Mornsaeng Idchayar, Sripichyakan Kasara, Sansiriphun Nantaporn, Chaloumsuk Nonglak
Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
Belitung Nurs J. 2024 Feb 28;10(1):48-55. doi: 10.33546/bnj.3014. eCollection 2024.
Passive smoking poses a threat to the well-being of an unborn baby; however, women's understanding and practice in this regard remain unclear.
This study aimed to describe prenatal passive smoking at home based on the experiences of women in Thailand.
A qualitative descriptive approach was employed. Data were collected between September 2020 and April 2022 through semi-structured in-depth interviews with 16 postpartum women purposively selected from five hospitals. Thematic analysis was used for data analysis.
Three themes emerged. The first theme, 'safeguard for an unborn baby,' was performed through smoking reduction, far distance, abstinence from smoke/odor inhalation, and residual elimination since harm was highly aware. However, justifying safety from the absence of smoke and foul odor was misperceived. The second theme, 'intervention for smoking cessation,' was attempted through various methods, including acquired empathy, persuasion, compromise, and supportiveness. They also needed family/friend assistance in warning and professional care in terms of advice, health education, learning materials, cessation therapy, care continuation, and dealing with complex situations. The last theme, 'maternal perseverance,' was acquired by the motives of safety goals, rights/responsibilities, changeable norms, and a golden period.
Pregnant women persistently aimed to prevent their husbands from smoking and safeguard their unborn babies from passive smoking. However, misunderstandings and improper practices were observed. Healthcare and nursing services need comprehensive approaches to enhance understanding, perseverance, and tailored practices catering to women's needs.
被动吸烟对未出生婴儿的健康构成威胁；然而，女性在这方面的理解和做法仍不明确。
本研究旨在根据泰国女性的经历描述家庭中的产前被动吸烟情况。
采用定性描述方法。2020年9月至2022年4月期间，通过对从五家医院有目的地选取的16名产后女性进行半结构化深度访谈收集数据。采用主题分析法进行数据分析。
出现了三个主题。第一个主题是“为未出生婴儿保驾护航”，由于强烈意识到危害，通过减少吸烟、保持远距离、避免吸入烟雾/气味以及消除残留来实现。然而，认为没有烟雾和异味就是安全的这种观念是错误的。第二个主题是“戒烟干预”，尝试了各种方法，包括获得同理心、劝说、妥协和支持。她们还需要家人/朋友在警告方面的帮助以及专业护理，包括建议、健康教育、学习材料、戒烟治疗、持续护理以及应对复杂情况。最后一个主题是“母亲的坚持”，是由安全目标、权利/责任、可变规范和黄金时期等动机促成的。
孕妇一直致力于阻止丈夫吸烟并保护未出生的婴儿免受被动吸烟的影响。然而，仍存在误解和不当做法。医疗保健和护理服务需要综合方法来增强理解、坚持，并根据女性需求提供量身定制的做法。
