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在不确定性中应对多重角色:亚洲父亲视角下的新生儿重症监护病房中的婴儿

Juggling Multiple Roles amidst Uncertainty: The Asian Father's Perspective of an Infant in Neonatal Intensive Care Unit.

机构信息

Khoo Teck Puat-National University Children's Medical Institute, National University Hospital, Singapore, Singapore.

Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.

出版信息

Am J Perinatol. 2021 Nov;38(13):1420-1427. doi: 10.1055/s-0040-1713179. Epub 2020 Jun 11.

Abstract

OBJECTIVE

Parents of preterm, very low birthweight (VLBW) infants in neonatal intensive care units (NICU) undergo emotional turmoil. Studies on parent's experiences typically focus on the maternal perspective. The purpose of the study is to explore the emotional needs and experiences of fathers of VLBW neonates in the NICU and to identify ways to improve their experiences.

STUDY DESIGN

This was a qualitative descriptive design study undertaken at the NICU of a tertiary university hospital. Convenience sampling with predefined inclusion and exclusion criteria was used to identify prospective participants. Semi-structured interviews were conducted with 15 fathers of infants until data saturation was reached. The COREQ (Consolidated Criteria for Reporting Qualitative Studies) checklist was used.

RESULTS

Father's experiences were classified into the topics of concerns, roles, and perspectives. Uncertainty was a predominant theme in each of these. Fathers assume multiple roles toward the child, wife, self, and family. Their concerns were multifaceted involving the child, family, work, and finances; they experienced a myriad of emotions, but these evolved into resilience eventually.

CONCLUSION

Fathers have unique concerns pertinent to having an infant in the NICU. They juggle multiple roles and transition to emotions of resilience. It is imperative to acknowledge the uncertainty and diverse roles of fathers, provide them with customized information, and develop more balanced parent-support groups.

KEY POINTS

· Fathers juggle multiple roles with a child in NICU.. · Uncertainty is a key part of their experience.. · Acknowledging their role and emotions is important..

摘要

目的

新生儿重症监护病房(NICU)中早产儿、极低出生体重儿(VLBW)的父母经历着情感上的动荡。关于父母经历的研究通常侧重于母亲的视角。本研究的目的是探讨 NICU 中 VLBW 新生儿父亲的情感需求和体验,并确定改善他们体验的方法。

研究设计

这是一项在一所三级大学医院 NICU 进行的定性描述性设计研究。采用便利抽样和预先设定的纳入和排除标准来确定前瞻性参与者。对 15 名婴儿的父亲进行半结构化访谈,直到达到数据饱和。使用 COREQ(定性研究报告的统一标准)清单。

结果

父亲的经历分为关注、角色和观点三个主题。在每个主题中,不确定性都是一个主要主题。父亲对孩子、妻子、自己和家庭承担着多种角色。他们的担忧涉及孩子、家庭、工作和财务等多个方面;他们经历了各种情绪,但最终都变得有韧性。

结论

父亲对婴儿在 NICU 中有独特的担忧。他们承担着多种角色,并逐渐变得有韧性。承认父亲的不确定性和多种角色,为他们提供定制化的信息,并开发更平衡的父母支持小组是至关重要的。

关键点

· 父亲在 NICU 中承担着多种角色。· 不确定性是他们体验的关键部分。· 承认他们的角色和情绪很重要。

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