首页|基于时机理论的极超低出生体重儿家庭支持护理需求的质性研究

基于时机理论的极超低出生体重儿家庭支持护理需求的质性研究

Qualitative study on family support care needs of very low birth weight infant parents based on tining it right theory

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目的 了解极超低出生体重儿父母的家庭支持护理需求对极超低出生体重儿的康复和成长有重要意义,本研究基于时机理论开展NICU极超低出生体重儿父母不同阶段的家庭支持护理需求分析,了解极超低出生体重儿的家庭支持护理需求现状,为构建极超低出生体重儿家庭支持护理方案提供参考依据.方法 基于时机理论,将极超低出生体重儿的病程分为NICU住院期、出院过渡期及出院居家期3个不同时期;采用现象学研究方法,于2021年10月-2022年4月,选取安徽医科大学第一附属医院新生儿科住院治疗的3个不同时期的极超低出生体重儿父母为研究对象,对其进行半结构式访谈,最终访谈极超低出生体重儿父亲/母亲共42名.应用Co-laizzi现象学研究法对访谈资料进行整理和分析.结果 结合时机理论的不同时期提炼主题,可归纳出3个主题,(1)NICU住院期:担心,需要更多信息支持;(2)出院过渡期:紧张,希望提供技术支持;(3)出院居家期:从容,希望获取出院支持.结论 NICU极超低出生体重儿父母家庭支持护理需求是一个复杂、动态的过程,极超低出生体重儿处于不同的病程阶段,其父母家庭支持护理需求也会随之变化,医护人员应根据其不同阶段的需求,给予专业性和针对性的指导及帮助,以提高极超低出生体重儿父母的育儿信心和育儿能力,促进极超低出生体重儿的健康成长.
Objective Recognizing the significance of parental family support in promoting the recovery and development of very low birth weight infants,this study applies the timing it right theory to analyze the nursing needs for family support among parents of very low birth weight infants at different stages in NICU.The aim is to gain insights into the current sta-tus of family support requirements for these infants and provide valuable guidance for developing effective family support nursing programs.Methods Based on timing it right theory,the disease course of very low birth weight infants was di-vided into three periods:NICU hospitalization period,discharge transition period and discharge home period.Using the phenomenological research method,the parents of very low birth weight Infants in three different periods who were hospi-talized in the neonatal department of the First Affiliated Hospital of Anhui Medical University parents of very low birth weight infants in these three different periods were selected as research objects from October 2021 to April 2022,and semi-structured interviews were conducted on them.A total of 42 fathers/mothers of very low birth weight infants were fi-nally interviewed.Colaizzi phenomenological method was used to sort out and analyze the interview data.Results Com-bining different periods of timing it right theory to extract themes,three themes can be summarized:(1)NICU hospitali-zation,feeling worried and in need of more information support;(2)Discharge transition,feeling nervous and hoping for technical support;(3)Discharge home period,feeling calm and hoping to obtain discharge support.Conclusion Provi-ding supportive care for parents of very low birth weight infant in NICU is a complex and dynamic process.As premature babies progress through different stages of their illness,the support needs of their family also change.Medical profession-als should provide professional and specific guidance and assistance based on these changing demands to enhance the par-enting confidence and ability of parents with very low birth weight infants,thereby promoting healthy growth.

Timing it right theoryVery low birth weight infantInfantFamily support care

肖娟、凌雅、黄金华

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安徽医科大学第一附属医院新生儿科,安徽合肥 230022

合肥市第一人民医院新生儿科,安徽合肥 230000

时机理论 极超低出生体重儿 早产儿 家庭支持护理

安徽省重点研究与开发计划项目

202104j07020056

2024

中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
年,卷(期):2024.22(9)