Winarni Lastri Mei, Damayanti Rita, Afiyanti Yati
Departement Public Health, Universitas Indonesia and Lecture in Midwifery Programme at Universitas Yatsi, Madani, Indonesia.
Departement Public Health, Universitas Indonesia, Indonesia.
Iran J Nurs Midwifery Res. 2023 Jun 21;28(3):250-258. doi: 10.4103/ijnmr.ijnmr_77_22. eCollection 2023 May-Jun.
During COVID-19 pandemic, the isolation, socialization, and extreme changes in daily life have some potential mental health consequences which should be recognized as a critical public health concern, especially for perinatal mothers. Therefore, it is very important to assess the needs for maternal mental health care in perinatal mothers during COVID-19 pandemic. This study aimed to explore mothers' needs for maternal mental health care in the perinatal period during COVID-19 pandemic.
Realistic phenomenological approach was carried out in this qualitative study. The study was conducted at five community health centers in the city of Tangerang, Indonesia. In-depth interviews were conducted to 11 mothers who were pregnant, in labor, during puerperium and two months after giving birth with purposive sampling. Data were collected from May to August 2021. Interviews were conducted face to face, audio recorded, and transcribed verbatim. Data were analyzed by using Van Manen's phenomenological method.
Initial finding revealed 254 codes, which were then reduced to 122 codes, 98 sub-categories, 22 categories, and 5 themes. There were five themes related to mothers' needs for mental health care during COVID-19, ., health protocol during pandemic, psychological support, health education, simple coping mechanism, and support system.
The needs can be fulfilled by the closest people the mothers have and healthcare system for perinatal mental health. Vaccination, health protocol, and psychological resilience should be delivered to mothers during COVID-19.
在新冠疫情期间，隔离、社交限制以及日常生活的极端变化可能会对心理健康产生一些潜在影响，这应被视为一个关键的公共卫生问题，尤其是对于围产期母亲而言。因此，评估新冠疫情期间围产期母亲对孕产妇心理健康护理的需求非常重要。本研究旨在探讨新冠疫情期间围产期母亲对孕产妇心理健康护理的需求。
本定性研究采用现实现象学方法。研究在印度尼西亚坦格朗市的五个社区卫生中心进行。通过目的抽样，对11名处于孕期、分娩期、产褥期及产后两个月的母亲进行了深入访谈。数据收集于2021年5月至8月。访谈采用面对面方式，进行录音并逐字转录。数据采用范曼现象学方法进行分析。
初步发现揭示了254个编码，随后缩减为122个编码、98个亚类别、22个类别和5个主题。有五个主题与新冠疫情期间母亲对心理健康护理的需求相关，即疫情期间的健康规程、心理支持、健康教育、简单应对机制和支持系统。
母亲的这些需求可以由其身边最亲近的人和围产期心理健康医疗系统来满足。在新冠疫情期间，应向母亲们提供疫苗接种、健康规程和心理韧性方面的支持。
