护理学报 ›› 2021, Vol. 28 ›› Issue (6): 6-12.doi: 10.16460/j.issn1008-9969.2021.06.006
李玉娟, 李君艳, 欧阳艳琼
LI Yu-juan, LI Jun-yan, OUYANG Yan-qiong
摘要: 目的 了解孕妇参与群组孕期保健的体验及观点,以孕妇视角衡量群组孕期保健的可行性和有效性,为群组孕期保健的推广提供依据。方法 检索PubMed、Web of Science 、PsycINFO、Cochrane Library、EMbase、Scopus、CINAHL、知网、中国生物医学文献数据库、维普、万方数据库,收集孕妇参与群组孕期保健体验的质性研究,检索时限均为建库至2020年11月8日。采用澳大利亚JBI循证卫生保健中心的质性研究质量评价标准进行质量评价,并采用汇集性整合方法整合结果。结果 共纳入12项研究,提炼39个研究结果,归纳形成8个类属,综合成3个整合结果:形成社会支持网络,建立有意义的联系;为孕妇赋能;群组孕期保健模式存在的挑战。结论 群组孕期保健为我国孕期保健模式的优化提供了策略,但需要结合我国不同地区的卫生保健环境,深入探讨孕妇、群组孕期保健组织者和政策层面的系统策略,以确保群组孕期保健的实施效果。
中图分类号:
[1] Hunter LJ,Da Motta G, McCourt C, et al.Better Together: A Qualitative Exploration of Women's Perceptions And Experiences of Group Antenatal Care[J].Women Birth, 2019,32(4):336-345. DOI:10.1016/j.wombi.2018.09.001. [2] Mazzoni SE, Carter EB.Group Prenatal Care[J].Am J Obstet Gynecol, 2017,216(6):552-556. DOI:10.1016/j.ajog.2017.02.006. [3] 李林蔚,张彩虹,郭洪花.群组式护理模式在围产期保健的应用进展[J].护理学报, 2019,26(23):41-44. DOI:10.16460/j.issn1008-9969.2019.23.041. [4] WHO.WHO Recommendations on Antenatal Care for A Positive Pregnancy Experience[EB/OL].(2016-11-07)[2021-01-20].http://www.who.int/en/. [5] 胡雁.郝玉芳.循证护理学[M].2版.北京:人民卫生出版社, 2018:157-172. [6] Mcneil DA, Vekved M, Dolan SM, et al.Getting More Than They Realized They Needed: A Qualitative Study of Women's Experience of Group Prenatal Care[J].BMC Pregnancy Childbirth, 2012,12:17. DOI:10.1186/1471-2393-12-17. [7] Novick G, Sadler LS, Kennedy HP, et al.Women's Experience of Group Prenatal Care[J].Qual Health Res,2010,21(1):97-116. DOI:10.1177/1049732310378655. [8] Sultana M, Ali N, Akram R, et al.Group Prenatal Care Experiences Among Pregnant Women in a Bangladeshi Community[J].Plos One,2019,14(6):e218169. DOI:10.1371/journal.pone.0218169. [9] Musabyimana A, Lundeen T, Butrick E, et al.Before and After Implementation of Group Antenatal Care in Rwanda: A Qualitative Study of Women's Experiences[J].Reprod Health,2019,16(1):90. DOI:10.1186/s12978-019-0750-5. [10] Risisky D, Asghar SM, Chaffee M, et al.Women's Perceptions Using the CenteringPregnancy Model of Group Prenatal Care[J].J Perinat Educ, 2013,22(3):136-144. DOI:10.1891/1058-1243.22.3.136. [11] Heberlein EC, Picklesimer AH, Billings DL, et al.Qualitative Comparison of Women's Perspectives on the Functions and Benefits of Group and Individual Prenatal