Peterson Wendy E, Sprague Ann E, Reszel Jessica, Walker Mark, Fell Deshayne B, Perkins Sherry L, Dunn Sandra I, Johnson Moya
School of Nursing, Faculty of Health Sciences, University of Ottawa, 451 Smyth Road, Room 1118 F, Ottawa, Ontario K1H 8M5, Canada.
BMC Pregnancy Childbirth. 2014 Jun 4;14:190. doi: 10.1186/1471-2393-14-190.
In 2009 the Ontario Ministry of Health and Long Term Care funded the implementation of province-wide fetal fibronectin testing in Ontario hospitals. This paper reports results from the provincial evaluation that sought to describe the experience of fetal fibronectin testing from the perspective of women with symptoms of preterm labour.
A descriptive qualitative design was used, employing semi-structured telephone and face-to-face interviews with women who had fetal fibronectin testing.
Five hospitals participated in recruiting women for the study and 17 women were interviewed. Women described their experiences of fetal fibronectin testing as an emotional process that moves from expecting, to feeling, to hoping for reassurance; and then to re-defining what is required to feel reassured. Women described feeling anxious while waiting for fetal fibronectin results. When test results were negative, women described feeling a sense of relief that their symptoms would not likely lead to an imminent preterm birth. Women with positive results expressed feeling reassured by the care decisions and quick action taken by the health care team.
Fetal fibronectin testing was acceptable and beneficial to these women with symptoms of preterm labour. Implications for practice and future research are suggested.
2009年，安大略省卫生与长期护理部资助在安大略省各医院开展全省范围的胎儿纤连蛋白检测。本文报告了该省评估的结果，该评估旨在从有早产症状的女性角度描述胎儿纤连蛋白检测的经历。
采用描述性定性设计，对接受胎儿纤连蛋白检测的女性进行半结构化电话访谈和面对面访谈。
五家医院参与招募女性参与研究，共访谈了17名女性。女性将她们的胎儿纤连蛋白检测经历描述为一个情感过程，从期待，到感受，再到希望得到安心；然后重新定义获得安心所需的条件。女性表示在等待胎儿纤连蛋白检测结果时感到焦虑。检测结果为阴性时，女性表示松了一口气，因为她们的症状不太可能导致即将早产。检测结果为阳性的女性表示，医护团队的护理决策和迅速行动让她们感到安心。
胎儿纤连蛋白检测对这些有早产症状的女性来说是可以接受且有益的。文中还提出了对实践和未来研究的启示。
