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经历胎儿死亡的父母的护理:综合评价。

Nursing care for parents who have experienced fetal demise: integrative review.

机构信息

Universidade Federal de Pernambuco. Recife, Pernambuco, Brazil.

出版信息

Rev Bras Enferm. 2024 Mar 15;77(1):e20220811. doi: 10.1590/0034-7167-2022-0811. eCollection 2024.

DOI:10.1590/0034-7167-2022-0811
PMID:38511784
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10941679/
Abstract

OBJECTIVES

to identify scientific evidence regarding nursing care for parents who have experienced grief following fetal demise.

METHODS

an integrative review of original studies was conducted across six databases. The studies were classified according to the level of evidence.

RESULTS

the qualitative analysis of the nine studies comprising the sample involved thematic categories, exploring the impact of perinatal loss on families, inadequate communication by healthcare professionals, and the importance of a holistic approach in care. The role of the nurse is highlighted in making a positive contribution to the team, emphasizing participation in training and the provision of essential information.

FINAL CONSIDERATIONS

grieving affects not only family dynamics but also the social environment, emphasizing the urgency of a more empathetic and comprehensive approach. Care should be holistic, going beyond technical nursing assistance, and addressing the biopsychosocial context of the parents.

摘要

目的

确定关于胎儿死亡后经历悲痛的父母的护理的科学证据。

方法

对六个数据库中的原始研究进行综合回顾。根据证据水平对研究进行分类。

结果

对包含在样本中的九项研究的定性分析涉及主题类别,探讨了围产期损失对家庭的影响、医疗保健专业人员沟通不足以及整体护理方法的重要性。护士在为团队做出积极贡献方面的作用得到了强调,重点是参与培训和提供必要的信息。

最终考虑

悲痛不仅影响家庭动态,还影响社会环境,强调更具同理心和全面的方法的紧迫性。护理应该是整体的,不仅仅是技术护理援助,还要解决父母的生物心理社会背景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b785/10941679/c182dd536dc7/0034-7167-reben-77-01-e20220811-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b785/10941679/c182dd536dc7/0034-7167-reben-77-01-e20220811-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b785/10941679/c182dd536dc7/0034-7167-reben-77-01-e20220811-gf01.jpg

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本文引用的文献

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Preparing nurses and midwives to provide perinatal bereavement care: A systematic scoping review.准备护士和助产士提供围产期丧亲关怀:系统范围综述。
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The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.PRISMA 2020 声明:系统评价报告的更新指南。
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'I should have seen her face at least once': parent's and healthcare providers' experiences and practices of care after stillbirth in Kabul province, Afghanistan.
“我至少应该见过她一面”:阿富汗喀布尔省的父母和医疗保健提供者在死胎后的护理经历和做法。
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Parents' experiences of care and support after stillbirth in rural and urban maternity facilities: a qualitative study in Kenya and Uganda.农村和城市产科机构死产后父母的护理与支持经历:肯尼亚和乌干达的一项定性研究
BJOG. 2021 Jan;128(1):101-109. doi: 10.1111/1471-0528.16413. Epub 2020 Aug 16.
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Impact of Perinatal Death on the Social and Family Context of the Parents.围生儿死亡对父母社会和家庭环境的影响。
Int J Environ Res Public Health. 2020 May 14;17(10):3421. doi: 10.3390/ijerph17103421.
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Experience of parents who have suffered a perinatal death in two Spanish hospitals: a qualitative study.围产期死亡父母在两家西班牙医院的经历:一项定性研究。
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Development, validation and reliability testing of 'Perinatal Bereavement Care Confidence Scale (PBCCS)'.《围产期丧亲护理信心量表(PBCCS)》的编制、验证与信度检验。
Women Birth. 2020 Jul;33(4):e311-e319. doi: 10.1016/j.wombi.2019.07.001. Epub 2019 Jul 16.
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The experience of mothers and fathers in cases of stillbirth in Spain. A qualitative study.西班牙死产案例中父母的体验。一项定性研究。
Midwifery. 2019 Oct;77:37-44. doi: 10.1016/j.midw.2019.06.013. Epub 2019 Jun 21.
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COMMUNICATION OF DEATH AND GRIEF SUPPORT TO THE WOMEN WHO HAVE LOST A NEWBORN CHILD.向失去新生儿的女性传达死亡消息及提供悲伤支持
Rev Paul Pediatr. 2018 Oct-Dec;36(4):422-427. doi: 10.1590/1984-0462/;2018;36;4;00013. Epub 2018 Nov 14.
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Meaning Reconstruction among Women following Stillbirth: A Loss Fraught with Ambiguity and Doubt.死产后女性的意义重构:一场充满模糊与疑虑的丧失
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