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新生儿重症监护病房(NICU)中母亲照顾早产新生儿时的社会支持与复原力:一项定性研究。

Maternal social support and resilience in caring for preterm newborns at the neonatal intensive care unit (NICU): A qualitative study.

作者信息

Eduku Sabina, Annan Emma, Amponsah Mary Ani

机构信息

University of Ghana, Accra, Ghana.

出版信息

Heliyon. 2024 Jul 18;10(14):e34731. doi: 10.1016/j.heliyon.2024.e34731. eCollection 2024 Jul 30.

Abstract

INTRODUCTION

Mothers with preterm babies at the NICU are at a high risk of acquiring psychological distress as a result of unexpected and upsetting experiences. While there is a strong emphasis on the infant's health, the mother's well-being, particularly her mental health, is sometimes disregarded. A qualitative exploratory descriptive design was used to explore maternal social support and resilience in caring for preterm newborns at the NICU in Municipal hospital in Ghana from May to July 2022.

METHODS

A qualitative exploratory method was used, and a purposive sampling technique was used to select 15 postnatal women who had their preterm babies on admission to the NICU until data saturation. Data was analysed using thematic content analysis.

RESULTS

The findings of the study showed that social support for their mothers as they care for their preterm infants contributed to their resilience. Three themes emerged from the analysis of the data: informational support, instrumental support and psychosocial support.

CONCLUSION

There is a need for training in communication skills and counselling for healthcare professionals working in the NICU to be able to communicate effectively with mothers and also adopt a family-centered approach in the care of preterm infants. This will support mothers to strengthen their resilience when caring for their premature babies in the NICU. The role of instrumental support for mothers specifically financial and physical care support in building maternal resilience cannot be overemphasised.

摘要

引言

在新生儿重症监护病房(NICU)照顾早产婴儿的母亲,由于意外和令人不安的经历,极易出现心理困扰。尽管人们高度重视婴儿的健康,但母亲的幸福,尤其是她的心理健康,有时却被忽视。本研究采用定性探索性描述性设计,于2022年5月至7月在加纳市立医院的新生儿重症监护病房,探索母亲在照顾早产新生儿时的社会支持和复原力。

方法

采用定性探索性方法,并运用目的抽样技术,选取15名在新生儿重症监护病房入院时产下早产婴儿的产后女性,直至数据饱和。采用主题内容分析法对数据进行分析。

结果

研究结果表明,母亲在照顾早产婴儿时获得的社会支持有助于她们的复原力。数据分析中出现了三个主题:信息支持、工具性支持和心理社会支持。

结论

在新生儿重症监护病房工作的医护人员需要接受沟通技巧和咨询方面的培训,以便能够与母亲进行有效沟通,并在照顾早产婴儿时采用以家庭为中心的方法。这将支持母亲在新生儿重症监护病房照顾早产婴儿时增强复原力。工具性支持对母亲的作用,特别是在经济和身体护理方面的支持,在建立母亲复原力方面的作用再怎么强调都不为过。

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