以质量求发展，以服务铸品牌

护理学报 ›› 2020, Vol. 27 ›› Issue (10): 5-9.doi: 10.16460/j.issn1008-9969.2020.10.005

• 研究生园地 • 上一篇    下一篇

妊娠期高血压疾病患者患病体验的质性研究

黄莺莺1,2, 曹卫平3, 韦嘉洁4, 李妍1   

  1. 1.江苏大学医学院,江苏 镇江 212000;
    2.苏州大学附属常熟医院/常熟市第一人民医院,江苏 常熟 215500;
    3.镇江市妇幼保健院 产科,江苏 镇江 212000;
    4.镇江市第一人民医院 内分泌科,江苏 镇江 212000
  • 收稿日期:2019-11-15 出版日期:2020-05-25 发布日期:2020-07-15
  • 通讯作者: 曹卫平（1965-）,女,江苏金坛人,硕士,主任护师,硕士研究生导师。E-mail：13815173932@163.com。
  • 作者简介:黄莺莺（1993-）,女,江苏常熟人,本科学历,硕士研究生在读,护师。
  • 基金资助:
    江苏省卫健委预防医学课题（Y2018062）; 江苏省妇幼健康科研项目（F201502）; 镇江市社会发展项目（SH2016054）

Qualitative Study on Illness Experiences of Hypertensive Disorders in Pregnancy

HUANG Ying-ying1,2, CAO Wei-ping3, WEI Jia-jie4, LI Yan1   

  1. 1. School of Medicine, Jiangsu University, Zhenjiang 212000, China;
    2. Changshu Hospital Affiliated to Soochow University, Changshu NO. 1 People's Hospital,Changshu 215500,China;
    3. Dept. of Obstetrics,Zhenjiang Municipal Maternal and Child Health Care Hospital,Zhenjiang 212000,China;
    4. Dept. of Endocrinology,Zhenjiang First People's Hospital,Zhenjiang 212000,China
  • Received:2019-11-15 Online:2020-05-25 Published:2020-07-15

PDF (PC)

267

赞

摘要： 目的 探索妊娠期高血压疾病患者患病体验,为制定个性化针对性医疗护理提供依据。方法 采用质性研究中的解释现象学研究方法,运用半结构式访谈法对曾患过妊娠期高血压疾病的妇女进行面对面深入访谈来收集资料,将收集到的资料用NVivo11软件和Colaizzi的资料分析法进行整理和主题分析。结果 19例曾患妊娠期高血压疾病的妇女接受了访谈,共提炼出3个主题：易与正常妊娠反应或其他原因混淆、患者心理历程复杂、寻求多方面帮助与支持。结论 医务工作者应加大产前疾病宣传力度,预防妊娠期高血压疾病。同时需关注孕产妇心理健康,完善血压监测系统,提升延续性护理服务并做好远期心血管疾病的防控,从而不断改善孕产妇的患病体验。

关键词: 妊娠期高血压疾病, 患病体验, 质性研究

Abstract: Objective To explore the illness experiences of patients with hypertensive disorders in pregnancy (HDP), and to provide basis for individualized and targeted medical care. Methods With hermeneutic phenomenology in qualitative research, semi-structured interview was used to collect data from in-depth face-to-face interviews with women who had suffered from HDP. The collected data were thematically analyzed by NVivo 11 software and Claizzi's data analysis method. Results Nineteen women with HDP were interviewed, and three themes were identified including confusing with normal reaction or other reasons easily, complex psychological process, seeking help and supports of different perspectives. Conclusion Health education of HDP is effective for its prevention. At the same time, more attention should go to improving maternal mental health, blood pressure monitoring system, continuity of care services and the prevention and control of long-term cardiovascular diseases, so as to improve maternal experiences continuously.

