护士进修杂志2024,Vol.39Issue(8) :860-864.DOI:10.16821/j.cnki.hsjx.2024.08.014

基于基本心理需要理论的孕妇分娩恐惧心理体验的质性研究

Qualitative study on the psychological experience of pregnant women with fear of childbirth based on the basic psychological needs theory

王圆圆 刘洪园 戴佳旸 郭璐 余晓萍 张艳 朱春云 孔祥
护士进修杂志2024,Vol.39Issue(8) :860-864.DOI:10.16821/j.cnki.hsjx.2024.08.014

基于基本心理需要理论的孕妇分娩恐惧心理体验的质性研究

Qualitative study on the psychological experience of pregnant women with fear of childbirth based on the basic psychological needs theory

王圆圆 1刘洪园 1戴佳旸 2郭璐 2余晓萍 1张艳 1朱春云 3孔祥4
扫码查看

作者信息

  • 1. 仪征市人民医院,江苏仪征 211400
  • 2. 扬州大学护理学院公共卫生学院,江苏扬州 225009
  • 3. 江苏省苏北人民医院,江苏扬州 225009
  • 4. 扬州大学临床医学院,江苏扬州 225009
  • 折叠

摘要

目的 了解基于基本心理需要理论(BPNT)的孕妇分娩恐惧(FOC)心理体验.方法 采用目的抽样法,选取2022年2-5月在扬州市3所三级医院产检的13例FOC孕妇,采用现象学分析法进行半结构式访谈,运用Colaizzi 7步分析法分析访谈资料并提炼主题.结果 提炼出4个主题和7个亚主题:自主需要未满足(分娩计划参与度低、产程中自控感低)、胜任需要未满足(缺乏分娩相关知识、分娩自我效能低)、归属需要未满足(医务人员支持需要未满足、家庭支持需要未满足、同伴支持需要未满足)、积极与消极应对共存.结论 医务人员应促进孕妇参与分娩计划,减少分娩失控感,提升自主需要满足;提供多形式信息支持,提升分娩自我效能,促进胜任需要满足;促进多方社会支持,提升归属需要满足;改善消极应对策略,提升基本心理需要满足,促进围产期心理健康.

Abstract

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

引用本文复制引用

基金项目

江苏省妇幼健康科研项目(F201809)

扬州市科技计划(YZ2017075)

出版年

2024
护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
参考文献量30
段落导航相关论文