围产期丧失胎儿产妇对基于安宁疗护告别仪式体验的质性研究

A qualitative study on the experience of farewell ceremony based on perinatal care for women with perinatal loss of fetus

目的 深入了解围产期丧失胎儿产妇经历基于安宁疗护告别仪式的内心感受。方法 采用目的抽样法,选取2020年3月—2021年3月南京市某三级甲等妇产专科医院的15例围产期丧失胎儿经历基于安宁疗护告别仪式的产妇进行半结构式深入访谈,运用Colaizzi 7步分析法分析访谈资料,提炼主题。结果 围产期丧失胎儿产妇对基于安宁疗护告别仪式的体验可归纳为3个主题:告别仪式的需求、复杂的情感交织、感知社会支持的改变。结论 基于安宁疗护的告别仪式可以使围产期丧失胎儿产妇的负性情绪得到合理的宣泄,帮助其缓解紧张、焦虑情绪,减轻丧失带来的痛苦,降低抑郁的发生。护理人员应重视围产期丧失胎儿产妇的心理需求,通过专业的技术和手段,帮助其正确面对并接受丧失现实,最终实现家庭健康发展。

Objective To deeply understand the inner feelings of farewell ceremony on pregnant women with perinatal loss of fetus. Methods A descriptive qualitative approach was conducted and a total of 15 women experiencing perinatal loss were enrolled for semi-structural in-depth interviews between March 2020 to March 2021from a tertiary A obstetrics and gynecology hospital in Nanjing. The Colaizzi method was used to analyze the data.Results 3 themes were extracted,namely needs of farewell ceremony,the interweaving of complex emotions,change of perceived social support. Conclusion The farewell ceremony based on hospice care can help mothers reasonably release their negative emotions of perinatal loss,help them relieve stress,anxiety,ease the pain of loss,reduce the occurrence of the depression. Nursing staff should pay attention to perinatal maternal psychological needs,and help them face and accept the reality of the loss with professional technology and means,and ultimately realize the healthy development of family.