Care[J].J Midwifery Womens Health, 2016,61(2):224-234. DOI:10.1111/jmwh.12379. [12] Kweekel L, Gerrits T, Rijnders M, et al.The Role of Trust in CenteringPregnancy: Building Interpersonal Trust Relationships in Group-based Prenatal Care in the Netherlands[J].Birth, 2017,44(1):41-47. DOI:10.1111/birt.12260. [13] Kennedy HP, Farrell T, Paden R, et al.“I Wasn't Alone”-A Study of Group Prenatal Care in the Military[J].J Midwifery Womens Health, 2009,54(3):176-183. DOI:10.1016/j.jmwh.2008.11.004. [14] Herrman JW, Rogers S, Ehrenthal DB.Women's Perceptions of CenteringPregnancy: A Focus Group Study[J].MCN Am J Matern Child Nurs, 2012,37(1):19-26. DOI:10.1097/NMC.0b013e3182385204. [15] 陈丹丹,李益民,周临,等.初产妇对助产士主导的家庭群组式孕期保健服务的体验[J].护理学杂志, 2018,33(12): 32-34. DOI:10.3870/j.issn.1001-4152.2018.12.032. [16] 周临,张晶,陈丹丹,等.以家庭为中心的群组式孕期保健模式的应用及效果研究[J].中华护理杂志, 2019,54(3): 401-405. DOI:10.3761/j.issn.0254-1769.2019.03.015. [17] Sharma J, O'Connor M, Rima Jolivet R.Group Antenatal Care Models in Low-and Middle-income Countries:A Systematic Evidence Synthesis[J].Reprod Health, 2018,15(1):38. DOI:10.1186/s12978-018-0476-9. [18] Abraham C.Rethinking the Traditional Prenatal Care Model[J].Obstet Gynecol, 2020,135(5):1024-1026. DOI:10.1097/AOG.0000000000003789. [19] Pekkala J, Cross Barnet C, Kirkegaard M, et al.Key Considerations for Implementing Group Prenatal Care: Lessons from 60 Practices[J].J MidwiferyWomens Health, 2020,65(2):208-215. DOI:10.1111/jmwh.13047. [20] 潘旋,张晶,周临,等.杭州市孕产妇孕期保健质量及影响因素分析[J].预防医学,2018,30(4):352-355. DOI:10.19485/j.cnki.issn2096-5087.2018.04.008. [21] 袁雨,漆洪波.结合中国实践谈WHO 2016年孕期保健指南[J].中国实用妇科与产科杂志, 2017,33(6):567-571. DOI:10.19538/j.fk2017060105. [22] 韦俭俭,赵红,李颖.美国小组产前保健模式应用及效果研究进展[J].中国护理管理, 2017,17(1):141-143. DOI:10.3969/j.issn.1672-1756.2017.01.035. [23] Peahl AF, Gourevitch RA, Luo EM, et al.Right-sizing Prenatal Care to Meet Patients' Needs and Improve Maternity Care Value[J].Obstet Gynecol, 2020,135(5):1027-1037. DOI:10.1097/AOG.0000000000003820. [24] Strickland C, Merrell S, Kirk JK.Centering Pregnancy: Meeting the Quadruple Aim in Prenatal Care[J].N C Med J, 2016, 77(6):394-397. DOI:10.18043/ncm.77.6.394. [25] 李小梅,梁燕梅,伍丽燕.基于集中群组化的产前保健服务模式的研究[J].护理学报, 2019,26(11):37-40. DOI:10.16460/j.issn1008-9969.2019.11.037. [26] 王义会,王惠琳,李颖.集中群组孕期保健模式的临床效果评价[J].