School of Health Sciences, University of Skövde, Skövde, Sweden.
Regionhälsan Midwifery Unit, Västra Götalandsregionen, Sweden.
Front Public Health. 2021 Feb 22;9:578917. doi: 10.3389/fpubh.2021.578917. eCollection 2021.
While becoming a parent can be challenging for all, it can particularly be challenging for those parents and children who are in a vulnerable situation-e.g., in families whose members have problems related to health, relationships, or socioeconomic status. It is essential for health care professionals to identify the more vulnerable families at an early stage. Home visits are one cost-effective way of identifying and supporting such families. This study describes the parental experiences of an intervention that involves professional support in the form of extended home visits. The aim of the study is to describe the parents' understanding of their experiences of receiving professional support through extended home visits both during pregnancy and the first 15 months of their child's life. A phenomenographic approach was used. Semi-structured interviews were conducted with 12 parents who had received the intervention. The interviews were analyzed using the seven-step phenomenography model described by Sjöström and Dahlgren. The following three descriptive categories emerged from the analysis: (1) , (2) , and (3) . Extended home visits as a form of professional support appear to promote parental self-confidence in parenting ability, giving parents a feeling of security that facilitates conversation with professionals. Children and their entire families had natural roles during home visits, which allowed the children to behave more characteristically. Furthermore, the home visits were understood to facilitate social support through social activities at the child health center as well as integration into Swedish society for migrant parents. Professional support should be adjusted to the unique individual needs of parents, which demands a variety of supportive interventions-for example, reorganizing one or two of the regular clinical visits currently being scheduled as home visits instead.
为人父母可能对所有人来说都是一项挑战，但对于那些处于弱势处境的父母和孩子来说，挑战尤其大，例如，在那些家庭成员存在健康、人际关系或社会经济地位等问题的家庭中。医疗保健专业人员必须在早期识别出更弱势的家庭。家访是识别和支持此类家庭的一种具有成本效益的方法。本研究描述了一项干预措施中父母的体验，该干预措施以家访的形式提供专业支持。本研究的目的是描述父母在怀孕期间和孩子生命的头 15 个月期间通过家访获得专业支持的体验。采用现象学方法。对 12 名接受过该干预措施的父母进行了半结构化访谈。使用 Sjöström 和 Dahlgren 描述的七步现象学模型对访谈进行了分析。分析得出以下三个描述性类别：（1）、（2）和（3）。家访作为一种专业支持形式，似乎可以增强父母的育儿自信心，让父母感到安心，从而促进与专业人士的对话。家访期间，孩子及其整个家庭都有其自然角色，这使得孩子的行为更具特色。此外，家访被理解为通过儿童健康中心的社交活动以及为移民父母融入瑞典社会来促进社会支持。专业支持应根据父母的独特个人需求进行调整，这需要各种支持性干预措施，例如，将目前安排的一两次常规临床访视重新安排为家访。
