背景:怀孕,分娩对青少年母亲来说会遇到许多挑战,家庭,和卫生系统。两个过渡期的同时,即过渡到成年和产后可能会破坏对新角色的接受。缺乏知识,管理这种情况的信息和生活技能可能威胁到母亲的身心健康,和孩子,以及降低角色适应水平。提高妇女产后护理能力的方法之一是自我效能提升培训计划。将进行当前的混合方法研究,以提供对伊朗社会文化敏感的干预计划,以提高青春期母亲的自我效能感。
方法:本研究将作为基于实用主义范式的探索性序贯混合方法研究(Qual-quan),分四个阶段进行。在第一阶段,定性研究将使用定向内容分析方法进行,以探讨需要和策略相关的促进产后自我效能从青少年母亲的角度来看,他们的家庭,医疗保健提供者,和政策制定者。在第二阶段,使用范围审查,自我效能感提升策略,和产后护理服务套餐,programs,指导方针,和其他国家的协议将被确定。在第三阶段,结合定性阶段和范围审查的结果,将制定计划的初稿,并由专家小组基于Delphi方法进行了三轮验证。在最后一步,干预计划的有效性将根据青少年母亲的产后自我效能进行评估。
结论:制定一项包括青少年母亲经历的干预计划,基于证据的实践原则,和卫生人员在不同的文化和社会背景下的意见可以为领导经理提供新的方向,政策制定者,和其他医疗保健提供者,以提高婴儿的母亲自我效能,家庭,并考虑到他们的年龄特征进行自我保健。
BACKGROUND: Pregnancy, and childbirth can encounter many challenges for the teen mother, family, and health system. The simultaneity of two transition periods, i.e. transition to adulthood and post-partum period may disrupt the acceptance of new roles. Lack of knowledge, information and life skills in managing this situation may threaten the physical and mental health of the mother, and child, as well as reduce the level of role adaptation. One way to increase women\'s empowerment in postpartum care is self-efficacy promotion training program. The current mixed methods study will be conducted to provide an interventional program sensitive to the culture of the Iranian society for adolescent mothers to improve their self-efficacy.
METHODS: This study will be conducted as an exploratory sequential mixed methods study (Qual-quan) based on a pragmatism paradigm in four phases. In the first phase, a qualitative study will be performed using a directed content analysis method to explore the needs and strategies related to promote postpartum self-efficacy from the viewpoint of teen mothers, their family, healthcare providers, and policymakers. In the second phase, using a scoping review, self-efficacy promotion strategies, and postpartum care service packages, programs, guidelines, and protocols in other countries will be identified. In the third phase, with integrating the results of qualitative phase and scoping review, the first draft of program will be developed, and validated by an expert panel based on the Delphi approach in three rounds. In the last step, the effectiveness of the interventional program will be evaluated on postpartum self-efficacy of teen mother.
CONCLUSIONS: Developing an interventional program that includes teen mother\'s experiences, evidence based practice principles, and health staff opinions in a distinct cultural and social context can supply new direction to lead manager, policymakers, and other health care provider to improve the maternal self-efficacy in infant, family, and self-care with considering their age characteristics.