Chamberlain Chervonne, Williamson Graham R, Knight Beatrice, Daly Mark, Halpin David M G
Royal Devon and Exeter Hospital NHS Foundation Trust, Barrack Rd, Exeter, EX25DW, UK.
School of Nursing and Midwifery, Plymouth University, Plymouth, PL48AA, UK.
Open Nurs J. 2014 Dec 11;8:56-63. doi: 10.2174/1874434601408010056. eCollection 2014.
Background : Most asthmatic women have normal pregnancies and complications are infrequent when their asthma is well-controlled. Symptom control and medical treatment are concerning to pregnant asthma suffers, as is the impact that their illness and treatment might have on their unborn baby. The aim was to investigate in a qualitative study the thoughts and feelings of women's experiences of asthma in pregnancy. Twenty-two women with asthma who had a pregnancy within two years were asked to participate. Seven women were interviewed when data saturation was achieved. Interviews were transcribed and analysed using the 'Framework' Method, independently analysed by two researchers and consensus reached concerning the construction of themes. The key themes that emerged were Asthma and pregnancy; Pregnancy and post-natal experiences; and Health professionals. These findings are globally interesting because of the prevalence of maternal asthma and they illustrate participants' experiences concerning their asthma care and their views on its improvement. Pregnant asthmatic women have concerns about their care and treatment which might be alleviated by outreach, joint working between respiratory doctors and nurse specialists, midwives and General Practice nurses. Targeted educational activities could form a part of this care delivery.
大多数哮喘女性怀孕过程正常,且当哮喘得到良好控制时,并发症并不常见。症状控制和药物治疗是妊娠哮喘患者关注的问题,她们的疾病和治疗对未出生婴儿可能产生的影响也是如此。本研究旨在通过一项定性研究,调查女性在孕期患哮喘的经历、想法和感受。邀请了22名在两年内怀孕的哮喘女性参与研究。当达到数据饱和时,对7名女性进行了访谈。访谈内容被转录,并采用“框架”法进行分析,由两名研究人员独立分析,并就主题构建达成共识。出现的关键主题包括哮喘与妊娠、妊娠及产后经历以及医疗专业人员。由于孕产妇哮喘的患病率,这些研究结果在全球范围内都具有重要意义,它们阐明了参与者在哮喘护理方面的经历以及他们对改善哮喘护理的看法。妊娠哮喘女性对自己的护理和治疗感到担忧,而呼吸科医生与专科护士、助产士以及全科护士之间的外联与合作或许可以缓解她们的担忧。有针对性的教育活动可以成为这种护理服务的一部分。