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家庭生活始于家庭:父亲对新实施的瑞典家庭产后护理模式的体验 - 一项访谈研究。

Family life starts at home: Fathers' experiences of a newly implemented Swedish home-based postnatal care model - an interview study.

机构信息

Department of Women's and Children's Health, Uppsala University, Akademiska Sjukhuset, Uppsala SE-751 85, Sweden.

Post Graduate Diploma in Specialist Nursing - Emergency Care, Department of Obstetrics and Gynaecology, Degree of Master of Science in Nursing & RM, Akademiska sjukhuset, Uppsala SE-751 85, Sweden.

出版信息

Midwifery. 2022 Feb;105:103199. doi: 10.1016/j.midw.2021.103199. Epub 2021 Nov 16.

DOI:10.1016/j.midw.2021.103199
PMID:34856438
Abstract

OBJECTIVE

To explore and describe fathers' experiences of a newly implemented Swedish home-based postnatal care model.

DESIGN

A descriptive cross-sectional qualitative study was conducted as a part of a larger study.

SETTING

Families who qualified to be discharged early were offered to participate in a postnatal home-based model of midwifery care by a hospital in Stockholm, Sweden.

PARTICIPANTS AND MEASUREMENTS

In total, 16 fathers participated in a semi-structured telephone interview, averaging 43 min. Data were analyzed using systematic text condensation.

FINDINGS

Three major themes emerged: To decide on home- or hospital-based postnatal care - a matter of safety, To be offered professional midwifery postnatal support at home, and To be at home helped fathers to navigate parenthood. Fathers appreciated the home-based postnatal care and felt safe because of the received professional support from midwives.

KEY CONCLUSIONS

Home-based postnatal care was valued by fathers whose partner had a non-complicated vaginal birth because they felt safe in their home environment and supported by midwives. The home environment aided fathers in supporting their partners and developing a father-infant bond.

IMPLICATIONS FOR PRACTICE

Home-based postnatal care was valued by fathers and should be considered an option for new families. To offer home-based postnatal care may result in less overcrowded postnatal wards. Midwives need to enable fathers' participation and support their parental role regardless of where the care takes place.

摘要

目的

探索和描述父亲在新实施的瑞典家庭产后护理模式中的体验。

设计

作为一项更大研究的一部分,进行了描述性的横切面定性研究。

地点

有资格提前出院的家庭被提供由瑞典斯德哥尔摩的一家医院提供的基于家庭的产褥期助产士护理模式。

参与者和测量

共有 16 位父亲参加了半结构化电话访谈,平均时长为 43 分钟。使用系统文本浓缩法分析数据。

结果

出现了三个主要主题:决定选择家庭或医院为基础的产后护理 - 安全问题,接受家庭产后专业助产士支持,以及在家中帮助父亲适应育儿生活。父亲们对家庭产后护理感到满意,并因从中获得了助产士的专业支持而感到安全。

主要结论

基于家庭的产后护理受到了那些伴侣经历非复杂阴道分娩的父亲的重视,因为他们在家庭环境中感到安全,并得到了助产士的支持。家庭环境帮助父亲支持他们的伴侣并建立起父亲与婴儿的联系。

实践意义

基于家庭的产后护理受到了父亲的重视,应将其视为新家庭的一种选择。提供基于家庭的产后护理可能会减少产后病房的过度拥挤。助产士需要使父亲参与进来,并支持他们的父母角色,无论护理在何处进行。

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