初产妇配偶在陪伴分娩过程中的体验研究

Experiences of spouse accompanied delivery in primiparas

目的 了解初产妇配偶在陪伴分娩过程中的体验,探究其主观感受与需求,为进一步提高配偶陪伴分娩质量提供依据.方法 运用质性研究的方法,采用深度访谈法收集符合纳入标准的14名陪伴分娩配偶的资料,用现象学方法对获得信息进行分析、整理、提炼主题.结果 初产妇配偶在陪伴分娩过程中的体验主要有4个方面：认可配偶陪伴分娩服务模式;渴望获得更多的分娩知识和陪伴分娩技能;陪伴分娩人员的选择有待更加个性化、人性化;认为助产士的专业素质高,但在沟通上有障碍.结论 陪伴分娩服务模式受到产妇配偶的认可,陪伴分娩的体验以正性为主.建议加强配偶陪伴分娩健康教育,关注配偶陪伴分娩需求,减少其负性情绪;重视助产士与陪伴分娩配偶之间的沟通,进一步提高配偶陪伴分娩质量.

Objective To understand the experiences of spouse accompanied delivery-in primiparas,and to explore the perceptions and needs in order to provide evidences of improving the quality of spouse accompanied delivery.Methods Qualitative method was applied to this study and the data of 14 eligible spouses of the primiparas were collected from the depth interviews.Then the data were analyzed and refined using phenomenological method.Results The experiences of spouse accompanied delivery were concluded to four aspects：the acceptance of the spouse accompanied delivery mode;the desire of acquiring more knowledge and skills of delivery;the personalization and humanity of the choice of whom to be accompanied during the delivery needed further development;the good professional qualities but poor communication of the midwives.Conclusions The spouse accompanied delivery mode is highly accepted with positive experiences.However,the health education of the mode and the communication between midwives and spouses need to be further developed,in order to improve the quality of the delivery.