胎儿丢失妇女再次妊娠期间心理体验的Meta整合  

Psychological experience during subsequent pregnancy in women with fetal loss:a meta-synthesis

作　　者：张菲 李卫涛 吴丽萍[1] 卢虹 Zhang Fei;Li Weitao;Wu Liping;Lu Hong(School of Nursing,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100144,China)

机构地区：[1]中国医学科学院北京协和医学院护理学院,北京100144

出　　处：《中华现代护理杂志》2025年第10期1357-1363,共7页Chinese Journal of Modern Nursing

基　　金：北京协和医学院护理学院院级科研课题(PUMCSON202311)。

摘　　要：目的系统评价胎儿丢失妇女再次妊娠期间的心理体验,为今后更好地开展胎儿丢失妇女再次妊娠护理工作提供参考。方法计算机检索维普网、中国生物医学文献数据库、中国知网、万方数据库、Cochrane Library、PubMed、Embase、Web of Science、PsycINFO等中英文数据库中关于胎儿丢失妇女再次妊娠期间心理体验的质性研究,检索时间为建库至2024年8月15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进行文献质量评价,运用汇集性整合方法进行资料整合分析。结果共纳入11篇文献,提炼出34个研究结果,将相似结果归纳为9个新类别,整合3个整合结果,分别为积极情绪与消极情绪共存、需要多方位的社会支持、采取策略应对再次妊娠期间的负性情绪。结论胎儿丢失妇女再次妊娠期间心理体验复杂,医护人员应重点关注该类人群,及时且准确识别妇女的心理状态,为其提供针对性的支持,以帮助其顺利度过妊娠期。Objective To systematically evaluate the psychological experience of women with fetal loss during subsequent pregnancy and to inform future care for women with fetal loss during subsequent pregnancy.Methods Qualitative studies on the psychological experience of women with fetal loss during subsequent pregnancy was electronically searched in Chinese and English databases such as VIP,China Biology Medicine disc,China National Knowledge Infrastructure,Wanfang Database,Cochrane Library,PubMed,Embase,Web of Science,PsycINFO.The search period was from database establishment to August 15,2024.Literature quality was assessed using the quality evaluation criteria for qualitative research of the Australia Joanna Briggs Institute Evidence-Based Health Care Center,and data integration and analysis was performed using the aggregative synthesis approach.Results A total of 11 articles were included.Thirty-four findings were distilled,similar findings were grouped into nine new categories,and three integrative findings were consolidated for the coexistence of positive and negative emotions,the need for multifaceted social support,and strategies to cope with negative emotions during subsequent pregnancy.Conclusions Women with fetal loss have a complex psychological experience during subsequent pregnancy.Medical and nursing staff should focus on this group of people,identify the psychological state of women in a timely and accurate manner,and provide them with targeted support to help them get through their pregnancy.

关 键 词：围产期保健 胎儿丢失 再次妊娠 心理体验 质性研究 Meta整合 

分 类 号：R71[医药卫生—妇产科学]