Lisy Karolina, Peters Micah D J, Riitano Dagmara, Jordan Zoe, Aromataris Edoardo
Joanna Briggs Institute, Faculty of Health Science, The University of Adelaide, Adelaide, South Australia, Australia.
Birth. 2016 Mar;43(1):6-19. doi: 10.1111/birt.12217. Epub 2016 Jan 22.
The care provided to parents experiencing stillbirth can have significant and lasting impacts on their immediate and long-term psychological well being. The aim of this qualitative synthesis was to investigate parents' experiences of care received during and after stillbirth.
Qualitative findings extracted from 20 included studies were pooled using a meta-aggregative approach.
Four meta-syntheses encompassing parents' experiences of care at diagnosis of stillbirth, induction and birth, immediately postbirth and onwards, revealed care strategies that parents appreciated and found helpful, and also actions and behaviors that were distressing. Helpful strategies included a warm and sensitive communication style, provision of clear and understandable information, shared decision making, and respect for individual needs and preferences. Parents appreciated guidance from health care professionals about seeing and holding, including being prepared for their baby's possible appearance, information on how to spend time with their baby, and collection of memorabilia. After stillbirth, offers of follow-up care, including referrals for professional support, were appreciated.
Care received during and after stillbirth may have lasting impacts on parents' future well being. Health care professionals may aid in improving parents' well being after stillbirth by providing care that is cognizant of parents' emotional states. Care strategies arising from the findings of this review are suggested.
为经历死产的父母提供的护理可能会对他们的近期和长期心理健康产生重大而持久的影响。本定性综合研究的目的是调查父母在死产期间及之后接受护理的经历。
采用元聚合方法汇总从20项纳入研究中提取的定性研究结果。
四项关于父母在死产诊断、引产和分娩、产后即刻及之后的护理经历的元综合分析，揭示了父母赞赏并认为有帮助的护理策略，以及令人痛苦的行为和举动。有益的策略包括温暖且敏感的沟通方式、提供清晰易懂的信息、共同决策以及尊重个人需求和偏好。父母们赞赏医护人员在观看和抱孩子方面给予的指导，包括为孩子可能的样子做好心理准备、关于如何与孩子共度时光的信息以及纪念品的收集。死产后，提供后续护理，包括转介专业支持，受到父母们的赞赏。
死产期间及之后接受的护理可能会对父母未来的幸福产生持久影响。医护人员可以通过提供关注父母情绪状态的护理来帮助改善父母在死产后的幸福状况。本综述结果中产生的护理策略可供参考。
