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围产期临终关怀中女性护理人员的情感体验与表现探索。一项定性试点研究。

An Exploration of the Emotive Experiences and the Representations of Female Care Providers Working in a Perinatal Hospice. A Pilot Qualitative Study.

作者信息

Dahò Margherita

机构信息

Department of Cognitive Sciences, Psychology, Educational and Cultural Studies (COSPECS), University of Messina, Messina, Italy; CRISCAT (International Research Center for Theoretical and Applied Cognitive Sciences) University of Messina and Universitary Consortium of Eastern Mediterranean, Noto, IT.

出版信息

Clin Neuropsychiatry. 2021 Feb;18(1):55-64. doi: 10.36131/cnfioritieditore20210105.

DOI:10.36131/cnfioritieditore20210105
PMID:34909020
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8629094/
Abstract

Congenital anomalies are the principal cause of neonatal mortality in the United States. Families who decide to continue gestation and reject termination of pregnancy benefit from the experience of Perinatal Hospice (PH). There are no current studies that show if there may be positive outcomes for care-providers as well. The first step is exploration of their emotive experiences and representations beyond burnout or stress disorders and the possible negative outcomes. With this aim, semi-structured interviews were conducted with 10 specialists. An Elementary Context analysis was performed with T-Lab software. Providers experience positive elements even though they work in a painful reality and face the possibility of 'failure' of medical science or the loss of a patient. They declare themselves to be satisfied and do not demonstrate deep suffering or particular psychophysical disorders. They consider their job as a 'gift'. There is a lack of research exploring the encouraging aspects of their work, such as coping strategies or positive emotions.

摘要

先天性异常是美国新生儿死亡的主要原因。决定继续妊娠并拒绝终止妊娠的家庭受益于围产期临终关怀(PH)的体验。目前尚无研究表明这对护理人员是否也可能产生积极结果。第一步是探索他们在职业倦怠或应激障碍之外的情感体验和表现,以及可能的负面结果。出于这个目的,对10位专家进行了半结构化访谈。使用T-Lab软件进行了基本情境分析。尽管护理人员在痛苦的现实中工作,面临医学“失败”或患者死亡的可能性,但他们仍体验到积极的因素。他们表示自己很满意,没有表现出深刻的痛苦或特殊的身心障碍。他们将自己的工作视为一份“礼物”。目前缺乏对他们工作中令人鼓舞的方面的研究,比如应对策略或积极情绪。

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本文引用的文献

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BJOG. 2014 Jul;121(8):1020-8. doi: 10.1111/1471-0528.12695. Epub 2014 Mar 3.
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Developing a perinatal memory-making program at a children's hospital.在一家儿童医院开展围产期记忆留存项目。
MCN Am J Matern Child Nurs. 2014 Mar-Apr;39(2):102-6. doi: 10.1097/NMC.0000000000000016.
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Our children are not a diagnosis: the experience of parents who continue their pregnancy after a prenatal diagnosis of trisomy 13 or 18.我们的孩子并非一种诊断结果:产前诊断为13三体或18三体后仍继续妊娠的父母的经历。
Am J Med Genet A. 2014 Feb;164A(2):308-18. doi: 10.1002/ajmg.a.36298. Epub 2013 Dec 5.
7
Support for mothers, fathers and families after perinatal death.围产期死亡后对母亲、父亲及家庭的支持。
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Prenatal birth planning for families of the imperiled newborn.为危重新生儿家庭进行产前出生规划。
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