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制定改善伊朗女性生育体验新指南:混合方法研究方案。

Developing of a new guideline for improving birth experiences among Iranian women: a mixed method study protocol.

机构信息

Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.

Women Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Reprod Health. 2020 Jan 30;17(1):17. doi: 10.1186/s12978-020-0868-5.

DOI:10.1186/s12978-020-0868-5
PMID:32000775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6993433/
Abstract

BACKGROUND

The childbirth experience has significant effects on the life of the mother and family. However, there are no Iranian studies which evaluate and measure women's childbirth experiences to provide accurate data on this important matter. The aim of this study is to develop a new guideline to improve women's childbirth experiences by meeting their needs and expectations.

METHODS/DESIGN: The present study will use the mixed method with the explanatory sequential approach. Phase one is a cross-sectional survey with random cluster sampling of the health centers in Tabriz. Eight hundred primiparous women will be selected to measure their childbirth experiences and predictors factors. Phase two is a qualitative study to explore women's perceptions of the aspects and determinants of the childbirth experience. Phase two participants will be selected using purposive sampling from the women who participated in phase one. Phase three involves developing a new guideline to improve women's childbirth experiences. The new guideline will be developed based on the following elements: a) the results of the qualitative and quantitative data from phase one and two, b) a review of the related literature, and c) expert opinions that have been collected using the Delphi technique.

DISCUSSION

By exploring women's childbirth experiences and the influencing factors, a culturally sensitive evidence-based guideline can be developed. The provision of the evidence-based guideline resulting from this study might be effective in improving the quality care of the services for pregnant women.

ETHICAL CODE

IR.TBZMED.REC.1396.786.

摘要

背景

分娩经历对母亲和家庭的生活有重大影响。然而,伊朗尚无研究评估和衡量妇女的分娩经历,无法提供有关这一重要问题的准确数据。本研究旨在制定新的准则,通过满足妇女的需求和期望来改善她们的分娩体验。

方法/设计:本研究将采用混合方法,采用解释性顺序方法。第一阶段是在大不里士的卫生中心进行的横断面调查,采用随机聚类抽样。将选择 800 名初产妇来衡量她们的分娩经历和预测因素。第二阶段是一项定性研究,旨在探讨妇女对分娩体验的各个方面和决定因素的看法。第二阶段的参与者将从第一阶段的参与者中采用目的抽样法选择。第三阶段包括制定新的准则来改善妇女的分娩体验。新准则将基于以下要素制定:a)第一阶段和第二阶段的定性和定量数据结果,b)对相关文献的回顾,以及 c)通过 Delphi 技术收集的专家意见。

讨论

通过探讨妇女的分娩经历和影响因素,可以制定出一种具有文化敏感性的基于证据的准则。本研究产生的基于证据的准则的提供可能对改善孕妇服务的优质护理有效。

伦理代码

IR.TBZMED.REC.1396.786.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ec9/6993433/631fac1beeb7/12978_2020_868_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ec9/6993433/631fac1beeb7/12978_2020_868_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ec9/6993433/631fac1beeb7/12978_2020_868_Fig1_HTML.jpg

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本文引用的文献

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Reprod Health. 2018 Nov 3;15(1):183. doi: 10.1186/s12978-018-0628-y.
2
What makes or mars the facility-based childbirth experience: thematic analysis of women's childbirth experiences in western Kenya.是什么影响了产妇的分娩体验:肯尼亚西部妇女分娩经历的主题分析。
Reprod Health. 2017 Dec 29;14(1):180. doi: 10.1186/s12978-017-0446-7.
3
Measuring women's childbirth experiences: a systematic review for identification and analysis of validated instruments.
将改良的生理分娩方案纳入伊朗卫生系统并对母婴结局的影响:一项嵌入式混合方法研究方案。
BMJ Open. 2023 Aug 7;13(8):e069609. doi: 10.1136/bmjopen-2022-069609.
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Iranian women's perception on the determinants of birth experience: a qualitative study.伊朗女性对生育体验决定因素的看法:一项定性研究。
BMC Pregnancy Childbirth. 2022 Oct 5;22(1):751. doi: 10.1186/s12884-022-05078-z.
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Recommendations for improving primiparous women's childbirth experience: results from a multiphase study in Iran.改善初产妇分娩体验的建议:来自伊朗多阶段研究的结果。
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6
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Health Res Policy Syst. 2021 May 31;19(1):87. doi: 10.1186/s12961-021-00738-6.
衡量女性的分娩经历:一项关于识别和分析有效工具的系统评价
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Factors related to a negative birth experience - A mixed methods study.与不良分娩体验相关的因素——一项混合方法研究。
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