产妇分娩疼痛经历质性研究的Meta整合

doi:10.3761/j.issn.1672-9234.2023.06.016

摘要/Abstract

摘要：

目的系统评价产妇分娩疼痛经历的质性研究，为分娩疼痛管理提供依据。方法检索PubMed、Cochrane Library、Web of Science核心合集、Embase、PsyINFO、Scopus、CINAHL、中国知网、万方、中国生物医学文献数据库（SinoMed）关于产妇分娩疼痛经历的质性研究，检索时限为建库至2022年9月。采用JBI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Meta整合的方法进行结果整合。结果共纳入8篇文献，研究结果提炼出35个结果，归纳形成了10个类别，进一步综合得出3个整合结果，分别为分娩疼痛的多维体验与影响、产妇应对分娩疼痛的方式、产妇面对分娩疼痛的支持需求。结论产妇分娩期间的疼痛经历个体差异大，应对方式多样，需要相关支持；医护人员应重视产妇的分娩疼痛，提供支持与鼓励，帮助产妇更好地应对分娩疼痛，改善其分娩体验。

关键词: 分娩疼痛, 定性研究, 体验, Meta整合

Abstract:

Objective To systematically evaluate researches about the maternal labor pain experience and provide recommendations for effective management of labor pain. Methods PubMed、the Cochrane Library、Web of Science、Embase、PsyINFO、Scopus、CINAHL、CNKI、Wanfang Data and SinoMed were searched for qualitative studies on maternal labor pain experience from the establishment of database to Sep. 2022. The quality of the literature was evaluated using the Jonna Briggs Institute（JBI） Center for Evidence-Based Health Care Quality Assessment Criteria for Qualitative Research （2016），and the results were integrated using a pooled Meta-integration method. Results A total of eight articles were included，and 35 findings were extracted，which were summarized into ten new categories and integrated into three synthesized findings. Findings included that multidimensional experience and impact of labor pain；maternal coping with labor pain；maternal support needs faced with labor pain. Conclusion The intensity of pain experienced during childbirth varies greatly among individual women，and there are diverse coping methods. Therefore，in order to facilitate a better childbirth experience，women require relevant support during this process. Healthcare professionals should attach great importance to the pain experienced by women during childbirth，providing active support and encouragement to assist them in coping with pain，and improve their childbirth experience.

Key words: Labor Pain, Qualitative Research, Experience, Meta-synthesis

章晓明,徐亦虹,潘红英,张熔熔,刘敏君,乔世娜,吴黎莉. 产妇分娩疼痛经历质性研究的Meta整合[J]. 中华护理教育, 2023, 20(6): 727-733.

ZHANG Xiaoming,XU Yihong,PAN Hongying,ZHANG Rongrong,LIU Minjun,QIAO Shina,WU Lili. Meta-synthesis of qualitative research on maternal labor pain experience[J]. Chinese Journal of Nursing Education, 2023, 20(6): 727-733.

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