父亲在产后支持母亲和婴儿的经验：一项定性的系统回顾

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-04-18 DOI:10.1016/j.midw.2025.104429

Qing Li , Siyu Yang , Yan Wang , Nantaporn Sansiriphun

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引用次数: 0

摘要

在产后期间，父亲越来越多地参与母亲和婴儿的保健工作。关于父亲产后经验的定性研究越来越多，但缺乏对父亲支持母亲和婴儿的经验的全面综合。目的综合父亲在产后支持母亲和婴儿的经验的最佳证据。方法从研究开始到2024年8月20日，在9个数据库中对定性研究结果进行了全面检索，不受出版年份限制，但仅限于英文或中文。使用乔安娜布里格斯研究所（JBI） SUMARI，两位审稿人独立筛选研究，提取数据并评估质量。meta-aggregation方法用于数据合成，并通过JBI conquest方法评估证据。从1991年到2024年共纳入了24项研究，这些研究被评估为中等到高质量（得分5-10）。该综述包括对14个不同收入水平国家的研究。参与研究的父亲总数为461人。提取127项支持调查结果，将其汇总为18个类别和5个综合调查结果：1)支持母亲和婴儿的意愿；2)父亲提供的支持类型；3)苦乐参半的经历；4)挑战与应对策略；5)有医疗保健服务相关经验。结论本定性系统评价探讨了产后父亲支持母亲和婴儿的不同经历。它强调了将父亲纳入产后保健教育计划和服务的重要性，增加了他们对产后护理的健康知识和健康素养。

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Fathers’ experience in supporting the mother and infant during the postpartum period: a qualitative systematic review

Background

Fathers become more involved in the health care of mothers and infants during the postpartum period. Qualitative studies on fathers’ postpartum experience are increasing, but a comprehensive synthesis of father’s experience of supporting the mother and infant is lacking.

Aim

To synthesize the best evidence of fathers’ experiences supporting the mother and infant during the postpartum period.

Methods

From inception until 20th August 2024, a comprehensive search of qualitative findings was conducted across nine databases, without publication year restraints but limited to language in English or Chinese. Using Joanna Briggs Institute (JBI) SUMARI, two reviewers independently screened studies, extracted data, and appraised quality. A meta-aggregation approach was used for data synthesis, with evidence assessed through the JBI ConQual approach.

Findings

24 studies from 1991 to 2024 were included in the review, which was then assessed as moderate to high quality (scores 5–10). The review included studies across 14 countries of different income levels. The total number of fathers included in the studies was 461. One hundred twenty-seven supported findings were extracted, and they were aggregated into eighteen categories and five synthesized findings: 1) Willingness to support mothers and infants; 2) Types of support provided by fathers; 3) Bittersweet experiences; 4) Challenges and coping strategies; and 5) Experience related to healthcare services.

Conclusion

This qualitative systematic review explored postpartum fathers’ diverse experiences supporting the mother and infant. It highlighted the importance of including fathers in postpartum healthcare education programs and services, increasing their health knowledge and health literacy about postpartum care.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.