患有围产期心肌病的母亲的生活经历

Doreen Mukona, Barbara Tsiko, Mathilda Zvinavashe
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摘要

众所周知,围产期心肌病更常发生在非洲妇女或非洲裔妇女身上,并可能造成毁灭性后果。本研究旨在探讨患有产后心肌病的妇女的生活经历。研究采用了现象学方法。研究对象是在帕里雷尼亚特瓦集团医院心脏门诊登记并确诊为围产期心肌病的 6 名妇女。由于自主性受到影响,精神病患者、危重病人和住院病人被排除在研究之外。参与研究者是在接受常规管理时被选中的。研究人员根据半结构式问卷进行了深入访谈。所有参与者均知情同意,研究按照《赫尔辛基宣言》的要求进行。访谈在私人房间进行,填写的问卷和详细的笔记均匿名保存在一个带锁的柜子里,只有研究人员可以进入。研究人员采用手动主题分析法对数据进行分析,并以主题、次主题和代码的形式呈现。专题分析所遵循的阶段包括数据组织、熟悉、转录、编码、确定主题、索引、审查主题、显示和报告。通过观察可信度、可依赖性、可确认性和可转移性来确保可信度。研究确定了三大主题,即:诊断经验、社会心理紧张和支持因素。被诊断患有围产期心肌病的妇女会经历生理、心理和情感压力。社会心理支持对于围产期心肌病的治疗至关重要。
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LIVED EXPERIENCES OF MOTHERS WITH PERIPARTUM CARDIOMYOPATHY
Peripartum cardiomyopathy is known to occur more commonly in African women or those of African descent, with potentially devastating consequences. The purpose of this study was to explore the lived experiences of women with post-partum cardiomyopathy. A phenomenological approach was used. The study was conducted with 6 women with a confirmed diagnosis of peri-partum cardiomyopathy who were registered with the Parirenyatwa Group of Hospitals Cardiac clinic. Excluded from the study, due to compromised autonomy, were the mentally ill, critically ill, and the institutionalized. Participants were selected as they came for routine management. In-depth interviews, following semi structured questionnaires, were conducted. All participants gave informed consent, and the study was conducted according to the requirements of the Declaration of Helsinki. Interviews were held in a private room and filled in questionnaires and detailed notes were anonymized and kept in a lockable cupboard to which the researchers had sole access. Manual thematic analysis was used to analyze the data and it was presented in themes, subthemes, and codes. The stages of thematic analysis followed were data organization, familiarization, transcription, coding, identifying themes, indexing, reviewing themes, displaying, and reporting. Trustworthiness was ensured by observing credibility, dependability, confirmability, and transferability. Three major themes namely: experience on diagnosis, psychosocial tension and supporting factors were identified. Women diagnosed with peripartum cardiomyopathy experience physical, psychological, and emotional stress. Psychosocial support is very vital in the management of peripartum cardiomyopathy.
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