بارداری پرخطر چه تجربیاتی را برای زوجین آشکار کرد؟

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشیار گروه مامایی و بهداشت باروری، مرکز تحقیقات مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

2 استادیار گروه مشاوره، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه شهید بهشتی، تهران، ایران.

3 استادیار گروه مامایی، واحد گرگان، دانشگاه آزاد اسلامی، گرگان، ایران.

چکیده

مقدمه: با توجه به شیوع حاملگی‌های پرخطر در کشورهای در حال توسعه، افزایش موربیدیتی و مورتالیتی مادر و جنین و اثرات نامطلوب این حاملگی‌ها بر سلامت روان زوجین، درک تجربه بارداری پرخطر در زوجین ضروری است. از آنجایی که از واقع گرایانه‌ترین راه‌ها برای دست‌یابی به چالش‌های پیش رو، استفاده از تجربیات خود افراد است، مطالعه حاضر با هدف تبیین تجربه زوجین با بارداری پرخطر انجام شد.
روش‌کار: مطالعه کیفی حاضر در سال 1397 در زوجین با حاملگی پرخطر در مراکز بهداشتی درمانی و بیمارستان صیاد گرگان انجام شد. مشارکت‌کنندگان به روش هدفمند و با حداکثر تنوع جهت مصاحبه عمیق ساختاریافته، انتخاب شدند. جهت صحت داده­ ها از معیار گوبا و لینکن استفاده شد. جمع‌آوری، تجزیه و تحلیل داده ­ها به‌طور همزمان بر اساس فرآیند تحلیل محتوای کیفی از نوع قراردادی بر مبنای روش گرانهایم و توسط نرم‌افزار مکسودا (نسخه 10) انجام شد.
یافته­ ها: در مجموع 23 زوج با حاملگی پرخطر مشارکت کردند. محدوده سنی زنان 45-20 سال و مردان 52-22 سال بودند. درون‌مایه ­ها شامل نگرانی و ترس زوجین بابت سلامت مادر و جنین، شیوه مقابله با مشکل، نیاز به خدمات جامع و حمایت همه جانبه اطرافیان بود.
نتیجه ­گیری: با توجه به تجربه نگرانی از سلامت مادر و جنین و نبودن خدمات جامع، توجه به افزایش اطلاعات و کسب مهارت‌های تطابق با مشکلات و سبک زندگی سالم در زوجین، همچنین ارائه خدمات جامع حمایت‌گر و حمایت همه‌جانبه اطرافیان لازم است تا با کاهش عوارض بارداری پرخطر، زوجین تجربه خوبی داشته باشند.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

What experiences did the high risk pregnancy reveal to the couple?

نویسندگان [English]

  • Giti Ozgoli 1
  • Taghi Pourebrahim 2
  • Nayereh Azam Hajikhani Golchin 3
1 Associate Professor, Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Assistant Professor, Department of Counseling, School of Psychology and Educational Sciences, Shahid Beheshti University , Tehran, Iran.
3 Assistant Professor, Department of Midwifery, Gorgan Branch, Islamic Azad University, Gorgan, Iran.
چکیده [English]

Introduction: Considering the prevalence of high-risk pregnancies in developing countries, the increase in maternal and fetal morbidity and mortality, as well as the adverse effects of these pregnancies on the mental health of couples، it is necessary to understand the experience of high-risk pregnancy in couples. Since one of the most realistic ways to achieve the challenges ahead is to use people's own experiences, this study was conducted with aim to explain the experience of couples with high-risk pregnancies.
Methods: This qualitative study was conducted in 2018 on couples with high-risk pregnancies in the health centers and Sayad Hospital in Gorgan. The participants were selected in a purposeful way and with maximum diversity for structured in-depth interviews. Guba and Lincoln criteria were used for data accuracy. The data collection and analysis was done simultaneously based on the contract qualitative content analysis process based on Granheim's method and by MAXQDA software (version 10).
Results: Totally, 23 couples with high-risk pregnancies participated. The age range of women was 20-45 years and men were 22-52 years. The contents included the concern and fear of couples for maternal and fetal health, the way to deal with the problem, and need to comprehensive services and support of the relatives.
Conclusion: Considering the worry about maternal and fetal health and the lack of comprehensive services, paying attention to increasing information and acquiring skills to cope with problems and a healthy lifestyle in couples, as well as providing comprehensive supportive services and support of the relatives is required in order to couples have a good experience of high-risk pregnancy by reducing high-risk pregnancy complications.

کلیدواژه‌ها [English]

  • Couples
  • Experiences
  • High-risk pregnancy

مراجع

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مجله زنان، مامایی و نازایی ایران
دوره 27، شماره 1
فروردین 1403
صفحه 9-22

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