Universitat Rovira i Virgili, Departament d'Infermeria, Avinguda Catalunya, Tarragona, Spain.
Hospital Vall d'Hebron, Passeig de la Vall d'Hebron, Barcelona, Spain.
J Clin Nurs. 2023 Jul;32(13-14):3967-3980. doi: 10.1111/jocn.16504. Epub 2022 Sep 1.
To explore women's emotional responses throughout the process of terminating a pregnancy for medical reasons.
Making the choice to terminate a desired pregnancy for medical reasons has a negative impact on women's health, as it is a distressing process that involves making hard decisions and readjusting one's expectations of an idealised pregnancy.
A qualitative phenomenological study was conducted following the COREQ checklist. Fifteen semi-structured interviews and two focus groups were conducted with women who had terminated their pregnancies for medical reasons, previous to and during the COVID-19 lockdown. Subsequently, we analysed the content.
One main category, emotional journey during the process of terminating the pregnancy, and six subcategories were identified: (I) representation and desire to become a mother, (II) main concerns, (III) impact of the news, (IV) decision-making, (V) emotional responses before termination for medical reasons and (VI) emotional responses after termination for medical reasons. All contributed to understanding the specificities of the different phases that make up the emotional journey of terminating a pregnancy for medical reasons.
The findings of this study suggest that there are a number of predominant emotions that professionals need to be aware of in order to help women work through them and lessen the impact of pregnancy termination on their mental health. COVID-19 had different connotations depending on the women's experiences.
Our results highlight how important the role of healthcare staff is in caring for these women and their partners, which involves recognising their emotions throughout the process. Our results also underline how useful it is to conduct qualitative studies in this context, since they constitute a set of activities and interventions that result in the administration of nursing care in itself.
The ultimate goal of the action research study is to design a positive mental health intervention. Participants will contribute to the design and final approval of the intervention.
探索女性在因医疗原因终止妊娠过程中的情绪反应。
因医疗原因选择终止期望中的妊娠对女性健康有负面影响，因为这是一个令人痛苦的过程，涉及做出艰难的决定和调整对理想化妊娠的期望。
按照 COREQ 清单进行了定性现象学研究。在 COVID-19 封锁之前和期间，对因医疗原因终止妊娠的 15 名女性进行了半结构化访谈和 2 次焦点小组访谈。随后，我们对内容进行了分析。
确定了一个主要类别，即终止妊娠过程中的情感历程，以及六个子类别：(I) 成为母亲的表现和愿望，(II) 主要关注点，(III) 消息的影响，(IV) 决策，(V) 因医疗原因终止妊娠前的情绪反应，和 (VI) 因医疗原因终止妊娠后的情绪反应。所有这些都有助于理解构成因医疗原因终止妊娠的情感历程的不同阶段的特殊性。
这项研究的结果表明，有一些主要的情绪，专业人员需要意识到，以帮助女性处理这些情绪，减轻终止妊娠对其心理健康的影响。COVID-19 根据女性的经历有不同的含义。
我们的研究结果强调了医护人员在照顾这些女性及其伴侣方面的重要作用，这涉及到在整个过程中认可她们的情绪。我们的研究结果还强调了在这种情况下进行定性研究的重要性，因为它们构成了一组活动和干预措施，从而导致护理本身的实施。
行动研究的最终目标是设计一种积极的心理健康干预措施。参与者将为干预措施的设计和最终批准做出贡献。
