Clinical Experiences of Perinatal Palliative Care After a Stillbirth: A Narrative Therapy for Grief.

Yanhua Liu, Xiaolin Yang, Xiaoxiong Zhu, Xiaoling Tian, Zhifen Yang
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Abstract

Narrative care for families suffering from perinatal loss is rarely provided by medical institutions in China Mainland. However, with the advancement of the Chinese narrative medicine theory and practice, the clinical significance of narrative care has been increasingly recognized. Based on the principles of Chinese narrative medicine, this narrative case study described traumatic narrative foreclosures occuring in a family suffering from stillbirth, and highlighted the multidisciplinary collaboration for practising narrative care in the process of supporting the bereaved in our hospital. Meanwhile, we advocate the establishment of a narrative care ecology by training more obsteticians and nurses with good narrative competence in purpose of helping the family experiencing perinatal losses to overcome their tramatic narrative foreclosures, increasing the chances of another successful pregnancy and childbirth as well as enhancing their quality of life.

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死产后围产期姑息治疗的临床经验:悲伤叙事疗法
在中国大陆,医疗机构很少为围产期失独家庭提供叙事护理。然而,随着中国叙事医学理论和实践的发展,叙事关怀的临床意义日益得到认可。本叙事案例研究基于中国叙事医学的原则,描述了一个死胎家庭中发生的创伤性叙事赎回,并强调了我院在支持丧亲者的过程中多学科合作实践叙事关怀的情况。同时,我们倡导建立叙事护理生态,培养更多具有良好叙事能力的产科医生和护士,以帮助围产期失独家庭克服创伤性叙事障碍,增加再次成功妊娠和分娩的机会,提高他们的生活质量。
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