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一项针对悲伤母亲临床死产管理的现象学研究。

A Phenomenological Study of Clinical Stillbirth Management for Grieving Mothers.

作者信息

Al-Shuqerat Sahar, Al-Hamdan Zaid, Bawadi Hala

机构信息

Department of Maternal and Child Health Nursing, Al-Hussein Bin Talal University, Ma'an, Jordan.

Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.

出版信息

J Soc Work End Life Palliat Care. 2024 Oct-Dec;20(4):318-333. doi: 10.1080/15524256.2024.2420186. Epub 2024 Nov 5.

DOI:10.1080/15524256.2024.2420186
PMID:39498582
Abstract

For any expectant mother, the worst possible outcome of pregnancy is for the baby to die. The experience can lead to various forms of physical and psychosocial morbidity. The purpose of this study was to gain in-depth understanding of the experiences of mothers who suffered stillbirth with a view to improving the clinical management of stillbirth. Semi-structured qualitative interviews were conducted with ten women who had experienced stillbirths within one year prior to the interview. The interviews were recorded and transcribed verbatim. The data were analyzed using Smith's interpretative phenomenological analysis (IPA) model and ATLAS.ti 8 software. Healthcare professionals identified three main themes: clinical management for stillbirth and bereaved mothers across various roles; public hospitals; and the Jordanian Ministry of Health Policies and Guidelines. The study findings underscore the devastating impact of insensitive and poor-quality care on bereaved mothers, highlighting how it exacerbates their grief and sorrow. These findings emphasize the need for training healthcare providers in perinatal loss and bereavement care, as well as the importance of adopting new policies and guidelines to improve the quality of care provided to bereaved mothers.

摘要

对于任何准妈妈来说,怀孕最糟糕的结果就是胎儿死亡。这种经历可能会导致各种形式的身体和心理社会疾病。本研究的目的是深入了解死产母亲的经历,以期改善死产的临床管理。对在访谈前一年内经历过死产的十名女性进行了半结构化定性访谈。访谈进行了录音,并逐字转录。使用史密斯的解释现象学分析(IPA)模型和ATLAS.ti 8软件对数据进行了分析。医疗保健专业人员确定了三个主要主题:不同角色下死产和丧亲母亲的临床管理;公立医院;以及约旦卫生部的政策和指南。研究结果强调了麻木不仁、质量低下的护理对丧亲母亲的毁灭性影响,突出了这种护理如何加剧她们的悲痛和哀伤。这些发现强调了培训医疗保健提供者进行围产期死亡和丧亲护理的必要性,以及采用新政策和指南以提高为丧亲母亲提供的护理质量的重要性。

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