Bansen S S, Stevens H A
MGH Institute of Health Professions, Boston, Massachusetts.
J Nurse Midwifery. 1992 Mar-Apr;37(2):84-90. doi: 10.1016/0091-2182(92)90142-p.
The purpose of this qualitative study was to identify women's perceptions of their miscarriage experiences. Ten women who had miscarried within the first 15 weeks of their first desired pregnancies were interviewed two to four months after their miscarriages. Taped interviews were examined, using content analysis to delineate categories and themes. Themes were grouped into the following categories: the miscarriage event, dealing with the loss, interacting with outsiders, and facing the future. Critical findings included the following: the hush surrounding miscarriage contributed to the inadequate support women perceived; women benefited from unconditional acceptance of their feelings; women felt responsible for their miscarriages; several women experienced pain and bleeding that they perceived as life-threatening; several women grieved their losses as they would mourn the deaths of other family members; and women emerged from their experiences with changed perspectives. Implications for advanced nursing practice and topics for future research are discussed.
这项定性研究的目的是确定女性对其流产经历的看法。对10名在首次期望怀孕的前15周内流产的女性在流产后两到四个月进行了访谈。对录音访谈进行了检查，采用内容分析法来划分类别和主题。主题分为以下几类：流产事件、应对损失、与外界互动以及面对未来。关键发现包括：围绕流产的沉默导致女性认为获得的支持不足；女性从对其感受的无条件接纳中受益；女性觉得自己应对流产负责；几名女性经历了她们认为危及生命的疼痛和出血；几名女性像哀悼其他家庭成员的死亡一样为自己的损失而悲伤；女性从这些经历中获得了视角的改变。文中还讨论了对高级护理实践的启示以及未来研究的主题。
