Kurth Elisabeth, Krähenbühl Katrin, Eicher Manuela, Rodmann Susanne, Fölmli Luzia, Conzelmann Cornelia, Zemp Elisabeth
Institute of Midwifery, Zurich University of Applied Sciences, Winterthur, Switzerland.
Swiss Tropical and Public Health Institute, Basel, Switzerland.
BMC Health Serv Res. 2016 Mar 8;16:82. doi: 10.1186/s12913-016-1300-2.
The length of postpartum hospital stay is decreasing internationally. Earlier hospital discharge of mothers and newborns decreases postnatal care or transfers it to the outpatient setting. This study aimed to investigate the experiences of new parents and examine their views on care following early hospital discharge.
Six focus group discussions with new parents (n = 24) were conducted. A stratified sampling scheme of German and Turkish-speaking groups was employed. A 'playful design' method was used to facilitate participants communication wherein they used blocks and figurines to visualize their perspectives on care models The visualized constructions of care models were photographed and discussions were audio-recorded and transcribed verbatim. Text and visual data was thematically analyzed by a multi-professional group and findings were validated by the focus group participants.
Following discharge, mothers reported feeling physically strained during recuperating from birth and initiating breastfeeding. The combined requirements of infant and self-care needs resulted in a significant need for practical and medical support. Families reported challenges in accessing postnatal care services and lacking inter-professional coordination. The visualized models of ideal care comprised access to a package of postnatal care including monitoring, treating and caring for the health of the mother and newborn. This included home visits from qualified midwives, access to a 24-h helpline, and domestic support for household tasks. Participants suggested that improving inter-professional networks, implementing supervisors or a centralized coordinating center could help to remedy the current fragmented care.
After hospital discharge, new parents need practical support, monitoring and care. Such support is important for the health and wellbeing of the mother and child. Integrated care services including professional home visits and a 24-hour help line may help meet the needs of new families.
产后住院时间在全球范围内呈缩短趋势。母亲和新生儿更早出院会减少产后护理，或将其转移至门诊环境。本研究旨在调查初为人父母者的经历，并审视他们对早期出院后护理的看法。
与初为人父母者（n = 24）进行了六次焦点小组讨论。采用了德语和土耳其语群体的分层抽样方案。使用了“趣味设计”方法来促进参与者之间的交流，他们用积木和小雕像来直观展示自己对护理模式的看法。护理模式的可视化构建被拍照，讨论进行了录音并逐字转录。文本和视觉数据由一个多专业团队进行主题分析，研究结果由焦点小组参与者进行验证。
出院后，母亲们表示在产后恢复和开始母乳喂养期间感到身体疲惫。婴儿护理需求和自我护理需求相结合，导致对实际和医疗支持的迫切需求。家庭报告在获得产后护理服务方面存在困难，且缺乏跨专业协调。理想护理的可视化模型包括获得一系列产后护理，包括监测、治疗以及照顾母亲和新生儿的健康。这包括由合格助产士进行家访、接入24小时求助热线以及获得家务方面的家庭支持。参与者建议，改善跨专业网络、设立监督员或建立一个集中协调中心有助于弥补当前护理碎片化的问题。
出院后，初为人父母者需要实际支持、监测和护理。这种支持对母婴的健康和幸福至关重要。包括专业家访和24小时帮助热线在内的综合护理服务可能有助于满足新家庭的需求。
