Shoorab Nahid Jahani, Taghipour Ali, Mirteimouri Masoumeh, Roudsari Robab Latifnejad
Nursing and Midwifery Care Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran.
Social Determinants of Health Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran.
Iran J Nurs Midwifery Res. 2020 Jun 17;25(4):333-340. doi: 10.4103/ijnmr.IJNMR_245_19. eCollection 2020 Jul-Aug.
Social recovery during the postnatal period in women with perineal trauma is a little-known concept. Therefore, this study was designed to explore the experiences of social recovery in women with childbirth-related perineal trauma.
A qualitative approach using content analysis was adopted to study a purposive sample of 22 postnatal women with perineal trauma during birth at Omol-banin Hospital, Mashhad, Iran from April 20 to December 25, 2017. The participants were selected between 10 days to one year after childbirth. Data were collected through semi-structured interviews. Conventional content analysis approach was performed, concurrently, with data collection. To organize data, the MAXQDA 10 was used.
Social recovery after perineal trauma was conceptualized as 'shifting from personal ill-health to interactional empowerment'. Two generic categories emerged from data analysis including 1) impaired individual and social function, which was recognized by social isolation and lack of ability to manage daily life and 2) empowering social interactions, which was characterized by rebuilding social partnerships and returning to an interactive lifestyle.
Social isolation as the result of neglecting social recovery of women with severe perineal trauma endangers the mental health of mothers. Understanding the concept of social recovery for women with perineal trauma, especially in severe cases, will help health professionals to provide quality postpartum care for women with perineal trauma in a longer period after childbirth.
会阴创伤女性产后的社会恢复是一个鲜为人知的概念。因此，本研究旨在探讨分娩相关会阴创伤女性的社会恢复经历。
采用内容分析法的定性研究方法，对2017年4月20日至12月25日在伊朗马什哈德奥莫尔 - 巴宁医院分娩时患有会阴创伤的22名产后女性进行了有目的抽样研究。参与者在产后10天至1年之间被选取。通过半结构化访谈收集数据。在收集数据的同时，采用传统内容分析法。使用MAXQDA 10来组织数据。
会阴创伤后的社会恢复被概念化为“从个人健康不佳转向互动赋权”。数据分析得出两个总体类别，包括1）个体和社会功能受损，其表现为社会隔离以及缺乏管理日常生活的能力；2）增强社会互动，其特征是重建社会伙伴关系并回归互动生活方式。
忽视严重会阴创伤女性的社会恢复导致的社会隔离危及母亲的心理健康。了解会阴创伤女性的社会恢复概念，特别是在严重情况下，将有助于卫生专业人员在产后更长时间内为会阴创伤女性提供优质的产后护理。
