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社会支持:一种维持经历过死产的女性健康的方法。

Social support: An approach to maintaining the health of women who have experienced stillbirth.

作者信息

Allahdadian Maryam, Irajpour Alireza, Kazemi Ashraf, Kheirabadi Gholamreza

机构信息

Student Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Critical Care Nursing, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Iran J Nurs Midwifery Res. 2015 Jul-Aug;20(4):465-70. doi: 10.4103/1735-9066.160998.

Abstract

BACKGROUND

Stillbirth is one of the deepest losses that can inflict a broad range of cognitive, mental, spiritual, and physical turmoil. Many researchers believe that the failure to provide the care required by health teams during the hard times is the main determinant of maternal mental health in the future. In other words, social support can significantly improve the mental health outcomes of mothers after stillbirth. This study aimed to explore social support to aid mothers in adaptation after the experience of stillbirth.

MATERIALS AND METHODS

This was a qualitative content analysis in which 15 women who had experienced stillbirth participated. They were selected through purposeful sampling method. Data were gathered by individual interviews recorded on audiotapes, transcribed, and analyzed. Interview transcriptions were coded and then classified. Finally, two main categories and five subcategories emerged.

RESULTS

Analysis of participants' viewpoints and their statements about social support led to the emergence of the two main categories of support from relatives and support from social support systems with two and three subcategories, respectively. Analysis of findings showed that mothers experiencing stillbirth need the support of their spouse and family and friends through sympathizing, in performing everyday activities and to escape loneliness. These women require support from a peer group to exchange experiences and from trauma counseling centers to meet their needs.

CONCLUSIONS

It seems necessary to revise and modify the care plan in the experience of stillbirth using these results and, of course, to be considered by a panel of experts in order to provide social support to these women. Thus, midwives and healthcare provider can act, based on the development and strengthening of social protection of women experiencing stillbirth, to provide these women with effective and appropriate care.

摘要

背景

死产是最沉痛的损失之一,会造成广泛的认知、心理、精神和身体混乱。许多研究人员认为,在艰难时期未能提供卫生团队所需的护理是未来产妇心理健康的主要决定因素。换句话说,社会支持可以显著改善死产后母亲的心理健康状况。本研究旨在探讨社会支持,以帮助经历死产后的母亲适应生活。

材料与方法

这是一项定性内容分析研究,有15名经历过死产的女性参与。通过目的抽样法选取她们。数据通过对个人访谈进行录音、转录和分析来收集。访谈转录本进行编码,然后分类。最后,出现了两个主要类别和五个子类别。

结果

对参与者关于社会支持的观点和陈述进行分析后,出现了两个主要类别,分别是来自亲属的支持和来自社会支持系统的支持,各有两个和三个子类别。研究结果分析表明,经历死产的母亲需要配偶、家人和朋友的支持,包括同情、协助日常活动以及缓解孤独感。这些女性需要同龄人群体的支持以交流经验,也需要创伤咨询中心满足她们的需求。

结论

似乎有必要利用这些结果修订和修改死产经历中的护理计划,当然,还需要专家小组进行审议,以便为这些女性提供社会支持。因此,助产士和医疗保健提供者可以基于加强对经历死产女性的社会保护,采取行动为这些女性提供有效和适当的护理。

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