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早产儿父母的经历和应对策略,以及早期物理治疗干预后的父母能力:定性研究。

Experiences and coping strategies of preterm infants' parents and parental competences after early physiotherapy intervention: qualitative study.

机构信息

Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare. Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVIC-UCC), Vic, Spain.

Neonatal Department, Sant Joan De Deu Barcelona Children's Hospital, Barcelona, Spain.

出版信息

Physiother Theory Pract. 2022 Sep;38(9):1174-1187. doi: 10.1080/09593985.2020.1818339. Epub 2020 Sep 7.

DOI:10.1080/09593985.2020.1818339
PMID:32892686
Abstract

BACKGROUND

Birth before term is a stressful experience for parents because of the unexpected delivery or admission to the neonatal intensive care unit.

OBJECTIVE

This research aimed to evaluate the impact of the early PT intervention on preterm infants' parents' experiences, and also to obtain knowledge about parents' experiences and perceived difficulties during preterm infants' care.

METHODS

This qualitative study is based on the methods of phenomenology. In the first phase, open interviews were developed to allow researchers to immerse themselves in the context of the study and refine the questions for the semi-structured interviews. Data collected from the semi-structured interviews were analyzed through content analysis.

RESULTS

The results were summarized around three themes: 1) parental competence; 2) difficulties during preterm infants' care; and 3) coping strategies. Each theme was divided into two sub-themes.

CONCLUSION

Mothers and fathers of preterm infants experienced difficulties when caring for their babies. Parents that received the early physiotherapy intervention felt empowered to take care of their babies and to enhance infants' development. These parents were more capable of developing coping strategies after the intervention. Parents that did not receive the early physiotherapy intervention expressed difficulties when caring for their preterm babies.

摘要

背景

早产儿的出生对于父母来说是一种压力体验,因为这是意料之外的分娩或早产儿需要入住新生儿重症监护病房。

目的

本研究旨在评估早期物理治疗干预对早产儿父母体验的影响,同时了解父母在早产儿护理过程中的体验和感知困难。

方法

本定性研究基于现象学方法。在第一阶段,开展开放性访谈,使研究人员能够深入了解研究背景,并完善半结构化访谈的问题。对半结构化访谈收集的数据进行内容分析。

结果

结果围绕三个主题进行总结:1)父母能力;2)早产儿护理过程中的困难;3)应对策略。每个主题又分为两个亚主题。

结论

早产儿的母亲和父亲在照顾婴儿时会遇到困难。接受早期物理治疗干预的父母感到有能力照顾自己的婴儿并促进婴儿的发育。这些父母在干预后更有能力制定应对策略。未接受早期物理治疗干预的父母在照顾早产儿时表示存在困难。

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