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初产妇前往初级卫生保健中心的健康需求认知:一项定性研究。

The Perceived Health Needs of Primiparous Mothers Referring to Primary Health Care Centers: A Qualitative Study.

作者信息

Salarvand Shahin, Mousavi Masoumeh-Sadat, Esmaeilbeigy Darya, Changaee Farahnaz, Almasian Mohammad

机构信息

Hepatitis Research Center, Faculty of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran.

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

出版信息

Int J Womens Health. 2020 Sep 23;12:745-753. doi: 10.2147/IJWH.S258446. eCollection 2020.

DOI:10.2147/IJWH.S258446
PMID:33061663
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7520153/
Abstract

BACKGROUND

Since the first step in meeting the health needs of primiparous women involves understanding their conditions, the present study aimed to determine the health needs of primiparous women from their own viewpoints.

METHODS

This study had a qualitative approach based on the conventional qualitative content analysis method, in which the purposive sampling method was used. Data were collected by semi-structured interviews. Data saturation was achieved by interviewing 12 participants. To ensure the study was rigorous, the four criteria of credibility, dependability, confirmability, and transferability were taken into account.

RESULTS

The findings of this study consisted of 150 codes, 19 subcategories, and 6 categories, as follows: 1) the intense need for social support, 2) the need for prior preparation for pregnancy, 3) fears and worries, 4) the necessity of the availability of the needed infrastructures and requirements in the health center, 5) falling in love with the baby, and 6) seeking information from appropriate sources.

CONCLUSION

The present study showed that primiparous women need to receive more social and psychological support from family members and healthcare workers and that it is essential to improve the available infrastructures and services in healthcare centers and to provide the needed counseling to pregnant mothers to enable them to go through the pregnancy period smoothly.

摘要

背景

由于满足初产妇健康需求的第一步涉及了解她们的状况,本研究旨在从初产妇自身的角度确定她们的健康需求。

方法

本研究采用基于传统定性内容分析法的定性研究方法,使用目的抽样法。通过半结构化访谈收集数据。通过对12名参与者进行访谈实现了数据饱和。为确保研究的严谨性,考虑了可信度、可靠性、可证实性和可转移性这四个标准。

结果

本研究的结果包括150个编码、19个亚类和6个类别,如下:1)对社会支持的强烈需求,2)怀孕前准备的需求,3)恐惧和担忧,4)健康中心所需基础设施和条件可得性的必要性,5)爱上宝宝,6)从适当来源获取信息。

结论

本研究表明,初产妇需要从家庭成员和医护人员那里获得更多的社会和心理支持,改善医疗保健中心现有的基础设施和服务,并为孕妇提供所需的咨询,以使她们能够顺利度过孕期,这至关重要。

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本文引用的文献

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Mothers' well-being, parenting attitudes, and home environment: Cumulative risk and parity in early motherhood.母亲的幸福感、育儿态度和家庭环境:初为人母阶段的累积风险与胎次
Child Care Health Dev. 2019 Jul;45(4):523-530. doi: 10.1111/cch.12677. Epub 2019 May 20.
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New parents' experiences of postpartum depression: a systematic review of qualitative evidence.初为人父母者产后抑郁的经历:对定性证据的系统综述
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Maternal Knowing and Social Networks: Understanding First-Time Mothers' Search for Information and Support Through Online and Offline Social Networks.产妇认知与社交网络:通过线上线下社交网络理解初产妇的信息搜索和支持需求。
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Fear of childbirth in primiparous Italian pregnant women: The role of anxiety, depression, and couple adjustment.意大利初产妇对分娩的恐惧:焦虑、抑郁及夫妻关系调适的作用
Women Birth. 2018 Apr;31(2):117-123. doi: 10.1016/j.wombi.2017.06.022. Epub 2017 Jul 11.
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The role of fear of childbirth in pregnancy related anxiety in Iranian women: a qualitative research.分娩恐惧在伊朗女性孕期相关焦虑中的作用:一项定性研究。
Electron Physician. 2017 Feb 25;9(2):3733-3740. doi: 10.19082/3733. eCollection 2017 Feb.
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Who is distressed? A comparison of psychosocial stress in pregnancy across seven ethnicities.谁感到苦恼?七个种族孕期心理社会压力的比较。
BMC Pregnancy Childbirth. 2016 Aug 11;16(1):215. doi: 10.1186/s12884-016-1015-8.
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Pregnant women's thoughts when assessing fear of birth on the Fear of Birth Scale.孕妇在使用分娩恐惧量表评估分娩恐惧时的想法。
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Sources, responses and moderators of childbirth fear in Australian women: a qualitative investigation.澳大利亚女性分娩恐惧的来源、反应及调节因素:一项定性研究
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