产褥期女性配偶母婴照护体验和需求的质性研究  

Qualitative study on maternal and infant care experience and needs of spouses of puerperal women

作　　者：蒋府慧 张勇 宋频然 李珉[1] 沈谦[1] 万慎娴[1] 李惠玲[3] Jiang Fuhui;Zhang Yong;Song Pinran;Li Min;Shen Qian;Wan Shenxian;Li Huiling(Department of Obstetrics,the First Affiliated Hospital of Soochow University,Suzhou 215006,China;Research and Development Center,Excellent Medical Technology Group Co.,Ltd,Suzhou 215000,China;School of Nursing,Suzhou Medical College of Soochow University,Suzhou 215006,China)

机构地区：[1]苏州大学附属第一医院产科,苏州215006 [2]江苏爱舍伦医疗科技集团股份有限公司研发中心,苏州215000 [3]苏州大学苏州医学院护理学院,苏州215006

出　　处：《中国实用护理杂志》2023年第16期1250-1255,共6页Chinese Journal of Practical Nursing

基　　金：苏州大学校企合作项目(P112200922);苏州市2021年度医工结合协同创新研究项目(SLJ2021008)。

摘　　要：目的了解产褥期女性配偶真实的母婴照护体验与需求,为提高产褥期女性配偶母婴照护能力及参与度,促进母婴健康提供依据。方法以二元应对理论为指导,采用质性研究中的现象学研究方法,通过半结构式访谈收集2022年7一9月在苏州大学附属第一医院产科分娩的18名产妇配偶的相关资料,并运用Colaizzi7步分析法对录音资料进行分析。结果提炼出3个主题:产褥期女性配偶母婴照护的积极体验:正性心理情绪、调整观念与行为、领悟社会支持感;产褥期女性配偶母婴照护的消极体验:负性心理情绪、照护胜任力低下、生活工作节奏失衡;产褥期女性配偶对母婴照护的多元化需求:获取多维度知识与技能的需求、构建延续性健康教育平台的建议、获得家庭整体支持的期盼。结论医护人员应立足产褥期女性配偶的母婴照护体验与需求,为其提供多元化的母婴照护指导以及专业的延续性护理服务,同时完善产褥期女性配偶的家庭支持系统,以提升其母婴照护的胜任感及参与度,促进母婴健康。Objective To explore the real maternal and infant care experience and needs of spouses of puerperal women,so as to provide a basis for improving maternal and infant care capacity and participation of spouses and promoting maternal and infant health.Methods Guided by dyadic coping theory,the semi-structured interviews were conducted among 18 spouses of puerperal women who gave birth at the First Affiliated Hospital of Soochow University from July to September 2022 using the phenomenological research method,and the recording data were analyzed by Colaizzi phenomenon analytical method.Results Three themes were extracted,including positive experience of maternal and infant care of spouses of puerperal women(positive psychological emotions,adjustment of perceptions and behaviors,understanding of social support),negative experience of maternal and infant care of spouses of puerperal women(negative psychological emotions,poor care competence,imbalance during life and work),diversified needs for maternal and infant care of spouses of puerperal women(the need for multidimensional knowledge and skills,the suggestion of building continuous health education platform,the expectation of support from family).Conclusions Medical staff should provide the spouses of puerperal women with diversified maternal and infant care and professional continuing nursing according to their experience and needs.Meanwhile,the family support system should be improved to enhance their sense of competence and participation in maternal and infant care and promote maternal and infant health.

关 键 词：定性研究 配偶 产褥期 照护体验 照护需求 

分 类 号：R473.71[医药卫生—护理学]