产妇水中分娩体验的质性研究
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摘要
目的探索产妇水中分娩的真实体验,为提升水中分娩优质护理服务提供参考。方法采用质性研究中的现象学研究方法,对13例水中分娩的产妇进行半结构式访谈,并用Colaizzi现象学研究法进行资料分析。结果将产妇水中分娩体验归纳为4个主题:舒适感、安全感、领悟社会支持感和低自控感。结论需重视产妇水中分娩感受,加强助产人才专科培训,不断探索与提升水中分娩安全性,提高产妇水中分娩护理质量。
Objective To explore mothers' real experience of a water birth,and to provide reference for quality improvement in water birth.Methods Semi-structured interviews were conducted with 13 mothers who had given birth in the water by using the phenomenological method. Then the data were analyzed with Colaizzi's phenomenological method. Results The mothers described water birth as being comfortable,safe,perceiving more social support,and mild sense of self-control. Conclusion Mothers' experience of a water birth should be addressed and training of midwives competent in carrying out water birth needs to be strengthened,in an effort to improve the safety of water birth,and the quality of water birth care.
Objective To explore mothers' real experience of a water birth,and to provide reference for quality improvement in water birth.Methods Semi-structured interviews were conducted with 13 mothers who had given birth in the water by using the phenomenological method. Then the data were analyzed with Colaizzi's phenomenological method. Results The mothers described water birth as being comfortable,safe,perceiving more social support,and mild sense of self-control. Conclusion Mothers' experience of a water birth should be addressed and training of midwives competent in carrying out water birth needs to be strengthened,in an effort to improve the safety of water birth,and the quality of water birth care.
引文
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[10]赵威.优质护理助产护理模式对产妇的护理效果观察[J].中国医药指南,2018,16(2):10-11.
[11]余林玲,李云,何燕.连续性助产服务护理对初产妇自然分娩率、选择非药物镇痛分娩的影响[J].实用临床医药杂志,2017,21(14):113-115.
[12]窦姗姗,白桦,顾晓乐,等.河南省助产工作现状及助产适宜技术应用情况的调查研究[J].中华护理杂志,2018,53(2):158-161.
[13]张海清,崔彩清,吴玉可,等.聘用制助产士离职原因的质性研究[J].护理学杂志,2013,28(12):61-62.
[14]李丽,丁焱,毛丽萍.国内外助产服务模式和人力资源配置研究进展[J].护理学杂志,2016,31(20):15-17.
[2]谢燕,吕春华.水中分娩及舒适护理对焦虑产妇分娩结局的影响[J].护士进修杂志,2014,29(24):2243-2245.
[3]Melante H.Water birth in the hospital setting[J].Nurs Womens Health,2014,18(5):365-369.
[4]陈向明.质的研究方法与社会科学研究[M].北京:教育科学出版社,2000:171.
[5]Haber M G,Cohen J L,Lucas T,et al.The relationship between self-reported received and perceived social support:a meta-analytic review[J].Am J Community Psychol,2007,39(1-2):133-144.
[6]Barrera Jr M.Distinctions between social support concepts,measures,and models[J].Am J Community Psychol,1986,14(4):413-445.
[7]牛铭钢,杨敏,刘春睿,等.水中分娩的发展现状及临床研究[J].中国医药导报,2012,9(2):14-16.
[8]Gelssbuhler V,Stein S,Eberhanl J.Waterbirths compared with landbirth:an observational study of nine years[J].JPerinat Med,2004,32(4):308-309.
[9]Thobni A,Zech N,Ploner F.Giving birth in the water:stories of women's experience of using water for labour and birth[J].Women Birth,2007,20(1):17-24.
[10]赵威.优质护理助产护理模式对产妇的护理效果观察[J].中国医药指南,2018,16(2):10-11.
[11]余林玲,李云,何燕.连续性助产服务护理对初产妇自然分娩率、选择非药物镇痛分娩的影响[J].实用临床医药杂志,2017,21(14):113-115.
[12]窦姗姗,白桦,顾晓乐,等.河南省助产工作现状及助产适宜技术应用情况的调查研究[J].中华护理杂志,2018,53(2):158-161.
[13]张海清,崔彩清,吴玉可,等.聘用制助产士离职原因的质性研究[J].护理学杂志,2013,28(12):61-62.
[14]李丽,丁焱,毛丽萍.国内外助产服务模式和人力资源配置研究进展[J].护理学杂志,2016,31(20):15-17.