Mental Health and Specialist Services, Gold Coast Hospital and Health Service, Gold Coast, QLD 4215, Australia.
Mater Young Adult Health Centre, Mater Hospital, South Brisbane, QLD 4101, Australia.
Int J Environ Res Public Health. 2022 Aug 7;19(15):9717. doi: 10.3390/ijerph19159717.
The postnatal period is high-risk time for the first onset and recurrence of maternal mental health disorders. Untreated maternal mental illness can have significant adverse impacts on a woman, her baby, and the wider family unit. For women with mental illnesses that cannot be managed in the community, psychiatric inpatient mother-baby units are the gold standard treatment whereby mothers are co-admitted with their infant for specialist perinatal and infant mental health assessment and treatment. The study explores the model of care and examines the philosophies of care that are used within a psychiatric mother-baby unit. Purposive sampling was used to conduct semi-structured focus group and individual interviews with multidisciplinary staff members at a single mother-baby unit. Themes derived from these interviews were coded into two primary themes and a range of sub-themes. The first primary theme focused on the Model of Care consisting of the following sub-themes: mental health care, physical health care, babies' care, building mother-baby relationship, fostering relationships with supports, and facilitating community support. The second primary theme centered around the Philosophy of Care comprising of: person-centered care, trauma-informed care, compassion-centered care, recovery-oriented care, attachment-informed care, non-judgmental care, strengths-based care and interdisciplinary care. The model can be used to provide consistency across mother-baby units and to support core capabilities of staff in providing an optimal level of care.
产后阶段是产妇精神健康障碍首次发作和复发的高风险时期。未经治疗的产妇精神疾病会对女性自身、她的婴儿和更广泛的家庭单位产生重大的不良影响。对于那些在社区无法得到有效管理的精神疾病患者，精神科母婴单位是一种黄金标准的治疗方法，即母亲与婴儿一起被收治，以便对围产期和婴儿精神健康进行专门评估和治疗。本研究探索了这种护理模式，并考察了精神科母婴单位中使用的护理理念。采用目的性抽样方法，对单一母婴单位的多学科工作人员进行了半结构式焦点小组和个人访谈。从这些访谈中提取的主题被编码为两个主要主题和一系列子主题。第一个主要主题集中在护理模式上，包括以下子主题：精神保健、身体健康保健、婴儿保健、建立母婴关系、培养与支持的关系以及促进社区支持。第二个主要主题围绕着护理理念展开，包括：以患者为中心的护理、创伤知情护理、以同情心为中心的护理、以康复为导向的护理、以依恋为导向的护理、非评判性护理、以优势为基础的护理和跨学科护理。该模式可用于在母婴单位之间提供一致性，并支持工作人员提供最佳护理水平的核心能力。
