, did not want to impede the resuscitation or felt they were not 'allowed' to go to their baby. The fathers' position in the room and the extent to which they were focusing on their partner had an impact on their recollection of what happened. Fathers had no opportunity to discuss the resuscitation with healthcare professionals afterwards. Several fathers felt they had not yet recovered from the experience and a few had symptoms synonymous with post-traumatic stress disorder.

CONCLUSION

This is the first study to specifically explore fathers' experiences of newborn resuscitation. The findings should inform healthcare education, policy development and the provision of support to fathers.

摘要

目的

探讨父亲在分娩时参与婴儿复苏的经历。

设计

使用录音的半结构式访谈,对分娩时在场的父亲进行描述性、回顾性设计。父亲们描述了发生的事情、他们与医疗保健专业人员的互动、当时和之后的感受。

地点

参与者是从英国一所大型教学医院招募的。

参与者

20 名父亲,他们的婴儿在分娩时需要复苏。

结果

使用主题分析对参与者的回答进行了分析。确定了四个广泛的主题:“准备”、“了解发生的事情”、“他的反应”和“对他的影响”。父亲们毫不费力地回忆起他们在复苏过程中的情绪。这些感觉仍然很强烈,大多是负面的。大多数父亲希望在复苏过程中去看他们的孩子,但没有这样做。他们觉得应该和他们的伴侣呆在一起,不想妨碍复苏,或者觉得他们不“被允许”去看他们的孩子。父亲在房间里的位置以及他们专注于伴侣的程度,对他们对发生的事情的回忆有影响。父亲们事后没有机会与医疗保健专业人员讨论复苏情况。一些父亲觉得他们还没有从这次经历中恢复过来,一些父亲有类似创伤后应激障碍的症状。

结论

这是第一项专门探讨父亲对新生儿复苏经历的研究。研究结果应该为医疗保健教育、政策制定和为父亲提供支持提供信息。

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