探索患有风湿性疾病的妇女对生育意图的理解和经验 - - 定性内容分析
Elham Manouchehri1,2, Mona Larki3,4, Maryam Sahebari5
1Rheumatic Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
BMC women's health
|February 16, 2024
概括
患有类风湿性疾病 (RDs) 的女性由于健康问题和缺乏支持,在想要孩子和害怕怀孕之间经历了冲突. 通过开放的沟通和协作护理来解决这些恐惧对于改善生殖结果至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 生殖健康 生殖健康
- 定性研究是指质量研究.
背景情况:
- 患有类风湿性疾病 (RDs) 的女性经常面临生育能力下降,怀孕并发症以及影响生育的个人选择.
- 在RD中影响怀孕意图的因素包括个人选择,医疗建议,生育能力变化和过去的怀孕失败.
- 这项研究探讨了RDS妇女关于怀孕意图的细微理解和生活经验.
研究的目的:
- 调查被诊断患有类风湿性疾病的妇女关于她们关于生育的决定和意图的看法和经验.
- 确定影响RDS妇女怀孕计划和决策的关键因素.
- 为医疗保健提供者提供见解,以更好地支持具有RDS的妇女的生殖健康需求.
主要方法:
- 从2022年12月到2023年3月,在伊朗的马什哈德进行了一项定性调查.
- 使用有目的抽样进行半结构面试,招募了30名具有RD的女性.
- 采用传统的内容分析,由MAXQDA 12软件支持,并遵守既定的可信度标准.
主要成果:
- 发现的中心主题是RDS的妇女"怀孕的欲望和恐惧的二元性".
- 关键类别包括对怀孕后母亲健康的担忧,对母亲和女性的看法,对胎儿伤害的担忧,家庭和临床医生的相互矛盾的建议,以及对生育不充分的社会支持.
- 这些发现突出了复杂的情感和社会格局,影响了这一群体的生殖选择.
结论:
- 医疗保健提供者必须主动与患有RD的妇女讨论生育意图,并提供个性化的孕前健康指导.
- 风湿病学家,妇科医生和生殖健康专家之间的加强合作对于解决RDS妇女的性和生殖健康需求至关重要.
- 改善怀孕结果需要采用多方面的方法,承认并解决风湿性疾病妇女所面临的独特挑战.
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