产妇对自由分娩体位真实体验质性研究的Meta整合  

Real experience of puerpera in free delivery positions:a Meta-synthesis of qualitative research

作　　者：刘娟 乔建红[2] 李晖 栾琳琳 杨昕宇 张素瑜 卢振玲 张华亭 Liu Juan;Qiao Jianhong;Li Hui;Luan Linlin;Yang Xinyu;Zhang Suyu;Lu Zhenling;Zhang Huating(Second Department of Anesthesiology and Surgery,Shandong Provincial Hospital Affiliated to Shandong First Medical University(Shandong Provincial Hospital),Jinan 250021,China;Outpatient Department,Shandong Provincial Qianfoshan Hospital,Jinan 250014,China;Department of Gynecology,Shandong Provincial Hospital Affiliated to Shandong First Medical University(Shandong Provincial Hospital),Jinan 250021,China)

机构地区：[1]山东第一医科大学附属省立医院(山东省立医院)麻醉手术科二部,济南250021 [2]山东省千佛山医院门诊部,济南250014 [3]山东第一医科大学附属省立医院(山东省立医院)妇科病房,济南250021

出　　处：《中华现代护理杂志》2023年第28期3842-3848,共7页Chinese Journal of Modern Nursing

基　　金：山东省人文社会科学课题(2021-ZXJK-22);山东第一医科大学(山东省医学科学院)青年科学基金培育资助计划(自然科学)(202201-088)。

摘　　要：目的系统分析和整合产妇对自由分娩体位的真实体验。方法计算机检索PubMed、ScienceDirect、Embase、Cochrane Library、Web of Science、中国知网和万方数据库中关于产妇对自由分娩体位的看法和情感体验的质性研究或混合研究,检索时限为建库至2022年11月30日。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准(2016)评价文献质量,采用汇集性整合方法整合结果。结果共纳入5篇文献,提炼出28个研究结果,归纳形成10个类别,综合形成3个整合结果,分别为影响分娩体位选择的因素、产妇的复杂分娩体验、希望得到更多支持。结论医院、社区以及家庭应充分了解女性对自由分娩体位情感体验与需求,给予足够的支持与指导,为其制订合理的分娩体位方案,促进积极的分娩体验提供参考依据。Objective To systematically analyze and integrate the real experience of puerpera in free delivery positions.Methods Qualitative or mixed method studies on attitudes and emotional experiences of puerpera towards free delivery positions were retrieved through computer on PubMed,ScienceDirect,Embase,Cochrane Library,Web of Science,China National Knowledge Infrastructure,and WanFang Data.The search period was from database establishment to November 30,2022.The quality of literature was evaluated using the quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center in Australia.The aggregation integration method was used to integrate the results.Results A total of 5 articles were included and 28 results were extracted.The results were summarized into 10 categories,and 3 integrated results were formed,including factors that affected the choice of delivery position,the complex delivery experience of the puerpera,and the hope for much support.Conclusions Hospitals,communities,and families should fully understand women's emotional experiences and needs for free delivery positions,provide sufficient support and guidance,and provide a reference basis for developing a reasonable delivery position plan and promoting a positive delivery experience.

关 键 词：产妇 自由分娩体位 分娩姿势 体验 需求 质性研究 

分 类 号：R473.71[医药卫生—护理学]