护理早产儿父亲母乳喂养质性研究 高级护理专业.docxVIP

PAGE 2 目录 TOC \o 1-3 \h \z \u 摘要 1 1前言 4 2文献回顾 5 3研究目的 9 4研究方法 10 5结果 14 6讨论 21 7结论 23 8建议与研究的局限性 24 参考文献 25 附录 28 致谢 32 摘要 目的：探讨父亲参与早产儿母乳喂养的体验。 方法：本研究采用定性研究中的现象研究方法。对上海复旦大学附属妇产科医院12名父亲进行有目的的抽样。数据收集使用半结构化的深度访谈，及时转录访谈记录并将访谈笔记整理为文本数据。同时，对数据进行整理、分析和收集。当数据重复且没有新的话题或子话题出现时，表示数据已饱和，因此访谈得以终止。将所有访谈数据通过Colaizzi现象学7步分析方法进行处理和归纳分析，从而获取本文的研究主题。 结果：通过对12位早产儿父亲的访谈资料进行反复阅读分析、编码和归类，总结出5个主题：态度、行为支持、情感支持、父亲角色转变、医疗服务环境。关于态度方面主要有3个次主题，包括赞同、顺其自然、发现缺点；行为支持包括了吸奶、冻奶存奶、复温、清洗奶瓶，消毒和积极应对困难五个次主题；情感支持包括安慰和陪伴2个次主题，父亲角色转变包括父亲角色建立和角色建立模糊2个次主题；在医疗服务环境角度上则包括对护理人员的要求及对医院本身的要求2个次主题。 结论：父亲大多数对早产儿母乳喂养持有赞同的态度，在母婴分离的情况下会以行动帮助母亲，在情感上支持母亲。在他们体验早产儿母乳喂养的过程中，表达了对早产儿出院后母乳喂养知识及技能的需求，对NICU现行的模式提出了意见。医护人员应该关注早产儿出院后父亲的知识需求，针对性地对家庭提供延续性护理，将早产儿父亲纳入母乳喂养的宣教中，关注早产儿父亲在母乳喂养中的作用，以此促进母婴健康。 关键词：早产儿，父亲，母乳喂养，质性研究 Abstract Objective：To explore the fathers experience of participating in breastfeeding of premature infants. Methods: Phenomenal research method in qualitative research was adopted in this study. Twelve fathers from the Obstetrics and Gynecology Hospital of Fudan University in Shanghai were sampled purposely. Semi-structured in-depth interviews were used for data collection. Interview records were transcribed in time and interview notes were sorted into text data. At the same time, the data are collated, analyzed and collected. When the data is repeated and no new topics or subtopics appear, the data is saturated and the interview is terminated. All the interview data are processed and analyzed by the 7-step analysis method of Colaizzi phenomenology, so as to obtain the research topic of this paper. Results: Through repeated reading, analysis, coding and classification of the interview data of 12 fathers of premature infants, five themes were summarized: attitude, behavioral support ,emotional support，father role change and healthcare environment. In terms of attitude, there are mainly three sub-themes, including approval, letting nature take its course, and finding shortcomings;