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父母产后安全感:概念分析。

Parents' Postnatal Sense of Security: A Concept Analysis.

机构信息

Department of Nursing, Tongji Hospital, Tongji, Medical College, Huazhong University of Science and Technology, Wuhan, China.

School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Nurs Open. 2024 Dec;11(12):e70102. doi: 10.1002/nop2.70102.

DOI:10.1002/nop2.70102
PMID:39614611
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11607138/
Abstract

AIM

Parents' postnatal sense of security is often mentioned in recent publications, but there is no consensus on its definitions and measurement. A concept analysis was conducted to clarify the definition, the attributes, antecedents and the consequences of parents' postnatal sense of security and to promote consistency in its usage.

DESIGN

Walker and Avant's eight-step concept analysis model was adopted to define the concept of parents' postnatal sense of security.

METHODS

A comprehensive search of multiple databases (Sinomed, CNKI, Wanfang database, CINAHL, PubMed, Embase, Web of Science, ProQuest, PsyInfo and Cochrane Library) was conducted to identify relevant articles from the inception of the databases until December 2022. In addition, a manual search was performed to gather any additional papers related to the topic. Ultimately, a total of 48 articles were included in the concept analysis.

RESULTS

Three attributes were identified: perceive one's physical well-being not being threatened, feel confident and in control of the parenting role, feel confident in one's available relationships. The identified antecedents were: being prepared for child rearing, being in familiar or safe environment, general well-being of the baby and parents, support from medical staff and family members, being empowered by medical staff. Consequences of parents' postnatal sense of security included successful adaptation to the parental role, decreased postpartum depression symptoms in mothers, successful infant care and the development of parent-infant relationship.

摘要

目的

父母产后安全感在最近的出版物中经常被提及,但对于其定义和测量方法尚未达成共识。本研究采用概念分析来阐明父母产后安全感的定义、属性、前因和后果,以促进其使用的一致性。

设计

采用 Walker 和 Avant 的八步概念分析模型来定义父母产后安全感的概念。

方法

对多个数据库(中国生物医学文献服务系统、中国知网、万方数据库、CINAHL、PubMed、Embase、Web of Science、ProQuest、PsycINFO 和 Cochrane Library)进行全面检索,以确定从数据库创建到 2022 年 12 月的相关文章。此外,还进行了手动搜索,以收集任何与主题相关的其他论文。最终,共有 48 篇文章纳入了概念分析。

结果

确定了三个属性:感知到自身身体福祉不受威胁、对育儿角色充满信心和掌控感、对自身可利用的人际关系充满信心。确定的前因包括:为育儿做好准备、处于熟悉或安全的环境中、婴儿和父母的整体健康状况、医护人员和家庭成员的支持、医护人员赋予的权力。父母产后安全感的后果包括成功适应父母角色、母亲产后抑郁症状减少、成功的婴儿护理和父母-婴儿关系的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9783/11607138/bbcc11b7216e/NOP2-11-e70102-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9783/11607138/e5a7b73407fc/NOP2-11-e70102-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9783/11607138/bbcc11b7216e/NOP2-11-e70102-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9783/11607138/e5a7b73407fc/NOP2-11-e70102-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9783/11607138/bbcc11b7216e/NOP2-11-e70102-g001.jpg

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本文引用的文献

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Midwives' experiences of father participation in maternity care at a large metropolitan health service in Australia.澳大利亚大都市卫生服务机构中助产士对父亲参与产妇护理的体验
Midwifery. 2021 Oct;101:103046. doi: 10.1016/j.midw.2021.103046. Epub 2021 May 24.
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Male partner participation in maternity care and social support for childbearing women: a discussion paper.男性伴侣参与产妇护理和生育妇女的社会支持:讨论文件。
Philos Trans R Soc Lond B Biol Sci. 2021 Jun 21;376(1827):20200021. doi: 10.1098/rstb.2020.0021. Epub 2021 May 3.
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Exploring the value and acceptability of an antenatal and postnatal midwifery continuity of care model to women and midwives, using the Quality Maternal Newborn Care Framework.
利用《孕产妇优质护理框架》探索产前和产后助产连续护理模式对妇女和助产士的价值和可接受性。
Women Birth. 2022 Feb;35(1):59-69. doi: 10.1016/j.wombi.2021.03.006. Epub 2021 Mar 23.
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Psychometric Evaluation of the Persian Version of the Childbirth Experience Questionnaire (CEQ).《产妇分娩体验问卷(CEQ)波斯文版的心理计量学评估》。
Biomed Res Int. 2020 Dec 10;2020:6879283. doi: 10.1155/2020/6879283. eCollection 2020.
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Childbirth Experience Questionnaire (CEQ) in the Sri Lankan setting: translation, cultural adaptation and validation into the Sinhala language.斯里兰卡环境下的分娩体验问卷(CEQ):翻译、文化适应及僧伽罗语版本的验证。
BMC Res Notes. 2020 Nov 13;13(1):534. doi: 10.1186/s13104-020-05380-z.
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Effect of early discharge after planned cesarean section on recovery and parental sense of security. A randomized clinical trial.计划性剖宫产术后早期出院对产妇康复和父母安全感的影响。一项随机临床试验。
Acta Obstet Gynecol Scand. 2021 May;100(5):955-963. doi: 10.1111/aogs.14041. Epub 2020 Dec 25.
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