Shojaeian Zahra, Khadivzadeh Talat, Sahebi Ali, Kareshki Hossein, Tara Fatemeh
Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Iran J Nurs Midwifery Res. 2021 Mar 5;26(2):168-174. doi: 10.4103/ijnmr.IJNMR_32_20. eCollection 2021 Mar-Apr.
Risk perception in high-risk pregnancies influences the mothers' adherence to medical treatments and recommendations. Because of the lack of information about the women's perception of risk, the aim of this study was to explain perception of risk in high-risk pregnancies.
This qualitative study was conducted on 25 women with a high-risk pregnancy in educational hospitals of Mashhad, Iran, from August 2017 to August 2018. Data were collected through semi-structured interviews and data saturation was reached after 29 interviews. Data collection and analysis were simultaneously carried out using the qualitative content analysis method adopted by Elo and Kyngäs in MAXQDA software.
Data analysis resulted in the four main categories of perception of risk control ability (risk controlling through experience, risk tolerance through relying on a higher power, and risk tolerance to reach family goals), wrong estimation of risk (wrong calculation of possible risks based on wrong beliefs and knowledge, and incorrect risk estimation caused by misunderstanding), possibility of mutual vulnerability of pregnancy and risk condition (possibility of vulnerability of the fetus to risk factors, and possibility of the mother's vulnerability to risk factors), and induced risk (risk induced by negative experiences, induced threat of unknown pregnancy outcome, and fear of ambiguous medical terms).
The results of this study promoted our understanding of risk perception in women with high-risk pregnancies. Therefore, it will help to establish a-Ž better link between women with a high-risk pregnancy and the health team, enhance and improve maternal and fetal care.
高危妊娠中的风险认知会影响母亲对医学治疗和建议的依从性。由于缺乏关于女性风险认知的信息，本研究旨在解释高危妊娠中的风险认知。
本定性研究于2017年8月至2018年8月在伊朗马什哈德的教学医院对25名高危妊娠女性进行。通过半结构化访谈收集数据，在29次访谈后达到数据饱和。使用Elo和Kyngäs采用的定性内容分析法在MAXQDA软件中同时进行数据收集和分析。
数据分析得出风险控制能力认知的四个主要类别（通过经验控制风险、依靠更高力量的风险承受力以及为实现家庭目标的风险承受力）、风险的错误估计（基于错误信念和知识对可能风险的错误计算，以及由误解导致的错误风险估计）、妊娠与风险状况相互脆弱的可能性（胎儿易受风险因素影响的可能性，以及母亲易受风险因素影响的可能性）和诱发风险（由负面经历诱发的风险、未知妊娠结局诱发的威胁以及对模糊医学术语的恐惧）。
本研究结果增进了我们对高危妊娠女性风险认知的理解。因此，它将有助于在高危妊娠女性与健康团队之间建立更好的联系，加强和改善母婴护理。
