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产后早期出院的父母经历:一项元综合分析。

Parental experiences of early postnatal discharge: A meta-synthesis.

作者信息

Nilsson Ingrid, Danbjørg Dorthe B, Aagaard Hanne, Strandberg-Larsen Katrine, Clemensen Jane, Kronborg Hanne

机构信息

Danish Committee for Health Education, Classensgade 71, 5th floor, 2100 Copenhagen, Denmark.

Research Unit of Nursing, Institute of Clinical Research, University of Southern Denmark, Campusvej 55, 5220 Odense, Denmark.

出版信息

Midwifery. 2015 Oct;31(10):926-34. doi: 10.1016/j.midw.2015.07.004. Epub 2015 Jul 13.

DOI:10.1016/j.midw.2015.07.004
PMID:26250511
Abstract

OBJECTIVE

the aim of this study was to investigate new parents׳ experiences of early postnatal discharge.

DESIGN

a meta-synthesis including 10 qualitative studies was conducted using Noblit and Hare׳s method of meta-synthesis development.

SETTING

qualitative studies performed in western countries from 2003-2013 were included.

PARTICIPANTS

the 10 included studies involved 237 mothers and fathers, first time parents as well as multiparous.

FINDINGS

we identified four overlapping and mutually dependent themes reflecting the new parents׳ experiences of early postnatal discharge: Feeling and taking responsibility; A time of insecurity; Being together as a family; and Striving to be confident. The mothers׳ and fathers׳ experiences of responsibility, security and confidence in their parental role, were positively influenced by having the opportunity to be together as a family, receiving postnatal care that included both parents, having influence on time of discharge, and getting individualised and available support focused on developing and recognising their own experiences of taking care of the baby.

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

the new parents׳ experiences of early discharge and becoming a parent were closely related. Feeling secure and confident in the parental role was positively or negatively influenced by the organisation of early discharge. This underscores the importance of the way health professionals support new mothers and fathers at early postnatal discharge.

摘要

目的

本研究旨在调查初为人父母者产后早期出院的经历。

设计

采用诺布利特和黑尔的元综合发展方法,对10项定性研究进行了元综合。

背景

纳入了2003年至2013年在西方国家进行的定性研究。

参与者

纳入的10项研究涉及237名父母,包括初为人父母者和经产妇。

结果

我们确定了四个相互重叠且相互依存的主题,反映了初为人父母者产后早期出院的经历:感受并承担责任;缺乏安全感的时期;作为一家人在一起;努力变得自信。有机会作为一家人在一起、接受包括父母双方的产后护理、对出院时间有影响力以及获得侧重于发展和认可自身照顾婴儿经历的个性化且可得的支持,对母亲和父亲在父母角色中的责任感、安全感和自信心体验产生了积极影响。

结论及对实践的启示

初为人父母者产后早期出院的经历与为人父母的过程密切相关。在父母角色中感到安全和自信会受到早期出院安排的积极或消极影响。这凸显了医护人员在产后早期出院时支持新父母方式的重要性。

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