助产士对围生期丧失护理体验质性研究的Meta整合
Midwives'experiences of providing care for women with perinatal loss:a meta-syn-thesis of qualitative research
袁媛 1魏诗雨 1李康芬 1鲁杰 1涂素华 2任敏3
作者信息
- 1. 西南医科大学护理学院(四川泸州,646000)
- 2. 西南医科大学附属医院护理部
- 3. 西南医科大学附属医院产科
- 折叠
摘要
目的 系统评价助产士对围生期丧失护理的体验和感受,为改善助产士身心健康水平、提高围生期丧失护理质量提供参考.方法 计算机检索国内外常用的中英文数据库中关于助产士对围生期丧失护理经历和体验的质性研究,检索时限为建库至2024年1月.采用JBI循证卫生保健中心质性研究质量评价工具进行文献质量评价,运用汇集性整合方法归纳研究结果.结果 共纳入16篇文献,提炼出69个原始研究结果,归纳成11个类别,综合形成4个整合结果:助产士在围生期丧失护理中的负性体验,采取不同类型的策略来应对围生期丧失护理,围生期丧失护理后的自我调适与成长,围生期丧失护理中面临的困境及需求.结论 围生期丧失护理给助产士带来一定的挑战,医院应重视助产士在围生期丧失护理中的负性体验,引导积极的自我调适,以维护助产士身心健康.
Abstract
Objective To systematically evaluate midwives'experiences and feelings of caring for women with perinatal loss,and to provide reference for improving their physical and mental health as well as quality of care.Methods We searched domestic and fo-reign electronic databases for studies using qualitative methods and reporting midwives'experiences of caring for women with peri-natal loss,from the establishment of the databases to January 2024.Methodological quality of the included research was assessed using JBI Critical Appraisal Checklist for Qualitative Studies,and meta-aggregation was used to synthesize statements.Results Six-teen studies were included and 69 findings were extracted.These findings were then classified into 11 categories and condensed into 4 themes:negative experiences;adopting different coping strategies;adaptation and growth;dilemma and needs.Conclusion Caring for woman with perinatal loss is a challenge for midwives.Hospital managers should pay attention to negative experiences of mid-wives providing perinatal loss care,and help them to adapt,in an effort to maintain their physical and mental health.
关键词
助产士/围生期丧失/哀伤辅导/体验/创伤后应激/应对策略/质性研究/Meta整合Key words
midwives/perinatal loss/bereavement care/experience/post-traumatic stress/coping strategy/qualitative research/meta-synthesis引用本文复制引用
基金项目
2022年泸州市重点研发科技计划项目(2022-SYF-52)
2023年自贡市哲学社会科学重点研究基地运动与健康创新研究中心科研项目(YDJKY23-23)
出版年
2024
NETL
NSTL
万方数据