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基于健康本源理论的生育恐惧和初产妇分娩方式教育方案:一项混合方法研究方案。

An educational programme based on salutogenesis theory on childbirth fear and delivery method among nulliparous women: A mixed methods research protocol.

机构信息

Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.

Social Determinants of Health Research Center, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Nurs Open. 2023 Mar;10(3):1909-1922. doi: 10.1002/nop2.1414. Epub 2022 Nov 6.

Abstract

AIM

Designing, executing and testing a training intervention based on enhanced concepts of salutogenesis theory for managing fear of childbirth and choice of delivery method among nulliparous women.

DESIGN

A Sequential-Exploratory Mixed Methods Research.

METHODS

In the first phase (qualitative approach), the determinants of childbirth fear among nulliparous women will be explored. In the second phase (systematic review), the factors of childbirth fear among them will be summarized. In the third phase, the content of the educational intervention is developed based on the common factors of childbirth fear obtained from the previous two phases of the study. In the fourth phase (randomized controlled trial), two intervention and the control groups will be compared based on primary and secondary outcomes.

DISCUSSION

Using salutogenesis theory in a few interventional studies on various health areas has produced promising results. Based on the evidence, women had less sense of coherence with a strong childbirth fear. Therefore, developing an effective intervention based on this theory can probably help manage childbirth fear and reduce the costs of any potential consequences.

摘要

目的

基于增强的健康正论概念,为初产妇设计、实施和测试一项管理分娩恐惧和分娩方式选择的培训干预措施。

设计

顺序探索性混合方法研究。

方法

在第一阶段(定性方法),将探讨初产妇分娩恐惧的决定因素。在第二阶段(系统综述),将总结她们分娩恐惧的因素。在第三阶段,根据前两个阶段研究中获得的分娩恐惧的共同因素,制定教育干预的内容。在第四阶段(随机对照试验),将根据主要和次要结局比较两个干预组和对照组。

讨论

在各种健康领域的少数干预性研究中使用健康正论理论已经取得了有希望的结果。基于证据,具有强烈分娩恐惧的女性的一致性感较低。因此,基于该理论制定有效的干预措施可能有助于管理分娩恐惧并降低任何潜在后果的成本。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad0e/9912410/700591bb2a87/NOP2-10-1909-g001.jpg

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