男性参与创伤性分娩体验质性研究的Meta整合

Meta synthesis of qualitative research on male participation in traumatic childbirth experience

目的系统评价男性参与创伤性分娩体验的质性研究,为促进准父亲的身心健康及制订相关干预措施提供参考。方法计算机检索PubMed、Embase、Web of Science、Spring Link、Cochrane Library、中国知网、中国生物医学文献数据库、万方数据库公开发表的关于男性参与创伤分娩体验的质性研究,检索时限从建库至2022年6月,采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准对文献进行质量评价,运用Meta整合中的汇集性整合方法进行结果整合。结果共纳入12篇文献,提炼出51个主题,进一步归纳为10个类别,综合形成4个整合结果:负性情感体验突出;决策参与缺乏、与医护人员沟通有限;创伤分娩经历对男性的影响;创伤分娩后的感悟及应对。结论医护人员要重视男性参与创伤分娩的情感体验,满足其陪产过程中的决策信息需求,产后及时识别负性情绪并给予帮助与支持,强化以家庭为中心的围生期健康服务模式,促进准父亲的身心健康,增进家庭福祉。

Objective To systematically review the qualitative research on male participation in traumatic childbirth experience,and to provide reference for promoting and improving the physical and mental health and paternity experience of expectant fathers.Methods Qualitative research on male participation in traumatic childbirth experience published in databases of PubMed,Embase,Web of Science,Spring Link,the Cochrane Library,China National Knowledge Infrastructure(CNKI),China Biomedical Literature Database(CBM)and Wanfang Database were searched from the establishment of the database to June 2022.The quality of literature was evaluated by the quality evaluation standard of Australian JBI Evidence-based Health Care Center,and the pooled integration method in Meta integration was used to integrate the results.Results A total of 12 articles were included,and 51 main research results were extracted,which were further summarized into 10 categories,and 4 integrated results were formed:men had prominent negative emotional experience;men lack decision-making participation and communication with medical staff during traumatic childbirth;the impact of traumatic childbirth experience on men;perception and coping after traumatic childbirth.Conclusions Medical staff should pay attention to the emotional experience of men participating in traumatic childbirth,meet their decision-making information needs in the process of accompanying delivery,identify negative emotions in time after delivery and provide help and support,strengthen the family-centered perinatal health service model,promote the physical and mental health of expectant fathers,and improve the family well-being.