以质量求发展，以服务铸品牌

护理学报 ›› 2020, Vol. 27 ›› Issue (10): 5-9.doi: 10.16460/j.issn1008-9969.2020.10.005

• 研究生园地 • 上一篇    下一篇

妊娠期高血压疾病患者患病体验的质性研究

黄莺莺1,2, 曹卫平3, 韦嘉洁4, 李妍1   

  1. 1.江苏大学医学院,江苏 镇江 212000;
    2.苏州大学附属常熟医院/常熟市第一人民医院,江苏 常熟 215500;
    3.镇江市妇幼保健院 产科,江苏 镇江 212000;
    4.镇江市第一人民医院 内分泌科,江苏 镇江 212000
  • 收稿日期:2019-11-15 出版日期:2020-05-25 发布日期:2020-07-15
  • 通讯作者: 曹卫平（1965-）,女,江苏金坛人,硕士,主任护师,硕士研究生导师。E-mail：13815173932@163.com。
  • 作者简介:黄莺莺（1993-）,女,江苏常熟人,本科学历,硕士研究生在读,护师。
  • 基金资助:
    江苏省卫健委预防医学课题（Y2018062）; 江苏省妇幼健康科研项目（F201502）; 镇江市社会发展项目（SH2016054）

Qualitative Study on Illness Experiences of Hypertensive Disorders in Pregnancy

HUANG Ying-ying1,2, CAO Wei-ping3, WEI Jia-jie4, LI Yan1   

  1. 1. School of Medicine, Jiangsu University, Zhenjiang 212000, China;
    2. Changshu Hospital Affiliated to Soochow University, Changshu NO. 1 People's Hospital,Changshu 215500,China;
    3. Dept. of Obstetrics,Zhenjiang Municipal Maternal and Child Health Care Hospital,Zhenjiang 212000,China;
    4. Dept. of Endocrinology,Zhenjiang First People's Hospital,Zhenjiang 212000,China
  • Received:2019-11-15 Online:2020-05-25 Published:2020-07-15

PDF (PC)

585

赞

摘要： 目的 探索妊娠期高血压疾病患者患病体验,为制定个性化针对性医疗护理提供依据。方法 采用质性研究中的解释现象学研究方法,运用半结构式访谈法对曾患过妊娠期高血压疾病的妇女进行面对面深入访谈来收集资料,将收集到的资料用NVivo11软件和Colaizzi的资料分析法进行整理和主题分析。结果 19例曾患妊娠期高血压疾病的妇女接受了访谈,共提炼出3个主题：易与正常妊娠反应或其他原因混淆、患者心理历程复杂、寻求多方面帮助与支持。结论 医务工作者应加大产前疾病宣传力度,预防妊娠期高血压疾病。同时需关注孕产妇心理健康,完善血压监测系统,提升延续性护理服务并做好远期心血管疾病的防控,从而不断改善孕产妇的患病体验。

关键词: 妊娠期高血压疾病, 患病体验, 质性研究

Abstract: Objective To explore the illness experiences of patients with hypertensive disorders in pregnancy (HDP), and to provide basis for individualized and targeted medical care. Methods With hermeneutic phenomenology in qualitative research, semi-structured interview was used to collect data from in-depth face-to-face interviews with women who had suffered from HDP. The collected data were thematically analyzed by NVivo 11 software and Claizzi's data analysis method. Results Nineteen women with HDP were interviewed, and three themes were identified including confusing with normal reaction or other reasons easily, complex psychological process, seeking help and supports of different perspectives. Conclusion Health education of HDP is effective for its prevention. At the same time, more attention should go to improving maternal mental health, blood pressure monitoring system, continuity of care services and the prevention and control of long-term cardiovascular diseases, so as to improve maternal experiences continuously.

Key words: hypertensive disorders in pregnancy, illness experience, qualitative research

中图分类号: 

