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探索菲律宾南部已婚夫妇计划生育的问题、实践与前景。

Exploring the issues, practices, and prospects of family planning among married couples in Southern Philippines.

作者信息

Ali Sittie Mairah H O, Bangcola Ashley A, Lawi Athena Jalaliyah Derico

机构信息

Mindanao State University - Marawi City, Philippines.

出版信息

Belitung Nurs J. 2022 Feb 22;8(1):35-43. doi: 10.33546/bnj.1939. eCollection 2022.

Abstract

BACKGROUND

Nurses are involved in all aspects of health, including reproductive health. They play a fundamental role in family planning and are often designated as point persons in family planning-related concerns. In order to provide effective counseling on family planning, the nurse must understand issues, practices, and prospects of family planning among married couples in their community.

OBJECTIVE

This exploratory multiple case study investigates family planning issues, practices, and prospects among couples in a municipality located in Southern Philippines.

METHODS

Ten married couples of varying characteristics were interviewed to elicit their perspectives on family planning practices. The data were analyzed using coding transcriptions and thematic analysis.

RESULTS

Five sub-themes emerged under the theme of Family Planning Issues: family planning as a burden; fear of side effects; peer-driven contraceptive choice; family planning as a social stigma; family planning as a sin. Two sub-themes emerged under the theme of Family Planning Practices: knowledge of family planning commodities; availability and acceptance of the contraceptive method. Finally, two sub-themes also emerged under the theme of Family Planning Prospects: family planning as a financially beneficial practice; prospects on family planning depend on husband's acceptance.

CONCLUSION

These sub-themes were also distinguished by their similarities and differences based on the four parameters identified, including age, sex, financial status, and educational attainment, which aided in the development of recommendations that could be implemented in the local community. The results of this study especially have a bearing on nurses and their role in the family planning process. Nurses play a fundamental role in guiding community members and families toward health and wellness. Thus, it is crucial for nurses to understand family planning issues underpinning their community so they can better exercise their role.

摘要

背景

护士参与健康的各个方面,包括生殖健康。他们在计划生育中发挥着基础性作用,并且常常被指定为处理与计划生育相关问题的关键人物。为了提供有效的计划生育咨询服务,护士必须了解其所在社区已婚夫妇的计划生育问题、做法和前景。

目的

本探索性多案例研究调查菲律宾南部一个城市中夫妇的计划生育问题、做法和前景。

方法

对十对具有不同特征的已婚夫妇进行访谈,以了解他们对计划生育做法的看法。使用编码转录和主题分析对数据进行分析。

结果

在“计划生育问题”主题下出现了五个子主题:计划生育是一种负担;害怕副作用;同伴驱动的避孕选择;计划生育是一种社会耻辱;计划生育是一种罪过。在“计划生育做法”主题下出现了两个子主题:对计划生育用品的了解;避孕方法的可获得性和可接受性。最后,在“计划生育前景”主题下也出现了两个子主题:计划生育是一种经济上有益的做法;计划生育的前景取决于丈夫的接受程度。

结论

根据所确定的年龄、性别、经济状况和教育程度这四个参数,这些子主题也在相似性和差异性方面有所区分,这有助于制定可在当地社区实施的建议。本研究结果尤其与护士及其在计划生育过程中的作用相关。护士在引导社区成员和家庭走向健康方面发挥着基础性作用。因此,护士了解其所在社区的计划生育问题至关重要,这样他们才能更好地发挥作用。

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本文引用的文献

1
A definition of modern contraceptive methods.现代避孕方法的定义。
Contraception. 2015 Nov;92(5):420-1. doi: 10.1016/j.contraception.2015.08.008. Epub 2015 Aug 11.
3
Global family planning metrics - time for new definitions?
Contraception. 2014 Nov;90(5):472-5. doi: 10.1016/j.contraception.2014.06.037. Epub 2014 Jul 1.

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