May K A
Nursing Science Program, Vanderbilt University, Nashville, TN 37240.
J Obstet Gynecol Neonatal Nurs. 1994 Mar-Apr;23(3):246-51. doi: 10.1111/j.1552-6909.1994.tb01876.x.
To describe the impact on expectant fathers of their partners' activity-restricted pregnancies.
Qualitative.
Private physician practices and two teaching hospitals in a large southern city.
Self-selected sample of 15 fathers recruited within 2 weeks of initiation of their partners' activity restriction for high-risk pregnancy (phase 1) and 15 fathers recruited 1-2 years after a previous experience with their partners' activity-restricted pregnancies (phase 2).
In phase 1, two semistructured interviews during the period of activity restriction and one interview after the birth. In phase 2, one semistructured, focus group interview.
Fathers reported high levels of worrying immediately after diagnosis of their partners' preterm labor and initiation of activity restriction. Later, fathers also reported distress related to responsibility for child care, household management, and maintaining a supportive environment for their partners. Fathers reported few sources of personal support and little or no contact with health professionals during their partners' activity restriction.
Activity restriction during pregnancy may have a significant psychological impact on expectant fathers. High levels of emotional distress may result in family disruption. Systematic nursing assessment and intervention may prevent or ameliorate distress.
描述伴侣活动受限的妊娠对准父亲的影响。
定性研究。
南方一个大城市的私人医生诊所和两家教学医院。
在伴侣因高危妊娠开始活动受限的2周内招募的15位父亲组成的自我选择样本(第1阶段),以及在有过伴侣活动受限妊娠经历后的1 - 2年招募的15位父亲(第2阶段)。
在第1阶段,在活动受限期间进行两次半结构化访谈,并在孩子出生后进行一次访谈。在第2阶段,进行一次半结构化的焦点小组访谈。
父亲们报告说,在伴侣被诊断为早产并开始活动受限时,他们立即产生了高度的担忧。后来,父亲们还报告了与照顾孩子、家庭管理以及为伴侣维持支持性环境的责任相关的苦恼。父亲们表示在伴侣活动受限期间,个人支持来源很少,与医护人员的接触很少或没有。
孕期活动受限可能对准父亲产生重大的心理影响。高度的情绪困扰可能导致家庭破裂。系统的护理评估和干预可能预防或减轻困扰。