羊膜腔穿刺术前孕妇决策困境的现象学研究

Decisional conflict among pregnant women indecisive about amniocentesis:a phenomenological study

目的 深入了解孕妇面临羊膜腔穿刺术的决策困境,为针对性干预提供参考。方法 运用现象学研究方法,对孕12~32周产前检查胎儿呈现异常、拟行羊膜腔穿刺术的15例孕妇进行半结构式访谈,采用Colaizzi七步分析法分析资料、提炼主题。结果 提炼出决策内容困境(决策知识困境,决策信息冲突)、决策支持困境、决策时间困境3个主题。结论 孕妇面临羊膜腔穿刺术存在多重决策困境,受多种因素影响,医护人员应加以重视,及时采取针对性措施改善其决策困境。

Objective To investigate the decisional conflict among pregnant women considering amniocentesis and to provide reference for targeted intervention.Methods A phenomenological research design was used.Semi-structured interview was conducted among 15 pregnant women who had a prenatal diagnosis of fetuses with abnormalities at 12-32 weeks′gestation and scheduled for amniocentesis.Data were analyzed using Colaizzi′s 7-step method.Results Three themes were extracted from the interviews:dilemmas of decision content(deficiency of decision knowledge and conflicting information),dilemmas of decision support,and dilemmas of decision time.Conclusion Pregnant women considering amniocentesis experience multiple decision dilemmas,which are influenced by a variety of factors.Medical staff should pay attention to and take targeted measures to mitigate their decisional conflict.