School of Nursing and Midwifery, Western Sydney University, Rydalmere, NSW, Australia.
College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.
J Clin Nurs. 2018 Aug;27(15-16):2963-2973. doi: 10.1111/jocn.14497. Epub 2018 May 30.
To examine the characteristics and service needs of women and babies admitted to residential parenting services (RPS) in the first year following birth in New South Wales, Australia.
In Australia, there is a tiered system to support maternal, child and family health, which includes RPS.
Sequential explanatory mixed-methods design.
Individual patient data were obtained from a random review of 10% of all medical records (n = 300 of 3,011 admissions) of women with an infant of <12 months of age who were admitted to RPS in 2013. Following review of the medical records, qualitative data were collected via interviews with eight women who accessed RPS. Chi-square analysis and Student's t test were used to analyse quantitative data. Qualitative data were analysed using a descriptive interpretive approach. An integrative approach was taken in reporting the findings.
Women admitted to the RPS were on average 32 years of age, were Australian born (72%) and had a university qualification (40%), and most were employed. The majority of women were primiparous (60%) and had a vaginal birth (61%). Women with male infants were much more likely to be admitted to the RPS (58%) compared to the NSW male-to-female ratio (51.3% vs. 48.7%). Over 50% of women reported mental health issues with 27% having an Edinburgh Postnatal Depression Scale score ≥13 on admission. The primary reason women sought parenting support was for sleep and settling (83%). During their stay, services used by women included social workers (44%), psychologists (52%) and psychiatrists (4.5%).
Women who access RPS report psychosocial and mental health issues. Services provided by RPS support women during this challenging early parenting period by providing multidisciplinary, holistic and peer support.
A high prevalence of mental health issues identified in this study indicated a need for ongoing training and support for RPS staff. Ensuring clinicians have the appropriate skill sets to best support their clientele will maximise the outcomes for women and families who access RPS during the early parenting period.
检查澳大利亚新南威尔士州产后第一年入住住宅育儿服务（RPS）的妇女和婴儿的特征和服务需求。
在澳大利亚，有一个支持母婴和家庭健康的分层系统，包括 RPS。
顺序解释性混合方法设计。
从 2013 年入住 RPS 的 12 个月以下婴儿的妇女的 10％的随机病历审查中获得了每位患者的数据（n=3011 名入院者中的 300 名）。在审查病历后，通过对 8 名使用 RPS 的妇女进行访谈收集了定性数据。使用卡方分析和学生 t 检验分析定量数据。使用描述性解释方法分析定性数据。在报告研究结果时，采用了综合方法。
入住 RPS 的妇女平均年龄为 32 岁，出生于澳大利亚（72％）并具有大学学历（40％），大多数人都有工作。大多数妇女是初产妇（60％），并进行了阴道分娩（61％）。与新南威尔士州的男婴比例（51.3％对 48.7％）相比，男婴的母亲更有可能被送往 RPS（58％）。超过 50％的妇女报告有心理健康问题，其中 27％在入院时的爱丁堡产后抑郁量表评分≥13。妇女寻求育儿支持的主要原因是睡眠和安置（83％）。在入住期间，妇女使用的服务包括社会工作者（44％），心理学家（52％）和精神科医生（4.5％）。
接受 RPS 服务的妇女报告有社会心理和心理健康问题。RPS 提供的服务通过提供多学科，整体和同伴支持，在这个充满挑战的早期育儿期为妇女提供支持。
本研究中确定的心理健康问题高发表明需要为 RPS 工作人员提供持续的培训和支持。确保临床医生具备最佳支持客户所需的适当技能将使在早期育儿期接受 RPS 服务的妇女及其家庭获得最大的收益。
