Sih Delphine A, Bimerew Million, Modeste Regis R M
Department of Nursing, University of the Western Cape, Cape Town.
Curationis. 2019 Oct 1;42(1):e1-e8. doi: 10.4102/curationis.v42i1.1872.
Most pregnancies run a normal course, ending in a healthy mother-infant relationship, but sometimes, it can also be a life-threatening and stressful condition. The stress levels of mothers are more aggravated when they deliver preterm babies.
To explore the coping strategies of mothers of preterm babies with the stress of preterm delivery and subsequent admission of the preterm neonate to a neonatal care unit.
A qualitative research approach applying an exploratory and descriptive design was applied to explore the coping strategies of mothers with preterm babies admitted in a neonatal care unit. The study applied a purposive sampling technique to select mothers with preterm babies. The population for this study included women who delivered preterm babies and whose babies were admitted in the neonatal care unit at a public hospital in Cape Town. Semi-structured interviews were conducted until data saturation was reached, and 11 mothers with preterm babies in the selected public hospital participated in the study. Data were analysed manually using thematic content analysis with an inductive approach.
Results were deductively interpreted and supported by the Brief COPE model. The main themes that emerged from data analysis included praying, attachment with baby and acceptance of the situation. Under praying the following subthemes emerged, namely praying for God's strength, God's grace, babies' survival and thanksgiving to God for babies' health and preferred gender. The theme of attachment with the baby emerged with the following subthemes: bonding with the baby and seeing the baby. The last theme that was acceptance of the situation emerged with the following subtheme: perseverance in the situation and mother's awareness of her responsibility.
Even though the mothers of preterm babies cope differently after delivery, their coping abilities, which included praying, attachment to baby and acceptance of the situation, were greatly determined by the condition of their babies as well as the support they receive from significant others.
大多数妊娠过程正常，以母婴关系健康告终，但有时也可能是危及生命且充满压力的情况。母亲在分娩早产儿时压力会更大。
探讨早产婴儿母亲应对早产及随后早产新生儿入住新生儿重症监护病房压力的策略。
采用探索性和描述性设计的定性研究方法，以探究入住新生儿重症监护病房的早产婴儿母亲的应对策略。该研究采用立意抽样技术选择早产婴儿的母亲。本研究的人群包括在开普敦一家公立医院分娩早产儿且其婴儿入住新生儿重症监护病房的女性。进行半结构化访谈直至达到数据饱和，选定公立医院的11位早产婴儿母亲参与了研究。使用归纳法通过主题内容分析对手工数据进行分析。
结果通过《简易应对方式问卷》模型进行演绎性解释和验证。数据分析中出现的主要主题包括祈祷、与婴儿建立情感联系以及接受现状。在祈祷主题下出现了以下子主题，即祈求上帝赐予力量、上帝的恩典、婴儿存活以及感谢上帝赐予婴儿健康和理想性别。与婴儿建立情感联系的主题出现了以下子主题：与婴儿建立亲密关系和看望婴儿。最后一个主题即接受现状出现了以下子主题：在这种情况下坚持不懈以及母亲对自身责任的认识。
尽管早产婴儿的母亲在分娩后应对方式不同，但她们的应对能力，包括祈祷、与婴儿建立情感联系和接受现状，很大程度上取决于婴儿的状况以及她们从重要他人那里获得的支持。
