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流产后第一年女性对流产反应的背景及演变

Contexts and evolution of women's responses to miscarriage during the first year after loss.

作者信息

Swanson Kristen M, Connor Sherri, Jolley Sandra N, Pettinato Maria, Wang Tsae-Jyy

机构信息

Family and Child Nursing, University of Washington, Seattle, Washington, USA.

出版信息

Res Nurs Health. 2007 Feb;30(1):2-16. doi: 10.1002/nur.20175.

DOI:10.1002/nur.20175
PMID:17243104
Abstract

Descriptions of 85 women's feelings about miscarriage at 1, 6, 16, and 52 weeks were inductively coded, rank-ordered, and clustered into 3 responses: healing, actively grieving, and overwhelmed. Women who were actively grieving or overwhelmed at 1 week experienced significantly less distress from 6 weeks on. Responses at 1 week differed with regards to those who had a history of perinatal loss or went on to experience negative life events or sexual distance after loss. One year responses differed based on who was pregnant or gave birth, miscarried again, lived through a higher number of post-loss negative life events, or experienced interpersonal or sexual distance from their mate. Responses were not influenced by gestational age at loss or having other children.

摘要

对85名女性在流产后1周、6周、16周和52周时对流产感受的描述进行归纳编码、排序,并聚类为三种反应:愈合、积极悲伤和不知所措。在1周时积极悲伤或不知所措的女性从6周开始经历的痛苦明显减少。1周时的反应因有围产期损失史、流产后经历负面生活事件或性疏远的女性而有所不同。一年后的反应因是否怀孕或分娩、再次流产、经历更多流产后的负面生活事件、或与伴侣在人际关系或性方面疏远而有所不同。反应不受流产时的孕周或是否有其他孩子的影响。

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