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基于繁荣模型对围产期经历各种疼痛的产后女性的定性研究。

A Qualitative Study on Postpartum Women Experienced Various Pain Throughout the Perinatal Period Based on the Thrive Model.

作者信息

Yang Jie, Li Xue

机构信息

Department of Obstetrics and Gynecology, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China.

Department of Nursing, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China.

出版信息

Patient Prefer Adherence. 2023 Dec 28;17:3577-3587. doi: 10.2147/PPA.S437901. eCollection 2023.

Abstract

AIM

This study aims to thoroughly explore to comprehensively examine the diverse types and subjective experiences of pain in postpartum women throughout perinatal period, aiming to deepen understanding and support the development of precise pain management strategies in nursing care.

DESIGN

A descriptive qualitative study.

METHODS

Between August and November 2022, postpartum women attending outpatient clinics at a tertiary level A hospital were selected as participants. The study followed the framework of the THRIVE model and utilized a phenomenological method for qualitative research. In-depth semi-structured interviews were conducted with 21 postpartum women, and the data were analyzed using the Colaizzi 7-step analysis method.

RESULTS

Thematic analysis revealed that different postpartum women exhibited diverse perceptions of their own pain experiences. Three themes were identified to describe the pain encountered by postpartum women: (1) Experiencing pain is complex (including experiencing multiple kinds of pain, individual differences in pain, and pain is variable), (2) Double perceptions of pain (negative effects of pain and positive energy for perceiving pain), and (3) Fighting pain requires active support (active outside support and construct a positive self-coping style).

CONCLUSION

This study provides a comprehensive overview of perinatal pain management in postpartum women, offering recommendations for accurate pain understanding and management. Healthcare professionals should be vigilant about maternal pain changes and individual experiences, implement targeted measures and support, aid in alleviating psychological burdens, boost maternal confidence in childbirth, and enhance postpartum quality of life.

PATIENT OR PUBLIC CONTRIBUTION

In this study, interviews were conducted in the hospital outpatient department, and the participants included in this study participated in the interviews to provide support for the implementation of this subject.

摘要

目的

本研究旨在全面深入地探究围产期产后女性疼痛的多样类型和主观体验,以加深理解并支持护理中精准疼痛管理策略的制定。

设计

一项描述性定性研究。

方法

2022年8月至11月,选取在一所三级甲等医院门诊就诊的产后女性作为研究对象。本研究遵循THRIVE模型框架,采用现象学方法进行定性研究。对21名产后女性进行了深入的半结构式访谈,并运用Colaizzi七步分析法对数据进行分析。

结果

主题分析显示,不同的产后女性对自身疼痛经历有不同的认知。确定了三个主题来描述产后女性所经历的疼痛:(1)疼痛体验复杂(包括经历多种疼痛、疼痛的个体差异以及疼痛具有多变性),(2)对疼痛的双重认知(疼痛的负面影响和感知疼痛的正能量),以及(3)战胜疼痛需要积极支持(外部积极支持和构建积极的自我应对方式)。

结论

本研究全面概述了产后女性围产期疼痛管理情况,为准确理解和管理疼痛提供了建议。医护人员应警惕产妇疼痛变化和个体经历,采取针对性措施并提供支持,帮助减轻心理负担,增强产妇对分娩的信心,提高产后生活质量。

患者或公众贡献

在本研究中,访谈在医院门诊部进行,本研究纳入的参与者参与访谈以支持本课题的实施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25e0/10758158/88a74b207779/PPA-17-3577-g0001.jpg

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Patient Prefer Adherence. 2022 Aug 26;16:2355-2363. doi: 10.2147/PPA.S374628. eCollection 2022.
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