Mirzakhani Kobra, Ebadi Abbas, Faridhosseini Farhad, Khadivzadeh Talat
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran.
Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran.
J Educ Health Promot. 2023 Jan 31;12:6. doi: 10.4103/jehp.jehp_1542_21. eCollection 2023.
Physical changes in high-risk pregnancy (HRP) can lead to changes in mood and social relationships and negative effects on women's well-being. Individuals in different sociocultural contexts have different perceptions of well-being. Yet, there is limited information about perceptions of well-being in HRP. This study aimed to explore the Iranian women's experiences of well-being in HRP.
This qualitative study was conducted in 2019-2020 through directed content analysis based on the conceptual framework of well-being in HRP. Participants were 26 women with HRP purposively recruited from public and private healthcare settings in Mashhad, Iran. Face-to-face semistructured interviews were held for data collection until data saturation. Data were analyzed through directed content analysis proposed by Elo and kyngäs (2008) and were managed using the MAXQDA (v. 10) program.
Well-being in HRP had seven attributes in the five main dimensions of physical, mental-emotional, social, marital, and spiritual well-being. The seven attributes of well-being in HRP were controlled physical conditions, controlled mood, emotions, and affections, perceived threat, self-efficacy, and competence for multiple role performance, maintained social relationships, meaning seeking and relationship with the Creator, and positive marital relationships.
The present study provide an in-depth understanding about well-being in the Iranian women with HRP. It is a complex and multidimensional concept with physical, mental-emotional, social, marital, and spiritual dimensions. Comprehensive multicomponent interventions are needed to promote well-being among women with HRP and designed the guidelines to provide woman-centered care.
高危妊娠（HRP）中的身体变化会导致情绪和社会关系的改变，并对女性的幸福感产生负面影响。不同社会文化背景下的个体对幸福感有不同的认知。然而，关于高危妊娠中幸福感认知的信息有限。本研究旨在探讨伊朗女性在高危妊娠中的幸福感体验。
本定性研究于2019 - 2020年进行，基于高危妊娠中幸福感的概念框架进行定向内容分析。研究对象是从伊朗马什哈德的公立和私立医疗机构中有意招募的26名患有高危妊娠的女性。通过面对面的半结构化访谈收集数据，直至数据饱和。数据采用Elo和kyngäs（2008年）提出的定向内容分析法进行分析，并使用MAXQDA（v. 10）程序进行管理。
高危妊娠中的幸福感在身体、心理 - 情感、社会、婚姻和精神幸福感这五个主要维度上有七个属性。高危妊娠中幸福感的七个属性分别是身体状况得到控制、情绪、情感得到控制、感知到的威胁、自我效能感以及多种角色表现的能力、维持社会关系、寻求意义以及与造物主的关系、积极的婚姻关系。
本研究深入了解了伊朗高危妊娠女性的幸福感。它是一个复杂的多维概念，涵盖身体、心理 - 情感、社会、婚姻和精神维度。需要综合多方面的干预措施来促进高危妊娠女性的幸福感，并制定以女性为中心的护理指南。
