Borglin Gunilla, Hentzel Johanna, Bohman Doris M
1Reader in Nursing,Department of Care Science, Faculty of Health and Society,Malmö University,Malmö,Sweden.
3Master of Science in Nursing,Primary Health Care RN,Blekinge County Council,Blekinge,Sweden.
Prim Health Care Res Dev. 2015 Sep;16(5):470-80. doi: 10.1017/S1463423615000055. Epub 2015 Feb 16.
To investigate public health nurses' perceptions and experiences of mental health and of the prevention of mental ill health among women postpartum, within paediatric healthcare services.
Although maternal health following childbirth should be a priority within primary care, it is known that women postpartum do not always receive the support they need to adapt to and cope with motherhood. Research implies that postnatal problems lack recognition and are not always acknowledged in routine practice. Few studies have been presented on this topic or from the perspective of nurses.
For this study, eight semi-structured interviews were conducted with public health nurses, and the transcribed texts were analysed through a process inspired by Burnard's description of the four-step qualitative content analysis. Findings Three categories - external influences on postpartum mental health, screening for and preventing postpartum mental ill health and paediatric healthcare services as a platform for support - were interpreted to reflect the nurses' perceptions and experiences of mental health among women postpartum and of the prevention of mental ill health among women postpartum.
We found that public health nurses can have an important role in supporting mothers' mental health postpartum. Although caution is warranted in interpreting our results, the findings concur with those of other studies, highlighting that an equal care emphasis on both the mother and child can be an important aspect of successful support. Implementing person-centred care might be one strategy to create such an emphasis, while also promoting the mental health of new mothers. Public health nurses have a unique opportunity to support mothers' transition into healthy motherhood, especially because they are likely to meet both mothers and children on a regular basis during the first year after birth.
调查公共卫生护士在儿科医疗服务中对产后妇女心理健康及预防精神疾病的认知和经验。
尽管产后产妇健康应是初级保健的优先事项，但众所周知，产后妇女并不总是能获得适应和应对母亲角色所需的支持。研究表明，产后问题未得到重视，在常规医疗实践中也并非总能得到认可。关于这一主题或从护士角度进行的研究很少。
本研究对公共卫生护士进行了8次半结构式访谈，并通过借鉴伯纳德对定性内容分析四步法的描述对转录文本进行了分析。结果 三个类别——产后心理健康的外部影响、产后精神疾病的筛查与预防以及作为支持平台的儿科医疗服务——被解读为反映了护士对产后妇女心理健康及产后预防精神疾病的认知和经验。
我们发现公共卫生护士在支持产后母亲心理健康方面可发挥重要作用。尽管在解释我们的结果时需谨慎，但研究结果与其他研究一致，强调对母亲和孩子同等重视护理可能是成功提供支持的一个重要方面。实施以患者为中心的护理可能是实现这种重视的一种策略，同时也能促进新妈妈的心理健康。公共卫生护士有独特的机会支持母亲顺利过渡到健康的母亲角色，特别是因为她们在产后第一年可能会经常接触到母亲和孩子。
