莱索托护士助产士对产后抑郁症管理的认知
Perceptions of Lesotho nurse-midwives regarding post-partum depression management.
作者信息
Maloleka Ntsehiseng, Rathobei Libuseng M, Naranjee Nellie
机构信息
Department of Nursing, Faculty of Health Science, National University of Lesotho, Maseru.
出版信息
Curationis. 2024 Dec 18;47(1):e1-e8. doi: 10.4102/curationis.v47i1.2624.
BACKGROUND
Effective post-partum maternal care is essential for the overall well-being of both the mother and the child. Postpartum depression (PPD) is a pervasive issue with profound implications for maternal health. However, a significant research gap exists concerning the perspectives of nurse-midwives on PPD within the context of Lesotho.
OBJECTIVES
This study aimed to explore perceptions of nurse-midwives about PPD management at a tertiary care facility in Lesotho.
METHOD
The study site was the Quthing Hospital, a government-funded healthcare facility situated in Lesotho's southernmost district, Quthing. Employing a constructivist paradigm, the research adopted a qualitative, exploratory, descriptive and contextual design. Using purposive sampling, nine nurse-midwives participated in individual interviews.
RESULTS
Thematic analysis of the data resulted in three themes emerging namely: a lack of nurse midwifery empowerment, inadequate human and material resources and stigma on mental health issues.
CONCLUSION
Nurse-midwives at a large tertiary care facility perceive PPD management through a multifaceted lens. Insights underscored the complexity of PPD and its ramifications for maternal care.Contribution: This study provides invaluable perspectives from nurse-midwives within a specific Lesotho context, laying the foundation for strategies to enhance PPD management and maternal mental healthcare.
背景
有效的产后产妇护理对于母亲和孩子的整体健康至关重要。产后抑郁症（PPD）是一个普遍存在的问题，对产妇健康有着深远影响。然而，在莱索托的背景下，关于助产士对产后抑郁症的看法存在重大研究空白。
目的
本研究旨在探讨莱索托一家三级护理机构中助产士对产后抑郁症管理的看法。
方法
研究地点是库廷医院，这是一家由政府资助的医疗机构，位于莱索托最南部的库廷区。采用建构主义范式，该研究采用了定性、探索性、描述性和情境性设计。通过目的抽样，九名助产士参与了个人访谈。
结果
对数据的主题分析产生了三个主题，即：助产士缺乏赋权、人力和物力资源不足以及心理健康问题的污名化。
结论
一家大型三级护理机构的助产士从多方面看待产后抑郁症的管理。见解强调了产后抑郁症的复杂性及其对产妇护理的影响。贡献：本研究提供了莱索托特定背景下助产士的宝贵观点，为加强产后抑郁症管理和产妇心理保健的策略奠定了基础。
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