产后2年内女性避孕体验质性研究的meta整合  

Contraceptive experiences of women within two years postpartum:a meta-synthesis of qualitative studies

作　　者：陈蓉薏 邓永芳 沈转兴 周丽川 王妹香 林艳 Chen Rongyi;Deng Yongfang;Shen Zhuanxing;Zhou Lichuan;Wang Meixiang;Lin Yan(School of Nursing,Guangdong Pharmaceutical University,Guangzhou 510315,China;Department of Obstetrics and Gynecology,Women and Children's Medical Center,Guangzhou Medical University Affiliated Women and Children's Medical Center,Guangzhou 510623,China)

机构地区：[1]广东药科大学护理学院,广州510315 [2]广州医科大学附属妇女儿童医疗中心妇产科部,广州510623

出　　处：《中华生殖与避孕杂志》2024年第9期938-945,共8页Chinese Journal of Reproduction and Contraception

基　　金：广州市卫生健康科技项目(20221A011025);广东省护士协会科研课题(gdnurse2024xz05)。

摘　　要：目的:系统整合产后2年内女性避孕体验的质性研究,明确其需求,为后续构建符合产后女性需求的个性化干预提供更加直接、准确的证据。方法:检索PubMed、The Cochrane Library、Embase、Web of Science、PscyINFO、Scoups、CHIAHL 7个英文数据库及中国知网、中国生物医学文献数据库、万方数据库、维普数据库4个中文数据库,收集关于产后女性避孕体验的质性研究。检索时限均为建库到2023年4月30日。采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准进行质量评价,采用汇集性整合方法对结果进行整合。结果:共检索到1488篇相关文献,根据纳入和排除标准,纳入17篇文献,共计产后女性1251名。提炼出41个研究结果,归纳成11个类别,合并为4个整合结果:女性对妊娠间隔内避孕的认知存在差异性、女性避孕信息需求多样性、避孕决策的影响因素多元化、获取产后避孕支持的实践困境。结论:产后2年内女性避孕需求存在多样化特点,医护人员应充分评估其需求以提供个性化的避孕服务,同时促进男性的积极参与,联合家庭、医院、社会等多层面资源提供多维度、持续性支持,以提升生殖健康水平,保障妇幼健康。ObjectiveTo systematically integrate qualitative research on contraceptive experiences of women within two years postpartum to clarify their needs and provide an evidence for developing subsequent support programs for reproductive planning.MethodsWe searched 7 English databases,including PubMed,the Cochrane Library,Embase,Web of Science,PsycINFO,Scopus,CHIAHL,and four Chinese databases,including China National Knowledge Infrastructure,China Biology Medicine disc,Wanfang Data,and VIP Database.Qualitative research studies on postpartum women's contraceptive experiences were collected.The search was conducted up to April 30,2023.The Australian JBI(Joanna Briggs Institute)qualitative research quality assessment criteria was used for quality evaluation,and the convergent synthesis method was employed for result integration.ResultsAccording to the inclusion and exclusion criteria,a total of 17 studies were included from 1488 relevant literatures retrieved,with 1251 postpartum women.Totally 41 findings were categorized into 11 themes and further consolidated into four integrated results:variations in women's awareness of contraceptive during the interpregnancy interval,diversity in women's contraceptive information needs,multifactorial influences on contraceptive decision-making,and practical challenges in accessing postpartum contraceptive support.ConclusionWomen's contraceptive needs within 2 years postpartum exhibit diverse characteristics.Healthcare professionals should thoroughly assess their needs to provide personalized contraceptive services.Simultaneously,encouraging active male involvement and leveraging multi-dimensional,sustained support from family,hospitals,and the community is essential to enhance reproductive health and ensure the well-being of women and children.

关 键 词：避孕 产后避孕 质性研究 Meta整合 

分 类 号：R169.41[医药卫生—公共卫生与预防医学]