应用“慢性悲伤理论”克服产后妇女因婴儿死亡而产生的失落感

Dedeh Sri Rahayu
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摘要

世界卫生组织(世卫组织)2012年的数据表明,世界上44%的婴儿死亡发生在生命的头28天(新生儿期)。中央统计局2016年的研究结果指出,婴儿死亡率(IMR)达到25.5%,西爪哇省是孕产妇死亡率(MMR)和婴儿死亡率(IMR)最高的地区之一。子宫内或子宫外的婴儿死亡会引发悲痛和深深的悲伤,这对妇女来说有进行性、重复性和永久性的风险。产科护士通过理论和干预等多种方法,在克服产妇流失问题方面发挥着重要作用。本研究的目的是探讨慢性悲伤理论在万隆沙林寺医院婴儿死亡的产后妇女中的应用。方法:本研究为定性研究。参与者是采用有目的抽样技术选出的5人。数据收集是通过使用伯克/埃克斯慢性悲伤评估工具的指南进行访谈。结果:妇女对婴儿死亡原因的看法有计划(流产)和计划外。参与者有有效的应对策略来处理他们的损失,如社会支持和精神信仰的安慰。结论:被试感受到了慢性悲伤理论对克服丧子心理的有效性。关键词:慢性悲伤理论应用;丧失;产后妇女;
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"CHRONIC SORROW THEORY APPLICATION" TO OVERCOME THE FEELING OF LOSS DUE TO INFANT MORTALITY IN POST-PARTUM WOMEN
Data from the World Health Organization (WHO) in 2012 stated that 44% of infant deaths in the world occurred in the first 28 days of life (neonatal period). The research results of the Central Statistics Agency (CSA) in 2016 noted that the infant mortality rate (IMR) reached 25.5%, West Java Province was one of the contributors to the highest maternal mortality rate (MMR) and infant mortality rate (IMR). Infant mortality inside the womb or outside the womb triggers grief and deep sorrow that is at risk of progressive, repetitive and permanent in women. Nurses in the maternity area play an important role in overcoming the problem of loss through various approaches to either theory or intervention. The purpose of this study was to determine the application of chronic sorrow theory in post-partum women whose babies were dead at Sariningsih Hospital Bandung. Method: This research was qualitative research. Participants were 5 people selected using purposive sampling techniques. Data collection was done by interviewing using a guide from the Burke / Eakes Chronic Sorrow Assessment Tool. Results: It was identified that women's opinions about the causes of infant mortalities were planned (abortion) and unplanned. Participants had effective coping strategies in dealing with their loss such as social support, and spiritual beliefs for comfort. Conclusion: participants felt the effectiveness of the chronic sorrow theory to overcome infant loss.Keywords: chronic sorrow theory application, loss, post-partum women, Qualitative.
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