Muliira Rhoda Suubi, Bezuidenhout Mathie C
College of Nursing, Sultan Qaboos University, P.O. Box 66, AlKhod, Muscat, Oman.
College of Nursing, Sultan Qaboos University, P.O. Box 66, AlKhod, Muscat, Oman; PHC Community Based Clinic, The Adelaide Tambo School of Nursing Science, Tshwane University of Technology, Pretoria, South Africa.
Midwifery. 2015 Jan;31(1):184-90. doi: 10.1016/j.midw.2014.08.005. Epub 2014 Aug 27.
to explore the psychological outcomes of occupational exposure to maternal death and the coping methods used by midwives working in rural areas.
maternal deaths are common in rural areas of developing countries because of the shortages of human and other resources needed for maternity services. When maternal deaths occur, midwives often experience emotional distress while striving to perform their work. This may have a negative impact on their well-being.
Descriptive design. A self-administered questionnaire in the English language, comprising the Death Distress Scale and Brief COPE Scale, was used to collect data from 238 midwives working in two rural districts of Uganda.
the majority of participants were female (81%) and had a diploma in midwifery (36%). Mean age and years of professional experience were 34 [standard deviation (SD) 6.3] years and three (SD 1.3) years, respectively. The majority of participants (94%) had witnessed a maternal death. The results from the Death Distress Scale showed that the majority of midwives who had witnessed a maternal death had moderate to high death anxiety (93%), mild to moderate death obsession (71%) and mild death depression (53%). Most midwives coped with their distress using methods such as active coping, venting, positive reframing, self-distraction and planning.
midwifery educational programmes and work settings need to understand the importance of maternal death from the midwives' perspective and their ability to cope with this detrimental experience.
there is a need for midwifery practice settings to provide respite care, education on coping with death experiences and counselling after traumatic experiences in order to maintain the well-being of midwives. As occupational exposure to maternal death can have a negative effect on the well-being of midwives, this can affect their professional quality of life and clinical practice.
探讨职业性接触孕产妇死亡的心理结果以及农村地区助产士所采用的应对方法。
由于孕产妇服务所需的人力和其他资源短缺，孕产妇死亡在发展中国家农村地区很常见。孕产妇死亡发生时，助产士在努力开展工作的同时往往会经历情绪困扰。这可能会对她们的幸福感产生负面影响。
描述性设计。采用一份英文自填式问卷，其中包括死亡困扰量表和简易应对方式量表，从乌干达两个农村地区的238名助产士中收集数据。
大多数参与者为女性（81%），拥有助产士文凭（36%）。平均年龄和专业经验年限分别为34岁[标准差（SD）6.3]和3年（SD 1.3）。大多数参与者（94%）目睹过孕产妇死亡。死亡困扰量表的结果显示，大多数目睹过孕产妇死亡的助产士有中度至高度的死亡焦虑（93%）、轻度至中度的死亡执念（71%）和轻度的死亡抑郁（53%）。大多数助产士通过积极应对、宣泄、积极重新评价、自我分心和计划等方法来应对困扰。
助产士教育项目和工作环境需要从中助产士的角度理解孕产妇死亡的重要性以及她们应对这种有害经历的能力。
助产士工作环境需要提供临时护理、关于应对死亡经历的教育以及创伤经历后的咨询服务，以维护助产士的幸福感。由于职业性接触孕产妇死亡会对助产士的幸福感产生负面影响，这可能会影响她们的职业生活质量和临床实践。
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