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[女性想要什么:一项关于产后家庭助产护理的定性研究]

[What women want: a qualitative study about postnatal midwifery care at home].

作者信息

Blöchlinger Patricia, Kurth Elisabeth, Kammerer Martin, Frei Irena Anna

机构信息

Universitätsklinik für Frauenheilkunde, Inselspital Bern und Institut für Pflegewissenschaft, Universität Basel.

Institut für Hebammen, ZHAW Zürcher Hochschule für Angewandte Wissenschaften, Winterthur und Institut für Pflegewissenschaft, Universität Basel und Schweizerisches Tropen- und Public Health- Institut & Universität Basel.

出版信息

Pflege. 2014 Apr;27(2):81-91. doi: 10.1024/1012-5302/a000348.

DOI:10.1024/1012-5302/a000348
PMID:24670541
Abstract

In Switzerland, decreases in regular hospital treatment after birth are leading increasingly to mother and child being cared for at home by independent midwives. The research herein was carried out in order to understand the needs of mothers in their home once they leave the hospital and what this midwife provided care consists of. In 2008, eight women from central Switzerland were interviewed on two separate occasions after the birth of their child, and the interviews were analysed using content analysing techniques. Mothers explained that they wanted their baby and themselves to be well cared for. They needed rest and support for recuperation and wished to spend quality time with their new family. The midwifes assisted the mothers to fulfil their needs by counselling, by instructing and by giving information, but they rarely encouraged them to be together as a family. The relationship between midwife and mother turned out to be an important support. Mothers were satisfied if mutual trust was built and if the midwife perceived their needs, respected their autonomy and took the time to be with them. Midwives contribute to the basic well-being of families and support women with medical expertise and ongoing care. Furthermore families need support in general household issues so that new mothers can recover sufficiently.

摘要

在瑞士,出生后常规住院治疗的减少使得越来越多的母婴由独立助产士在家中护理。本文开展此项研究是为了了解母亲出院后在家中的需求以及助产士提供的护理内容。2008年,瑞士中部的八位女性在产后接受了两次单独访谈,并采用内容分析技术对访谈进行了分析。母亲们表示,她们希望自己和宝宝能得到悉心照料。她们需要休息和恢复的支持,并希望与新组建的家庭共度美好时光。助产士通过咨询、指导和提供信息来帮助母亲满足需求,但很少鼓励她们以家庭的形式团聚。事实证明,助产士与母亲之间的关系是一项重要的支持。如果建立了相互信任,且助产士能察觉到她们的需求、尊重她们的自主权并花时间陪伴她们,母亲们就会感到满意。助产士凭借专业医疗知识和持续护理为家庭的基本幸福做出贡献。此外,家庭在一般家庭事务方面也需要支持,以便新妈妈能够充分恢复。

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引用本文的文献

1
Safe start at home: what parents of newborns need after early discharge from hospital - a focus group study.家中安全起步:新生儿早期出院后父母的需求——一项焦点小组研究
BMC Health Serv Res. 2016 Mar 8;16:82. doi: 10.1186/s12913-016-1300-2.