Clemmens Donna
University of Connecticut, School of Nursing, CT 06903, USA.
MCN Am J Matern Child Nurs. 2003 Mar-Apr;28(2):93-9. doi: 10.1097/00005721-200303000-00010.
To synthesize qualitative studies on the phenomenon of adolescent motherhood.
Databases were searched for qualitative studies regarding the experience of adolescent motherhood (years 1990-2001). Noblit and Hare's (1988) meta-ethnographic comparative method was used for synthesizing the research. A total of 251 citations were found, with a subgroup of 50 studies on "adolescent motherhood" and "qualitative studies." Twenty-five studies conducted in the United States, Canada, China, England, and Australia met the sample inclusion criteria. The combined sample of participants across studies was 257 adolescent mothers.
Certain characteristics are common to the studies of adolescent motherhood. Five overarching metaphors were found: (1) the reality of motherhood brings hardship; (2) living in the two worlds of adolescence and motherhood; (3) motherhood as positively transforming; (4) baby as stabilizing influence; and (5) supportive context as turning point for the future.
Nurses working in hospital, home care, community, and school settings can use the results of this metasynthesis to obtain a clearer picture of how adolescents feel during pregnancy, and the types of nursing interventions that can be developed to help them.
综合有关青少年母亲现象的定性研究。
检索数据库，查找关于青少年母亲经历的定性研究（1990 - 2001年）。采用诺布利特和黑尔（1988年）的元民族志比较方法对研究进行综合分析。共找到251条引文，其中一个子组包含50项关于“青少年母亲”和“定性研究”的研究。在美国、加拿大、中国、英国和澳大利亚进行的25项研究符合样本纳入标准。各研究中参与者的合并样本为257名青少年母亲。
青少年母亲的研究有某些共同特征。发现了五个总体隐喻：（1）母亲身份的现实带来艰辛；（2）生活在青少年和母亲的两个世界中；（3）母亲身份具有积极转变作用；（4）婴儿起到稳定作用；（5）支持性环境是未来的转折点。
在医院、家庭护理、社区和学校环境中工作的护士可以利用这项元综合分析的结果，更清楚地了解青少年在孕期的感受，以及可以制定哪些类型的护理干预措施来帮助她们。
