Abstract:
BACKGROUND:The pregnancy process has always been medicalized with a focus on the prevention of adverse pregnancy outcomes and a lesser emphasis on enhancing women's wellbeing during the perinatal period. This trend urges healthcare professionals to consider the use of a salutogenic approach throughout the perinatal period. OBJECTIVE:To consolidate and appraise evidence on the use of the salutogenic theory across the perinatal period. DESIGN:A systematic mixed studies review. METHODS:Four electronic databases (CINAHL, ScienceDirect, PsycINFO, and PubMed) were searched for English studies from each database's inception to November 2018. Thirty-four studies met the inclusion criteria and were appraised for quality by two researchers independently. A narrative synthesis was conducted to consolidate and synthesize results from mixed methodology studies. RESULTS:Four themes emerged from the synthesis: (1) factors affecting sense of coherence (generalized resistance resources), (2) influences of sense of coherence, (3) ways to promote sense of coherence among mothers, and (4) use of salutogenic framework across perinatal healthcare. Sociodemographic background, psychological and birth-related factors, and availability of social support affect sense of coherence among parents, which are positively correlated to quality of relationship, satisfaction of perceived support, psychological wellbeing, and overall birth experience. Sense of coherence also determines mothering orientation and choice of delivery method. Ways to enhance maternal sense of coherence include ensuring continuity of care in the postpartum period, increasing parental involvement, focusing on wellness topics, and having balanced relationships between parents and healthcare providers. CONCLUSION:Despite consolidating evidence on positive relationships of generalized resistance resources, sense of coherence, and parental outcomes during the perinatal period, the scarcity of literature highlights a need for more in-depth research on the underlying mechanisms of salutogenesis and its components as these insights may underpin future maternal health promotion efforts.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Shorey S,Ng EDdoi
10.1016/j.ijnurstu.2019.103398subject
Has Abstractpub_date
2020-01-01 00:00:00pages
103398eissn
0020-7489issn
1873-491Xpii
S0020-7489(19)30205-6journal_volume
101pub_type
杂志文章abstract:BACKGROUND:People with dementia occupy up to one quarter of acute hospital beds. However, the quality of care delivered to this patient group is of national concern. Staff working in acute hospitals report lack of knowledge, skills and confidence in caring for people with dementia. There is limited evidence about the m...
journal_title:International journal of nursing studies
pub_type: 杂志文章
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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更新日期:1998-06-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章,评审
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journal_title:International journal of nursing studies
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更新日期:2010-05-01 00:00:00
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journal_title:International journal of nursing studies
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更新日期:2018-05-01 00:00:00
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更新日期:2020-12-14 00:00:00
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pub_type: 杂志文章
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更新日期:2008-12-01 00:00:00
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journal_title:International journal of nursing studies
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更新日期:2017-03-01 00:00:00
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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更新日期:1997-08-01 00:00:00
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更新日期:2018-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2008.06.008
更新日期:2008-12-01 00:00:00