تبیین علل بارداری ناخواسته از دیدگاه ارائه دهندگان خدمات تنظیم خانواده: یک مطالعه اکتشافی- توصیفی

نوع مقاله: مروری

نویسندگان

1 دانشیار گروه آموزش بهداشت و ارتقای سلامت، مرکز تحقیقات علوم بهداشتی، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 دانشجوی کارشناسی ارشد آموزش و ارتقای سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

3 استادیار گروه آموزش بهداشت و ارتقای سلامت، مرکز تحقیقات علوم بهداشتی، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

4 استادیار گروه آموزش بهداشت و ارتقای سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی زنجان، زنجان، ایران.

چکیده

مقدمه: بارداری یکی از بهترین وقایع زندگی یک زن محسوب می‌شود، اما ناخواسته ‌بودن آن ممکن است سلامتی مادر، کودک، خانواده و نهایتاً جامعه را تهدید کند. مطالعه حاضر با هدف شناخت عمیق دلایل ناخواسته بودن بارداری از دیدگاه ارائه کنندگان خدمات تنظیم خانواده انجام شد.
روش‌کار: مطالعه حاضر، مطالعه‌‌ای با رویکرد تحلیل محتوای کیفی است که در سال 1394 انجام شد. مشارکت کنندگان شامل 13 نفر از کارکنان مراکز بهداشتی و درمانی بودند که به مراجعان مراکز بهداشتی شهر مشهد خدمات تنظیم خانواده ارائه می‌دادند. نمونه‌گیری به روش نمونه‌گیری مبتنی بر هدف و تا زمان اشباع یافته‌ها ادامه داشت. از روش مصاحبه فردی عمیق و نیمه ساختار یافته برای جمع‌آوری داده‌ها استفاده شد. مصاحبه ضبط و سپس به‌صورت مکتوب درآمد. از تحلیل محتوا، جهت تجزیه و تحلیل داده ها در نرم افزار MAXQDA استفاده شد.
یافته‌ها: از مجموع مضمون‌های به‌دست آمده 3 عامل اصلی "دلایل مربوط به مشکلات سیستم ارائه خدمات"، "دلایل مربوط به ویژگی‌های گیرندگان خدمت"، و "دلایل مربوط به قابلیت وسایل تنظیم خانواده" برای تبیین دلایل ناخواسته بودن حاملگی انتزاع شد.
نتیجه‌گیری: کاهش بروز حاملگی‌های ناخواسته مستلزم بهبود کیفیت خدمات تنظیم خانواده، مشاوره، مشارکت شوهر، ارتقای سطح دانش و بهبود نگرش ارائه‌دهندگان خدمت نسبت به تنظیم خانواده و بهبود کیفیت وسایل تنظیم خانواده است.

کلیدواژه‌ها


عنوان مقاله [English]

Explanation of unwanted pregnancy from the perspective of family planning service providers: An exploratory study

نویسندگان [English]

  • Nooshin Peyman 1
  • Khadije Ezzati Rastegar 2
  • Hadi Tehrani 3
  • Fatemeh Zarei 4
1 Associate Professor, Department of Health Education & Promotion, Health Sciences Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
2 M.Sc. student in Health Education & Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
3 Assistant Professor, Department of Health Education & Promotion, Health Sciences Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
4 Assistant professor, Department of Health Education & Promotion, School of Health, Zanjan University of medical sciences, Zanjan, Iran.
چکیده [English]

Introduction: Pregnancy is one of the best events in a woman's life, but unwanted pregnancy may threats the health of mother, child, family and community. This study was performed with aim to identify the reasons of unwanted pregnancy from the perspective of family planning service providers.
Methods: This study is based on qualitative content analysis approach which was performed in 2015. Participants were 13 health providers who provided family planning services to the referred women to health centers in Mashhad. Purposive sampling was conducted and data gathering continued until saturation. Semi-structured in-depth interview was done to collect data. The interview was recorded and transcribed. Data were analyzed based on content analysis approach in MAXQDA software.
Results: Three main following factors were explored as perceived reason for unwanted pregnancy:" reasons related to problems of health care system ", " reasons related to the characteristics of the services recipients" , and " reasons related to the quality of family planning tools"
Conclusion: Reduced incidence of unwanted pregnancy needs to improve the quality of family planning services, consultation, husband's participation, promoting knowledge and improving attitudes of health providers towards family planning and improving the quality of family planning tools.

کلیدواژه‌ها [English]

  • Content Analysis
  • Health service providers
  • Qualitative research
  • Unwanted pregnancy
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