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初为人父母者产前对早期为人父母准备的需求——定性文献的系统评价与元整合

First-time parents' prenatal needs for early parenthood preparation-A systematic review and meta-synthesis of qualitative literature.

作者信息

Entsieh Angela Afua, Hallström Inger Kristensson

机构信息

Department of Health Science, Faculty of Medicine, Lund University, Box 188, 221 00 Lund, Sweden.

出版信息

Midwifery. 2016 Aug;39:1-11. doi: 10.1016/j.midw.2016.04.006. Epub 2016 Apr 28.

Abstract

OBJECTIVE

contribute to the existing body of knowledge about the specific needs of first-time parents specifically for early parenthood.

METHOD

the databases PubMed, MEDLINE, PSYCINFO, CINAHL, EMBASE, Family Studies Abstracts, and Web of Science, were searched using search terms: prenatal, antenatal, preparation, education, parents, parenthood. The meta-synthesis included 12 articles representing 12 studies. The meta-ethnographic approach of Nobilt and Hare was used in the meta-synthesis.

SYNTHESIS AND FINDINGS

first-time expectant and new parents reflect a need for antenatal education to actively include male partners pre- and postnatal. Participants wished for early and realistic information about parenting skills, and to have the opportunity to seek support and help from health professionals when need arose especially during the early postnatal period. Another element was the need to learn both from peers and other new parents coming as guest speakers. Participants wished to have been well informed ahead of time, about the possible changes in their conjugal relationship and the related coping strategies.

KEY CONCLUSIONS

equal emphasis should be placed both during the prenatal and postnatal periods in antenatal education classes.

IMPLICATIONS FOR PRACTICE

interventions aiming at enhancing positive transitions to parenthood could be introduced early during the postnatal period. Parenthood education classes could adopt adult learning strategies that are participatory, and experiential in nature.

摘要

目的

为现有的关于初为人父母者,特别是早期为人父母阶段的特定需求的知识体系做出贡献。

方法

使用检索词“产前”“孕期”“准备”“教育”“父母”“为人父母”,对数据库PubMed、MEDLINE、PSYCINFO、CINAHL、EMBASE、家庭研究摘要和科学网进行检索。元综合分析纳入了代表12项研究的12篇文章。元综合分析采用了诺布尔和黑尔的元民族志方法。

综合分析与研究结果

初为准父母和新父母都表示需要产前教育,以便在产前和产后积极纳入男性伴侣。参与者希望获得有关育儿技能的早期且现实的信息,并有机会在需要时,尤其是产后早期,向健康专业人员寻求支持和帮助。另一个要素是需要向同龄人以及作为嘉宾发言的其他新父母学习。参与者希望提前充分了解夫妻关系可能发生的变化以及相关应对策略。

主要结论

产前教育课程在产前和产后阶段应给予同等重视。

对实践的启示

旨在促进顺利过渡到为人父母阶段的干预措施可在产后早期引入。为人父母教育课程可采用参与性和体验性的成人学习策略。

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