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伊朗女性更年期管理赋权模式:扎根理论研究。

An empowerment model of Iranian women for the management of menopause: a grounded theory study.

机构信息

Department of Midwifery, School of Medicine, Social Determinants of Health Research Center, Alborz University of Medical Sciences , Karaj , Iran.

Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences , Tehran , Iran.

出版信息

Int J Qual Stud Health Well-being. 2019 Dec;14(1):1665958. doi: 10.1080/17482631.2019.1665958.

Abstract

: There is still no clear portrayal of women's empowerment in managing menopause. The present study was conducted to design a model for the empowerment of Iranian women in managing menopause. : This qualitative study was conducted using the grounded theory on  40-60-year-old women who were first selected through purposive sampling and then by theoretical sampling from November 2013 to July 2016. Data were collected using 33 in-depth, semi-structured, individual interviews with 30 participants. Data were analyzed using the Strauss and Corbin(2008) approach and organized in MAXQDA-10. : The analysis of the data led to the emergence of "active coping with menopause" as the core variable with four themes. The two themes "threat to feminine identity" and "latent opportunity" explained the context of the study, and "redefining the feminine identity" and "self-retrieval" explained its process. : In our social context, the phenomenon of menopause is a coin with two sides and its experience leans more on the threat to feminine identity and less on latent opportunity. The model of postmenopausal women's empowerment for managing menopause might offer health policy-makers a realistic and divergent understanding of the challenges of empowering women by explaining key concepts.

摘要

绝经管理中妇女赋权仍缺乏清晰描绘。本研究旨在为伊朗妇女绝经管理中的赋权设计一个模式。

本定性研究采用扎根理论,于 2013 年 11 月至 2016 年 7 月,通过立意抽样首先选取了 40-60 岁的 40 名妇女,然后通过理论抽样选取了另外 10 名妇女。采用 33 次深入的半结构式个体访谈收集数据,其中 30 名参与者接受了访谈。采用 Strauss 和 Corbin(2008)方法进行数据分析,并在 MAXQDA-10 中进行整理。

数据分析产生了“积极应对绝经”这一核心变量,并有四个主题。“威胁女性身份”和“潜在机会”两个主题解释了研究的背景,“重新定义女性身份”和“自我发现”解释了其过程。

在我们的社会背景下,绝经现象是一枚硬币的两面,其体验更多地倾向于威胁女性身份,而不是潜在机会。绝经后妇女赋权管理模式可能通过解释关键概念,为卫生政策制定者提供对妇女赋权挑战的现实和不同理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/905e/6792047/5adf3c9cda04/ZQHW_A_1665958_F0001_OC.jpg

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