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首页> 外文期刊>Journal of advanced nursing >The conceptual structure of transition to motherhood in the neonatal intensive care unit.
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The conceptual structure of transition to motherhood in the neonatal intensive care unit.

机译：新生儿重症监护病房过渡到孕产的概念结构。

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AIM: This paper is a report of a concept analysis of transition to motherhood for mothers with infants in a neonatal intensive care unit. BACKGROUND: Mothers with infants in a neonatal intensive care unit have more difficulty in their transition to motherhood compared with mothers of healthy infants. The concept of transition to motherhood in the neonatal intensive care unit is not well-understood in nursing, often being confused with mothers' psychological responses in the neonatal intensive care unit. METHODS: The concept analysis combined Rodgers' evolutionary method with Schwartz-Barcott & Kim's Hybrid method. Thirty-eight studies were reviewed and a purposive sample of 10 Korean mothers with infants in a neonatal intensive care unit was interviewed. FINDINGS: Three critical attributes of transition to motherhood in the neonatal intensive care unit were identified: (1) time-dependent process, (2) psycho-emotional swirling and (3) hovering around the edge of mothering. These are caused by the antecedents (1) unexpected outcome of pregnancy, (2) awareness of the situation and (3) mother-infant separation. The consequences were: (1) delayed motherhood and (2) developing a sense of meaning concerning family and life. Additionally, five influencing factors to be alleviated were identified: (1) negative meaning attribution, (2) uncertainty, (3) social prejudice, (4) lack of opportunities to make contact with the infant and (5) the neonatal intensive care unit environment. CONCLUSIONS: This concept analysis should help nurses to understand the process of becoming a mother in a neonatal intensive care unit and plan appropriate interventions for mothers with special needs.
机译：目的：本文是对新生儿重症监护室中有婴儿的母亲过渡为母亲的概念分析的报告。背景：与健康婴儿的母亲相比，新生儿重症监护病房中有婴儿的母亲在过渡到母亲时更加困难。新生儿重症监护室过渡到孕产的概念在护理中并未得到很好的理解，常常与新生儿重症监护室的母亲的心理反应相混淆。方法：概念分析将Rodgers的进化方法与Schwartz-Barcott和Kim的Hybrid方法相结合。回顾了38项研究，并采访了10名韩国新生儿重症监护室中有婴儿的母亲。研究结果确定了新生儿重症监护病房过渡到孕产的三个关键属性：（1）时间依赖性过程;（2）心理情感漩涡;（3）徘徊在孕产边缘。这些是由以下因素造成的：（1）意外的怀孕结果;（2）对情况的了解;（3）母婴分离。其后果是：（1）延迟生育和（2）对家庭和生活形成一种意义感。此外，确定了五个可以减轻的影响因素：（1）负面意义归因;（2）不确定性;（3）社会偏见;（4）缺乏与婴儿接触的机会;（5）新生儿重症监护室环境。结论：这一概念分析应有助于护士了解新生儿重症监护病房成为母亲的过程，并为有特殊需要的母亲计划适当的干预措施。

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