泰国患有抑郁症的孕妇及其伴侣在怀孕期间的生活状况和支持：一项定性研究。
Life situation and support during pregnancy among Thai expectant mothers with depressive symptoms and their partners: a qualitative study.
机构信息
Department of Public Health and Caring Sciences, Faculty of Medicine, Uppsala University, Uppsala, Sweden.
Department of Community Health, Faculty of Public Health, Kasetsart University Chalermphrakiat Sakonnakhon Province Campus, Sakon Nakhon, Thailand.
出版信息
BMC Pregnancy Childbirth. 2020 Apr 9;20(1):207. doi: 10.1186/s12884-020-02914-y.
BACKGROUND
Expectant parents may have positive and negative emotions during pregnancy and receive support from different sources. Studies on life situation and support among couples have rarely been conducted. This study aims to explore life situation and support during pregnancy among expectant mothers with depressive symptoms and their partners.
METHODS
Twenty-seven expectant mothers, in the last trimester of pregnancy with depressive symptoms (Edinburgh Postnatal Depression Scale score ≥ 7) from seven public antenatal care clinics in Sakonnakhon, a north-eastern province of Thailand, and their partners were interviewed. In total, 54 semi-structured interviews were subjected to content analysis.
RESULTS
Four categories emerged: (1) Having obstacles in life, (2) Facing life transition, (3) Enhancing confidence, and (4) Dissatisfaction with support. The informants described obstacles regarding economy, fear of health problems, getting an abnormal child and partners' behaviours. They received support from family members and social networks, but some were dissatisfied with the support from the healthcare. For example, expectant fathers wished to receive more health information and be more involved.
CONCLUSIONS
Healthcare professionals should be aware of the influence of cultural and contextual factors when providing antenatal care to expectant parents. Male involvement in the care must not be neglected.
背景
孕妇在怀孕期间可能会有积极和消极的情绪，并从不同的来源获得支持。关于夫妇生活状况和支持的研究很少进行。本研究旨在探讨有抑郁症状的孕妇及其伴侣在怀孕期间的生活状况和支持。
方法
从泰国东北部色军府的 7 家公立产前诊所招募了 27 名处于妊娠晚期且有抑郁症状（爱丁堡产后抑郁量表评分≥7）的孕妇及其伴侣进行访谈。总共对 54 次半结构化访谈进行了内容分析。
结果
出现了四个类别：（1）生活中的障碍，（2）面临生活转变，（3）增强信心，（4）对支持不满。受访者描述了在经济、对健康问题的恐惧、生一个异常孩子和伴侣行为方面的障碍。他们得到了家庭成员和社交网络的支持，但有些人对医疗保健的支持不满意。例如，准父亲希望获得更多的健康信息并更多地参与其中。
结论
医疗保健专业人员在为孕妇及其伴侣提供产前护理时，应意识到文化和背景因素的影响。男性参与护理不容忽视。
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