胎儿异常引产产妇产褥期心理体验的质性研究  

Women’s experiences of termination of pregnancy for a fetal anomaly during the postpartum period:a qualitative study

作　　者：周小莉 杨孟叶 钱嘉璐 孙世文 吴孟玮 肖云霞[1] 余晓燕[2] ZHOU Xiaoli;YANG Mengye;QIAN Jialu;SUN Shiwen;WU Mengwei;XIAO Yunxia;YU Xiaoyan

机构地区：[1]浙江大学医学院附属妇产科医院产科,杭州市310006 [2]浙江大学医学院附属妇产科医院对外联络办公室,杭州市310006

出　　处：《中华护理杂志》2019年第9期1359-1363,共5页Chinese Journal of Nursing

基　　金：浙江省基础公益研究项目(LGF18H040004);中国疾病预防控制中心妇幼保健中心“合生元母婴营养与健康研究项目”(2017FYH006)

摘　　要：目的探讨胎儿异常引产产妇产褥期真实的心理体验,为开展针对性的心理干预提供参考依据,促进胎儿异常引产产妇的心理康复。方法运用现象学研究法并结合广泛性焦虑量表、患者健康问卷,选取2018年6月—9月在杭州市某妇产医院产后门诊就诊的13名胎儿异常引产产妇为研究对象,于引产42 d后对其进行访谈和心理量表测评,通过Colaizzi 7步法对访谈内容进行分析。结果胎儿异常引产产妇产褥期心理体验可归纳为4个主题:①产褥期产妇存在不同程度焦虑、抑郁情绪;②负性心理体验与积极心理体验并存;③影响产褥期负性情绪的因素较多;④产褥期产妇的社会支持水平明显不足。结论胎儿异常引产产妇产褥期的心理体验不容乐观,应引起医院、社区及家庭的关注。Objective To explore the real experiences of pregnant women underwent termination of pregnancy due to fetal anomaly during the postpartum period,in order to provide reference and develop targeted interventions to improve women’s mental state.Methods Using phenomenological method,combined with the General Anxiety Scale(GAS) Generalized Anxiety Disorder Scale and the Patient Health Questionnaire,13 abnormal fetal induced labor women who visited the postpartum clinic of a maternity hospital in Hangzhou from June to September 2018 were selected as subjects. After 42 days of induced labor,participants were interviewed and assessed with the Psychological Scale. The interview content was analyzed by Colaizzi’s 7-step method.Results Four themes emerged as the psychological experience of women with abnormal induced abortion during postpartum period:①Women suffered from varying levels of anxiety and depression during postpartum period;②Coexisting of negative and positive experiences;③ Multiple factors aggravating negative experiences during postpartum period;④ Obviously insufficient social support for women during postpartum period.Conclusion Psychological experience of women underwent termination of pregnancy due to fetal anomaly during the postpartum period is not optimistic,which should attract attention of hospitals,communities and families.

关 键 词：胎儿异常 产褥期 心理体验 质性研究 产科护理 

分 类 号：R473.71[医药卫生—护理学]