孕产妇经历胎儿异常事件体验的Meta整合

doi:10.3761/j.issn.1672-9234.2023.11.017

摘要/Abstract

摘要：

目的系统评价孕产妇经历胎儿异常事件的真实体验。方法计算机检索中英文数据库PubMed、Web of Science、Embase、Cochrane Library、中国知网、万方数据库、维普数据库和中国生物医学文献数据库中关于经历胎儿异常孕产妇情感体验的质性研究，检索时限为建库至2022年10月。使用2016版澳大利亚JBI循证卫生保健中心质性研究质量评价标准进行文献质量评价，采用汇集性整合方法进行内容整合。结果共纳入15篇文献，提炼出45个主题，归纳为9个类别，形成3个整合结果：胎儿异常导致孕产妇出现多种负性心理体验；孕产妇社会支持不足，渴求并感恩外部的多元化支持和帮助；心态转变积极，获得个人成长。结论经历胎儿异常的孕产妇普遍承受着巨大的身心压力，护理人员应该理解其面临的困境，重视其心理感受，给予情感支持和疏导，协助构建和完善其社会支持系统，以提高孕产妇的生活质量和心理健康水平。

关键词: 妇女, 妊娠期, 胎儿发育, 定性研究, 循证护理学, Meta整合

Abstract:

Objective To systematically evaluate the real experience of pregnant women experiencing fetal anomaly events. Methods Qualitative studies on emotional experience of pregnant and pregnant women experiencing fetal abnormalities were searched by computer in Chinese and English databases including PubMed，Web of Science，Embase，Cochrane Library，CNKI，Wanfang Database，VIP database and Chinese Biomedical Literature database. The search period was set from the establishment of the database to October 2022. The quality of the literature was evaluated using the 2016 edition of the Australian JBI Quality Evaluation Criteria for evidence-based Health care Center quality research，and a pooled integration method was adopted. Results A total of 15 literatures were included，and 45 topics were summarized into nine categories. Finally，three integration results were formed，namely fetal abnormalities lead to a variety of negative psychological experiences in pregnant women，lacking of social support for pregnant women who are eager for and grateful for diversified external support and help，maternal mentality change，positive adjustment，reflection and personal growth. Conclusion Pregnant women who experienced fetal abnormalities generally suffer from great physical and mental pressure. Nursing staffs should understand the dilemmas they faced，pay attention to their psychological feelings，give emotional support and counseling，and assist in the establishment and improvement of their social support system in order to improve the quality of life and mental health of pregnant women.

Key words: Women, Pregnant, Fetal Development, Qualitative Research, Evidence-Based Nursing, Meta-Synthesis

周丽萍, 李金云, 刘雪, 张雯, 董玉娇, 王爱红. 孕产妇经历胎儿异常事件体验的Meta整合[J]. 中华护理教育, 2023, 20(11): 1383-1390.

ZHOU Liping, LI Jinyun, LIU Xue, ZHANG Wen, DONG Yujiao, WANG Aihong. Maternal experience of abnormal fetal events：a Meta-synthesis[J]. Chinese Journal of Nursing Education, 2023, 20(11): 1383-1390.

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