Support needs of parents with preterm infants at resource-limited neonatal units in Limpopo province: A qualitative study.

Thendo Mahwasane, Khathutshelo G Netshisaulu, Thivhulawi N Malwela, Maria S Maputle
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Abstract

Background:  Preterm birth is often unexpected and life-threatening for the baby and/or the mother. When admitted to the hospital, midwives need to provide informational, instrumental, psycho-cultural and emotional support to enhance post-discharge care.

Objectives:  This study aimed to explore and describe the support provided to parents of preterm infants in preparing for post-discharge care. The study was conducted in three district hospitals in the Mopani district, South Africa.

Method:  A qualitative approach wherein explorative, descriptive and contextual designs were used. A non-probability, convenience sampling was used to select 23 midwives who were working in the maternity unit for at least 2 years. Data were collected through in-depth individual semi-structured interviews until data saturation was reached. The data were analysed through Tesch's open coding method. Trustworthiness was ensured through credibility, transferability and confirmability. Ethical principles adhered to were: informed consent, beneficence, right to self-determination, confidentiality and anonymity.

Results:  The findings revealed that parents need informational, instrumental direct supervision, and psycho-cultural and emotional support during preparation for discharge.

Conclusion:  Parents were unsure of their ability to care for the preterm infants after discharge and manage their own needs. The provision of informational, instrumental, psycho-cultural and emotional support needs would play a vital role in their ability to cope with their parental roles and the relationship with their infant.Contribution: The support provided to parents could build parental confidence and act as an integral part of neonatal follow-up programmes.

林波波省资源有限新生儿病房早产儿父母的支持需求:一项定性研究。
背景:早产对婴儿和/或母亲来说往往是出乎意料的,危及生命。入院时,助产士需要提供信息、工具、心理文化和情感支持,以加强出院后的护理。目的:本研究旨在探索和描述为早产儿父母提供的支持,为出院后护理做准备。这项研究在南非莫帕尼区的三家地区医院进行。方法:采用定性方法,采用探究性、描述性和情境性设计。采用非概率、方便抽样的方法选择了23名在产科工作至少2年的助产士。通过深入的个人半结构化访谈收集数据,直到达到数据饱和。通过Tesch的开放编码方法对数据进行了分析。通过可信度、可转让性和可确认性来确保可信度。遵守的伦理原则是:知情同意、慈善、自决权、保密和匿名。结果:研究结果表明,父母在准备出院期间需要信息、工具性的直接监督以及心理文化和情感支持。结论:父母不确定自己是否有能力在出院后照顾早产儿并管理自己的需求。提供信息、工具、心理文化和情感支持需求将对他们应对父母角色和与婴儿关系的能力发挥至关重要的作用。贡献:向父母提供的支持可以建立父母的信心,并作为新生儿后续方案的组成部分。
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