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居家产后助产护理促进了顺利过渡到母亲角色:一项瑞典访谈研究。

Home-based postnatal midwifery care facilitated a smooth succession into motherhood: A Swedish interview study.

作者信息

Thies-Lagergren Li, Johansson Margareta

机构信息

Midwifery research - reproductive, perinatal and sexual health, Department of Health Sciences, Faculty of Medicine, Lund University, Sweden.

Uppsala University, Department of Women's and Children's Health Akademiska University Hospital, Uppsala, Sweden.

出版信息

Eur J Midwifery. 2023 Apr 24;7:8. doi: 10.18332/ejm/161784. eCollection 2023.

DOI:10.18332/ejm/161784
PMID:37101597
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10123868/
Abstract

INTRODUCTION

If a family is discharged from a hospital earlier after birth, close supervision by a skilled midwife is essential. The aim was to describe mothers' overall experience receiving postnatal care in a Swedish home-based midwifery care model.

METHODS

A descriptive qualitative study was conducted. Mothers meeting the inclusion criteria for a new home-based postnatal care model at a hospital in Stockholm, Sweden, were included. In total, 24 healthy mothers participated in a semi-structured telephone interview, averaging 58 minutes. Data were analyzed using thematic analysis, according to Braun and Clarke.

RESULTS

The main theme explored, 'The home-based postnatal care model facilitated a smooth succession into motherhood', is explained by the themes: 1) Mothers felt 'not left adrift' when cared for by the home-based postnatal midwives; 2) Professional midwives with authority guided the way into motherhood; and 3) The home, a safe and secure space for new mothers.

CONCLUSIONS

Mothers valued the well-structured home-based postnatal midwifery care. Important for mothers was to receive health checks, adequate information, and that midwives have a kind and individual approach to the families. Midwives play an important role for mothers in the early days after the birth of their baby.

摘要

引言

如果一个家庭在孩子出生后较早出院,由经验丰富的助产士进行密切监督至关重要。目的是描述母亲们在瑞典家庭式助产护理模式下接受产后护理的总体体验。

方法

进行了一项描述性定性研究。纳入了符合瑞典斯德哥尔摩一家医院新的家庭式产后护理模式纳入标准的母亲。共有24名健康母亲参与了平均时长为58分钟的半结构化电话访谈。根据布劳恩和克拉克的方法,使用主题分析法对数据进行了分析。

结果

所探讨的主要主题“家庭式产后护理模式促进了顺利过渡到母亲角色”由以下主题解释:1)母亲们在接受家庭式产后助产士护理时感觉“没有被遗弃”;2)有权威的专业助产士引导着走向母亲角色;3)家,是新妈妈们安全可靠的空间。

结论

母亲们重视结构完善的家庭式产后助产护理。对母亲们来说重要的是接受健康检查、获得充分信息,以及助产士对家庭采用亲切且个性化的方式。在宝宝出生后的早期,助产士对母亲们起着重要作用。

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本文引用的文献

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Women's experience of the decision-making process for home-based postnatal midwifery care when discharged early from hospital: A Swedish interview study.女性在早期出院后接受家庭产后助产护理决策过程中的经历:一项瑞典访谈研究。
Eur J Midwifery. 2022 Sep 9;6:60. doi: 10.18332/ejm/152547. eCollection 2022.
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Family life starts at home: Fathers' experiences of a newly implemented Swedish home-based postnatal care model - an interview study.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。
Midwifery. 2022 Feb;105:103199. doi: 10.1016/j.midw.2021.103199. Epub 2021 Nov 16.
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Mothers' experiences of client-centred flexible planning in home-based postpartum care: A promising tool to meet their diverse and dynamic needs.母亲们在居家产后护理中以客户为中心的灵活规划体验:满足其多样动态需求的一项有前景的工具。
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Experiences of women discharged early following vaginal birth: a qualitative systematic review.阴道分娩后提前出院的女性体验:一项定性系统评价。
JBI Evid Synth. 2021 Mar;19(3):556-577. doi: 10.11124/JBISRIR-D-19-00421.
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What matters to women in the postnatal period: A meta-synthesis of qualitative studies.产后女性关注的重点:定性研究的元分析。
PLoS One. 2020 Apr 22;15(4):e0231415. doi: 10.1371/journal.pone.0231415. eCollection 2020.
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Mothers´ experiences in relation to a new Swedish postnatal home-based model of midwifery care-A cross-sectional study.母亲们对瑞典新的基于家庭的产褥期助产士护理模式的体验——一项横断面研究。
Midwifery. 2019 Nov;78:140-149. doi: 10.1016/j.midw.2019.07.010. Epub 2019 Jul 15.
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Expectations and experiences of hospital postnatal care in the UK: a systematic review of quantitative and qualitative studies.英国医院产后护理的期望和体验:定量和定性研究的系统评价。
BMJ Open. 2019 Jul 17;9(7):e022212. doi: 10.1136/bmjopen-2018-022212.
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Nurs Ethics. 2019 Nov-Dec;26(7-8):2147-2157. doi: 10.1177/0969733018819119. Epub 2019 Jan 13.