Cui Nana, Wu Shasha, Wang Xiaoyun, Sheng Lei
Neonatal Ward, Jining No.1 People's Hospital, Jining, Shandong, China.
Nursing Department, Jining No.1 People's Hospital, Jining, Shandong, China.
Front Public Health. 2025 Jul 1;13:1580039. doi: 10.3389/fpubh.2025.1580039. eCollection 2025.
This meta-review of qualitative studies aims to explore the experiences and needs of family members following perinatal infant deaths.
A qualitative meta-synthesis was conducted.
Four databases, PubMed, CINAHL, EMBASE, and Web of Science, were searched from inception through November 2024. An initial search using the keywords "perinatal death", "family members", and "qualitative research" retrieved 496 articles. Based on predefined inclusion and exclusion criteria, 10 studies were selected for inclusion.
The Critical Appraisal Skills Programme (CASP) Qualitative Research Checklist was used to assess the quality of included studies.
Ten studies from nine countries were analyzed, yielding five overarching themes: negative emotional reactions, searching for the cause of death, rebuilding of life, reconstruction of meaning, and need for support.
Negative emotional responses are an inevitable and profound part of the bereavement process for families experiencing perinatal loss. Identifying the cause of death helps families understand their loss and reduces uncertainty and self-blame. Central to the grieving process is the reconstruction of emotional and psychological meaning, which involves redefining life's purpose and gradually restoring a sense of normalcy. However, many of these families' needs remain unmet. There is an urgent need for multidisciplinary strategies to provide comprehensive, tailored support.
本对定性研究的元综述旨在探讨围产期婴儿死亡后家庭成员的经历和需求。
进行了定性元综合分析。
检索了四个数据库，即从创刊至2024年11月的PubMed、CINAHL、EMBASE和科学网。最初使用关键词“围产期死亡”、“家庭成员”和“定性研究”进行检索，共检索到496篇文章。根据预先确定的纳入和排除标准，选择了10项研究纳入。
使用批判性评估技能计划（CASP）定性研究清单来评估纳入研究的质量。
分析了来自9个国家的10项研究，得出了五个总体主题：负面情绪反应、寻找死亡原因、生活重建、意义重构和支持需求。
负面情绪反应是经历围产期丧亲之痛的家庭丧亲过程中不可避免且深刻的一部分。确定死亡原因有助于家庭理解他们的损失，并减少不确定性和自责。悲伤过程的核心是情感和心理意义的重构，这涉及重新定义生活目标并逐渐恢复正常感。然而，这些家庭的许多需求仍未得到满足。迫切需要多学科策略来提供全面、量身定制的支持。
