不同时期高危新生儿照顾者需求变化的纵向质性研究
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女,硕士在读,学生

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蚌埠医学院研究生科研创新计划(Byycx23024)


Longitudinal qualitative study on the change of care needs of caregivers of high-risk infants at different periods
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    摘要:

    目的 了解高危新生儿照顾者在高危新生儿入院至出院后回归家庭期间不同时期的照顾需求变化,为制订高危新生儿照顾者出院准备干预方案提供参考。方法 通过目的抽样法,选择14名高危新生儿照顾者进行3次半结构化访谈。访谈时间分别为高危新生儿入院3 d内、出院时、出院后1个月。采用纵向质性研究的方法,每次访谈完成后运用Smith解释现象学分析方法对资料进行共时分析,待全部资料收集完成后,再进行整体纵向历时分析。结果 资料归纳后提取出3个主题8个亚主题,即入院期知晓患儿信息及情感联结的需求(母乳喂养的信息需求、知晓疾病进展的信息需求、建立情感联结的需求)、出院准备期延续性护理服务需求(线上平台沟通的需求、奶粉选择及用药指导的需求、特殊检查指导的需求)、回归家庭期照顾支持的需求(专业照顾信息支持的需求、家庭社会支持的需求)。结论 高危新生儿照顾者的需求呈动态变化,医护人员应根据照顾者不同时期的需求,制订针对性的高危新生儿照顾者出院准备干预方案。

    Abstract:

    Objective To understand the changes of care needs of caregivers of high-risk infants during the period from hospital admission to family return after discharge, and to provide reference for formulating intervention plan for these caregivers to prepare for discharge.Methods Three semi-structured interviews were conducted with 14 caregivers of high-risk infants by purposive sampling method.The interviews were conducted within 3 days of admission, at the time of discharge, and 1 month after discharge.The method of longitudinal qualitative research was adopted.After each interview, Smith interpretive phenomenological analysis method was used to analyze the data synchronically.After all the data were collected, the overall longitudinal diachronic analysis was carried out.Results The data were summarized and three themes and eight sub-themes were extracted, namely:the need for information and emotional connection during admission (the need for information on breastfeeding, the need for information on di-sease progression, and the need for emotional connection), the need for continuity of care services during hospital discharge planing (the need for communication on online platforms, the need for guidance on the selection of milk powder and the use of medication, and the need for guidance on special check-ups), and the need for care support (the need for information on professional care, the need for family social support, and the need for professional support).Care support during return to family (need for professional care information support, need for family social support).Conclusion The needs of caregivers of high-risk infants are dynamically changing, and medical staff should formulate targeted intervention programs for the preparation of caregivers for discharge accor-ding to the needs of caregivers at different periods.

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王一新,杨丽娟,张曼玉,张娜娜,许栋,徐兵,蔡荣兰,王茜.不同时期高危新生儿照顾者需求变化的纵向质性研究[J].护理学杂志,2025,(1):41-46

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  • 收稿日期:2024-07-21
  • 最后修改日期:2024-10-30
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  • 在线发布日期: 2025-02-10