1 Queen's University, Belfast, UK.
J Fam Nurs. 2018 May;24(2):128-155. doi: 10.1177/1074840718770612. Epub 2018 Apr 21.
Maternal mental illness is a major public health issue and can adversely affect the whole family. Increasingly, research and policy are recognizing the benefits of a family-focused approach to practice, an approach that emphasizes the family as the unit of care. This review was conducted with the aim of systematically analyzing the qualitative literature surrounding health visitors' family-focused practice with mothers who have mental illness and/or substance misuse. Through the synthesis, we developed three main findings: (a) parents' needs regarding health visitors' family-focused practice, (b) the ambiguity of mental illness in health visiting, and (c) the challenges of family-focused practice in health visiting. Above all, health visitors, families, and mothers with mental illness experience many challenges in family-focused practice, even though it is both desirable and beneficial. This calls for a deeper understanding of how family-focused practice can be effectively practiced in health visiting.
产妇精神疾病是一个主要的公共卫生问题，会对整个家庭产生不利影响。越来越多的研究和政策开始认识到以家庭为中心的实践方法的好处，这种方法强调家庭是护理的单位。本综述的目的是系统地分析有关健康访视员对患有精神疾病和/或药物滥用的母亲进行以家庭为中心的实践的定性文献。通过综合分析，我们得出了三个主要发现：（a）父母对健康访视员以家庭为中心的实践的需求，（b）健康访视中精神疾病的模糊性，以及（c）健康访视中以家庭为中心的实践的挑战。最重要的是，健康访视员、家庭和患有精神疾病的母亲在以家庭为中心的实践中会遇到许多挑战，尽管这种方法是可取且有益的。这需要更深入地了解如何在健康访视中有效地实施以家庭为中心的实践。
