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混合方法研究方案,用于解释孕妇对产前异常筛查过程的担忧:干预措施的设计、实施和评估。

Mixed-methods study protocol for explanation of pregnant women's concerns about antenatal anomaly screening process: Designing, implementing and evaluation of intervention.

机构信息

Department of Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

出版信息

Nurs Open. 2021 Nov;8(6):3655-3665. doi: 10.1002/nop2.1012. Epub 2021 Jul 30.

DOI:10.1002/nop2.1012
PMID:34328675
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8510754/
Abstract

AIM

This study aims to investigate the concerns of Iranian pregnant women in the antenatal anomaly screening process (AASP) and propose an intervention to reduce these concerns.

DESIGN

This exploratory sequential mixed-methods study is conducted in three stages (qualitative, intervention design and quantitative), in Tehran.

METHODS

A qualitative study is carried out to collect pregnant women's concerns during the AASP. Then, a two-step procedure is implemented. In the first step (expert session), the concerns extracted in the qualitative part are prioritized. Next, the interventions used to reduce the concerns of pregnant women in the AASP are reviewed by considering the priority determined in the previous stage. The information obtained from this step is used to design intervention. Ultimately, a randomized controlled trial is used to evaluate the effectiveness of the intervention.

DISCUSSION

The results can be used for framing policies in health systems to address pregnant women's concerns in the AASP and to promote their mental health.

摘要

目的

本研究旨在调查伊朗孕妇在产前异常筛查过程(AASP)中的关注点,并提出干预措施以减轻这些担忧。

设计

本探索性序贯混合方法研究分三个阶段(定性、干预设计和定量)在德黑兰进行。

方法

进行定性研究以收集孕妇在 AASP 期间的关注点。然后,实施两步程序。在第一步(专家会议)中,对定性部分中提取的关注点进行优先级排序。接下来,考虑到前一阶段确定的优先级,审查用于减轻孕妇在 AASP 中担忧的干预措施。从这一步获得的信息用于设计干预措施。最终,使用随机对照试验来评估干预措施的效果。

讨论

研究结果可用于制定卫生系统政策,以解决孕妇在 AASP 中的关注点,并促进其心理健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c886/8510754/bf2bb8718a76/NOP2-8-3655-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c886/8510754/bf2bb8718a76/NOP2-8-3655-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c886/8510754/bf2bb8718a76/NOP2-8-3655-g001.jpg

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本文引用的文献

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Perceived challenges of nurse educators while teaching undergraduate nursing students in Pakistan: An exploratory mixed-methods study.巴基斯坦本科护生教学中护理教育者的感知挑战:一项探索性混合方法研究。
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Use of a patient decision aid for prenatal screening for Down syndrome: what do pregnant women say?
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Women's Experiences and Preferences for Service Delivery of Non-Invasive Prenatal Testing for Aneuploidy in a Public Health Setting: A Mixed Methods Study.公共卫生环境下女性接受非侵入性产前基因检测服务的体验与偏好:一项混合方法研究
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Practice Bulletin No. 163: Screening for Fetal Aneuploidy.实践通报第 163 号:胎儿非整倍体筛查。
Obstet Gynecol. 2016 May;127(5):e123-e137. doi: 10.1097/AOG.0000000000001406.
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