Key words: hypertensive disorders in pregnancy, illness experience, qualitative research

中图分类号: 

  • R473.71
[1] 中华人民共和国国家卫生健康委员会.中国妇幼健康事业发展报告(2019)[EB/OL.]. (2019-05-27).[2019-09-01].2019)[EB/OL.]. (2019-05-27).[2019-09-01].http://www.nhc.gov.cn/fys/s7901/201905/bbd8e2134a7e47958c5c9ef032e1dfa2.shtml.
[2] 瞿佳,翁雪玲,高玲玲. 护理质性研究文献计量学分析[J]. 护理研究,2018,32(10):1637-1639.DOI:10.12102/j.issn.1009-6493.2018.10.040.
[3] Ouasmani F, Engeltjes B, Haddou Rahou B, et al.Knowledge of Hypertensive Disorders in Pregnancy of Moroccan Women in Morocco and in the Netherlands: A Qualitative Interview Study[J]. BMC Pregnancy Childbirth,2018,18(1):344. DOI:10.1186/s12884-018-1980-1.
[4] Carter W, Bick D, Mackintosh N.A Narrative Synthesis of Factors That Affect Women Speaking up about Early Warning Signs and Symptoms of Pre-eclampsia and Responses of Healthcare Staff[J]. BMC Pregnancy Childbirth,2017,17(1):63. DOI:10. 1186/s12884-017-1245-4.
[5] Horsley KJ, Tomfohr-Madsen LM, Ditto B.Hypertensive Disorders of Pregnancy and Symptoms of Depression and Anxiety as Related to Gestational Age at Birth: Findings from the All Our Families Study[J]. Psychosom Med,2019,81(5):458-463. DOI:10.1097/PSY.0000000000000695.
[6] 张晶,康春梅.细致化护理对妊娠高血压综合征病人产前焦虑和产后生活质量的影响[J].护理研究,2017,31(21):2664-2665. DOI:10.3969/j.issn.1009-6493.2017.21.036.
[7] 肖霄,吕春梅,凌冬兰,等. 465名产科医护人员对妊娠期妇女心理健康筛查知识态度及支持需求的水平分析[J]. 护理学报,2018, 25(18):59-63.DOI:10.16460/j.issn1008-9969.2018.28.059.
[8] 邓霞,秦观琼,王越,等. 二胎孕妇妊娠期精神障碍及分娩结局分析[J]. 中国计划生育学杂志,2019, 27(6):738-741. DOI:10.3969/j.issn.1004-8189.2019.06.014.
[9] Hinton L, Tucker KL, Greenfield SM, et al.Blood Pressure Self-monitoring in Pregnancy (BuMP) Feasibility Study; a Qualitative Analysis of Women’s Experiences of Self-monitoring[J]. BMC Pregnancy Childbirth,2017,17(1):427. DOI:10.1186/s12884-017-1592-1.
[10] 赵青,余洁,汤婷,等. 2014-2018年我国移动护理应用研究文献计量分析[J]. 护理学报,2019,26(9):32-36.DOI:10.16460/j.issn1008-9969.2019.09.032.
[11] Khalil A, Perry H, Lanssens D.Telemonitoring for Hypertensive Disease in Pregnancy[J]. Expert Rev Med Devices,2019,16(8):653-661.DOI:10.1080/17434440.2019.1640116.
[12] 乔来军,赵霏,白鹏,等. 县域医疗共同体建设案例成效分析[J].中国医院,2019,23(04):70-72. DOI:10.19660/j.issn.1671-0592.2019.04.22.
