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助产士和儿童保健护士的支持与婴儿父亲的积极共同养育有关:一项横断面分析。

Midwives and child health nurses' support is associated with positive coparenting for fathers of infants: A cross-sectional analysis.

机构信息

Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.

Prevention Research Center, The Pennsylvania State University, University Park, Pennsylvania, USA.

出版信息

J Clin Nurs. 2023 Apr;32(7-8):1443-1454. doi: 10.1111/jocn.16329. Epub 2022 Apr 19.

DOI:10.1111/jocn.16329
PMID:35441382
Abstract

AIMS AND OBJECTIVES

To examine if the professional support that fathers received from midwives and child health nurses was associated with improvements in fathers' coparenting. A secondary aim was to investigate if there were any support differences between fathers based on parity.

BACKGROUND

Stronger coparenting is associated with improved maternal, paternal and child health. It is unclear if routine prenatal and postnatal professional support is associated with improved coparenting in fathers of infants.

DESIGN

Cross-sectional online survey.

METHODS

In total, 612 fathers of infants (aged 0-24 months) completed baseline data between November 2018 and March 2020. Socio-demographics, pregnancy control variables, social support, professional support, being invited to attend and attending three specific visits for fathers, respectively, and the fathers' coparenting relationship, using the Brief Coparenting Relationship Scale, were assessed. The STROBE checklist was used as the reporting guideline for this study.

RESULTS

Fathers' attendance at child health visits, support from the prenatal and postnatal midwife, respectively, and total support from the child health nurse, are associated with more positive coparenting. Primiparous fathers reported more received social and professional support, as well as a more positive coparenting relationship than multiparous fathers.

CONCLUSIONS

Receiving clinical support from both midwives and child health nurses is associated with fathers' positive coparenting. All fathers should be invited and encouraged to attend prenatal, postnatal and child health visits to further support their coparenting relationship. Relative to primiparous fathers, multiparous fathers may require targeted and additional clinical support regarding their coparenting relationship.

RELEVANCE TO CLINICAL PRACTICE

With fathers becoming more involved in childrearing, having stronger coparenting skills can help them better adapt to their parental roles. Our findings help understand how routine professional support from midwives and child health nurses are experienced among new fathers and that multiparous fathers are in further need of coparenting support.

摘要

目的和目标

研究父亲从助产士和儿童健康护士那里获得的专业支持是否与父亲的共同养育得到改善有关。次要目的是调查基于生育情况,父亲之间是否存在支持方面的差异。

背景

更强的共同养育与改善母婴、父子健康有关。目前尚不清楚常规产前和产后专业支持是否与改善婴儿父亲的共同养育有关。

设计

横断面在线调查。

方法

共有 612 名婴儿(0-24 个月)的父亲于 2018 年 11 月至 2020 年 3 月期间完成了基线数据。评估了社会人口统计学、妊娠控制变量、社会支持、专业支持、受邀参加以及父亲分别参加三次特定访问的情况,以及使用《简要共同养育关系量表》评估了父亲的共同养育关系。本研究采用 STROBE 清单作为报告准则。

结果

父亲参加儿童健康访问、从产前和产后助产士那里获得支持,以及从儿童健康护士那里获得的总支持,与更积极的共同养育有关。与多胎父亲相比,初胎父亲报告了更多的社会和专业支持,以及更积极的共同养育关系。

结论

从助产士和儿童健康护士那里获得临床支持与父亲的积极共同养育有关。所有父亲都应受邀并鼓励参加产前、产后和儿童健康访问,以进一步支持他们的共同养育关系。与初胎父亲相比,多胎父亲可能需要针对他们的共同养育关系提供有针对性的额外临床支持。

临床相关性

随着父亲越来越多地参与育儿,拥有更强的共同养育技能可以帮助他们更好地适应父母角色。我们的研究结果有助于了解新父亲如何体验助产士和儿童健康护士的常规专业支持,并且多胎父亲更需要共同养育支持。

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