围生期丧失再妊娠时父母心理状态的范围综述

Parents′mental state of re-pregnancies after perinatal loss:a scoping review

目的对围生期丧失再妊娠时父母心理状态的相关研究进行范围综述,总结研究现状,为今后研究和干预提供参考。方法检索从建库至2020年12月中国生物医学文献数据库、中国知网、维普数据库、万方数据库、Medline、CINAHL、Web of Science、psychINFO、Cochrane Library的文献,筛选与该人群心理状态、感受、经历等相关的研究,并以JBI范围综述指南为方法学框架进行分析。结果最终纳入25篇文献,包括11篇质性研究及14篇量性研究。围生期丧失导致父母再妊娠时心理疾病的发生风险增加、面临新的希望与不确定感复杂交织,父亲更面临了双重身份的困扰,但部分父母仍能从围生期丧失中获得益处。结论目前我国缺乏对围生期丧失再妊娠父母的关注,医护人员应尊重父母情感表达的差异性,制订针对性干预措施,降低围生期丧失的消极影响,引导再妊娠父母积极心理的产生。

Objective To summarize the scope of relevant research on the psychological state of parents during perinatal loss of re-pregnancy,and summarize the research status,so as to provide reference for future research and intervention.Methods From the establishment of the database to December 2020,the literatures of China biomedical literature database,China Knowledge Network,VIP,Wanfang database,Medline,CINAHL,Web of Science,psychINFO and Cochrane Library were searched,the studies related to the psychological state,feelings and experience of the population were screened,and the JBI scope Review Guide was used as the methodological framework for analysis.Select the research related to the psychological state,feelings and experience of the population,and use the JBI scope review guide as the methodological framework for analysis.Results Finally,25 literatures were included,including 11 qualitative studies and 14 quantitative studies.Perinatal loss leads to an increased risk of psychological diseases when parents were re-pregnants,facing a complex mixture of new hope and uncertainty,and fathers were even more troubled by dual identity,but some parents could still benefit from perinatal loss.Conclusions At present,China is lack of attention to the parents of perinatal loss of re-pregnancy.Medical staff should respect the differences of parents′emotional expression,formulate targeted intervention measures,reduce the negative impact of perinatal loss,and guide the generation of positive psychology of the parents of re pregnancy.