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在 COVID-19 大流行期间妊娠和产后期间的母亲身份认同:系统评价和定性元综合。

Navigating through motherhood in pregnancy and postpartum periods during the COVID-19 pandemic: A systematic review and qualitative meta-synthesis.

机构信息

Department of Nursing, Mindong Hospital Affiliated to Fujian Medical University, Ningde, China.

School of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, China.

出版信息

J Nurs Manag. 2022 Nov;30(8):3958-3971. doi: 10.1111/jonm.13846. Epub 2022 Oct 17.

DOI:10.1111/jonm.13846
PMID:36194367
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9874529/
Abstract

AIM

The aim of this work is to critically appraise and synthesize the qualitative studies on the experiences, perspectives, and consequences of pregnant women experiencing motherhood during the COVID-19 pandemic.

BACKGROUND

The COVID-19 pandemic has posed a threat to the health of pregnant women. Such a pandemic disrupted their routine care, as well as normal daily life. However, little is known about their coping strategies to the changes brought by COVID-19.

EVALUATION

A qualitative systematic review was conducted according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) checklist. A meta-aggregative approach rooted in pragmatism and Husserlian transcendental phenomenology was used to synthesize the findings. Dependability and credibility of both study findings and synthesized findings were appraised by Joanna Briggs Institute (JBI) ConQual process.

KEY ISSUES

Key issues include (a) pregnant women experienced changes in routine care, (b) pregnant women used a range of strategies to cope with the consequence of the pandemic, (c) pregnant women struggled to embrace motherhood, and (d) pregnant women received different levels of social support.

CONCLUSION

Facing challenges caused by the pandemic, pregnant women used a variety of strategies to cope with and adapt to the changes, but sometimes the adaption is limited. Emotional, instrumental, and informational support should be provided to them in an accessible way.

IMPLICATIONS FOR NURSING MANAGEMENT

As an essential part of policymakers, nursing managers should consider the balance between restriction and the accessibility of maternity care. It is also crucial for them to consider how to provide necessary support in an accessible way.

摘要

目的

本研究旨在批判性地评价和综合 COVID-19 大流行期间经历母性的孕妇的经验、观点和后果的定性研究。

背景

COVID-19 大流行对孕妇的健康构成了威胁。这种大流行打乱了她们的常规护理和正常的日常生活。然而,对于她们应对 COVID-19 带来的变化的应对策略知之甚少。

评估

根据加强定性研究综合报告透明度(ENTREQ)清单进行了定性系统评价。采用根植于实用主义和胡塞尔先验现象学的元聚合方法对研究结果进行综合。乔安娜·布里格斯研究所(JBI)ConQual 流程评估了研究结果和综合结果的可靠性和可信度。

关键问题

关键问题包括(a)孕妇经历了常规护理的变化,(b)孕妇使用了一系列策略来应对大流行的后果,(c)孕妇努力接受母性,(d)孕妇获得了不同程度的社会支持。

结论

面对大流行带来的挑战,孕妇使用了各种策略来应对和适应变化,但有时适应是有限的。应通过可及的方式向她们提供情感、工具和信息支持。

对护理管理的启示

作为政策制定者的重要组成部分,护理管理人员应考虑在限制和产妇保健的可及性之间取得平衡。他们还必须考虑如何以可及的方式提供必要的支持。

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Exploring lived experiences of informal caregivers for pregnant women seeking scheduled antenatal care during the COVID-19 lockdown in China: A phenomenological study.探索中国 COVID-19 封锁期间寻求定期产前护理的孕妇的非正式照顾者的生活体验:一项现象学研究。
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Breastfeeding experiences during the COVID-19 pandemic in Spain:a qualitative study.COVID-19 大流行期间西班牙的母乳喂养经历:一项定性研究。
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