[13] 新华社. 卫计委:高龄孕产妇每年将达到300万人以上[EB/OL].(2017-07-15)[2019-09-01]. http://health.qq.com/a/20170715/006040.htm.
[14] 陈珅,周秋明,关超龄,等. 天津市妇幼保健系统建卡孕妇妊娠高血压疾病发生率调查[J].现代预防医学,2019,46(6):1016-1018.
[15] Stuart JJ, Tanz LJ, Missmer SA, et al.Hypertensive Disorders of Pregnancy and Maternal Cardiovascular Disease Risk Factor Development: An Observational Cohort Study[J]. Ann Intern Med,2018,169(4):224-232. DOI:10.7326/M17-2740.
[16] Brown MA, Magee LA, Kenny LC, et al.Hypertensive Disorders of Pregnancy: ISSHP Classification, Diagnosis, and Management Recommendations for International Practice[J].Hypertension,2018,72(1):24-43.DOI:10.1016/j.preghy.2018.05.004.
[17] Brown HL, Warner JJ, Gianos E, et al.Promoting Risk Identification and Reduction of Cardiovascular Disease in Women Through Collaboration with Obstetricians and Gynecologists: A Presidential Advisory from the American Heart Association and the American College of Obstetricians and Gynecologists[J].Circulation,2018,137(24):e843-e852. DOI:10.1161/CIR.0000000000000582.
[1] 刘丽萍, 吴艳妮, 从维莲, 胡明钰, 李晓霞, 周春兰. 癌症患者化疗期自我护理体验质性研究的系统评价[J]. 护理学报, 2020, 27(7): 1-6.
[2] 尹霄朦, 胡波, 王薇, 姜园园, 莘秀芳, 朱秀丽. 基于角色理论医学硕士研究生对导师角色期望的质性研究[J]. 护理学报, 2020, 27(5): 1-5.
[3] 张新, 崔菡斐, 董凤齐, 郑瑞双. 护理学硕士学历护士临床工作体验的Meta整合[J]. 护理学报, 2020, 27(4): 25-31.
[4] 张丹妮, 朱慧, 谢传艺, 陈肖敏. 乳腺癌患者配偶照顾体验质性研究的Meta整合[J]. 护理学报, 2020, 27(4): 32-36.
[5] 田凡立, 李惠玲, 杜美兰, 蒋芳琴, 张新梅, 殷雪群. 新型冠状病毒肺炎下援鄂男护士情绪体验的质性研究[J]. 护理学报, 2020, 27(12): 46-49.
[6] 叶冬婷, 张沁莲, 景霜, 郭佳, 邢雁芬. 家属对ICU患者转出体验的Meta整合[J]. 护理学报, 2020, 27(11): 33-39.
[7] 周莹, 卢洪洲, 张林, 孙美艳. 门诊艾滋病男患者对个案管理体验的质性研究[J]. 护理学报, 2020, 27(10): 1-4.
[8] 詹昱新, 杨中善, 莫梦燕, 李素云, 喻姣花. 患者参与患者安全知信行质性研究的系统评价[J]. 护理学报, 2020, 27(10): 36-42.
[9] 王鹏程, 孟爱凤, 智晓旭, 汤琳, 路莉静, 浦亚楼. 青少年癌症患者生活体验质性研究的Meta整合[J]. 护理学报, 2020, 27(10): 43-48.
[10] 周璇, 周兰姝. 脑卒中偏瘫患者对社会参与概念理解的质性研究[J]. 护理学报, 2019, 26(8): 5-8.
[11] 虞立, 姜金霞. ICU患者对早期活动认知和态度的质性研究[J]. 护理学报, 2019, 26(8): 9-12.
[12] 吴斌, 武丽桂, 袁玲, 郭苗苗, 彭卫琴, 夏浩志. 肿瘤安宁疗护患者亲属照顾者照护体验的质性研究[J]. 护理学报, 2019, 26(6): 6-9.
[13] 丁春戈, 林蓓蕾, 张振香. 社区医务人员对居家脑卒中患者分级护理认知的质性研究[J]. 护理学报, 2019, 26(4): 5-9.
[14] 吴凡, 绳宇, 张玉筠, 朱玲玲, 李秀华. 灾害响应过程中护士救援体验质性研究的Meta整合[J]. 护理学报, 2019, 26(3): 28-33.
[15] 米元元, 董江, 刘欢. 护士职业倦怠真实体验的质性Meta整合[J]. 护理学报, 2019, 26(3): 34-39.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!