未分化结缔组织病合并妊娠孕妇及其配偶压力二元应对体验的质性研究  

A qualitative study on the dyad coping experience of stress in pregnant women with undifferentiated connective tissue disease and their spouses

作　　者：陶伏莹 刘皓昕 贾瑞喆[3] 乌兰 付东英[1] 周文清 田莹莹 TAO Fuying;LIU Haoxin;JIA Ruizhe;WU Lan;FU Dongying;ZHOU Wenqing;TIAN Yingying

机构地区：[1]南京医科大学附属妇产医院/南京市妇幼保健院手术室,南京市210004 [2]南京医科大学附属妇产医院/南京市妇幼保健院麻醉科,南京市210004 [3]南京医科大学附属妇产医院/南京市妇幼保健院产科,南京市210004 [4]南京医科大学附属妇产医院/南京市妇幼保健院综合诊疗部,南京市210004

出　　处：《中华护理杂志》2024年第22期2760-2765,共6页Chinese Journal of Nursing

基　　金：南京市卫生科技发展专项资金项目(YKK23155,YKK23157);南京医科大学科技发展基金项目(NMUB-20220087)

摘　　要：目的探讨未分化结缔组织病合并妊娠孕妇及其配偶压力二元应对体验,为制订二元应对干预措施提供依据。方法采用目的抽样法,选取2023年4月—8月在江苏省某妇产医院妊娠合并免疫疾病门诊就诊的15对孕妇及其配偶作为研究对象,进行半结构式访谈,采用Colaizzi 7步分析法进行内容分析,基于发展背景应对模型制订访谈提纲及整合主题。结果未分化结缔组织病合并妊娠孕妇及其配偶压力二元应对体验可归纳为3个主题(积极与消极压力体验并存;压力二元应对的方式多样;压力适应后的成长与挑战)和11个亚主题。结论医护人员应重视未分化结缔组织病合并妊娠孕妇及其配偶的压力应对问题,采取措施调节夫妇双方负性情绪,强化多方支持,帮助夫妇采取积极应对方式,促进良好压力适应。Objective To explore the dyad coping experience of stress in pregnant women with undifferentiated connective tissue disease and their spouses,providing a basis for developing dyadic coping intervention measures.Methods By purposive sampling,15 pairs of pregnant women and their spouses who visited the outpatient clinic for pregnancy complicated with immune diseases in a maternity hospital in Jiangsu Province from April to August 2023 were selected as the research subjects for semi-structured interviews.Content analysis was conducted using the Colaizzi 7-step method,and an interview outline and integrated themes were developed based on the Developmental Contextual Coping Model.Results 3 themes(coexistence of positive and negative stress experiences;diverse approaches to dyadic coping with stress;growth and challenges following stress adaptation)and 11 subthemes were identified.Conclusion Healthcare professionals should attach importance to the stress coping issues of pregnant women with undifferentiated connective tissue disease and their spouses,take measures to regulate the negative emotions of couples,ensure multi-faceted support,help the couple adopt positive coping strategies,and promote good stress adaptation.

关 键 词：未分化结缔组织病 孕妇 配偶 二元应对 质性研究 产科护理 

分 类 号：R473.71[医药卫生—护理学]