Understanding the barriers and facilitators to safe infant sleep for mothers of preterm infants.

Understanding the barriers and facilitators to safe infant sleep for mothers of preterm infants.
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DOI:
10.1038/s41372-020-00896-5
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发表时间:
2021-08
期刊:
Journal of perinatology : official journal of the California Perinatal Association
影响因子:
--
通讯作者:
Colson ER
Colson ER
中科院分区:
其他
文献类型:
--
作者:
Hwang SS;Parker MG;Colvin BN;Forbes ES;Brown K;Colson ER

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使用定性方法确定早产儿母亲坚持安全睡眠实践(SSP)的障碍和促进因素。 我们采用扎根理论方法以及计划行为理论(态度、感知控制、社会规范)的框架,用英语或西班牙语对从4家医院近期出院的早产儿母亲进行了23次深度访谈。 在态度方面,母亲对婴儿脆弱的早产状态(与窒息、早产儿呼吸暂停和反流有关)的担忧影响了婴儿的睡眠实践。在社会规范方面,在新生儿重症监护病房(NICU)接受的教育以及其他医疗保健提供者、家人、朋友和媒体的建议影响了她们的选择。在感知控制方面,母亲调整婴儿睡眠实践以满足自身需求,并解决婴儿感知到的安全和舒适问题。 所确定的影响母亲对婴儿睡眠实践决策的因素可以为干预措施提供信息,以解决早产儿意外猝死减少的问题。
To identify barriers and facilitators to adherence to safe sleep practices (SSP) among mothers of preterm infants using qualitative methodology. We conducted 23 in-depth interviews in English or Spanish with mothers of preterm infants who were recently discharged from 4 hospitals, utilizing a grounded-theory approach and framework of the Theory of Planned Behavior (attitudes, perceived control, social norms). For attitudes, mothers’ fear about their infants’ vulnerable preterm state related to suffocation, apnea of prematurity, and reflux influenced infant sleep practices. For social norms, education received in the NICU and advice from other healthcare providers, family, friends, and media impacted their choices. For perceived control, mothers adapted infant sleep practices to meet their own needs and address the perceived safety and comfort of infants. Factors identified that influence maternal decision-making about infant sleep practices can inform interventions to address sudden unexpected infant death reduction in preterm infants.
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