基于社会生态系统理论的产妇出院后应对困难的质性研究  

Qualitative study on post-discharge coping difficulty of delivery women based on social ecosystem theory

作　　者：刘艳[1,2] 张莉莉 唐美琼[4] 张艺媛 唐奕[6] 彭岚岚[4] 徐云云 高玲玲[2] Liu Yan;Zhang Lili;Tang Meiqiong;Zhang Yiyuan;Tang Yi;Peng Lanlan;Xu Yunyun;Gao Lingling(Department of Nursing,Affiliated Hospital of Guilin Medical University,Guilin 541001,China;School of Nursing,Sun Yat-sen University,Guangzhou 510089,China;Department of Emergency,Affiliated Hospital of Guilin Medical University,Guilin 541001,China;Department of Obstetrics,Affiliated Hospital of Guilin Medical University,Guilin 541001,China;Department of Neonatology,Affiliated Hospital of Guilin Medical University,Guilin 541001,China;Department of Equipment,Affiliated Hospital of Guilin Medical University,Guilin 541001,China)

机构地区：[1]桂林医学院附属医院护理部,桂林541001 [2]中山大学护理学院,广州510089 [3]桂林医学院附属医院急诊科,桂林541001 [4]桂林医学院附属医院产科,桂林541001 [5]桂林医学院附属医院新生儿科,桂林541001 [6]桂林医学院附属医院设备科,桂林541001

出　　处：《中华现代护理杂志》2023年第23期3155-3160,共6页Chinese Journal of Modern Nursing

基　　金：广西医疗卫生适宜技术开发与推广应用项目(S2020114);广西壮族自治区卫生健康委员会自筹经费科研课题(Z-C20220793,Z20201308)。

摘　　要：目的基于社会生态系统理论探讨产妇出院后应对困难情况。方法 2022年3—5月,采用目的抽样法选取桂林医学院附属医院的23名产妇为研究对象。采用现象学研究方法对其进行面对面半结构式访谈。采用内容分析法分析资料,提炼主题。结果提炼出3个主题和11个亚主题,微观层面:照护压力和自身机体恢复问题并存(母乳喂养困难、育儿无力感、焦虑、产妇机体恢复困扰、睡眠剥夺感凸显、照护婴儿及自身康复知识不足);中观层面:生活氛围变化(照顾人员关系冲突、获得家庭支持感和联结感缺乏);宏观层面:社会环境交互作用(居住环境未达到期望、经济负担感、期望实时性的专业指导)。结论产妇出院后应对困难复杂多样。医护人员应借助信息技术、家庭同步赋能、社会工作者介入等方法满足产妇的需求,减轻其出院后应对困难程度。Objective To analyze post-discharge coping difficulty of delivery women based on social ecosystem theory.Methods From March to May 2022,23 delivery women from Affiliated Hospital of Guilin Medical University were selected as research objects by the purpose sampling method.The phenomenological research method was used to conduct face-to-face semi-structured interview.The content analysis method was used to analyze the data and extract the theme.Results A total of 3 themes and 11 sub-themes were extracted.The micro level included 1 theme,namely care stress and self recovery problems coexist,including difficulty in breastfeeding,feeling powerless to raise children,anxiety,disturbance in body recovery of delivery women,prominent sense of sleep deprivation,insufficient knowledge of infant care and body recovery.The mesoscopic level included 1 theme,namely changes in life atmosphere,including caregiver relationship conflict,lack of family support and sense of connection.The macro level included 1 theme,namely interaction of social environment,including living environment not meeting expectations,sense of economic burden,expectation of instant professional guidance.Conclusions The post-discharge coping difficulty of delivery women is complex and varied.Medical staff should use information technology,family synchronous empowerment,social worker intervention and other methods to meet the needs of delivery women,reduce their post-discharge coping difficulties.

关 键 词：产妇 应对困难 社会生态系统理论 质性研究 内容分析法 

分 类 号：R473.71[医药卫生—护理学]