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探讨意大利先天性心脏病女性在妊娠和早期母性阶段的生活体验:一种阐释现象学分析。

Exploring the lived experiences of pregnancy and early motherhood in Italian women with congenital heart disease: an interpretative phenomenological analysis.

机构信息

Health Professions Research and Development Unit, IRCCS Policlinico San Danato, San Donato Milanese, Lombardia, Italy.

Health Professions Research and Development Unit, IRCCS Policlinico San Danato, San Donato Milanese, Lombardia, Italy

出版信息

BMJ Open. 2020 Jan 23;10(1):e034588. doi: 10.1136/bmjopen-2019-034588.

DOI:10.1136/bmjopen-2019-034588
PMID:31980511
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7044861/
Abstract

OBJECTIVE

This study explored the lived experiences of women with congenital heart disease (CHD) during pregnancy and early motherhood.

DESIGN

Qualitative study using semistructured interviews. Data were analysed according to interpretative phenomenological analysis.

SETTING

San Donato Milanese, Italy.

PARTICIPANTS

12 adult women during pregnancy or early motherhood.

RESULTS

Three main themes emerged from the analysis that were labelled as follows: 'Being a woman with CHD'; 'Being a mother with CHD'; and 'Don't be alone'. Mothers described both positive and negative feelings about their pregnancies and transitions from childless women to mothers with CHD. They needed supportive care to improve the management of their health during pregnancy and early motherhood.

CONCLUSION

This study explored the lived experiences of women with CHD during pregnancy and early motherhood. The emerged themes represent an initial framework for implementing theory-grounded educational and supportive strategies that improve self-care, engagement and quality of life for women with CHD. Furthermore, the study's results provide guidance for operationalising the described experiences into items and domains for future cross-national surveys.

摘要

目的

本研究探讨了先天性心脏病(CHD)女性在妊娠和早期母亲身份期间的生活体验。

设计

使用半结构式访谈的定性研究。根据解释现象学分析对数据进行分析。

地点

意大利圣多纳托-米兰内塞。

参与者

12 名妊娠或早期母亲身份的成年女性。

结果

分析产生了三个主题,分别标记为:“作为一名患有 CHD 的女性”;“作为一名患有 CHD 的母亲”;和“不要孤单”。母亲们描述了她们对怀孕和从无子女的女性到患有 CHD 的母亲的身份转变的积极和消极感受。她们需要支持性护理,以改善妊娠和早期母亲身份期间的健康管理。

结论

本研究探讨了患有 CHD 的女性在妊娠和早期母亲身份期间的生活体验。出现的主题代表了实施基于理论的教育和支持策略的初始框架,以改善患有 CHD 的女性的自我护理、参与和生活质量。此外,该研究的结果为将描述的经验转化为未来跨国调查的项目和领域提供了指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14c0/7044861/0e9f3128d68b/bmjopen-2019-034588f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14c0/7044861/0e9f3128d68b/bmjopen-2019-034588f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14c0/7044861/0e9f3128d68b/bmjopen-2019-034588f01.jpg

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BMJ Open. 2019 Oct 18;9(10):e030917. doi: 10.1136/bmjopen-2019-030917.
2
Pregnancy still contraindicated in pulmonary arterial hypertension related to congenital heart disease: True or false?先天性心脏病相关肺动脉高压患者仍禁忌妊娠:对还是错?
Eur J Prev Cardiol. 2019 Jul;26(10):1064-1066. doi: 10.1177/2047487318825347. Epub 2019 Feb 4.
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Improving health perception through a transition care model for adolescents with congenital heart disease.
患有心脏病的女性产后生活质量与心理健康:综合临床沟通与治疗
World J Psychiatry. 2024 Jan 19;14(1):63-75. doi: 10.5498/wjp.v14.i1.63.
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Maternal mental health: a key area for future research among women with congenital heart disease.孕产妇心理健康:先天性心脏病女性未来研究的重点领域。
Open Heart. 2023 Oct;10(2). doi: 10.1136/openhrt-2023-002312.
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Psychosocial well-being in postpartum women with congenital heart disease.先天性心脏病产后女性的心理社会幸福感
Cardiovasc Diagn Ther. 2022 Aug;12(4):389-399. doi: 10.21037/cdt-22-213.
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Barriers and facilitators of experiencing pregnancy and motherhood with congenital heart disease: A secondary qualitative analysis.先天性心脏病患者妊娠和母性体验的障碍和促进因素:二次定性分析。
Nurs Open. 2023 Jan;10(1):156-164. doi: 10.1002/nop2.1290. Epub 2022 Jul 24.
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"Lights and Shadows": An Interpretative Phenomenological Analysis of the Lived Experience of Being Diagnosed With Breast Cancer During Pregnancy.《光明与阴影》:对孕期被诊断出患有乳腺癌的生活经历的解释现象学分析
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