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母婴皮肤接触对母婴关系和产妇心理感受的影响:一项定性研究。

Effects of mother-infant skin-to-skin contact on mother-infant relationship and maternal psychology feelings: A qualitative study.

机构信息

Department of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Nursing Department, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

出版信息

Nurs Open. 2024 Jun;11(6):e2181. doi: 10.1002/nop2.2181.

Abstract

AIMS

To explore the effects of mother-infant skin-to-skin contact on mother-infant relationship and maternal psychology feelings.

DESIGN

An exploratory qualitative research design using semi-structured interviews.

METHODS

A total of 64 mother-infant pairs who met the inclusion criteria were selected as the experimental subjects to receive early and continuous intervention of mother-infant skin-to-skin contact (SSC). On this basis, the qualitative research method of procedural grounded theory was used to conduct semi-structured interviews with 18 puerperas before discharge from the hospital; the three-level coding method of procedural grounded theory and Graneheim & Lundman qualitative content analysis method were combined to conductinterview content analysis in Nvivo 12 software, so as to extractcore categories and condense the theme.

RESULTS

(1) The data were coded to extract five core categories, namely, birth experience, role transition, contact perception, mother-infant connection and parental efficacy; (2) there were statistically significant differences in the number of coding reference points in five nodes before and after SSC, that is, mothers' positive feelings, newborns' physical characteristics noticed by their mothers, mother-infant connection, role transition and birth experience. The number of coding reference points after SSC was statistically significant greater than before SSC; (3) The coding interview results showed that SSC could promote the sense of happiness in nurturing.

摘要

目的

探讨母婴皮肤接触对母婴关系和产妇心理感受的影响。

设计

采用半结构式访谈的探索性定性研究设计。

方法

选择 64 对符合纳入标准的母婴作为实验组,接受母婴早期、持续的皮肤接触(SSC)干预。在此基础上,采用程序化扎根理论的定性研究方法,对 18 名产妇出院前进行半结构式访谈;采用程序化扎根理论的三级编码法和 Graneheim & Lundman 定性内容分析法,在 Nvivo 12 软件中对访谈内容进行分析,提取核心类别,凝练主题。

结果

(1)对数据进行编码提取了 5 个核心类别,分别为分娩体验、角色转变、接触感知、母婴连接和父母效能;(2)5 个节点在 SSC 前后的编码参照点数量存在统计学差异,即母亲的积极感受、母亲注意到的新生儿身体特征、母婴连接、角色转变和分娩体验。SSC 后的编码参照点数量明显多于 SSC 前;(3)编码访谈结果表明,SSC 可以促进养育的幸福感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f806/11191751/c9058f27c61f/NOP2-11-e2181-g002.jpg

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