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青少年母亲的未来意义:一项扎根理论研究。

The Meaning of the Future for Adolescent Mothers: A Grounded Theory Study.

作者信息

Ospina-Romero Angelica María, Pardo-Torres Myriam Patricia

机构信息

Nursing and Rehabilitation School at Universidad de La Sabana, Chía, Colombia.

Nursing School at Universidad Nacional de Colombia, Bogotá, Colombia.

出版信息

J Adv Nurs. 2025 Aug;81(8):4923-4933. doi: 10.1111/jan.16665. Epub 2024 Dec 10.

DOI:10.1111/jan.16665
PMID:39655410
Abstract

AIM

To describe the meaning that adolescent mothers give to their future.

DESIGN

Qualitative study with a design based on grounded theory and the approach proposed by Corbin and Strauss.

METHODS

Forty-nine semistructured individual interviews were conducted with mothers between the ages of 16 and 19 living permanently with their child more than 40 days postpartum. The interviews were audio recorded. Field notes were made that were transcribed verbatim. Data analysis was carried out by means of open, axial and selective coding and theoretical sampling.

RESULTS

Adolescent mothers' meaning of the future was encompassed by the core category of 'changing life, but not destroying it'. Five general categories emerged: changing life by being a mother; taking my child forward regardless of whether I expected it; changing my mind about motherhood; adjusting expectations about the child's father; performing family planning in search of a better future; each category is supported by subcategories that further adolescent mothers' meaning of the future.

CONCLUSIONS

The meaning that an adolescent mother gives to her future arises from the interaction of the events in her past and her reaction to the present. In addition, this experience, together with her other circumstances, leads her to interpret reality in a specific way.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: This study provides obstetric nursing professionals with a theoretical proposal that describes the meaning of the future for adolescent mothers. It enables nursing practitioners to optimise care by aligning it with the realities faced by these mothers.

IMPACT

Teen pregnancy is a public health priority. The theoretical approach in the study provides a distinct view to the field of nursing, health professionals and the school/government system on adolescent mothers. It demonstrates the vulnerability of mothers and their children and how they require an organised system that bypasses the inequity and stigmatisation to which they are subject.

REPORTING METHOD

COREQ checklist was used.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public contribution.

摘要

目的

描述青春期母亲对其未来的理解。

设计

基于扎根理论以及科尔宾和施特劳斯提出的方法进行的定性研究。

方法

对年龄在16至19岁之间、产后40多天一直与孩子生活在一起的母亲进行了49次半结构化个人访谈。访谈进行了录音。做了实地记录并逐字转录。通过开放式、轴心式和选择性编码以及理论抽样进行数据分析。

结果

青春期母亲对未来的理解包含在“改变生活,但不破坏生活”这一核心类别中。出现了五个一般类别:因成为母亲而改变生活;不管我是否期望,都要带着孩子向前;改变对母亲身份的看法;调整对孩子父亲的期望;实施计划生育以寻求更美好的未来;每个类别都有子类别支持,这些子类别进一步阐释了青春期母亲对未来的理解。

结论

青春期母亲对其未来的理解源于她过去的经历与对当下的反应之间的相互作用。此外,这种经历以及她的其他情况,使她以一种特定的方式诠释现实。

对专业和/或患者护理的启示:本研究为产科护理专业人员提供了一个理论建议,描述了青春期母亲对未来的理解。这使护理从业者能够根据这些母亲所面临的现实优化护理。

影响

青少年怀孕是公共卫生的一个优先事项。该研究中的理论方法为护理领域、卫生专业人员以及学校/政府系统提供了关于青春期母亲的独特视角。它展示了母亲及其孩子的脆弱性,以及他们如何需要一个有组织的系统来绕过他们所遭受的不公平和污名化。

报告方法

使用了COREQ清单。

患者或公众贡献

无患者或公众贡献。

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