探索医疗保健提供者对分娩教育课程在护理质量和积极分娩体验方面的看法：一项诠释现象学分析研究。
Exploring healthcare providers' perspectives of childbirth education classes for quality of care and positive childbirth experience: an interpretative phenomenological analysis study.
作者信息
AlKhunaizi Anwar Nader, Alhamidi Sami Abdulrahman, Al-Otaibi Areej Ghalib, AlAbdullah Amany Anwar, Alosaif Kawther Saleh, Zayer Meral Jehad Al
机构信息
Maternal and Child Health Nursing Department, College of Nursing, King Saud University, Riyadh, 11421, Saudi Arabia.
Fundamental of Nursing Department, College of Nursing, Imam Abdulrahman Bin Faisal Uviversity, Dammam, 34212, Saudi Arabia.
出版信息
BMC Pregnancy Childbirth. 2025 May 14;25(1):570. doi: 10.1186/s12884-025-07698-7.
BACKGROUND
Pregnancy is a significant transitional life experience that can be one of the most stressful experiences in life. Childbirth education is designed to improve health behaviors and offers information on psychological and physical changes that occur in pregnancy, signs that labor has begun, hospital routines and what to expect, how to manage pain through non-pharmacological strategies, the first hours of a newborn's life, and the benefits of breastfeeding. Healthcare providers play an essential role in this education. To discover how healthcare providers view childbirth education classes, we explored their perceptions in relation to the quality of care and positive childbirth experiences.
METHODS
An interpretative phenomenological qualitative approach was conducted in three government hospitals in the Eastern Province of Saudi Arabia. Data collection involved conducting semi-structured interviews with 15 participants. The sample consisted of physicians, nurses, and educators, ensuring a diverse range of perspectives.
RESULTS
An interpretative phenomenological analysis was conducted for data analysis. One core category (Road to a Pleasant and Safe Journey) with three themes (Mother's Experience, Obstacles, and Struggles of Healthcare Providers, and Solutions & Suggestions) emerged from the data analysis. The study findings indicate that childbirth education programs boost maternal health and facilitate a more positive delivery experience.
CONCLUSIONS
Receiving childbirth education about natural and instinctive childbirth was necessary for low-risk mothers to experience a positive childbirth experience. The education also enabled mothers to feel in control during pregnancy, birth, and postpartum. From the results of this research the following recommendations can be made: childbirth education should be mandatory for all hospitals and primary healthcare institutions in the Kingdom and its curriculum should be standardized by the ministry of health and all healthcare providers employed in maternity care should be required to attend the standardized childbirth education programs.
背景
怀孕是人生中一段重要的过渡经历，可能是生活中压力最大的经历之一。分娩教育旨在改善健康行为，并提供有关孕期发生的心理和生理变化、分娩开始的迹象、医院常规流程及预期情况、如何通过非药物策略管理疼痛、新生儿出生后的最初几个小时以及母乳喂养的益处等信息。医疗保健提供者在这种教育中起着至关重要的作用。为了了解医疗保健提供者如何看待分娩教育课程，我们探讨了他们对护理质量和积极分娩体验的看法。
方法
在沙特阿拉伯东部省份的三家政府医院采用解释性现象学定性方法。数据收集包括对15名参与者进行半结构化访谈。样本包括医生、护士和教育工作者，以确保有广泛的观点。
结果
对数据分析进行了解释性现象学分析。数据分析得出一个核心类别（愉快安全之旅之路）和三个主题（母亲的经历、医疗保健提供者的障碍与努力以及解决方案与建议）。研究结果表明，分娩教育项目可促进产妇健康并促成更积极的分娩体验。
结论
低风险母亲要获得积极的分娩体验，接受有关自然和本能分娩的分娩教育是必要的。这种教育还能使母亲在孕期、分娩期和产后感到掌控一切。根据本研究结果可提出以下建议：沙特王国所有医院和初级医疗保健机构应强制开展分娩教育，其课程应由卫生部标准化，所有从事产科护理工作的医疗保健提供者都应参加标准化的分娩教育项目。
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