高危孕妇风险管理经验:一项质性研究。

Q1 Nursing
Talat Khadivzadeh, Zahra Shojaeian, Ali Sahebi
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引用次数: 0

摘要

背景:孕产妇和胎儿的发病率和死亡率取决于妊娠风险的识别和风险管理。在伊朗的社会文化背景下,关于高危孕妇自我减轻风险的经验缺乏信息。本研究旨在探讨高危孕妇的风险管理经验。方法:本定性研究于2018年7月至2020年12月在伊朗马什哈德教育医院进行。采用目的抽样方法,根据怀孕期间的医疗或产科高危状况招募参与者。定性数据通过深度访谈和半结构化访谈获得。询问了母亲在危险条件下怀孕的经历,访谈一直持续到数据饱和。数据分析采用MAXQDA 10软件,Elo和Kyngäs方法。结果:孕产妇妊娠期风险管理体验分为9个子类和3个类别:情绪兴奋:“感到忧虑和绝望”、“在希望和乐观的阴影下高兴”、“瞬间震惊和兴奋”、“不活跃和无助”;自我反省包括:“主动分析风险缓和方式”、“认知否认”、“忽视风险”;所见证的行动包括:“以问题为中心的理性行动”和“回避和低效的行动”。结论:高危妊娠孕妇的风险管理经历包括广泛的积极和消极情绪、有效和无效的思想和行为。通过提供高质量的风险管理咨询,母亲和助产士/产科医生之间的相互合作可以导致选择有效的风险管理策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
High Risk-pregnant Women's Experiences of Risk Management: A Qualitative Study.

Background: Maternal and fetal morbidity and mortality depend on identifying of pregnancy risks and risk management. There is a dearth of information about the experiences of high-risk pregnant mothers in self-mitigation of the risk in the socio-cultural setting of Iran. This research was conducted to explore the risk management experiences of high-risk pregnant mothers.

Methods: This Qualitative study was conducted in educational hospitals in Mashhad, Iran, from July 2018 to December 2020. The purposive sampling method was used to recruit the participants based on medical or obstetric high-risk conditions in pregnancy. Qualitative data were obtained from in-depth and semi-structured 29 interviews. Mothers' experiences of pregnancy in a risky condition were asked, and the interview continued until data saturation. Data were analyzed using the MAXQDA 10 software and the Elo and Kyngäs method.

Results: Maternal experiences for risk management in pregnancy were formed by nine sub-categories and three categories: the excitement of emotion including: "feeling worry and despair", "gladness in the shadow of hope and optimism", "momentary shocking and excitement", and "inactivity and helplessness"; self-contemplation including: "active analysis of the ways of moderating the risk", "cognitive denial", and "ignoring the risk"; and witnessed action including: "problem-focused and rational actions", and "avoidance and inefficient engagements".

Conclusion: Risk management experiences of pregnant women with high-risk pregnancies include a wide range of positive and negative feelings, effective and ineffective thoughts, and behaviors. Mutual collaboration between mothers and midwives/obstetricians by providing high-quality risk management counseling can lead to choosing effective risk management strategies.

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来源期刊
CiteScore
4.00
自引率
0.00%
发文量
44
审稿时长
12 weeks
期刊介绍: Aim and Scope: International Journal of Community Based Nursing and Midwifery (IJCBNM) is an international innovating peer-reviewed quarterly publication for Nurses, Midwives, related fields educators and researchers. The Journal accepts original contributions of interest to those involved in all aspects of community practice, quantitative and qualitative research and management. Manuscripts are publishable in the form of original article, review article, case report, letter to the editor, short communications, etc. The Journal invites health care specialist concerned with any of these areas to submit material on topics including, but not limited to: Health promotion & disease prevention in all stages of human life Home - health care Patient & client education Individual care in the context of family and community Health care delivery and health out come Continuity of care.
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