NICU早产儿父亲出院准备体验的质性研究被引量：2

A qualitative study on the experience and needs of fathers of NICU premature infants in preparation for discharge

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摘要目的深入了解NICU早产儿父亲出院准备的真实体验,为护理人员制订个性化的早产儿出院健康教育计划及延续性护理计划提供依据。方法采用目的抽样法,选取2022年4月—7月浙江省某三级甲等妇产科医院NICU收治的15例早产儿的父亲作为研究对象,分别在早产儿出院当天和出院后第6周进行2次半结构式访谈,运用Colazzi 7步分析法分析访谈资料。结果将NICU早产儿父亲出院准备的体验归纳为4个主题:①早产儿父亲困扰与成长并存,包括出院当天期待见到早产儿并对出院照护有信心、出院后存在多种负性情绪、出院后同理心和责任心增强;②独立照护能力不足,包括缺乏获取专业照护知识的途径、照护技能有待提高、过度依赖早产儿母亲;③家庭-社会角色冲突;④渴望获得支持,包括医护人员的专业指导、更多家庭支持。结论在出院准备过程中,NICU早产儿父亲的负性情绪与成长体验并存,具有降低角色冲突、增强独立照护能力、获得心理及多方支持等需求。护理人员应为其制订个性化的出院健康教育计划及延续性护理计划,以提高其出院准备水平。 Objective To gain an in-depth understanding of the real experiences,feelings and needs of fathers of premature infants in NICU regarding hospital discharge preparation,and to provide a basis for medical institutions on the development of personalized health education plans and continuous nursing care plans for discharged premature infants.Methods By the purposive sampling method,15 fathers of premature infants in NICU of a tertiary obstetrics and gynecology hospital in Zhejiang Province from April 2022 to July 2022 on the day of discharge and 6 weeks after discharge were selected for semi-structured interviews,and the interview data were analyzed using the Colazzi’s phenomenological 7-step analysis.Results The experiences and needs of NICU premature fathers in discharge preparation are divided into 4 themes.1.The father’s problems coexist with the growth of premature infants,such as expecting to see premature infants on the day of discharge and having confidence in discharge care,experiencing various negative emotions after discharge,and increasing empathy and sense of responsibility after discharge.2.Inadequate ability to care for oneself,including a lack of access to professional care knowledge,a need to improve nursing skills,and an overreliance on premature mothers.3.Social role conflict in the family.4.Longing for assistance,including professional medical advice and more family support.Conclusion Fathers of premature infants in the NICU coexist with negative emotions and growth experiences as they prepare for discharge,with various needs such as reducing role conflict,enhancing independent care ability,and obtaining psychological and multi-party support.To improve their discharge preparation level,nursing staff should develop a personalized health education plan as well as a continuous nursing plan.