摘要
目的:系统评价有关产妇硬膜外镇痛分娩体验的质性研究,为了解硬膜外镇痛分娩产妇的分娩体验、改善产科硬膜外镇痛分娩医疗服务提供参考依据。方法:检索PubMed、Web of Science、PsycINFO、Embase、中国知网、中国生物医学文献数据库、万方、维普数据库中关于产妇硬膜外分娩镇痛体验的质性研究,检索时限从建库至2022年6月。采用澳大利亚乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)循证卫生保健中心质性研究质量评价标准(2016版)对纳入研究进行质量评价,并采用汇集性整合方法整合结果。结果:共纳入14篇文献,提炼46个研究结果,归纳为7个类别,综合成3个整合结果,分别为硬膜外镇痛分娩产妇的决策经历、硬膜外镇痛分娩产妇的身心体验、硬膜外镇痛分娩产妇存在知识与情感的需求。结论:护理人员应充分关注产妇硬膜外镇痛分娩决策时的困境、重视积极分娩体验、满足知识与情感需求,增强分娩体验满意度,从而提高护理质量。
Objective:To systematically review qualitative studies on the experience of maternal epidural delivery analgesia,so as to provide reference basis for clinical improvement of labor analgesia management and obstetric medical service.Methods:PubMed,Web of Science,PsycINFO,Embase,CNKI,CBM,WanFang,VIP databases were retrieved from inception to June 2022,and literatures on qualitative studies of the maternal epidural analgesia delivery were extracted.The JBI critical appraisal tool for qualitative studies in Australia(2016 edition)was used to evaluate the quality of studies.The results were syn-thesized by using integration methods.Results:A total of 14 studies were included,and 46 research results were extracted.3 integrated results were grouped from 7 categories according to their similarities,covering the decision-making experience of maternal epidural analgesia delivery,the physical and mental experience of maternalepidural analgesia delivery,maternal knowledge and emotional needs.Conclusion:Nursing staff should fully focus on the plight of maternal epidural analgesia childbirth decisions,attaches great importance to the active birth experience,meet the demand of knowledge and the emotion,and strengthen birth experience.
作者
林安丽
柏晓玲
杨曾桢
江雪
李慧
潘婷婷
LIN Anli;BAI Xiaoling;YANG Zengzhen;JIANG Xue;LI Hui;PAN Tingting(Nursing School of Zunyi Medical University,Zunyi Guizhou 563006;Guizhou Nursing Vocational College;Guizhou Provincial People’s Hospital;Puding County People’s Hospital)
出处
《天津护理》
2023年第3期294-299,共6页
Tianjin Journal of Nursing
基金
贵州省卫生健康委科学技术基金项目(gzwkj 2022-250)。
关键词
产妇
硬膜外镇痛
分娩体验
质性研究
系统评价
Maternal
Epidural analgesia
Labor experience
Qualitative study
Systematic review
