产妇对新生儿早期基本保健体验的质性研究

doi:10.3761/j.issn.0254-1769.2019.12.013

摘要/Abstract

摘要：

目的了解产妇对新生儿早期基本保健的体验,为促进国内新生儿早期基本保健技术的有效开展提供理论依据。方法采用质性研究法,对符合纳入标准的12名产妇对新生儿进行早期基本保健的体验进行半结构化访谈,采用Colaizzi分析法进行资料分析、总结、归纳。结果提炼出产妇对新生儿早期基本保健体验感受的4个主题：领悟社会支持感、压倒一切的爱与责任、平静而担忧的内心、新生家庭矛盾和医患矛盾。结论需重视产妇对新生儿早期基本保健的感受,加强相关知识的宣传、扩宽宣传群体,夯实医护人员专业基础、加强有效沟通,充分发挥中医护理的优势,减少医患矛盾。

关键词: 新生儿护理, 儿童保健服务, 质性研究, 中医护理学

Abstract:

Objective To understand the maternal experience of Early Essential Newborn Care （EENC） in order to provide theoretical basis for the effective development of EENC technology. Methods A qualitative research method was used to conduct semi-structured interviews with 12 pregnant women who met the inclusion criteria on their EENC experience. Colaizzi’s phenomenological data 7-step analysis method was used to analyze the data. Results Four themes of maternal experience of early essential health care for newborns were extracted：understanding of social support,overwhelming love and responsibility,calm and worrying heart and the family contradiction and doctor-patient contradiction. Conclusion It is necessary to pay attention to maternal EENC perception,strengthen the publicity of EENC knowledge,expand the publicity group,consolidate the professional foundation of medical staff,strengthen effective communication,give full play to the advantages of traditional Chinese nursing,and reduce the contradiction between doctors and patients.

Key words: Neonatal Nursing, Child Health Services, Qualitative Study, Nursing（TCM）

徐捷, 刘金玲, 沈勤. 产妇对新生儿早期基本保健体验的质性研究[J]. 中华护理杂志, 2019, 54(12): 1830-1834.

XU Jie, LIU Jinling, SHEN Qin. Qualitative study on maternal experience of early essential newborn care[J]. Chinese Journal of Nursing, 2019, 54(12): 1830-1834.

图/表 1

参考文献 25

[1]	World Health organization . Early Essential Newborn Care:Clini-cal Practice Pocket Guide[R]. Geneva:world Health organization 2016: 1-35.
[2]	徐韬, 岳青, 王燕 . 我国4省新生儿分娩和早期保健实施现状:与世界卫生组织推荐措施的比较[J]. 中华围产医学杂志, 2018,21(12):863-864.
[3]	王卫平, 毛萌, 李廷玉 , 等. 儿科学[M]. 北京: 人民卫生出版社, 2019: 104.
[4]	罗忠琛, 柏晓玲, 李建琼 . 剖宫产术后再次妊娠孕妇阴道试产决策求助体验的质性研究[J]. 中华护理杂志, 2019,54(3):396-400.
[5]	World Health Organization . Action plan for healthy newborn in-fants in the Western Pacific Region(2014-2020)[R]. Geneva:World Health Organization, 2014: 1-20.
[6]	国务院妇女儿童工作委员会. 健康儿童行动计划(2018—2020年)[EB/OL].( 2018-05-08)[2019-06-30]. http://www.nwccw.gov.cn/2018-05/08/content_206302.htm.
[7]	中华医学会围产医学分会. 新生儿早期基本保健技术的临床实施建议[J]. 中华围产医学杂志, 2017,20(9):625-629.
[8]	刘桂华, 钱小芳, 欧萍 , 等. 延续护理干预对极低及超低出生体重早产儿生长发育的影响[J]. 中华护理杂志, 2015,50(6):697-703.
[9]	Uxa F, Bacci A, Mangiaterra V , et al. Essential newborn care training activities:8 years of experience in Eastern European,Caucasian and central Asian countries[J]. Semin Fetal Neonatal Med, 2006,11(1):58-64. DOI URL PMID
[10]	冯瑜, 池桂红, 赵丽萍 , 等. 新生儿早期基础保健项目实施对正常分娩足月儿患病的影响[J]. 中国妇幼健康研究, 2017,28(11):1433-1435.
[11]	Arivabene JC, Tyrrell MA . Kangaroo mother method:mothers’ experiences and contributions to nursing[J]. Rev Lat Am Enfe-rmagem, 2010,18(2):262-268. DOI URL PMID
[12]	Sharma A . Efficacy of early skin-to-skin contact on the rate of exclusive breastfeeding in term neonates:a randomized controlled trial[J]. Afr Health Sci, 2016,16(3):790-797. DOI URL PMID
[13]	Colaizzi P. Psychological research as the phenomenologist views it.//Existential phenomenological alternatives for psychology[M]. New York: Oxford University Press, 1978: 487.
[14]	Barrera M Jr . Distinctions between social support concepts,measures,and models[J]. Am J Community Psychol, 1986,14(4):413-445. DOI URL PMID
[15]	冯嘉蕾, 刘军, 包艾荣 , 等. 新生儿延迟断脐对母婴结局的影响研究[J]. 中华护理杂志, 2018,53(2):144-148.
[16]	殷春, 花香, 李梅等. 新生儿“第一次拥抱”对母乳喂养成功率的影响[J]. 护理实践与研究, 2017,14(24):83-84.
[17]	林俊芳, 曾坚生, 林美玲 , 等. 实施新生儿早期基本保健技术对新生儿结局的影响研究[J]. 中国医药科学, 2019,9(4):62-64,142.
[18]	李夏芸, 徐韬 . 世界卫生组织新生儿早期基本保健技术的理论与实践[J]. 中华围产医学杂志, 2017,20(9):689-691.
[19]	黄佩贤 . 强化健康宣教对提高产妇围生期分娩相关知识掌握水平的效果评价[J]. 中国实用护理杂志, 2012,28(27):91-93.
[20]	洪佳琪, 臧蕾, 张燕霞 , 等. “互联网+”在护理健康宣教中的应用研究进展[J]. 物联网技术, 2018,8(12):118-120.
[21]	左崇年 . 月嫂市场乱象如何监管?[J]. 劳动保障世界, 2017(10):67.
[22]	徐双燕, 姚梅琪, 周海燕 . 标准化沟通方式在医护间沟通中的应用[J]. 中华护理杂志, 2012,47(1):48-49.
[23]	张会娜 . 中医产后乳房按摩催乳效果评价[J]. 中国中医药现代远程教育, 2018,16(20):144-146.
[24]	周凤花 . 中医综合疗法用于产后催乳的研究[J]. 中国城乡企业卫生, 2017,32(4):60-61.
[25]	严淑艳 . 中医经络按摩催乳在治疗产后缺乳中的应用[J]. 中国乡村医药, 2015,22(9):50.