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探讨母亲对晚期早产儿出院后护理的需求。

Explore the caregiving needs of mothers for late preterm neonates post discharge.

作者信息

Asghari Elham, Modanloo Mahnaz, Irajpour Alireza, Khoddam Homeira

机构信息

Ph.D. Student of Nursing, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.

Nursing Research Center, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.

出版信息

J Educ Health Promot. 2025 Jul 31;14:294. doi: 10.4103/jehp.jehp_454_24. eCollection 2025.

DOI:10.4103/jehp.jehp_454_24
PMID:40917946
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12413105/
Abstract

BACKGROUND

Delivered between 34 and 36 weeks of gestation, late preterm neonates account for nearly 70% of all preterm births. While these neonates are often treated as if they were full term, they have different challenges and needs that pose significant caregiving challenges for their families. Therefore, this study aims to explore the needs of mothers in short-term care of late preterm neonates at home.

MATERIALS AND METHODS

This qualitative content analysis study was conducted using the Graneheim and Lundman method from December 2022 to June 2023. In-depth semistructured interviews were conducted with a purposive sample of 18 mothers who had experience in caring for late preterm neonates. The number of sessions was one or two, and the duration of each interview varied from 30 to 60 minutes. Data were analyzed in MAXQDA 10.0 software.

RESULTS

The analysis of the interviews led to the identification of 70 primary codes, which were further categorized into 13 subcategories, and finally, three categories emerged, including "Need for Further Information", "Need to Enhance Caregiving Skills", and "Support Needs of Mothers".

CONCLUSION

Providing sufficient information and training in neonate care plays a crucial role in meeting the needs of mothers. Additionally, comprehensive support for mothers can help reduce problems and maintain their physical and mental health. Clarifying the needs of mothers can contribute to the development of home care programs, empower mothers in their self-care aspect, and enhance the quality of home-based care.

摘要

背景

晚期早产儿在妊娠34至36周出生,占所有早产的近70%。虽然这些新生儿常被当作足月儿对待,但他们面临不同的挑战和需求,给其家庭的护理带来重大挑战。因此,本研究旨在探讨母亲在家中短期护理晚期早产儿的需求。

材料与方法

本定性内容分析研究于2022年12月至2023年6月采用格兰内海姆和伦德曼方法进行。对18名有护理晚期早产儿经验的母亲进行了有目的抽样的深度半结构式访谈。访谈次数为一或两次,每次访谈时长从30分钟到60分钟不等。数据在MAXQDA 10.0软件中进行分析。

结果

访谈分析得出70个原始编码,进一步归类为13个子类别,最终形成三个类别,包括“需要更多信息”、 “需要提高护理技能”和“母亲的支持需求”。

结论

提供足够的新生儿护理信息和培训在满足母亲需求方面起着至关重要的作用。此外,对母亲的全面支持有助于减少问题并维持其身心健康。明确母亲的需求有助于家庭护理计划的制定,增强母亲的自我护理能力,并提高家庭护理质量。

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本文引用的文献

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Support needs of parents with preterm infants at resource-limited neonatal units in Limpopo province: A qualitative study.资源有限的林波波省新生儿单位中早产儿父母的支持需求:一项定性研究。
Curationis. 2023 Oct 26;46(1):e1-e8. doi: 10.4102/curationis.v46i1.2409.
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Development of a post discharge telecare program for premature infants in Covid 19 era: Protocol for a mixed methods study.新冠疫情时代早产儿出院后远程护理项目的开发:一项混合方法研究方案
J Educ Health Promot. 2023 Aug 31;12:261. doi: 10.4103/jehp.jehp_951_22. eCollection 2023.
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The effect of the supportive care program based on Bandura's self-efficacy on stress and participation of the mothers of the neonates admitted to neonatal intensive care unit.基于班杜拉自我效能感的支持性护理计划对入住新生儿重症监护病房的新生儿母亲的压力和参与度的影响。
J Educ Health Promot. 2023 Aug 31;12:265. doi: 10.4103/jehp.jehp_899_22. eCollection 2023.
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Perception and Educational Needs of Developmentally Supportive Care At-Home for Parents of Pre-Term Newborns.早产儿家庭发育支持性护理的认知与教育需求
Healthcare (Basel). 2023 Jun 9;11(12):1700. doi: 10.3390/healthcare11121700.
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A Study of Maternal Competence in Preterm Birth Condition, during the Transition from Hospital to Home: An Early Intervention Program's Proposal.一项关于早产情况下产妇能力的研究,从医院到家庭过渡期间:一项早期干预计划的提议。
Int J Environ Res Public Health. 2021 Aug 17;18(16):8670. doi: 10.3390/ijerph18168670.
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