Department of Midwifery, Manisa Celal Bayar University, Manisa, Turkey.
Department of Nursing, Manisa Celal Bayar University, Manisa, Turkey.
J Pak Med Assoc. 2024 Sep;74(9):1623-1629. doi: 10.47391/JPMA.10470.
To analyse the phenomenon of "giving birth" on the basis of the lived experiences of women and midwives.
The qualitative study was conducted in the delivery room of a mother-friendly hospital in western Turkey from March 1 to December 30, 2019, and comprised primiparous women aged 18-35 years having a spontaneous vaginal birth, and midwives who delivered the babies. Data was collected through indepth interviews that were audiorecorded. Additionally, women's written birth stories and researcher's observation regarding the participants were used. Data was subjected to content analysis using NVIVO 12 Pro software.
Of the 28 subjects 15(53.6%) were lay women with mean age 24.2±3.87 years (range: 18-30 years), and 13(46.4%) were midwives with mean age 42.61±4.50 years (range: 37-50 years). The most referred conceptual themes in Kolcaba's Theory of Comfort were "enhanced comfort", "mother-friendly hospital policy", and "midwives' comforting interventions." Under the theme of "Increasing Comfort", women cared about psychological and environmental comfort. Women had the most psychospiritual comfort and environmental comfort as well as physical and sociocultural comfort. Women cared about psychological and environmental comfort that facilitated birth.
The mother-friendly hospital policy increased and contributed to the support and comfort provided to women. Kolcaba's Comfort Theory was an appropriate and working theory for birth and midwifery care, indicating that women's comfort should be ensured in the psychospiritual, environmental, physical and sociocultural contexts.
基于女性和助产士的生活经验，分析“分娩”现象。
这项定性研究于 2019 年 3 月 1 日至 12 月 30 日在土耳其西部一家母婴友好医院的产房进行，对象为年龄在 18-35 岁之间、自然分娩的初产妇和助产士。数据收集方式为深入访谈，并进行音频记录。此外，还使用了女性的书面分娩故事和研究人员对参与者的观察。使用 NVIVO 12 Pro 软件对数据进行内容分析。
28 名受试者中，15 名（53.6%）为普通女性，平均年龄 24.2±3.87 岁（18-30 岁），13 名（46.4%）为助产士，平均年龄 42.61±4.50 岁（37-50 岁）。Kolcaba 的舒适理论中最常提到的概念主题是“增强舒适感”、“母婴友好医院政策”和“助产士的安慰干预”。在“增加舒适感”主题下，女性关心心理和环境舒适。女性在心理和精神上、环境上以及身体和社会文化上都有最舒适的感受。女性关心促进分娩的心理和环境舒适。
母婴友好医院政策增加并促进了对女性的支持和安慰。Kolcaba 的舒适理论是分娩和助产护理的一个合适且有效的理论，表明应在心理、环境、身体和社会文化等方面确保女性的舒适。
