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精神分裂症女性生殖问题的体验:描述性现象学研究。

Experience of reproductive concerns in women with schizophrenia: A descriptive phenomenological study.

机构信息

Department of Nursing, Harbin Medical University, Harbin, Heilongjiang 150081, China.

Medicine College Jiaxing University, Jiaxing, Zhejiang, 314001, China.

出版信息

Int J Nurs Stud. 2022 Nov;135:104343. doi: 10.1016/j.ijnurstu.2022.104343. Epub 2022 Aug 8.

DOI:10.1016/j.ijnurstu.2022.104343
PMID:36029550
Abstract

BACKGROUND

Reproductive concerns significantly affect the mental health of people, causing more serious psychological stress than disease. The reproductive concerns faced by women with schizophrenia are issues that have been neglected in the areas of psychiatry and women's health.

OBJECTIVES

To explore the experience of reproductive concerns through the perspective of women with schizophrenia.

DESIGN

Descriptive phenomenology interview study.

SETTING

Data collection was carried out in a psychiatric hospital in China.

PARTICIPANTS

15 women with schizophrenia were recruited with a prospective sampling. All participants were 26-40 years old.

METHODS

The interview recordings were transcribed by the research team, and transcripts were analyzed by two independent coders with Colaizzi's descriptive analysis framework. The process employed NVivo 12 software.

RESULTS

Data analysis identified 9 subthemes falling into the 4 macrothemes: (a) Potential risks of reproduction; (b) The difficulties in raising children; (c) Significance of reproduction; (d) Multiparty cooperation is needed to relieve reproductive concerns.

CONCLUSION

Women with schizophrenia have reproductive concerns under the conflict between the significance of reproduction and obstacles. Interventions to address the reproductive problems of women with schizophrenia should be developed in three areas: the women themselves, the women's spouses and the medical staff.

摘要

背景

生殖相关问题会显著影响人们的心理健康,其造成的心理压力比疾病更为严重。精神分裂症女性所面临的生殖相关问题是精神病学和女性健康领域中被忽视的问题。

目的

通过精神分裂症女性的视角来探讨生殖相关问题的体验。

设计

描述现象学访谈研究。

地点

数据收集在中国的一家精神病院进行。

参与者

采用前瞻性抽样,共招募了 15 名年龄在 26-40 岁的精神分裂症女性。

方法

研究团队对访谈录音进行了转录,两名独立的编码员采用 Colaizzi 的描述性分析框架对转录本进行了分析。该过程使用了 NVivo 12 软件。

结果

数据分析确定了 9 个亚主题,分为 4 个宏观主题:(a)潜在的生育风险;(b)养育子女的困难;(c)生育的意义;(d)需要多方合作缓解生殖相关问题。

结论

精神分裂症女性在生育的意义与障碍之间存在冲突,她们存在生殖相关问题。应该从三个方面制定干预措施来解决精神分裂症女性的生殖问题:女性自身、女性配偶和医务人员。

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