School of Social Work, Arizona State University, AZ, USA.
Int J Nurs Stud. 2013 May;50(5):664-70. doi: 10.1016/j.ijnurstu.2012.10.014. Epub 2012 Nov 21.
This study was designed to evaluate fathers' experiences of stillbirth and psychosocial care.
Data were collected between 27 March 2008 and 1 April 2010 via a questionnaire posted on the homepage of the Swedish National Infant Foundation. The responses to the following open-ended questions were analyzed using content analysis: "Are you grateful today for anything that health care professionals did in connection with the birth of your child?" and "Are you sad, hurt or angry today about something personnel did in connection with the birth of your baby?".
113/131 (86%) fathers reported feelings of being grateful. Only 22/131 (16%) fathers reported feeling sad, hurt, or angry. Fathers expressed gratitude when health care professionals treated their newborn "with respect and without fear", "with extraordinary reverence", and when their fatherhood was validated by providers. They were also grateful when providers helped them to create memories of their baby. Fathers also reported feeling sad, hurt, or angry when providers were nonchalant and indifferent and when they perceived providers to be uncaring and disrespectful toward their baby.
Bereaved fathers experience overall gratitude for person-centered psychosocial care in the aftermath of stillbirth, particularly when they feel validated as a grieving father and their child is acknowledged with reverence.
Health care professionals should support fathers by treating the baby who died with respect and dignity and by validating and acknowledging both his grief experiences and his fatherhood just as they would for a grieving mother.
本研究旨在评估父亲在遭遇死胎时的经历和心理社会关怀。
2008 年 3 月 27 日至 2010 年 4 月 1 日，通过在瑞典国家婴儿基金会的主页上发布问卷收集数据。使用内容分析法对以下开放式问题的回答进行分析：“您今天是否感激医护人员在孩子出生时所做的一切？”和“您今天是否对医护人员在孩子出生时所做的某些事情感到悲伤、受伤或生气？”。
131 位父亲中有 113 位（86%）表示有感激之情。只有 22 位（16%）父亲表示感到悲伤、受伤或生气。当医护人员“尊重而不恐惧”、“带着非凡的敬意”对待新生儿，以及医护人员认可他们的父亲身份时，父亲们表示感激。当医护人员帮助他们为新生儿创造回忆时，他们也感到感激。当医护人员漠不关心、漠不关心，或者他们认为医护人员对他们的孩子漠不关心、不尊重时，父亲们也会感到悲伤、受伤或生气。
在遭遇死胎后，丧父的父亲总体上对以患者为中心的心理社会关怀表示感激，特别是当他们感到作为一个悲伤的父亲得到认可，他们的孩子被以敬畏之心对待时。
医护人员应该通过尊重和尊严地对待死去的婴儿，并像对待悲伤的母亲一样，认可和肯定他的悲伤经历和父亲身份，来支持父亲。
