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成功进行体外受精后成为母亲的体验:扎根理论。

The experience of becoming a mother following successful in vitro fertilization: A grounded theory.

机构信息

Department of Maternity and Gynecological Nursing, Akdeniz University Nursing Faculty, Antalya, Turkey.

Department of Maternity and Gynecological Nursing, Akdeniz University Kumluca Health Science Faculty, Antalya, Turkey.

出版信息

J Adv Nurs. 2021 Oct;77(10):4170-4183. doi: 10.1111/jan.14958. Epub 2021 Jul 5.

Abstract

AIM

To develop a theory to explain women's experiences about becoming a mother following successful in vitro fertilization treatment.

DESIGN

This study is a qualitative study based on a constructivist grounded theory approach.

METHODS

Data were collected using a semi-structured interview guide initially that was later to be changed to a flexible interview guide between June 2018 and 2019. Interviews were conducted with 18 women, who became pregnant and mothers following successful in vitro fertilization treatment. Data collection and analysis were performed in a cyclic manner using open, axial and selective coding. This study was reported based on consolidated criteria and was used to report qualitative research data.

FINDINGS

The core category, 'non-spontaneous path to motherhood', involved the following four categories: 'the treatment process is exhausting', 'leaving the infertility world', 'pregnancy under the shadow of fear' and 'getting stuck between fertile and infertile worlds' with 10 sub-categories.

CONCLUSION

This study provides valuable insight into experiences of these women about becoming a mother. Unlike the Becoming a Mother Theory, it can be said that the anticipation stage, the first stage in the Becoming a Mother Theory, begins at the moment of embryo transfer in these women. Furthermore, the personal stage, the final stage in the Becoming a Mother Theory, is not completed within the first year after birth, even women were found to conceal experiences of in vitro fertilization treatment from the social environment even after birth.

IMPACT

This study will provide potential support for obstetric healthcare professionals in better understanding women's experiences about becoming a mother following successful in vitro fertilization treatment.

摘要

目的

构建一个理论,以解释成功接受体外受精治疗后女性成为母亲的体验。

设计

本研究是基于建构主义扎根理论方法的定性研究。

方法

数据收集最初使用半结构化访谈指南,之后在 2018 年 6 月至 2019 年期间改为灵活的访谈指南。共对 18 名成功接受体外受精治疗后怀孕并成为母亲的女性进行了访谈。使用开放式、轴向式和选择性编码的循环方式进行数据收集和分析。本研究报告依据了整合标准,并用于报告定性研究数据。

结果

核心类别“非自然的成为母亲的途径”包括以下四个范畴:“治疗过程令人疲惫不堪”“离开不孕不育的世界”“在恐惧的阴影下怀孕”和“陷入生育和不孕的世界之间”,包含 10 个子范畴。

结论

本研究深入了解了这些女性成为母亲的体验。与成为母亲理论不同,可以说这些女性的胚胎移植时刻就开始了成为母亲理论的预期阶段。此外,个人阶段,即成为母亲理论的最后阶段,即使在分娩后,妇女也被发现向社会环境隐瞒体外受精治疗的经历,因此,该阶段甚至在分娩后一年内都未完成。

影响

本研究将为产科医疗保健专业人员提供潜在支持,以更好地理解成功接受体外受精治疗后女性成为母亲的体验。

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