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探索伊朗孕妇生活质量背后的因素:一项定性研究。

Exploring factors behind pregnant women's quality of life in Iran: a qualitative study.

作者信息

Kazemi Farideh, Nahidi Fatemeh, Kariman Nourossadat

机构信息

Ph.D. Candidate of Reproductive Health, Department of Midwifery & Reproductive Health, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Ph.D. of Health Education and Promotion, Assistant Professor, Midwifery and Reproductive Health Research Center, Department of Midwifery & Reproductive Health, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Electron Physician. 2017 Dec 25;9(12):5991-6001. doi: 10.19082/5991. eCollection 2017 Dec.

Abstract

BACKGROUND AND OBJECTIVE

Pregnancy-related physiologic and psychosocial alterations can impact on the body and cause symptoms which may affect quality of life. Since qualitative studies can provide more in-depth understanding of quality of life and its determining factors, this study was conducted with the aim of exploring factors affecting pregnant women's quality of life.

METHODS

A qualitative descriptive study with conventional content analysis approach was made using the conventional content analysis approach on a purposeful sample of sixteen pregnant Iranian women in Hamadan, Iran from May 2015 to December 2015. Sampling was continued until data saturation. Data were collected through in-depth semi-structured personal interviews, and were analyzed using the conventional content analysis approach.

RESULTS

Data analysis resulted in three main categories, namely, the effects of pregnancy on different aspects of health (including psychological disorders, impaired interactions, disturbances in doing daily activities, disturbed body image, alterations in sexual relationships, physical disorders, and alterations in dietary habits and treatment regimens), pregnancy-related concerns (regarding the gender of the fetus, financial problems, childbirth, health, and the future), and coping with pregnancy (through strategies such as spirituality, positive attitude toward pregnancy, distraction and imagination, and support).

CONCLUSIONS

This study showed that different factors can affect pregnant women's quality of life. Nonetheless, prenatal care services are mainly focused on pregnancy-related physical problems, and other aspects of care are usually taken for granted. Consequently, healthcare professionals need to pay greater attention to pregnant women's quality of life and its contributing factors.

摘要

背景与目的

与妊娠相关的生理和心理社会变化会对身体产生影响,并引发可能影响生活质量的症状。由于定性研究能够更深入地了解生活质量及其决定因素,本研究旨在探讨影响孕妇生活质量的因素。

方法

采用传统内容分析法进行定性描述性研究,于2015年5月至2015年12月在伊朗哈马丹对16名伊朗孕妇进行了有目的抽样。抽样持续进行直至数据饱和。通过深入的半结构化个人访谈收集数据,并使用传统内容分析法进行分析。

结果

数据分析得出三个主要类别,即妊娠对健康不同方面的影响(包括心理障碍、互动受损、日常活动受干扰、身体形象紊乱、性关系改变、身体疾病以及饮食习惯和治疗方案改变)、与妊娠相关的担忧(关于胎儿性别、经济问题、分娩、健康和未来)以及应对妊娠(通过诸如精神寄托、对妊娠持积极态度、分散注意力和想象以及获得支持等策略)。

结论

本研究表明不同因素会影响孕妇的生活质量。然而,产前护理服务主要侧重于与妊娠相关的身体问题,而其他护理方面通常被视为理所当然。因此,医疗保健专业人员需要更加关注孕妇的生活质量及其影响因素。

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