دیدگاه مادران در مورد طب سنتی و مکمل در مواجهه با زردی نوزادان: مطالعه‌ای کیفی

نوع مقاله : اصیل پژوهشی

نویسندگان

1 استادیار گروه آموزش بهداشت و ارتقاء سلامت، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 دانشیار گروه پزشکی مولکولی، دانشکده پزشکی، دانشگاه علوم پزشکی نیشابور، نیشابور، ایران.

3 دانشیار گروه آموزش بهداشت و ارتقاء سلامت، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

4 کارشناس ارشد آموزش بهداشت، دانشکده پیراپزشکی و بهداشت، دانشگاه علوم پزشکی نیشابور، نیشابور، ایران.

چکیده

مقدمه: زردی نوزادان یکی از مشکلات شایع نوزادان می­باشد که به علل مختلف ایجاد می­شود و ممکن است منجر به عوارض مغزی و حتی مرگ آنها شود. با توجه به تأثیر باورهای مادران در ارجاع به‌موقع نوزادان جهت درمان و جلوگیری از عوارض وخیم آن، مطالعه حاضر با هدف شناسایی دیدگاه مادران در مورد طب سنتی و مکمل در مواجهه با زردی نوزدان انجام شد.
روش‌کار: این مطالعه کیفی در سال 98 با مشارکت 103 نفر از مادران با خصوصیات فردی و اجتماعی متفاوت در شهرستان نیشابور انجام شد. داده­ها از طریق بحث­های گروهی متمرکز و مصاحبه­های فردی نیمه‌ساختارمند جمع‌آوری شدند. نمونه­گیری با روش هدفمند تا زمان اشباع اطلاعات ادامه یافت. تجزیه و تحلیل داده­ها با استفاده از روش تحلیل محتوای قراردادی و نرم­افزار اطلس­تی انجام گرفت. برای ارزیابی و افزایش روایی و پایایی پژوهش از روش­های پیشنهادی لینکن و گوبا استفاده شد.
یافته­ها: مفاهیم اصلی استخراج شده شامل باورهای پیشگیرانه و باورهای درمان محور بود. مضمون باورهای پیشگیرانه دربرگیرنده طبقه فرعی باورهای تغذیه‌ای محافظت‌کننده بود. مضمون باورهای درمان محور شامل طبقات فرعی؛ اعتقاد به طب گیاهی، اعتقادات رایج غیرگیاهی، تغذیه درمانی و درمان جایگزین بود.
نتیجه­گیری: جنبه‌های پیشگیرانه و درمان محور طب سنتی و مکمل پیرامون مسئله زردی نوزادان از باورهای مهم مادران است. پیشنهاد می­شود در برنامه‌ریزی‌ها و مداخلات سلامت به تعدیل این باورها در شکل‌گیری رفتار مادران در پیشگیری و درمان زردی نوزادان توجه شود.

کلیدواژه‌ها


عنوان مقاله [English]

Perspective of mothers on the traditional and complementary medicine in the case of neonatal jaundice: Qualitative study

نویسندگان [English]

  • Mehralsadat Mehdizadeh 1
  • Mohsen Azimi-Nejad 2
  • Mohammad Vahedian-Shahroudi 3
  • Maliheh Nouri Sistani 4
1 Assistant Professor, Department of Health Education and Health Promotion, Health Determinants Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Associate Professor, Department of Molecular Medicine, Faculty of Medicine, Neyshabour University of Medical Sciences, Neyshabour, Iran.
3 Associate Professor, Department of Health Education and Health Promotion, Health Determinants Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
4 M.Sc. of Health Education, School of Paramedicine and Health, Neyshabour University of Medical Sciences, Neyshabour, Iran.
چکیده [English]

Introduction: Neonatal jaundice is one of the most common neonatal problems that occur for various reasons and may lead to brain complications and even death. Considering the effect of mothers' beliefs on the timely referral of neonates for treatment and prevention of its serious complications, this study was performed with aim to identify the women's viewpoint on the traditional and complementary medicine in the case of neonatal jaundice.
Methods: This qualitative study was conducted with participation of 103 mothers with different personal and social characteristic in Neyshabour in 2019. Data were collected through focused group discussions and semi-structured individual interviews. Purposeful sampling continued until data saturation. Data were analyzed by conventional content analysis and Atlas.ti software. The proposed methods of Lincoln and Guba were used to evaluate and increase the validity and reliability of the research.
Results: The main extracted concepts included preventive beliefs and therapeutic-based beliefs. The theme of preventive beliefs originated from the subclass of protective nutritional beliefs. In addition, the theme of therapeutic-based beliefs included the subclass of beliefs in herbal medicine, common non-herbal beliefs, nutrition therapy, and alternative therapy.
Conclusion: The preventive and therapeutic-based aspects of traditional and complementary medicine about neonatal jaundice were the important beliefs of mothers. It is suggested that in the health planning and interventions to pay attention to modifying these beliefs in the formation of mothers' behavior for the prevention and treatment of neonatal jaundice.

کلیدواژه‌ها [English]

  • Jaundice
  • mothers
  • Neonates
  • Qualitative study
  • Traditional Medicine
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