Understanding the pregnant women’s experiences during the COVID-19 pandemic:A qualitative study  

新型冠状病毒肺炎疫情期间澳门地区孕妇体验的质性研究

作　　者：Xin Wang Ming Liu Ka Ian Ho Stephen Tee 王新;刘明;何嘉恩;Stephen Tee(Faculty of Health Sciences and Sports,Macao Polytechnic University,Macao SAR,China;Peking University Health Science Center-Macao Polytechnic University Nursing,Academy,Macao Polytechnic University,Macao SAR,China;Faculty of Health and Social Sciences,Bournemouth University,UK)

机构地区：[1]Faculty of Health Sciences and Sports,Macao Polytechnic University,Macao SAR,China [2]Peking University Health Science Center-Macao Polytechnic University Nursing,Academy,Macao Polytechnic University,Macao SAR,China [3]Faculty of Health and Social Sciences,Bournemouth University,UK

出　　处：《International Journal of Nursing Sciences》2022年第3期397-404,I0005,共9页国际护理科学（英文）

基　　金：This work was supported by the Higher Education Fund of the Macao SAR Government.[Grant number:HSS-IPM-2020-01].The funder had no role in design,data collection,and analysis of the study.

摘　　要：Objective To explore and interpret the experiences of pregnant women in Macao region,China during the COVID-19 pandemic.Methods Recruitment advertisements were published through multiple social platforms in Macao region,China.A purposive snowball sampling method was adopted to select interviewees.Eighteen women who were confirmed as pregnant from January to May 2020 participated in this qualitative study.Data was collected from November to December 2020 using in-depth personal interviews.One-to-one interviews were conducted by telephone to avoid personal contact.Thematic analysis was used to perform the data analysis and identify emergent themes.Results Five themes emerged from the data analysis:changes in daily life,psychological distress,unique experiences of pregnancy follow-up,trying to pay attention to health information but also feeling overwhelmed,and change in hygiene behaviors due to fear of infection.Six sub-themes were identified:being confined at home but understanding the reasons,financial pressures and timely support from the government,perceived risk of catching the infection,retaining optimism with various help and support,adequate personal protections,and obsessive hygiene behaviors.Conclusion During a pandemic,there is a risk of greater individual isolation,particularly for vulnerable groups such as women in pregnancy.The humanized attention to and support for the residents from the government buffered the adverse impact on the study participants.Preplanning for such events is needed to focus on psychological distress,financial constraints,and prenatal health services.Alternative service delivery,such as telemedicine,online counseling,and virtual reality(VR)technology,should be applied to offer pregnant women timely support and avoid a crisis.目的探讨和解释新型冠状病毒肺炎疫情期间澳门地区孕妇的体验。方法在澳门地区多个社交平台发布招募广告,以最大化人口统计学特征的多样性为原则,采用目的性滚雪球抽样法,最终18名在2020年1-5月确认怀孕的女性参加此项研究。于2020年11-12月,采用深度个人访谈法收集资料。在疫情期间,为了避免人员接触,通过电话进行一对一访谈。采用主题分析法进行数据分析,并提炼主题。结果通过资料分析提炼5个主题,包括日常生活的变化、心理困扰、孕期检查的特别体验、试图关注健康信息但又感到无所适从、因害怕感染而改变卫生行为。共提炼出6个子主题,包括被限制居家但能理解原因、经济压力和及时得到政府的支持、感知到感染风险、通过各种帮助和支持保持乐观、充分的个人防护措施和清洁卫生方面的强迫行为。结论疫情期间存在较大的个人隔离风险,特别是对孕妇等弱势人群。政府对居民人性化的关注和支持减轻了疫情对研究参与者的不利影响。针对这类事件应制定预案,重点关注心理困扰、财政压力和产前保健服务等内容,采用远程医疗、在线咨询和虚拟现实技术等替代性服务提供方式,及时为孕妇提供支持,避免相关风险。

关 键 词：COVID-19 FEMININITY Health Services Life change events PREGNANCY Qualitative research 

分 类 号：R473.71[医药卫生—护理学]