Journal of Caring Sciences最新文献_第3页

The Effect of Aromatherapy with Citrus aurantium Aroma on Pain after Orthopedic Surgery: A Randomized Clinical Trial. 柑橘香薰治疗骨科术后疼痛的随机临床试验

Journal of Caring Sciences

Pub Date : 2023-06-01 DOI: 10.34172/jcs.2023.30120

Sepideh Bargi, Nasrin Bahraminejad, Samineh Jafari, Ramezan Fallah

Introduction: Postoperative pain is one of the most common physiological and psychological stress in patients that disrupts body function and can endanger patients’ health. This study aims to determine the effect of aromatherapy with Citrus aurantium essential on pain after orthopedic surgery. Methods: This randomized clinical trial was performed on 60 candidates for orthopedic surgery. Patients were selected through convenience sampling and divided into intervention and control groups through randomized block allocation. If the visual analogue scale (VAS) score was above 3, patients in the intervention group received aromatherapy with C. aurantium essential and the patients in the control group received a placebo (almond oil). VAS was used to measure pain. Data analysis was performed using independent t test, paired t test, and analysis of variance with repeated measures using SPSS software version 13. Results: Mean (SD) of pain intensity after intervention in experimental and control groups within 4, 8, and 12 hours after surgery was 7.30 (1.23) vs. 7.90 (0.99), 5.30 (0.98) versus 5.53 (0.68) and 2.53 (0.9) vs. 3.60 (0.77) respectively. The findings indicated that there was a significant difference in mean pain intensity between the experimental and control groups at 4 and 12 hours after surgery. Use of analysis of variance with repeated measures test with taking into account the interaction of time and group also showed a significant difference in mean pain intensity between the two experimental and control groups. Conclusion: Aromatherapy with Citrus aurantium essential can be effective in reducing mild to moderate pain after orthopedic surgery. Further studies are recommended to confirm this finding.

导语:术后疼痛是患者最常见的生理和心理应激之一，可扰乱机体功能，危害患者健康。本研究旨在探讨金柑香薰治疗骨科术后疼痛的效果。方法:对60例骨科手术候选者进行随机临床试验。采用方便抽样法选取患者，采用随机分组法分为干预组和对照组。如果视觉模拟量表(VAS)评分在3分以上，则干预组患者采用金菖蒲精油进行芳香疗法，对照组患者采用安慰剂(杏仁油)。采用VAS测量疼痛。数据分析采用独立t检验、配对t检验和重复测量方差分析，采用SPSS软件13版。结果:实验组和对照组术后4、8、12小时干预后疼痛强度均值(SD)分别为7.30(1.23)比7.90(0.99)、5.30(0.98)比5.53(0.68)、2.53(0.9)比3.60(0.77)。结果表明，术后4小时和12小时，实验组和对照组的平均疼痛强度有显著差异。考虑到时间和组的相互作用，使用重复测量检验的方差分析也显示实验组和对照组之间的平均疼痛强度有显著差异。结论:金柑香薰治疗可有效减轻骨科术后轻、中度疼痛。建议进一步的研究来证实这一发现。

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引用次数: 0

The Effects of Ginger (Zingiber officinale) Extract Ointment on Pain and Episiotomy Wound Healing in Nulliparous Women: A Randomized Clinical Trial 姜提取物软膏对未产妇女会阴切口疼痛和伤口愈合的影响:一项随机临床试验

Journal of Caring Sciences

Pub Date : 2023-05-20 DOI: 10.34172/jcs.2023.31842

Fatemeh Cheshfar, Soheila Bani, Mojgan Mirghafourvand, Shirin Hasanpour, Yousef Javadzadeh

Introduction: Episiotomy is a usual midwifery surgery. Iran is a country with an abundant source of medicinal plants. This study aimed to investigate ginger extract ointment’s effects on the pain and recovery of episiotomy incisions in nulliparous women. Methods: This randomized clinical trial was conducted in a public hospital in Iran on 70 nulliparous women with an episiotomy incision. The women were randomly assigned to ginger extract ointment and placebo groups. The primary outcomes included pain and wound healing that were assessed using a visual analog scale (VAS), redness, edema, ecchymosis/bruising, discharge, and an approximation scale (REEDA). The participants were followed up before discharge from the hospital and 5×1 and 10×1 days after the intervention. The secondary outcome was the number of painkillers used during the study. Data were analyzed by chi-square, independent t test, and the Mann-Whitney U via SPSS-13. The significance levels were determined to be P≤0.05. Results: There was no significant difference between participants treated with ginger extract ointment and placebo in the pain and wound healing scores before the intervention, 5×1 and 10×1 days after the intervention. But, the pain intensity decreased, and the recovery speed increased clinically. Also, regarding the secondary outcome of this study, no significant difference between the placebo and intervention groups in the number of painkillers participants took. Conclusion: The ginger ointment could not significantly improve episiotomy wounds’ pain and healing rate, but it was clinically helpful. So more studies with different doses of this ointment are needed.

外阴切开术是一种常见的助产手术。伊朗是一个药用植物资源丰富的国家。本研究旨在探讨姜提取物软膏对未产妇女会阴切开术切口疼痛和恢复的影响。方法:本随机临床试验在伊朗某公立医院对70例未生育妇女行会阴切开手术。这些妇女被随机分配到生姜提取物软膏组和安慰剂组。主要结果包括疼痛和伤口愈合，使用视觉模拟量表(VAS)、红肿、水肿、瘀斑/瘀伤、出血和近似量表(REEDA)进行评估。在出院前以及干预后5×1和10×1天对参与者进行随访。次要结果是研究期间使用止痛药的数量。数据分析采用卡方检验、独立t检验和SPSS-13 Mann-Whitney U检验。以P≤0.05为显著性水平。结果:在干预前、干预后5×1和10×1天，生姜提取物软膏组和安慰剂组的疼痛和伤口愈合评分无显著差异。但临床疼痛强度降低，恢复速度加快。此外，关于本研究的次要结局，安慰剂组和干预组在参与者服用止痛药的数量上没有显著差异。结论:生姜软膏不能明显改善会阴切口创面的疼痛和愈合，但具有临床应用价值。因此，需要对这种软膏的不同剂量进行更多的研究。

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引用次数: 0

Health-Promoting Lifestyle among the Survivors of Colorectal Cancer: An Integrative Review 结直肠癌幸存者中促进健康的生活方式:一项综合综述

Journal of Caring Sciences

Pub Date : 2023-03-14 DOI: 10.34172/jcs.2023.31768

Elahe Ramezanzade Tabriz, Monir Ramezani, Abbas Heydari, Seyed Amir Aledavood

Introduction: Health-promoting lifestyle (HPL) among the survivors of colorectal cancer (CRC) is essential to reduce CRC complications, prevent its recurrence, and improve survival. Nonetheless, there is no comprehensive definition for the concept of HPL in CRC survivors. This study aimed to define the concept of HPL among CRC survivors based on the existing literature. Methods: This integrative review was conducted in 2021 using Whittemore and Knafl’s method. The national and international databases of SID, Magiran, ProQuest, Medline, ScienceDirect, Web of Science, and Scopus were searched. Quality appraisal was performed using the Mixed Methods Appraisal Tool (MMAT) and the data were analyzed using the four-step approach proposed by Whittemore and Knafl. Results: After data evaluation, 167 documents were included in final analysis. In total, 1863 codes were generated and categorized into eighteen main categories and the three main themes of antecedents, attributes, and consequences. Accordingly, HPL among CRC survivors was defined as "a set of behaviors in the areas of health responsibility, physical activity, nutrition, spiritual growth, psychological management, and interpersonal relations which are affected by socio-demographic characteristics, clinical characteristics, psychological status, physical conditions, time and place limitations, and patient education, and lead to better disease prognosis, better general health status, better bio-psycho-social status, and better quality of life". Conclusion: The definition of HPL among CRC survivors provided in the present study can be used in counseling, educational, supportive, and care programs for CRC survivors in order to improve their quality of life and survival.

在结直肠癌(CRC)幸存者中，健康促进生活方式(HPL)对于减少结直肠癌并发症、预防结直肠癌复发和提高生存率至关重要。然而，对于结直肠癌幸存者中HPL的概念并没有一个全面的定义。本研究旨在根据现有文献对结直肠癌幸存者中HPL的概念进行界定。方法:本综合综述于2021年使用Whittemore和Knafl的方法进行。检索SID、Magiran、ProQuest、Medline、ScienceDirect、Web of Science、Scopus等国内外数据库。使用混合方法评估工具(MMAT)进行质量评估，并使用Whittemore和Knafl提出的四步法分析数据。结果:经资料评估，167篇文献纳入最终分析。总共产生了1863个代码，并将其分为18个主要类别和三个主要主题:先行项、属性和结果。据此，大肠癌幸存者的HPL被定义为“受社会人口学特征、临床特征、心理状态、身体状况、时间和地点限制以及患者教育等因素影响，在健康责任、身体活动、营养、精神成长、心理管理和人际关系等方面产生的一系列行为，从而导致较好的疾病预后、总体健康状况、生物心理社会状况、以及更好的生活质量”。结论:本研究提供的结直肠癌幸存者HPL定义可用于结直肠癌幸存者的咨询、教育、支持和护理方案，以提高结直肠癌幸存者的生活质量和生存率。

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引用次数: 0

Lessons Learned from COVID-19 for Future Pandemics: Infection Prevention in Health Care Workers. 从2019冠状病毒病中吸取的教训:预防卫生保健工作者的感染。

Journal of Caring Sciences

Pub Date : 2023-02-01 DOI: 10.34172/jcs.2023.31918

Mostafa Ghasempour, Majid Purabdollah, Leila Sheikhnezhad

Dear Editor, Since the beginning of the pandemic in late December 2019 in Wuhan, China, and the rapid spread of the coronavirus disease 2019 (COVID-19) virus, until May 31, 2022, there were 6.9 million reported deaths and 17.2 million estimated deaths from COVID-19.1 Due to the unique genetic structure of coronaviruses, as well as their ability to reproduce and easily spread, the emergence of COVID-19 has not been unexpected for virologists. Based on the information collected to-date on COVID-19, due to the complex structure of the virus, high risk of inter-human transmission, presence of asymptomatic or mildly-symptomatic carriers, and progression of the condition to respiratory distress and 5-10% mortality, the occurrence of COVID-19 pandemic can be defined as a kind of perfect storm.2 The COVID-19 pandemic, in addition to its negative economic, social, political implications, has posed many challenges for the healthcare sector: dramatic increase of the need for medical staff, the cost of personal prevention and protection equipment, cost of diagnosing and treating patients, need for more intensive care unit and ventilated beds, and in the mortality rate in the community.3 Nurses, as the largest group of medical staff, spend more time with patients than other health care workers (HCWs). For many emerging diseases, there is no standard treatment, and nurses have the key role in the supportive care of the patients infected with emerging diseas.2 In the critical situation of emerging diseases, all social organs, even close relatives and the patient’s family, distance themselves from the patient, and it is the duty of the medical staff to take care of the patient despite the dangers that exist for them. 50% of those who died in the severe acute respiratory syndrome (SARS) epidemic were HCWs who became infected in hospital through caring of the infected patients.4 The prevalence of hospitalization among HCWs was 15.1% and mortality rate was 1.5 %.5 According to the Executive Director of the International Council of Nurses (ICN), “The fact that the number of nurses who died during the epidemic is similar to the number of people who died during World War I Is a giver. We have been calling for standard and systematic data collection on infection and deaths of HCWs, but the fact that we do not yet have accurate statistics is a major scandal”6 as the actual statistics are about 60% higher than reported.7 It is estimated that the rate of virus transmission within hospitals from patients to HCWs is about 29%.8 According to the Deputy Minister of Nursing of the Ministry of Health of Iran, more than 200 000 nurses are working in wards where patients with coronavirus have been hospitalized; since the outbreak of corona in Iran, more than 125 000 nurses have been infected with COVID-19.9 The COVID-19 pandemic makes it even more important to talk about the safety of all HCWs. As a result, maintaining the health and safety of staff is a key principle in promotin

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引用次数: 2

Frontline Nurses' Experiences of Patient Care in the COVID-19 Pandemic: A Phenomenological Study. COVID-19大流行中一线护士护理患者的经验:现象学研究

Journal of Caring Sciences

Pub Date : 2023-02-01 DOI: 10.34172/jcs.2023.30327

Zahra Khademi, Elham Imani

Introduction: The COVID-19 pandemic is now a major public health crisis in the world. Nurses as key members of professional are exposed the most challenges caused by COVID19. Knowledgeable nurses' experiences can provide appropriate solutions to increase the quality of care and improve the health of the society. This study aimed to explore the lived experiences of nurses' caring for patients with COVID-19. Methods: 12 nurses participated in this phenomenological study. We performed purposeful sampling and in-depth face-to-face and semi-structured individual interviews for collecting data. Qualitative data, was analyzed by the 6-step Van Manen hermeneutic phenomenology. Results: After data analysis, the mean (SD) age of study participants was 32.25 (5.62) years and their mean work experience was 9.75 (5.39) years. From the analysis of data obtained from interviews with nurses working in COVID-19 wards, 1050 primary codes, 17 subthemes and 5 themes were extracted. Main themes include: sincere service, patient oppression, emotional instability, suspension and relaxation. Conclusion: Analysis of data in this study suggested that the nurses who care patients in COVID-19 pandemic, faced many professional and psychological challenges. Healthcare managers should plan for psychological support services for the nurses.

新冠肺炎大流行已成为全球重大公共卫生危机。护士作为专业人员的关键成员，面临着2019冠状病毒病带来的最大挑战。知识渊博的护士经验可以提供适当的解决方案，以提高护理质量，改善社会健康状况。本研究旨在探讨护士护理新冠肺炎患者的生活体验。方法:对12名护士进行现象学研究。我们进行了有目的的抽样和深入的面对面和半结构化的个人访谈来收集数据。定性数据采用范曼南六步解释学现象学进行分析。结果:经资料分析，研究对象的平均(SD)年龄为32.25(5.62)岁，平均工作经验为9.75(5.39)年。通过对COVID-19病房护士访谈数据的分析，提取了1050个主要代码、17个副主题和5个主题。主题包括:真诚服务，病人压迫，情绪不稳定，暂停和放松。结论:本研究数据分析表明，在COVID-19大流行中护理患者的护士面临着许多专业和心理挑战。医疗管理人员应计划为护士提供心理支持服务。

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引用次数: 1

The Nurses' Perception of Expressive Touch: An Integrative Review. 护士对表达性触摸的感知:一项综合评价。

Journal of Caring Sciences

Pub Date : 2023-02-01 DOI: 10.34172/jcs.2023.31903

Jade Elyse Burgess, Karen L Gorton, Sue Lasiter, Sarah E Patel

Introduction: Nurses use physical touch to interact with patients and address their needs. Human touch benefits social development, stress/anxiety reduction, and rapport building. Touch has been a part of nursing care for centuries, however nurses' perceptions of expressive touch are not easily ascertained from the literature. Literature currently offers one review on the perceptions of various medical professionals regarding touch of all kinds. No reviews specific to the nurses' perception of expressive touch exist. This integrative review provides a greater understanding of nurses' perceptions of expressive touch. Methods: Using Cooper's steps for integrative review, CINAHL, Medline, Academic Search Premier, and Complimentary Index were searched from 2000-2022; using search term expressive touch or caring touch or compassionate touch and nurse/nurses/nursing and perception or perspective. Results: Of 283 articles identified, 22 articles remained for full-text review after duplicate removal and application of inclusion/exclusion criteria. Five topics on nurses' perceptions of expressive touch were identified: Comfort with touch and job satisfaction, expressive touch as an essential part of nursing practice, expressive touch as a form of compassion and/or communication, the impact of expressive touch on the humanization of patients in the nurses' perception, and nurse discomfort with expressive touch. Conclusion: This integrative review provides findings that assist in understanding nurses' perceptions of expressive touch. Further research should examine the impact of gender, education, and experiences on nurses' perceptions as they use expressive touch in nursing practice.

简介:护士使用身体接触与病人互动，并满足他们的需求。人与人之间的接触有利于社会发展，减轻压力/焦虑，建立融洽关系。几个世纪以来，触摸一直是护理的一部分，然而，护士对表达性触摸的看法并不容易从文献中确定。目前的文献提供了一个关于各种医学专业人员对各种触摸的看法的综述。没有专门针对护士对表达性触摸感知的综述。这一综合审查提供了一个更好的理解护士的感知表达触摸。方法:采用Cooper’s步骤进行综合评价，检索2000-2022年的CINAHL、Medline、Academic Search Premier和Complimentary Index;使用搜索词，表达性触摸，关怀性触摸，同情性触摸护士/护士/护理，感知或观点。结果:在283篇文章中，在删除重复并应用纳入/排除标准后，有22篇文章仍用于全文审查。研究确定了护士对表达性触摸感知的五个主题:触摸舒适和工作满意度、表达性触摸作为护理实践的重要组成部分、表达性触摸作为同情和/或沟通的一种形式、表达性触摸对护士感知中患者人性化的影响、以及护士对表达性触摸的不适。结论:本综合综述提供的研究结果有助于理解护士对表达性触摸的感知。进一步的研究应该检查性别、教育和经验对护士在护理实践中使用表达性触摸的感知的影响。

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引用次数: 0

Poor Care: A Walker and Avant Concept Analysis. 不良护理:沃克和先锋概念分析。

Journal of Caring Sciences

Pub Date : 2023-02-01 DOI: 10.34172/jcs.2023.30507

Hasan Khalili, Abbas Heydari

Introduction: Care is the fundamental fact of nursing. In recent years, poor care is discussed frequently in articles and newspapers, however health care providers do not have a common understanding of this concept. Therefore the purpose of this paper was to clarify the concept of poor care in nursing and highlight the importance of tackling this issue. Methods: The concept was analyzed using the 8-step Walker and Avant’s method. The SCOPUS, PubMed, ISI, and Embase databases were searched with the keywords "poor care" and "poor nursing care" in the titles and abstracts of articles. Of 550 sources found in the initial survey, 32 articles were finally included in the study. Results: Poor care attributes include poor evaluation, inadequate or inappropriate patient management, and delay, treating, and referring patients to other departments. These attributes are caused by antecedents of nursing workload, the complexity of patient conditions, inappropriate interactions, insufficient workforce, and educational and organizational factors. Conclusion: Poor care is a general concept that includes undesirable and unacceptable standards for receiving or providing clinical and interpersonal health services. Poor care includes eliminating planned activities or performing unplanned activities that are experienced by the patient, health care workers, or caregivers.

