Breivold Kristin, Hjaelmhult Esther, Sjöström-Strand Annica, Hallström Inger Kristensson
Western Norway University of Applied Science, Bergen, Norway.
Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
Scand J Caring Sci. 2019 Sep;33(3):632-640. doi: 10.1111/scs.12656. Epub 2019 Feb 4.
Mothers of preterm infants are at greater risk of symptoms of stress and anxiety compared to mothers of term infants.
This study aimed to explore mothers' experiences after coming home from the hospital with a moderately to late preterm infant.
A qualitative and explorative method was used. Ten mothers who had given birth to a preterm baby with a gestational age between 30.0 and 36.0 were interviewed. The interviews were conducted two to three months after the mothers and their babies were discharged from hospital. The data were analysed by means of latent and manifest qualitative content analysis.
One overall theme emerged from the analysis: 'Seeing the light at the end of the tunnel' and four categories were identified 'Finding a safe haven at home', 'Gaining support and learning to ensure optimal feeding', 'Seeing the child's possibilities' and 'Receiving professional attention and reassurance'. In particular, adequate breastfeeding guidance and help with practical tasks at home were emphasised as important for the mothers, and need to be incorporated into the practice of public health nurses.
Practical help and support from close people, combined with individual professional follow-up, were important for the mothers' ability to cope with the hospital-to-home transition. There should be a strong focus on breastfeeding guidance as the mothers experienced problems for several months after discharge, and felt they were missing out on breastfeeding guidance given to term babies in hospital.
与足月儿母亲相比，早产儿母亲出现压力和焦虑症状的风险更高。
本研究旨在探讨母亲带着中度至晚期早产儿出院回家后的经历。
采用定性和探索性方法。对10名分娩孕周在30.0至36.0之间的早产儿母亲进行了访谈。访谈在母亲和婴儿出院两到三个月后进行。数据通过潜在和显性定性内容分析方法进行分析。
分析得出一个总体主题：“看到隧道尽头的曙光”，并确定了四个类别：“在家中找到安全的港湾”、“获得支持并学会确保最佳喂养”、“看到孩子的潜力”以及“得到专业关注和安心”。特别强调，对母亲来说，充足的母乳喂养指导和在家务实际操作方面得到帮助很重要，且需要纳入公共卫生护士的工作实践中。
亲人给予的实际帮助和支持，再加上个性化的专业随访，对母亲应对从医院到家的过渡能力很重要。应高度重视母乳喂养指导，因为母亲在出院后几个月都遇到问题，且觉得自己错过了医院给予足月儿母亲的母乳喂养指导。
