Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Reprod Health. 2022 Jan 10;19(1):5. doi: 10.1186/s12978-021-01321-6.
A Near Miss Mother (NMM) who survives life-threatening conditions, experiences intense physical, emotional, and psychological consequences following the maternal near-miss (MNM) events. The aim of this study was therefore to explore indepth understanding meaning of NMM everyday lived experiences on the social and cultural background of Iran.
This qualitative study utilized a hermeneutic phenomenology procedure. The study was conducted in hospitals affiliated with the Educational, Research and Treatment Centerwhich usually handle the NMMs. The sampling was purposeful with a maximum variation of eleven NMMs. Datawere collected using unstructured face-to-face interviews, and thetranscribed data were analyzed using Diekelmann, Allen, and Tanner's seven-stage thematic analysis approach.
"Death-stricken survivor mother" was the central emerged theme, and three extracted sub-themes included: "Distorted psyche on a journey to death", "physical destruction due to an ominous event ", and the "vicissitudinous life after reviving ". These sub-themes, in turn, involved 12 sub-themes that emerged from 38 common meanings and 1200 codes.
Findings demonstrate that the living conditions of NMMs are mixed in all aspects of the MNM event. They need a supportive program that includes additional follow-up visits, psychological support from the time of hospitalization until long-time after discharge, alleviation of social, sexual, and financial worries to return them to the normal life, as well as psychosocial rehabilitation to increase their life quality. Furthermore, post-discharge care in NMMs should be done actively and directly at their homes.
一位濒临死亡的母亲（NMM）在经历了危及生命的情况后幸存下来，会经历强烈的身体、情感和心理后果。因此，本研究的目的是深入探讨 NMM 在伊朗社会和文化背景下的日常生活体验的含义。
这是一项定性研究，采用了阐释现象学程序。该研究在教育、研究和治疗中心附属的医院进行，这些医院通常处理接近死亡的病例。采用目的抽样，选择了 11 名 NMM 作为研究对象。使用非结构化的面对面访谈收集数据，采用 Diekelmann、Allen 和 Tanner 的七阶段主题分析方法对转录数据进行分析。
“濒死幸存者母亲”是核心主题，三个提取的子主题包括：“在死亡之旅中扭曲的心灵”、“因不祥事件造成的身体破坏”和“复活后的曲折生活”。这些子主题又涉及 12 个从 38 个共同意义和 1200 个代码中出现的子主题。
研究结果表明，NMM 的生活状况在接近死亡事件的各个方面都很复杂。他们需要一个支持性的计划，包括额外的随访访问、从住院到出院后很长时间的心理支持、减轻社会、性和财务问题的困扰，以帮助她们回归正常生活，以及进行社会心理康复以提高她们的生活质量。此外，应该积极主动地在 NMM 的家中进行出院后的护理。
