ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18020165.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.180201685.x

出版商:Blackwell Science Ltd    

年代:1993

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.1802016812.x

出版商:Blackwell Science Ltd    

年代:1993

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.1802016815.x

出版商:Blackwell Science Ltd    

年代:1993

数据来源: WILEY

摘要:

It is routine to require women to ‘take a deep breath in, hold it and push’ in the second stage of labour, but there is no scientific evidence to support this practice. In a randomized controlled trial of spontaneous (n= 15) versus directed (n= 17) pushing in the second stage, no adverse effects of spontaneous pushing on the woman or baby were found. There was a negative correlation between the length of the second stage and the venous cord blood pH at delivery in the directed pushing group, suggesting that a long second stage was disadvantageous to the fetus when the woman was using a directed pushing technique. No such association was found in the spontaneous pushing group, despite the fact that the women in this group had a significantly longer mean second st

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18020171.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Research on postnatal depression has largely concentrated on investigating its possible causes. There have been few attempts to examine women's own perceptions and experiences of the condition or to explore the implications which these might have for help seeking and professional intervention. This paper reports on the experiences of depression of a sample of 60 first‐time mothers. For the purposes of the study, depression was defined as the experience of depressed mood for a period of at least 2 weeks at some stage during the first 9 months postpartum. On this definition, depression was reported by a high proportion of the mothers (63%) and was found to be of early onset and lengthy duration. The majority of depressed mothers did not seek help from any source and only a quarter of them consulted a health professional. These low rates of consultation are explained in terms of mothers’ perceptions of the cause of their depression, their ideas about appropriate solutions and their reluctance to admit to experiencing emotional difficulties. The implications of the study for intervention by health professionals are discus

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18020178.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Parental involvement in their child's care in hospital has undergone great change over the last century. Studies have shown how ‘maternal deprivation’ and ‘separation anxiety’ expressed by children are detrimental to a child's recovery in hospital. Striving efforts have been made to develop family‐centred care, promote normality of the family unit and continue with the normal routine of the child's life within the limitations of a hospital environment and the child's illness. Expectations of the parental role in hospital need to be identified and expressed from both the parents and staff to establish an understanding that will ultimately be best for the child. Many studies have highlighted benefits to both parent and child from parental participation in hospital. However, disadvantages have been identified from resident parents who feel captive to their new situation and role. Efforts for family‐centred care are highly advocated now. Care‐by‐Parent units have been set up in some areas to promote this idea and, although many advantages have been identified, they are not without their problems. The success of parental involvement is dependent on both parents’ and staff's attitudes, enthusiasm and willingness

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18020185.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This paper explores nursing's current fascination with defining and exploring the term ‘caring'. Fear of caring is proposed as the reason for this fascination. Factors at the root of this fear are identified and an expanded definition of caring (one which arises from the dispelling of such fear) is proposed. This expanded definition is given a new label — loving. For, as this author contends, has not loving always been at the heart of nurs

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18020192.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This study examines the effects of distress on the capacity of informal caregivers of stroke patients to absorb information about stroke and caregiving. Thirty‐seven caregivers took part in a stroke seminar. Minor psychiatric symptoms were related to caregivers’ knowledge prior to the seminar, with the more emotionally distressed being the least knowledgeable. The emotional state of the caregivers, however, did not affect how much they learnt. Knowledge after the seminar was best predicted from pre‐seminar knowledge and age. Older caregivers were less well‐informed afterwards, although they did not differ significantly from younger caregivers in their scores initially. These findings do not discount the possibility that emotional carers are too shocked to take in information from hospital staff at the time of admission. The data do demonstrate that, given time to accept the caregiving role, emotional carers are receptive to learning about stroke and the stroke patient'

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18020195.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This paper addresses the importance of social support to health, drawing upon relevant literature from medical, psychological and social research. Conceptual and methodological problems are addressed and two major theories ('buffer’ and ‘attachment') are evaluated for their relevance in explaining the nature, purpose and function of social support. Finally, possible directions for future research in this field are outli

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18020203.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY