Midwifery最新文献_第7页

International news 国际新闻

IF 2.6 3区医学 Q1 NURSING

Midwifery

Pub Date : 2024-07-23 DOI: 10.1016/j.midw.2024.104110

引用次数: 0

Relationship between dyadic coping, resilience and fear of childbirth in expectant couples: An actor-partner interdependence model approach 待产夫妇的二元应对、复原力和分娩恐惧之间的关系：行动者-伴侣相互依存模式方法。

IF 2.6 3区医学 Q1 NURSING

Midwifery

Pub Date : 2024-07-22 DOI: 10.1016/j.midw.2024.104117

Background

Fear of childbirth is a common concern in pregnant women and their spouses due to the unpredictability of the process and outcome of a delivery, which results in adverse effects on mental health, birth outcomes and family intimacy. However, there is a lack of studies that explore the influencing factors of fear of childbirth among expectant couples from a dyadic perspective. The aim of this study is to explore the correlation of dyadic coping, resilience and fear of childbirth in pregnant couples and to construct an actor-partner interdependence model to verify dyadic effects.

Methods

This cross-sectional survey included 420 couples and was conducted between November 2022 and March 2023 in the obstetric department at two hospitals in China. Convenience sampling and an actor-partner interdependence model was used.

Findings

The prevalence of fear of childbirth among pregnant women and their spouses is 37.4 % and 33.1 %, respectively. Women's resilience and dyadic coping had a partner effect on spouses’ fear of childbirth, in addition to an actor effect on their own fear of childbirth. Spouses’ resilience and dyadic coping had only actor effects on themselves, and no partner effect was found on the pregnant women.

Conclusion

Women's fear of childbirth was positively associated with spouses’ fear of childbirth. Interventions for fear of childbirth should include improving resilience and enhancing dyadic stress support and coping. This study provides empirical evidence for future clinical research and interventions on the psychological status of pregnant women and their partners during pregnancy.

背景：由于分娩过程和结果的不可预测性，对分娩的恐惧是孕妇及其配偶普遍关注的问题，这导致了对心理健康、分娩结果和家庭亲密关系的不利影响。然而，目前还缺乏从夫妻双方的角度探讨孕妇分娩恐惧影响因素的研究。本研究旨在探讨怀孕夫妇的双向应对、复原力和分娩恐惧的相关性，并构建一个行为者-伴侣相互依赖模型来验证双向效应：这项横断面调查包括420对夫妇，于2022年11月至2023年3月期间在中国两家医院的产科进行。调查采用了方便抽样和行为主体-伴侣相互依赖模型：孕妇及其配偶对分娩恐惧的发生率分别为 37.4% 和 33.1%。妇女的复原力和夫妻双方的应对方式对配偶的分娩恐惧有伴侣效应，此外对其自身的分娩恐惧也有行为者效应。配偶的抗逆力和夫妻应对方式只对其自身有影响，而对孕妇没有影响：结论：妇女对分娩的恐惧与配偶对分娩的恐惧呈正相关。针对分娩恐惧的干预措施应包括提高复原力、加强夫妻间的压力支持和应对。本研究为今后对孕妇及其伴侣在孕期的心理状况进行临床研究和干预提供了经验证据。

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引用次数: 0

Instrument to evaluate the perception of abuse and/or disrespectful treatment during childbirth: A validation study 评估分娩期间受虐待和/或不尊重感的工具：验证研究。

IF 2.6 3区医学 Q1 NURSING

Midwifery

Pub Date : 2024-07-22 DOI: 10.1016/j.midw.2024.104118

Aim

To design and validate a tool to assess a woman's perception of whether she has experienced a situation of abuse or disrespect during childbirth attendance: “Childbirth Abuse and Respect Evaluation-Maternal Questionnaire” (CARE-MQ).

Methods

Multidisciplinary panel of experts (gynecologists, midwives, mothers) participated in creating CARE-MQ. A cross-sectional study was carried out on 901 Spanish women who had given birth between 1 and 3 months before to determine psychometric characteristics. Finally, an exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and a convergent validity study were carried out with the Quality Questionnaire from the Patient's Perspective-Intrapartum (QPP-I), and a reliability study using internal consistency (Cronbach's α) and coefficient of intraclass correlation (CCI).

Findings

The KMO test gave a value of 0.935, and Bartlett's sphericity test was <0.001. The EFA identified four components (“Emotional Abuse”, “Inadequate Professionalism”, “Physical Abuse” y “Lost contact”) that explained 55.16 % of variance. In the CFA, a good fit was observed for most of the evaluated indicators. CARE-MQ correlated negatively with QPP-I (Spearman's rho = −0.641, 95 % CI: −0.679, −0.600; p < 0.001) and was statistically associated with variables related to childbirth experience (p < 0.005) such as the use of a birth plan, use of regional analgesia, type of birth, episiotomy, presence of severe tears, skin-to-skin contact, length of hospital stay and postpartum surgical intervention. Cronbach's α value was 0.903. The ICC of absolute agreement after administering the questionnaire one week after was 0.927 (95 % CI: 0.85–0.97).

Conclusions

CARE-MQ is a valid and reliable instrument to evaluate the perception of a woman regarding the situation of abuse and/or disrespect that she may have experienced during birth in a population of Spanish postpartum women.

目的：设计并验证一种工具，用于评估产妇对其在分娩过程中是否遭受虐待或不尊重的感知："方法：由多学科专家（妇科医生、助产士和产妇）组成的小组对产妇进行评估：多学科专家小组（妇科医生、助产士、母亲）参与了 CARE-MQ 的制作。对 901 名分娩前 1 至 3 个月的西班牙产妇进行了横断面研究，以确定心理测量特征。最后，还进行了探索性因子分析（EFA）、确证性因子分析（CFA）以及与产后病人视角质量问卷（QPP-I）的聚合效度研究，并使用内部一致性（Cronbach's α）和类内相关系数（CCI）进行了可靠性研究：结果：KMO 检验值为 0.935，巴特利特球形度检验为结论：在西班牙产后妇女群体中，CARE-MQ 是一种有效且可靠的工具，可用于评估妇女对其在分娩过程中可能遭受的虐待和/或不尊重情况的看法。

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引用次数: 0

Job satisfaction in midwives working in labour ward: A systematic review with meta-analysis 在产房工作的助产士的工作满意度：系统回顾与荟萃分析。

IF 2.6 3区医学 Q1 NURSING

Midwifery

Pub Date : 2024-07-19 DOI: 10.1016/j.midw.2024.104112

Problem

There is little documented evidence of job satisfaction in midwives who work in birthing rooms.

Background

Job satisfaction in midwives who work in birthing rooms may have changed in recent decades due to the medicalization of maternal health.

Aim

To analyse job satisfaction levels among midwives working in birthing rooms.

Methods

We searched Web of Science, SCOPUS, MEDLINE, CUIDEN and CINAHL for observational and mixed method studies. The literature search was carried out from September to October 2022.

Findings

A total of 13 studies were included in the systematic review. A meta-analysis of the variable “midwives’ job satisfaction” was performed on 12 of the studies. Midwives rated their job satisfaction positively: DME, CI (95%) = 1.24 [0.78, 1.69]. Subgroup 1: DME, CI (95%) = 2.41 [2.05, 2.76]); Subgroup 2: DME, CI (95%) = 0.76 [0.65, 0.86]; subgroup 3: DME, CI (95%) = 1.11 [0.95, 1.27]; subgroup 4: DME, CI (95%) = 0.10 [-0.11, 0.31].

Discussion

Although midwives show high levels of satisfaction, the heterogeneity of instruments, lack of specificity and limited number of studies found restrict the outcomes.

Conclusion

There are no specific measurement instruments for assessing job satisfaction among midwives working in labour wards, so it is possible that these data do not correspond to reality as they do not take into account specific professional aspects within this field of practice.

问题：关于在分娩室工作的助产士的工作满意度，几乎没有文献证据：目的：分析在分娩室工作的助产士的工作满意度：我们在 Web of Science、SCOPUS、MEDLINE、CUIDEN 和 CINAHL 中检索了观察性研究和混合方法研究。文献检索时间为 2022 年 9 月至 10 月：共有 13 项研究被纳入系统综述。对其中 12 项研究的变量 "助产士的工作满意度 "进行了荟萃分析。助产士对其工作满意度给予了积极评价：DME, CI (95%) = 1.24 [0.78, 1.69]。子组 1：DME，CI (95%) = 2.41 [2.05, 2.76]）；子组 2：子组 3：DME，CI (95%) = 1.11 [0.95, 1.27]；子组 4：DME，CI (95%) = 0.10 [-0.11, 0.31]：讨论：尽管助产士的满意度很高，但由于工具的异质性、缺乏特异性以及研究数量有限，结果受到限制：结论：目前还没有专门的测量工具来评估在产房工作的助产士的工作满意度，因此这些数据可能与实际情况不符，因为它们没有考虑到这一实践领域的具体专业方面。

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引用次数: 0

The effect of antenatal hypnosis training on pharmacological analgesia use during labour and birth: A systematic review and meta-analysis 产前催眠培训对分娩过程中使用药物镇痛的影响：系统回顾与荟萃分析。

IF 2.6 3区医学 Q1 NURSING

Midwifery

Pub Date : 2024-07-19 DOI: 10.1016/j.midw.2024.104113

Background

The use of hypnosis as a means of pain management during labour is becoming increasingly popular. While recent reviews have reported on pain perception, relaxation and other psychological benefits the impact of hypnosis on the use of pharmacological analgesia use has not been specifically examined.

Question

For women in labour at term, does antenatal hypnosis instruction compared to no instruction result in decreased use of pharmacological analgesia and influence maternal and infant birth outcomes.

Methods

Databases such as PubMed, CINAHL, Cochrane Central Register of Controlled Trials and Embase were searched with dates ranging from 1947-2024. We included randomised controlled trials (RCTs) that compared antenatal hypnosis training to no hypnosis control groups, published in English and reported on pharmacological analgesia use. The Cochrane's Risk of Bias 2 for RCTs was used to assess design quality. Study selection, quality assessment, data extraction and analysis were undertaken by two independent researchers.

Findings

Six RCTs met the inclusion criteria (n=2937). The use of hypnosis did not result in a significant reduction in the risk of epidural use (RR. 0.79 95% CI 0.39-1.61) or other forms of pharmacological analgesia. Factors such as blinding of care providers to the participants allocated group may have reduced the chances of successful use of hypnosis. Variations in the presentation of hypnosis between studies may also impact on outcomes.

Discussion and Conclusion

This review reports no effect on the use of pharmacological analgesia in women trained in hypnosis antenatally compared with those who were not. Our review does highlight several RCT design characteristics that could impact on the measurement and analysis of the use and efficacy of hypnosis.

背景：在分娩过程中使用催眠作为镇痛手段正变得越来越流行。虽然最近的一些综述报道了催眠对疼痛的感知、放松和其他心理益处，但催眠对药物镇痛使用的影响尚未得到专门研究：问题：对于足月分娩的产妇，产前催眠指导与不进行催眠指导相比，是否会减少药物镇痛的使用，并对母婴分娩结局产生影响：方法：对 PubMed、CINAHL、Cochrane Central Register of Controlled Trials 和 Embase 等数据库进行了检索，检索日期为 1947-2024 年。我们纳入了将产前催眠训练与无催眠对照组进行比较的随机对照试验（RCT），这些试验均以英语发表，并报告了药物镇痛的使用情况。采用 Cochrane 的 RCT 偏倚风险 2 评估设计质量。研究选择、质量评估、数据提取和分析由两名独立研究人员进行：六项研究符合纳入标准（n=2937）。催眠的使用并未显著降低硬膜外麻醉（RR. 0.79 95% CI 0.39-1.61）或其他形式药物镇痛的风险。护理提供者对参与者分配的组别设置盲区等因素可能会降低成功使用催眠的几率。不同研究中催眠方法的不同也可能会影响研究结果：本综述报告显示，与未接受产前催眠培训的妇女相比，接受催眠培训的妇女在使用药物镇痛方面没有受到影响。我们的综述确实强调了可能会对催眠的使用和疗效的测量与分析产生影响的几项 RCT 设计特征。

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引用次数: 0

The story of staying out of normal routine life in adolescent mothers in marginal areas in Urmia through the Lenz of conventional content analysis approach 通过传统内容分析法的伦茨，讲述乌尔米耶边缘地区未成年母亲远离正常常规生活的故事

IF 2.6 3区医学 Q1 NURSING

Midwifery

Pub Date : 2024-07-14 DOI: 10.1016/j.midw.2024.104108

Background

Adolescent pregnancy is a main health concern in relation to adolescent mothers and their neonates especially in deprived areas.

Aim

This study aimed to explore the experiences of adolescent mothers who live in deprived marginal areas in Urmia in Iran.

Methods

This qualitative study was conducted in 2022–2023 using the conventional content analysis approach. Participants were eighteen adolescent mothers purposefully selected from healthcare centers in marginal areas in Urmia. Data were gathered via semi-structured interviews and were analyzed by the conventional content analysis method proposed by Graneheim and Lundman.

Findings

‘‘Staying out of the life normal routine’ was the main theme consisted of four categories ‘forced early marriage', 'experience of abuse', 'learned helplessness', and 'impulses of hope under the shadow of motherhood' and five sub-categories role conflict, lifelong regret, attachment, reviving the lost self-value and the delight of family establishment.

Conclusion

Based on the results of the study health care providers, especially midwives, will be oriented to deal with adolescent mothers to help them to have successful transition to motherhood.

背景少女怀孕是与少女母亲及其新生儿（尤其是贫困地区的新生儿）有关的一个主要健康问题。参与者是从乌尔米耶市边缘地区的医疗保健中心有目的地挑选出的 18 名未成年母亲。通过半结构式访谈收集数据，并采用 Graneheim 和 Lundman 提出的传统内容分析法对数据进行分析。研究结果''远离生活常态'是主主题，包括'被迫早婚'、'虐待经历'、'习得性无助'和'母亲阴影下的希望冲动'四个类别，以及角色冲突、终身遗憾、依恋、重拾失去的自我价值和家庭建立的喜悦五个子类别。结论根据研究结果，医疗保健提供者，尤其是助产士，将以少女母亲为对象，帮助她们成功过渡到母亲角色。

{"title":"The story of staying out of normal routine life in adolescent mothers in marginal areas in Urmia through the Lenz of conventional content analysis approach","authors":"","doi":"10.1016/j.midw.2024.104108","DOIUrl":"10.1016/j.midw.2024.104108","url":null,"abstract":"<div><h3>Background</h3><p>Adolescent pregnancy is a main health concern in relation to adolescent mothers and their neonates especially in deprived areas.</p></div><div><h3>Aim</h3><p>This study aimed to explore the experiences of adolescent mothers who live in deprived marginal areas in Urmia in Iran.</p></div><div><h3>Methods</h3><p>This qualitative study was conducted in 2022–2023 using the conventional content analysis approach. Participants were eighteen adolescent mothers purposefully selected from healthcare centers in marginal areas in Urmia. Data were gathered via semi-structured interviews and were analyzed by the conventional content analysis method proposed by Graneheim and Lundman.</p></div><div><h3>Findings</h3><p>‘‘Staying out of the life normal routine’ was the main theme consisted of four categories ‘forced early marriage', 'experience of abuse', 'learned helplessness', and 'impulses of hope under the shadow of motherhood' and five sub-categories role conflict, lifelong regret, attachment, reviving the lost self-value and the delight of family establishment.</p></div><div><h3>Conclusion</h3><p>Based on the results of the study health care providers, especially midwives, will be oriented to deal with adolescent mothers to help them to have successful transition to motherhood.</p></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141694301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adherence to physical activity among pregnant women in Southern Italy: results of a cross-sectional survey 意大利南部孕妇坚持体育锻炼的情况：横断面调查结果

IF 2.6 3区医学 Q1 NURSING

Midwifery

Pub Date : 2024-07-10 DOI: 10.1016/j.midw.2024.104102

Problem

Knowledge about physical activity in pregnancy is limited compared to general population and several approaches have been used to evaluate duration and intensity of physical activity during pregnancy.

Background

Although physical activity can contribute to maternal and fetal well-being, more than half of women stopped their physical activity because of pregnancy.

Aim

To evaluate the adherence to physical activity of low-risk pregnant women by adapting an Italian version of the PPAQ.

Methods

PPAQ was administered to women with singleton uneventful pregnancies between May and December 2022. The intensity of physical activity was calculated using activity's metabolic equivalent (MET).

Findings

Respondents spent 8.5 hours/week during the third trimester in all the types of activities included in the questionnaire, and the majority of METs were spent in household/caregiving activities (91.7 METs-h/week). Only 2,6 % of women reported they spent at least 150 minutes per week in moderate-intensity sport/exercise activity. One-hundred-forty-one women (37.2 %) reported they have been counselled by a midwife or an obstetrician regarding the importance of physical activity in pregnancy and 164 participants (43.3 %) declared that have been advised in favour of bed rest at least once in the current pregnancy.

Discussion

Our results showed that a very small percentage was regularly involved in sport/exercise activities.

Conclusion

The engagement in physical activity of pregnant women during the third trimester is still very low and specific policies to improve exercise in pregnancy should be warrantied.

问题与普通人群相比，人们对孕期体育锻炼的了解十分有限，有几种方法可用于评估孕期体育锻炼的持续时间和强度。背景虽然体育锻炼有助于孕产妇和胎儿的健康，但一半以上的妇女因怀孕而停止了体育锻炼。结果受访者在怀孕三个月期间每周花费 8.5 小时从事问卷中包括的所有类型的活动，大部分代谢当量用于家务/护理活动（91.7 METs-h/week）。只有 2.6% 的妇女表示她们每周至少进行 150 分钟中等强度的体育/锻炼活动。讨论我们的研究结果表明，经常参加体育/锻炼活动的孕妇比例很小。结论怀孕三个月的孕妇参加体育锻炼的比例仍然很低，应制定具体政策来改善孕期锻炼。

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引用次数: 0

‘Plan Z and then off the edge of a cliff’: An interpretative phenomenological analysis of mothers’ experience of living with a slow-to-heal Caesarean wound Z计划，然后悬崖勒马"：对剖腹产伤口愈合缓慢的母亲的生活体验进行解释性现象学分析

IF 2.6 3区医学 Q1 NURSING

Midwifery

Pub Date : 2024-07-09 DOI: 10.1016/j.midw.2024.104104

Background

Studies indicate that complex postsurgical wound healing can significantly alter biopsychological markers responsible for recovery. Yet, there is a lack of research investigating women's experience of living with slow-to-heal Caesarean birth wounds. This is an important area of investigation considering the increase of factors associated with surgical births and poor wound healing in the UK and globally.

Aim

The aim of this study was to explore women's experiences of living with a slow-to-heal Caesarean wound.

Method

Semi-structured interviews were conducted with seven women who had lived experience of slow-to-heal Caesarean wounds. Narratives were analysed using Interpretative Phenomenological Analysis (IPA) approach.

Results

Analysis of women's narratives revealed three interlinking superordinate themes of 1) ‘Tied to that event’: healing physical and emotional wounds, 2) The ‘good mother’ and the ‘good patient’: negotiating being a carer and being cared for, and 3) ‘Adjusting to a new normality’. Overall, slow-to-heal wounds embodied women's perceptions of agency over their Caesarean birth experience and achievement of a new motherhood identity. Wherein, successful healing would encompass a sense of normality defined by subjective notions of regaining expected roles and daily activities, previous bodily functions, and maternal status within their families that became disrupted due to delayed wound healing.

Conclusion

Women's narratives support discourse surrounding Caesarean birth and recovery as a biopsychosocial phenomenon. This has important ramifications regarding research and treatment programmes for postnatal women with complex healing that are largely described as ‘invisible’.

背景研究表明，复杂的手术后伤口愈合会显著改变促进恢复的生物心理指标。然而，目前还缺乏对剖腹产伤口愈合缓慢的妇女生活体验的研究。考虑到在英国和全球范围内与手术分娩和伤口愈合不良相关的因素增多，这是一个重要的调查领域。研究目的：本研究旨在探讨剖腹产伤口愈合缓慢的妇女的生活经历。结果对妇女叙述的分析揭示了三个相互关联的首要主题：1）"与该事件相关"：治愈身体和情感创伤；2）"好母亲 "和 "好病人"：在作为照顾者和被照顾者之间进行协商；3）"适应新的常态"。总体而言，缓慢愈合的创伤体现了妇女对其剖腹产经历和实现新母亲身份的主观能动性的认识。其中，成功愈合将包括一种正常感，这种正常感是由恢复预期角色和日常活动、以前的身体功能以及在家庭中的母亲地位等主观概念定义的，而这些由于伤口延迟愈合而变得混乱。这对产后妇女的研究和治疗计划具有重要影响，因为产后妇女的伤口愈合情况复杂，在很大程度上被描述为 "不可见"。

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引用次数: 0

‘It's just one step too far’: Negotiating physical activity for perinatal mental health 一步之遥"：通过体育锻炼促进围产期心理健康

IF 2.6 3区医学 Q1 NURSING

Midwifery

Pub Date : 2024-07-09 DOI: 10.1016/j.midw.2024.104109

Background

Physical activity is recommended as a self-help strategy for some mild to moderate perinatal mental illnesses. Despite this, we know very little about how women remain active, or take up physical activity, in the context of changing family life and perinatal mental illness. We seek to explore: a) how women negotiate physical activity for their mental health during transitions into parenthood and the early years; and b) the experiences of women with perinatal mental illness in relation to physical activity.

Methods

An anonymous UK-wide qualitative online survey was used to better understand how physical activity may be used for perinatal mental health, barriers to activity and changes over time. 186 women with babies and children up to four years completed the survey. Reflexive thematic analysis was used to analyse the qualitative data and generate themes.

Results

Themes generated from this data were: 1) negotiating being active for perinatal mental health (the benefits and how these women remained active); 2) barriers to PA associated with mental illness (some women were active but still experienced general barriers to further PA, and there were several emotional barriers from mental illness); and 3) PA, guilt and the importance of valuing walking (guilt about not being active enough, guilt and feelings of failure exacerbated by questions about PA levels without support offered; regular walking not valued as PA exacerbating feelings of guilt).

Conclusions and Implications

This study provides new empirical data on the experiences of new mothers’, physical activity and mental health with important implications for physical activity messaging and support for women during this time through maternity care. Individualised conversations are important and the value of walking and incidental activity from activities that mothers and families find enjoyable should be promoted.

背景建议将体育活动作为一些轻度至中度围产期精神疾病的自助策略。尽管如此，我们对妇女在不断变化的家庭生活和围产期精神疾病的背景下如何保持活跃或参加体育锻炼知之甚少。我们试图探究：a）妇女在为人父母的过渡时期和幼年时期如何通过体育锻炼来促进其心理健康；b）患有围产期精神疾病的妇女在体育锻炼方面的经历。方法我们在全英国范围内开展了一项匿名定性在线调查，以更好地了解如何通过体育锻炼来促进围产期心理健康、体育锻炼的障碍以及随时间推移发生的变化。186 名有 4 岁以下婴幼儿的妇女完成了调查。我们采用了反思性主题分析法来分析定性数据并生成主题：1) 为围产期心理健康进行积极活动的协商（这些妇女保持积极活动的益处和方式）；2) 与精神疾病有关的积极活动障碍（一些妇女积极活动，但在进一步积极活动时仍会遇到一般障碍，精神疾病也会带来一些情绪障碍）；3) 积极活动、内疚感和重视步行的重要性（对不够积极活动的内疚感、内疚感和失败感会因有关积极活动水平的问题而加剧，但又得不到支持；定期步行不被视为积极活动会加剧内疚感）。结论与启示本研究提供了有关新妈妈的经历、体育锻炼和心理健康的新经验数据，对通过产科护理为这一时期的妇女提供体育锻炼信息和支持具有重要意义。因人而异的对话非常重要，应推广步行和母亲及家人认为愉快的活动中的偶然活动的价值。

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引用次数: 0

Encountering the health and social environment after a pregnancy loss: A grounded theory study from male perspective 遭遇妊娠失败后的健康和社会环境：从男性视角出发的基础理论研究

IF 2.6 3区医学 Q1 NURSING

Midwifery

Pub Date : 2024-07-08 DOI: 10.1016/j.midw.2024.104107

Sara Fernández-Basanta, Carmen Coronado, María-Jesús Movilla-Fernández

Aim

To develop an empirical model that explores and explains the social process of the encounters of men who suffered pregnancy loss with health and social environments.

Methods

A constructivist grounded theory method was performed, whereby 23 couples were interviewed using a semi-structured interview. Men that suffered pregnancy loss were analysed iteratively, with line-by-line and incident-to-incident coding, focused coding and axial coding, until data saturation and the emergence of theory.

Results

The theory Behind bars that hide and mask them illustrates the social process of the encounters of men who suffered pregnancy loss with the health and social environment. Social taboo and gender stereotypes could repress, marginalize, and hide men's feelings. This transposed into the healthcare setting, which focused on the physical aspects of the woman, and lacked an emotional approach, follow-up, and sensitivity. Men reported a lack of recognition or family and social support.

Conclusion

Many men report not feeling involved in the care process after pregnancy loss, in addition to the prioritisation of medicalised care, which can be explained by a medical paternalism approach. These results provide a basis to reflect and plan the inclusion of men for the provision of comprehensive and couple-centred care.

Implications for practice

Communication strategies and emotional management, self-reflection of health professionals, theoretical-practical content with a gender perspective in the training of nurses and midwives, involvement of the organisation and leadership, and further research is required.

方法采用建构主义基础理论方法，通过半结构化访谈对 23 对夫妇进行访谈。结果 "隐藏和掩盖他们的铁窗背后 "这一理论说明了遭受妊娠损失的男性与健康和社会环境相遇的社会过程。社会禁忌和性别刻板印象会压抑、边缘化和隐藏男性的情感。这种情况也反映到医疗环境中，医疗环境只关注妇女的身体状况，而缺乏情感关怀、跟踪和敏感性。结论许多男性表示，他们在失去妊娠后感觉不到自己参与了护理过程，此外，他们还认为医疗护理是优先事项，这可以用医学家长式的方法来解释。这些结果为反思和计划将男性纳入提供全面的、以夫妇为中心的护理提供了依据。对实践的启示沟通策略和情绪管理、医疗专业人员的自我反思、护士和助产士培训中性别视角的理论-实践内容、组织和领导层的参与以及进一步的研究都是必需的。

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引用次数: 0