丹麦难民母亲的心理健康:家访计划的可能性和局限性。

IF 3.2 3区 医学 Q2 PSYCHIATRY
Maria Marti-Castaner, Vivian Rueskov Poulsen, Ezio Di Nucci, Sarah Fredsted Villadsen
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引用次数: 0

摘要

目的:探讨在丹麦参加护士家访计划的难民母亲和社区保健护士的经历,重点是该计划对难民母亲在过渡到母亲身份期间的社会心理健康的影响:护士家访计划是为所有家庭提供的公共护理的附加项目,对社区保健护士进行了额外培训,并给予她们更多的时间与有移民和难民背景的家庭接触。项目结束后,社区健康护士(12 人)和参与妇女(9 人)在 2020 年 9 月至 12 月期间参加了定性访谈:以难民适应的 "基于资源的模式 "为理论框架,我们确定了四大主题:(i) 通过育儿资源协商育儿规范并获得信心;(ii) 寻找情感支持以应对融入压力;(iii) 拓展社会资源;(iv) 与福利国家服务机构建立联系。这些主题反映了母亲们通过家访计划获得的资源,对她们的社会心理健康产生了积极影响,同时也承认了社会政治环境对社区保健护士工作和母亲日常生活的影响:研究结果提供了关于为难民家庭量身定制的护士家访计划的潜力和局限性的见解,强调了其对心理健康的积极影响。然而,同化压力、不受欢迎的移民政策和歧视等挑战可能会阻碍项目的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Refugee mothers' mental health in Denmark: possibilities and limits of home visiting programs.

Purpose: To explore the experiences of refugee mothers and community health nurses participating in a nurse home visiting program in Denmark, focusing on the program's effects on the psychosocial well-being of refugee mothers during the transition to motherhood.

Methods: The nurse home visiting program was an add-on the public care offered to all families, with extra training of the community health nurses and more time to engage with the families with immigrant and refugee backgrounds. Community health nurses (12) and participating women (9) participated in qualitative interviews between September and December 2020, following the program's conclusion.

Results: Utilizing the Resource-Based Model of refugee adaptation as a theoretical framework, we identified four main themes: (i) negotiating parenting norms and gaining confidence through parenting resources; (ii) finding emotional support to cope with integration pressures; (iii) expanding social resources, (iv) building bridges with welfare state services. These themes captured the resources gained by mothers through the home visiting program, positively influencing their psychosocial well-being, while also acknowledging the impact of the socio-political context on community health nurses' work and mothers' daily lives.

Conclusion: Findings offer insights about the potential and limitations of tailored nurse home visiting programs for refugee families, emphasizing the positive impact on mental health. However, challenges such as assimilation pressures, unwelcoming immigration policies, and discrimination may hinder program effectiveness.

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来源期刊
Archives of Women's Mental Health
Archives of Women's Mental Health 医学-精神病学
CiteScore
8.00
自引率
4.40%
发文量
83
审稿时长
6-12 weeks
期刊介绍: Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.
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