“我怀疑自己是不是这个早产宝宝的亲生父亲”：影响乌干达卡韦姆佩国家转诊医院新生儿科收治的早产宝宝父亲参与照护的因素。一项定性研究
"I was doubtful of being the true father of the preterm baby": factors affecting fathers' involvement in the care of preterm babies admitted in the neonatal unit at Kawempe National Referral Hospital, Uganda. a qualitative study.
作者信息
Ssekatawa Wycliffe, Nakubulwa Sarah, Kaye Dan, Ssebuliba Joshua, Taban Charles Loponi, Namiiro Flaviah, Rujumba Joseph
机构信息
Department of Obstetrics and Gynecology, Makerere University School of Medicine, P.O Box 7072, Kampala, Uganda.
Makerere University School of Medicine, Kampala, Uganda.
出版信息
BMC Pediatr. 2025 May 19;25(1):402. doi: 10.1186/s12887-025-05739-w.
BACKGROUND
Fathers' involvement in the care of preterm babies has been associated with good health outcomes for the mother and the baby. However, fathers' involvement in the Neonatal Unit (NU) in Uganda remains sub-optimal and factors influencing this are not well understood. Therefore, this study aimed at exploring the factors affecting fathers' involvement in the care of preterm babies admitted in neonatal unit at Kawempe National Referral Hospital (KNRH).
METHODS
This was a qualitative exploratory study conducted in the NU at Kawempe National Referral Hospital between April and July 2023. It included fathers whose preterm babies were admitted in the NU and were stable at the time of study. Data was collected using an in-depth interview guide with 24 fathers of preterm babies and key informant interview guide with the nine health workers who were working in the NU. Data was analyzed using manual thematic analysis.
RESULTS
The fathers in this study had a mean age of 33 years, most of them were married and were employed in the informal sector. The perceived and actual roles of fathers of admitted preterm babies reported in this study mostly included providing financial support, direct childcare activities, providing emotional and physical support to the mother. The key facilitators to fathers' involvement in the care of the preterm babies were; at individual level; improvement in health condition of the preterm baby, desire to fulfil responsibility, at interpersonal level, support from friends and relatives; at health facility level, the good quality of service delivery; and at community level, the positive cultural and religious beliefs. Barriers included the fear of preterm babies, financial constraints, busy work schedules of fathers, discouragements from peers, poor relationship between couples; poor attitude of hospital staff, long hospital stay and inhibiting interaction between the father of preterm and mother-in-law.
CONCLUSION
Most perceived roles were actually played by fathers whose preterm babies were admitted in the NU and various facilitators encouraged them to get involved in the care. However, fathers faced multiple barriers which needed to be resolved to increase their involvement.
背景
父亲参与早产婴儿的护理与母亲和婴儿的良好健康结局相关。然而，在乌干达，父亲在新生儿病房（NU）的参与度仍不理想，影响这一情况的因素尚未得到充分了解。因此，本研究旨在探讨影响卡韦姆佩国家转诊医院（KNRH）新生儿病房收治的早产婴儿父亲参与护理的因素。
方法
这是一项定性探索性研究，于2023年4月至7月在卡韦姆佩国家转诊医院的新生儿病房进行。研究对象包括其早产婴儿被收治在新生儿病房且在研究时情况稳定的父亲。使用深入访谈指南对24名早产婴儿的父亲进行数据收集，并使用关键 informant 访谈指南对在新生儿病房工作的9名医护人员进行数据收集。数据采用手动主题分析法进行分析。
结果
本研究中的父亲平均年龄为33岁，他们大多已婚，受雇于非正规部门。本研究中报告的已收治早产婴儿父亲的感知角色和实际角色大多包括提供经济支持、直接的育儿活动、为母亲提供情感和身体支持。父亲参与早产婴儿护理的关键促进因素包括：在个人层面，早产婴儿健康状况的改善、履行责任的愿望；在人际层面，朋友和亲戚的支持；在医疗机构层面，优质的服务提供；在社区层面，积极的文化和宗教信仰。障碍包括对早产婴儿的恐惧、经济限制、父亲繁忙的工作时间表、同龄人带来的阻碍、夫妻关系不佳；医院工作人员态度不好、住院时间长以及早产婴儿父亲与岳母之间的互动受限。
结论
大多数被感知的角色实际上由其早产婴儿被收治在新生儿病房的父亲扮演，各种促进因素鼓励他们参与护理。然而，父亲们面临多重障碍，需要加以解决以增加他们的参与度。
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