护理是护理的基本事实。近年来，文章和报纸经常讨论不良护理，但卫生保健提供者对这一概念没有共同的理解。因此，本文的目的是澄清护理中的不良护理概念，并强调解决这一问题的重要性。方法:采用8步Walker法和Avant法对概念进行分析。检索SCOPUS、PubMed、ISI和Embase数据库，在文章标题和摘要中检索关键词“poor care”和“poor nursing care”。在最初的调查中发现的550个来源中，有32篇文章最终被纳入了研究。结果:不良护理属性包括评价差、患者管理不充分或不适当、延误治疗、将患者转介到其他科室。这些属性是由护理工作量、患者病情的复杂性、不适当的互动、劳动力不足以及教育和组织因素造成的。结论:不良护理是一个笼统的概念，包括接受或提供临床和人际卫生服务的不良和不可接受的标准。不良护理包括取消病人、卫生保健工作者或护理人员所经历的计划活动或进行计划外活动。

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引用次数: 0

Lived Experiences of the Patients with COVID-19: A Hermeneutic Phenomenology. COVID-19患者的生活体验:解释学现象学。

Journal of Caring Sciences

Pub Date : 2023-02-01 DOI: 10.34172/jcs.2023.30642

Mohammadreza Firouzkouhi, Mayumi Kako, Abdolghani Abdollahimohammad, Morteza Nouraei, Najmeh Azizi, Mohammad Mohammadi

Introduction: The COVID-19 pandemic is a considerable challenge for infected patients who require more attention for recovery. Therefore, this study aimed to explore the lived experience of patients with COVID-19. Methods: This qualitative, hermeneutic phenomenological study was conducted in the southeast of Iran from March to May 2020. The data were purposefully collected from 16 patients with COVID-19. Data were collected using in-depth semi-structured telephone interviews and analyzed using the Van Manen method. Results: The lived experiences of patients were categorized into five themes, including incredible clinical symptoms of COVID-19, horror and stigma, bad memories of hospitalization, trust in God and hope as recovery agents from COVID-19, and reborn after recovery from COVID-19. Conclusion: Patients with COVID-19 have experienced variety of physical and psychosocial challenges. Health care providers have to supply appropriate strategies to fulfill the infected patients needs in such a crisis.

COVID-19大流行对感染患者来说是一个相当大的挑战，他们需要更多的关注来恢复。因此，本研究旨在探讨COVID-19患者的生活体验。方法:这项定性、解释学现象学研究于2020年3月至5月在伊朗东南部进行。有目的地收集了16例COVID-19患者的数据。采用深度半结构化电话访谈收集数据，并采用Van Manen方法进行分析。结果:患者的生活经历分为5个主题，包括难以置信的新冠肺炎临床症状、恐惧和耻辱、住院的糟糕记忆、对上帝的信任和希望作为新冠肺炎的康复剂、新冠肺炎康复后的重生。结论:新冠肺炎患者经历了多种身体和心理挑战。在这种危机中，卫生保健提供者必须提供适当的策略来满足受感染患者的需求。

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引用次数: 2

The Effect of Thai Massage on the Severity of Pain in Patients with Unstable Angina: A Randomized Controlled Clinical Trial. 泰式按摩对不稳定型心绞痛患者疼痛程度的影响:一项随机对照临床试验。

Journal of Caring Sciences

Pub Date : 2023-02-01 DOI: 10.34172/jcs.2023.30150

Elahe Khalili, Shahram Molavynejad, Mohammad Adineh, Mohammad Hosein Haghighizadeh

Introduction: Chest pain is an unpleasant and the most common symptom in patients suffering from unstable angina. This study was implemented to investigate the effect of Thai massage on severity of pain in patients with unstable angina. Methods: This study was a randomized controlled clinical trial that carried out on 70 patients with unstable angina who had been hospitalized in hospital affiliated to Ahvaz Jundishapur University of Medical sciences, Ahvaz, Iran. The participants were allocated randomly to either the intervention (n=35) or control group (n=35) between August 1, 2016 and April 30, 2017. The patients in the intervention group received routine care beside and Thai massage with the duration of 30 minutes in two consecutive days. The patients in the control group received routine care. The intensity of pain was assessed by using the numeric rating scale, five minutes before and immediately, 15, 30 and 60 minutes after the intervention. The independent t-test and repeated measures analysis of variance (ANOVA) were used to analysis data through SPSS 13. Results: After the intervention, the severity of pain was significantly diminished by about four measurement points (P=0.001) with the linear pattern of pain reduction. Nonetheless, in the control group, no statistically significant difference in the intensity of pain was found. Conclusion: This study showed that Thai massage as non-invasive approach, concomitant with standard nursing care, has the potential to decrease chest pain. Nurses should be taught about pain relief methods for improving the quality of patient care.

