Objective To understand psychological experience of pregnant women with fear of childbirth(FOC)based on the basic psychological needs theory(BPNT).Methods A total of 13 FOC pregnant women who had their delivery in 3 Grade A hospitals in Yangzhou from February to May 2022 was selected by purpose sampling method,and were interviewed in a semi-structured manner using the phenomenological analysis method,and Colaizzi's 7-step analysis method was used to analyze interview data and refine the themes.Results A total of 4 themes and 7 sub-themes were identified:Unmet need for autonomy(low participation in the birth plan,low sense of self-control dur-ing labor);Unmet need for competence(lack of knowledge about labor,low self-efficacy in labor);Unmet need for relatedness(unmet need for support from healthcare workers,unmet need for support from family,and unmet need for support from peers);Co-existence of positive and negative coping.Conclusion Healthcare workers need to pro-mote pregnant women's participation in birth planning to reduce the sense of birth loss and enhance autonomy needs satisfaction,provide multiple forms of information support to enhance birth self-efficacy and competence needs satis-faction,promote multiple social support to enhance relatedness needs satisfaction,and improve negative coping strategies to enhance basic psychological needs satisfaction and promote perinatal mental health.
关键词
孕妇/分娩恐惧/基本心理需要/质性研究/护理
Key words
pregnant women/fear of childbirth/basic psychological needs/qualitative study/nursing