患有严重精神疾病的妇女的婴儿养经验和支持需求:英国的一项定性研究
Natasha Baker1, Claire A Wilson2, Debra Bick3
1King's College London, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, De Crespigney Park, London SE5 8AB, UK; South London and Maudsley NHS Foundation Trust, Maudsley Hospital, Denmark Hill, London, UK.
Women and birth : journal of the Australian College of Midwives
|January 6, 2026
概括
患有严重精神疾病 (SMI) 的妇女需要更好的婴儿养支持. 改善协作护理对于管理母乳养以及围产期心理健康挑战至关重要.
科学领域:
- 围产期心理健康问题
- 婴儿养做法 婴儿养做法
- 母婴健康 母婴健康
背景情况:
- 哺乳为母亲和婴儿提供了显著的健康益处.
- 严重的精神疾病 (SMI) 在分娩期间影响大约3%的妇女.
- 对于SMI妇女的婴儿养经验和支持需求的了解有限.
研究的目的:
- 探索患有SMI的妇女的婴儿养经验.
- 确定SMI妇女在婴儿养期间的支持需求.
主要方法:
- 在英格兰 (2022-2023) 接受围产期心理健康团队护理的20名妇女进行了半结构面试.
- 采访进行在线和面对面,录音,转录和匿名.
- 使用反射主题分析来分析采访数据.
主要成果:
- 出现了四个主要主题:婴儿养和心理健康的交集,产妇服务的支持,婴儿养准备,以及针对SMI的妇女的具体考虑.
- 协作护理的断开被确定,影响了对婴儿养和心理健康的支持.
- "协作实践"的概念成为支持婴儿养和心理健康的关键.
结论:
- 严重的精神疾病可能会影响婴儿养的信念和情绪.
- 需要加强对患有SMI的妇女婴儿养的预期指导,考虑诸如精神病医院住院环境,精神药物治疗和睡眠剥夺等背景.
- 负面的婴儿养经验和不充分的支持对SMI的妇女产生了重大影响,突出了在心理疾病管理的同时,需要支持解决情感和实际的母乳养需求.
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