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印度尼西亚母亲对早产儿出院后在家护理实践的信念:一项定性研究。

Indonesian mothers' beliefs on caring practices at home for preterm babies after hospital discharge: A qualitative study.

机构信息

Pediatric Nursing Department, Faculty of Nursing, Hasanuddin University, Makassar, Indonesia.

Pediatric Department, Faculty of Medicine, Health Sciences and Nursing, Gadjah Mada University, Yogyakarta, Indonesia.

出版信息

J Spec Pediatr Nurs. 2021 Jul;26(3):e12330. doi: 10.1111/jspn.12330. Epub 2021 Mar 26.

Abstract

PURPOSE

Premature birth may be associated with infant health problems and frequently requires in-hospital and then at-home specialized care. Studies investigating home-caring experiences of mothers of preterm infants in developing countries are limited. This study was to explore preterm mothers' experiences of caring practices at home 1 month after their infant's discharge from a neonatal unit.

DESIGN AND METHOD

A descriptive qualitative study using in-depth interviews with eight purposively sampled mothers who had been discharged home from neonatal unit in one city in Indonesia. All interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis.

RESULT

Three main themes emerged: (1) transition to independent motherhood, (2) focus on care of infant after discharge, and (3) barriers and enablers for care. The mothers managed their infant care at home by focusing on feeding and managing infant health problems. They faced on myth and culture as one of the barriers.

CONCLUSIONS

Comprehensive discharge education for mothers of preterm infants and their families is required to enhance mothers' caring abilities and overcome barriers is sufficient. Nurses/midwives need to improve care related to the well-being of mothers and their infants in preparation for, and after, discharge from the neonatal unit.

摘要

目的

早产可能与婴儿健康问题有关,通常需要在医院和家中接受专业护理。研究早产儿母亲在发展中国家的家庭护理经验的研究有限。本研究旨在探讨早产儿母亲在婴儿从新生儿病房出院后 1 个月时的家庭护理实践经验。

设计与方法

采用描述性定性研究方法,对印度尼西亚一个城市的 8 名经专门挑选的出院回家的早产儿母亲进行深入访谈。所有访谈均进行录音、逐字转录,并采用主题分析进行分析。

结果

出现了三个主要主题:(1)向独立母亲身份的转变,(2)专注于出院后的婴儿护理,以及(3)护理的障碍和促进因素。母亲通过专注于喂养和管理婴儿的健康问题来管理在家中的婴儿护理。她们面临着一种障碍,即神话和文化。

结论

需要为早产儿母亲及其家人提供全面的出院教育,以提高母亲的护理能力并克服障碍。护士/助产士需要改善与母亲及其婴儿福祉相关的护理,为从新生儿病房出院做准备。

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