有孕产妇接近死亡经历的女性未被满足的需求：一项定性研究。
The Unmet Needs of Women with Maternal Near Miss Experience: A Qualitative Study.
作者信息
Abdollahpour Sedigheh, Heydari Abbas, Ebrahimipour Hosein, Faridhoseini Farhad, Khadivzadeh Talat
机构信息
Reproductive Health, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
出版信息
J Caring Sci. 2023 Dec 30;13(1):63-71. doi: 10.34172/jcs.2024.31796. eCollection 2024 Feb.
INTRODUCTION
A maternal near-miss (MNM) case is defined as "a woman who nearly died but survived from life-threatening pregnancy or childbirth complication". This study was conducted on health care providers and near-miss mothers (NMMs) with the aim of discovering the unmet needs of Iranian NMM.
METHODS
In this qualitative study 37 participants of key informants, health providers, NMMs and their husbands were selected using purposive sampling. Semi-structured in-depth interviews were conducted for data collection until data saturation was achieved. Data were analyzed using Graneheim and Lundman conventional content analysis.
RESULTS
The analysis revealed the core category of "the need for comprehensive support". Eight categories included "psychological", "fertility", "information", "improvement the quality of care", "sociocultural", "financial", "breastfeeding" and "nutritional" needs emerging from 18 sub-categories, were formed from 2112 codes.
CONCLUSION
Many of the real needs of NMM have been ignored. Maternal health policymakers should provide standard guidelines based on the needs discovered in this study to support the NMMs' unmet needs.
引言
孕产妇险些死亡（MNM）病例被定义为“一名妇女虽险些死亡，但从危及生命的妊娠或分娩并发症中存活下来”。本研究针对医疗保健提供者和险些死亡的母亲（NMM）开展，旨在发现伊朗险些死亡的母亲未得到满足的需求。
方法
在这项定性研究中，采用目的抽样法选取了37名关键信息提供者、医疗保健提供者、险些死亡的母亲及其丈夫作为研究对象。通过半结构化深度访谈收集数据，直至达到数据饱和。采用格兰海姆和伦德曼的传统内容分析法对数据进行分析。
结果
分析揭示了“需要全面支持”这一核心类别。从18个子类别中产生了包括“心理”“生育能力”“信息”“提高护理质量”“社会文化”“经济”“母乳喂养”和“营养”需求在内的八个类别，这些类别由2112个编码构成。
结论
险些死亡的母亲的许多实际需求被忽视了。孕产妇健康政策制定者应根据本研究中发现的需求提供标准指南，以满足险些死亡的母亲未得到满足的需求。
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