胸痛是不稳定型心绞痛患者最常见的症状。本研究旨在探讨泰式按摩对不稳定型心绞痛患者疼痛程度的影响。方法:本研究是一项随机对照临床试验，对70例在伊朗阿瓦士Jundishapur医科大学附属医院住院的不稳定型心绞痛患者进行了研究。在2016年8月1日至2017年4月30日期间，参与者被随机分配到干预组(n=35)或对照组(n=35)。干预组患者接受常规护理及泰式按摩，疗程30分钟，连续2天。对照组患者接受常规护理。在干预前5分钟、干预后5分钟、干预后15分钟、30分钟和60分钟，采用数值评定量表评估疼痛强度。采用SPSS 13软件，采用独立t检验和重复测量方差分析(ANOVA)进行数据分析。结果:干预后，疼痛严重程度明显减轻约4个测量点(P=0.001)，疼痛减轻呈线性模式。然而，在对照组中，疼痛强度没有统计学上的显著差异。结论:本研究表明泰式按摩作为一种无创方法，配合标准护理，具有减轻胸痛的潜力。应向护士传授缓解疼痛的方法，以提高对病人的护理质量。

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引用次数: 1

The Parturient Women's Privacy Preservation in the Delivery Rooms: A Qualitative Study. 产房中产妇隐私保护的定性研究

Journal of Caring Sciences

Pub Date : 2023-02-01 DOI: 10.34172/jcs.2023.30401

Farzaneh Valizadeh, Farahnaz Heshmat, Zahra Motaghi

Introduction: Parturient women's privacy preservation and respectful maternity care (RMC) in delivery room is an important principle in the high quality of midwifery care to achieve maternal satisfaction and positive childbirth experience. Hence, it is essential to make natural vaginal delivery (NVD) a positive experience and increase the mothers' satisfaction. This study aimed to investigate the privacy preservation of parturient women's in the delivery room. Methods: Using conventional content analysis, this qualitative study was conducted from June 2018 to December 2020 at two hospitals and three health centers in Shahroud, Iran. Purposeful sampling was employed and it was continued till data saturation through in-depth interviews with 37 participants. Results: The results of interviews with 21 women with NVD experience and 16 maternity health service providers resulted in the extraction of four themes including physical, spiritual-mental, informational, and social privacy. Conclusion: Various mechanisms were found to promote the privacy and satisfaction of parturient women in the delivery room. They included the necessity continuous education, monitoring about mother's privacy preservation and intervention to improve effective communication skills among staff in delivery rooms.

导言:产房保护产妇隐私和尊重产妇护理(RMC)是高质量助产护理实现产妇满意度和积极分娩体验的重要原则。因此，使自然阴道分娩(NVD)成为一种积极的体验，提高母亲的满意度是至关重要的。本研究旨在探讨产妇在产房的隐私保护。方法:采用常规内容分析方法，于2018年6月至2020年12月在伊朗沙赫鲁德的两家医院和三家保健中心进行定性研究。采用有目的的抽样，并通过对37名参与者的深度访谈，一直持续到数据饱和。结果:通过对21名有NVD经历的妇女和16名产科保健服务提供者的访谈，提取了身体、精神-心理、信息和社会隐私四个主题。结论:发现了多种促进产房产妇隐私和满意度的机制。其中包括持续教育的必要性，对母亲隐私保护的监测，以及提高产房工作人员之间有效沟通技巧的干预。

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