中国妇幼保健, 2020,35(9):1603-1606. DOI:10.19829/j.zgfybj.issn.1001-4411.2020.09.011. [27] Kania-Richmond A, Hetherington E, Mcneil D, et al.The Impact of Introducing Centering Pregnancy in a Community Health Setting:A Qualitative Study of Experiences and Perspectives of Health Center Clinical and Support Staff[J].Matern Child Health J,2017,21(6):1327-1335. DOI:10.1007/s10995-016-2236-1. [28] Harsha Bangura A, Nirola I, Thapa P, et al.Measuring Fidelity, Feasibility, Costs: An Implementation Evaluation Of A Cluster-controlled Trial of Group Antenatal Care in Rural Nepal[J].Reprod Health, 2020, 17(1):5. DOI:10.1186/s12978-019-0840-4. [29] Adaji SE, Jimoh A, Bawa U, et al.Women's Experience with Group Prenatal Care in a Rural Community in Northern Nigeria[J].Int J Gynecol Obstet, 2019,145(2):164-169. DOI:10.1002/ijgo.12788. [30] Huang Y, Shallcross D, Pi L, et al.Ethnicity and Maternal and Child Health Outcomes and Service Coverage in Western China: A Systematic Review and Meta-analysis[J].Lancet Global Health, 2018, 6(1):E39-E56. DOI:10.1016/S2214-109X(17)30445-X. |
[1] | 程爽, 熊振芳, 蔡艺, 陈涵彬, 惠靖瑞. 父母接受孤独症儿童诊断经历质性研究的系统评价[J]. 护理学报, 2021, 28(9): 35-42. |
[2] | 刘萍, 尤奥林, 刘姝, 李亚楠, 栾晓嵘. 我国护理硕士专业学位研究生就读期间培养体验质性研究的Meta整合[J]. 护理学报, 2021, 28(7): 35-42. |
[3] | 李换则, 陈鸿芳, 黄丽群, 安芳芳, 徐鹏, 庄苗青, 张露语, 王嘉懿. 急诊科护士临终照护体验质性研究的Meta整合[J]. 护理学报, 2021, 28(7): 43-48. |
[4] | 陈思羽. 老年医学科低年资护士对临终患者死亡事件体验的质性研究[J]. 护理学报, 2021, 28(7): 74-78. |
[5] | 何怡庆, 周红, 高祖梅. 护士同情疲劳真实体验质性研究的Meta整合[J]. 护理学报, 2021, 28(6): 33-37. |
[6] | 严佳丽, 裘慧颖, 贾芸, 刘倩静, 富晶晶, 金云秋. 模拟体验并发症健康教育在中青年初发2型糖尿病患者中的应用[J]. 护理学报, 2021, 28(5): 75-78. |
[7] | 郭晓宇, 王丽媛. 参与突发急性传染病护士救治体验的Meta整合[J]. 护理学报, 2021, 28(4): 43-49. |
[8] | 厉柯轩, 沈利腾, 梁艺, 项薇旭, 应钰皑, 李玲. 高血压患者应用体验式健康教育的效果观察[J]. 护理学报, 2021, 28(3): 74-78. |
[9] | 贾莉莉, 张国增, 越丽霞, 朱康宁, 王志霞, 王飞杰. 临时性肠造口患者还纳术后居家生活体验的质性研究[J]. 护理学报, 2021, 28(2): 1-4. |
[10] | 刘庆伟, 邵美华, 赵亚玲, 尹霄朦, 姜园园, 朱秀丽. 间质性肺疾病患者健康信息获取行为的描述性质性研究[J]. 护理学报, 2021, 28(2): 47-51. |
[11] | 王惠, 仝旭, 李玲. 慢性心力衰竭患者自我管理体验质性研究的Meta整合[J]. 护理学报, 2021, 28(2): 31-36. |
[12] | 杨霞, 卫玉齐, 王瑞瑞, 甘燕玲. 护士经历患者自杀事件真实体验及应对质性研究的Meta整合[J]. 护理学报, 2021, 28(14): 42-46. |
[13] | 邓杨清, 潘岑, 王庆兰, 王迪. 乳腺癌患者运动体验质性研究的Meta整合[J]. 护理学报, 2021, 28(13): 34-39. |
[14] | 周梦珂, 李惠萍, 张珊珊, 王全兰, 陈娟娟, 王艺璇. 癌症患者癌因性疲乏真实体验质性研究的Meta整合[J]. 护理学报, 2021, 28(12): 27-32. |
[15] | 冯春玲, 李益民, 周临, 袁莉, 袁玲, 王莉, 马硕. 新生儿父母参与皮肤接触护理体验质性研究的Meta整合[J]. 护理学报, 2021, 28(11): 27-32. |
|