تبیین تجارب زیستی مادران از سازگاری با مرگ پری‌ناتال: یک مطالعه کیفی

نوع مقاله : مروری

نویسندگان

1 استادیار گروه مامایی، مرکز تحقیقات چاقی مادر و کودک، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی ارومیه، ارومیه، ایران.

2 دانشیار گروه پرستاری، مرکز مطالعات توسعه آموزش پزشکی، دانشگاه علوم پزشکی ارومیه، ارومیه، ایران.

3 استادیار گروه بهداشت باروری و مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

4 دانشیار گروه روان‌پزشکی، دانشکده پزشکی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

5 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی ارومیه، ارومیه، ایران.

چکیده

مقدمه: مرگ پری‌ناتال یکی از حوادث استرس‌زا با اثرات زیان بخش زیان بخش روانی در زندگی مادران است که کیفیت زندگی آنان را تحت تأثیر قرار می‌دهد. مطالعه حاضر با هدف شناخت عمیق تجربه زیستی مادران از مرگ پری‌ناتال انجام شد.
روش‌کار: این مطالعه کیفی در سال1391 در شهر ارومیه انجام شد. نمونه‌گیری به صورت هدفمند بوده و 14 مادر با سابقه تجربه مرگ پری‌ناتال مورد مصاحبه قرار گرفتند. برای تجزیه و تحلیل داده‌ها از تحلیل مقایسه‌ای مداوم استفاده شد.
یافته‌ها: تجربه سازگاری مادران با مرگ پری‌ناتال و عوامل مرتبط با آن در 24 طبقه به دست آمد که از این طبقات 4 درون‌مایه شامل: نیاز به درک شدن، فراموشی، خود توجیه سازی و امیدوار بودن به تولد بچه سالم درآینده آشکار شد.
نتیجه‌گیری: مطابق نتایج مطالعه حاضر مادران در مواجهه با مرگ پری ناتال با توجیه خود سعی در فراموش کردن آن می‌کنند تا در نهایت امیدوار به بارداری آینده باشند و در پیمودن این فرایند نیاز به درک‌شدن دارند. ارائه خدمات تسکینی و حمایتی توسط سیستم های مرتبط طی شدن این فرآیند را تسهیل می‌کند.

کلیدواژه‌ها

عنوان مقاله [English]

Experiences of mothers' compatibility with perinatal mortality: A qualitative study

نویسندگان [English]

  • Hamideh Mohaddesi 1
  • Aram Feizi 2
  • Giti Ozgoli 3
  • Kourosh Saki 4
  • Marzieh Saei Gharenaz 5
1 Assistant professor, Department of Midwifery, Mother and Child Obesity Research Center, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.
2 Associate professor, Department of Nursing, Medical Education Development Studies Center, Urmia University of Medical Sciences, Urmia, Iran.
3 Assistant professor, Department of Reproductive Health and Gynecology, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4 Associate professor, Department of Psychiatry, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
5 MSc of Midwifery, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
چکیده [English]

Introduction: Perinatal mortality is one of the stressful events with harmful and psychological effects in women’s life which influences their quality of life. This study was performed with aim to deeply understand the mothers' experience of perinatal death.
Methods: This qualitative study was conducted at Urmia city in 2012. Sampling was performed as purposeful method and 14 mothers with experience of perinatal death were interviewed. Constant comparative analysis was used to analyze data.
Results: The experience of mothers compatibility with perinatal death and its related factors was obtained in 24 sub-themes that of these classes, four main themes were appeared including "need to be understood", "forgetfulness", "self-justification" and "hope to the birth of a healthy baby in the future".
Conclusion:According to the results of this study when the mothers are exposed to perinatal death try to forget it with their justification in order to hope to the next pregnancy and they need to be understood during this process. Offering palliative and supportive service by care system facilitates this process.

کلیدواژه‌ها [English]

  • Grief
  • Life experience
  • Perinatal death
  • Qualitative study

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مجله زنان، مامایی و نازایی ایران
دوره 19، شماره 20
هفته چهارم مرداد ماه 1395
مرداد 1395
صفحه 19-29

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