在坦桑尼亚,助产士对管理父亲产后抑郁症的感知知识,感知和经验:一项定性描述性研究
Paul Shidende1, Randi Bates2, Gary Dick3
1University of Cincinnati, College of Nursing, Cincinnati, OH, USA; Kairuki University, College of Nursing, Dar-es-Salaam, Tanzania.
父亲产后抑郁症 (PPND) 是常见的,但被忽视. 坦桑尼亚的助产士由于有限的资源和耻辱,面临着管理PPND的挑战,强调需要为父亲提供更好的培训和支持.
科学领域:
- 生殖健康 生殖健康
- 心理健康 心理健康
- 助产士的实践 助产士的实践
背景情况:
- 父亲产后抑郁症 (PPND) 显著影响父亲的福祉和家庭动态.
- 人们对PPND的认识不足,医疗保健提供者对其管理的认识和理解有限,特别是在非洲.
- 助产士在识别和支持患有PPND的父亲方面发挥着至关重要的作用.
研究的目的:
- 探索坦桑尼亚助产士在治疗父亲产后抑郁症方面的经验.
- 了解助产士对PPND的看法,其风险因素和管理挑战.
主要方法:
- 定性描述性研究利用焦点小组讨论与22名助产士在达勒斯萨拉姆,坦桑尼亚.
- 有目的的抽样选择具有相关经验的参与者.
- 基于Elo和Kyngäs (2008) 框架的定性内容分析.
主要成果:
- 助产士认为PPND是显著的和频繁的,但往往被忽视.
- 确定的风险因素包括家庭健康,社会经济地位和经济问题,症状表现在情绪,身体和行为上.
- 管理挑战包括资源不足,系统性障碍,社会耻辱和误解,目前的战略涉及合作,咨询和教育.
结论:
- 坦桑尼亚的助产士承认PPND的影响,但需要专门的培训和系统支持.
- 解决文化和社会污名对于有效的PPND管理至关重要.
- 改善医疗保健基础设施和提高助产士的知识和技能对于更好地支持患有PPND的父亲至关重要.
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