  • R473.71
[1] 中华人民共和国国家卫生健康委员会.中国妇幼健康事业发展报告(2019)[EB/OL.]. (2019-05-27).[2019-09-01].2019)[EB/OL.]. (2019-05-27).[2019-09-01].http://www.nhc.gov.cn/fys/s7901/201905/bbd8e2134a7e47958c5c9ef032e1dfa2.shtml.
[2] 瞿佳,翁雪玲,高玲玲. 护理质性研究文献计量学分析[J]. 护理研究,2018,32(10):1637-1639.DOI:10.12102/j.issn.1009-6493.2018.10.040.
[3] Ouasmani F, Engeltjes B, Haddou Rahou B, et al.Knowledge of Hypertensive Disorders in Pregnancy of Moroccan Women in Morocco and in the Netherlands: A Qualitative Interview Study[J]. BMC Pregnancy Childbirth,2018,18(1):344. DOI:10.1186/s12884-018-1980-1.
[4] Carter W, Bick D, Mackintosh N.A Narrative Synthesis of Factors That Affect Women Speaking up about Early Warning Signs and Symptoms of Pre-eclampsia and Responses of Healthcare Staff[J]. BMC Pregnancy Childbirth,2017,17(1):63. DOI:10. 1186/s12884-017-1245-4.
[5] Horsley KJ, Tomfohr-Madsen LM, Ditto B.Hypertensive Disorders of Pregnancy and Symptoms of Depression and Anxiety as Related to Gestational Age at Birth: Findings from the All Our Families Study[J]. Psychosom Med,2019,81(5):458-463. DOI:10.1097/PSY.0000000000000695.
[6] 张晶,康春梅.细致化护理对妊娠高血压综合征病人产前焦虑和产后生活质量的影响[J].护理研究,2017,31(21):2664-2665. DOI:10.3969/j.issn.1009-6493.2017.21.036.
[7] 肖霄,吕春梅,凌冬兰,等. 465名产科医护人员对妊娠期妇女心理健康筛查知识态度及支持需求的水平分析[J]. 护理学报,2018, 25(18):59-63.DOI:10.16460/j.issn1008-9969.2018.28.059.
[8] 邓霞,秦观琼,王越,等. 二胎孕妇妊娠期精神障碍及分娩结局分析[J]. 中国计划生育学杂志,2019, 27(6):738-741. DOI:10.3969/j.issn.1004-8189.2019.06.014.
[9] Hinton L, Tucker KL, Greenfield SM, et al.Blood Pressure Self-monitoring in Pregnancy (BuMP) Feasibility Study; a Qualitative Analysis of Women’s Experiences of Self-monitoring[J]. BMC Pregnancy Childbirth,2017,17(1):427. DOI:10.1186/s12884-017-1592-1.
[10] 赵青,余洁,汤婷,等. 2014-2018年我国移动护理应用研究文献计量分析[J]. 护理学报,2019,26(9):32-36.DOI:10.16460/j.issn1008-9969.2019.09.032.
[11] Khalil A, Perry H, Lanssens D.Telemonitoring for Hypertensive Disease in Pregnancy[J]. Expert Rev Med Devices,2019,16(8):653-661.DOI:10.1080/17434440.2019.1640116.
[12] 乔来军,赵霏,白鹏,等. 县域医疗共同体建设案例成效分析[J].中国医院,2019,23(04):70-72. DOI:10.19660/j.issn.1671-0592.2019.04.22.
[13] 新华社. 卫计委:高龄孕产妇每年将达到300万人以上[EB/OL].(2017-07-15)[2019-09-01]. http://health.qq.com/a/20170715/006040.htm.
[14] 陈珅,周秋明,关超龄,等. 天津市妇幼保健系统建卡孕妇妊娠高血压疾病发生率调查[J].现代预防医学,2019,46(6):1016-1018.
[15] Stuart JJ, Tanz LJ, Missmer SA, et al.Hypertensive Disorders of Pregnancy and Maternal Cardiovascular Disease Risk Factor Development: An Observational Cohort Study[J]. Ann Intern Med,2018,169(4):224-232. DOI:10.7326/M17-2740.
[16] Brown MA, Magee LA, Kenny LC, et al.Hypertensive Disorders of Pregnancy: ISSHP Classification, Diagnosis, and Management Recommendations for International Practice[J].Hypertension,2018,72(1):24-43.DOI:10.1016/j.preghy.2018.05.004.
[17] Brown HL, Warner JJ, Gianos E, et al.Promoting Risk Identification and Reduction of Cardiovascular Disease in Women Through Collaboration with Obstetricians and Gynecologists: A Presidential Advisory from the American Heart Association and the American College of Obstetricians and Gynecologists[J].Circulation,2018,137(24):e843-e852. DOI:10.1161/CIR.0000000000000582.
[1] 吴超瑜, 刘尚昆. 麻醉恢复室护士危机管理能力的质性研究[J]. 护理学报, 2025, 32(3): 17-21.
[2] 谭雯渲, 张容, 张立力, 王玮, 邵艳红, 方庆虹, 朱瑾. 心脏移植患者手术决策困境的现象学研究[J]. 护理学报, 2025, 32(3): 69-73.
[3] 曹敏, 张培莉, 侯晓雅, 高超越, 郭林芳, 李滢. ABC-X模型下结直肠癌化疗患者照顾者营养照护体验的质性研究[J]. 护理学报, 2025, 32(2): 13-18.
[4] 孙娟, 李亚莉, 马安娜, 王华, 张会敏. 护理研究生对社区护理实践思政教学体验的质性研究[J]. 护理学报, 2025, 32(1): 19-23.
[5] 王语, 赵慧杰, 肖梦伟, 范硕宁, 孙佳丽, 王珂心, 苏炫, 杨滢瑞. 糖尿病视网膜病变患者硅油填充期间疾病体验与应对的质性研究[J]. 护理学报, 2025, 32(1): 68-72.
[6] 冯春玲, 胡夏晴, 徐琳, 蔡鑫健, 徐琴鸿. 基于社会生态系统理论的电话指导公众实施心肺复苏行为动机及需求的质性研究[J]. 护理学报, 2024, 31(9): 66-71.
[7] 曹依丽, 王玲, 王灿, 陈燕华, 秦虹云. 精神分裂症住院患者家属资源取向的质性研究[J]. 护理学报, 2024, 31(8): 74-78.
[8] 马瑞瑞, 范晓莉, 徐姝娟, 张伟, 陈婷, 谈飞飞. 护士参与终末期患者临终决策体验的质性研究[J]. 护理学报, 2024, 31(7): 6-11.
[9] 龙瑶, 卢春凤, 冯志仙. 临床护士对横向领导者特质感知的质性研究[J]. 护理学报, 2024, 31(7): 27-31.
[10] 张颖, 车晓艳, 万婠, 秦雪, 张恩思, 崇武, 郑淑娟. 我国性治疗护士工作范畴和核心能力的质性研究[J]. 护理学报, 2024, 31(7): 68-72.
[11] 张露心, 焦延超, 文稀, 田利, 王婷, 田凤美, 李惠玲. 护理本科生在“慕课西行”同步课堂学习体验的质性研究[J]. 护理学报, 2024, 31(6): 30-34.
[12] 胡晓涵, 占婷婷, 何望生, 乔疏桐, 李雪. 肝豆状核变性患者自我管理体验的质性研究[J]. 护理学报, 2024, 31(5): 17-21.
[13] 邓悦, 胡宇帆, 王冉, 张远星, 王芳, 袁萍, 陈璐. 老年患者接受远程医疗护理体验与需求质性研究的Meta整合[J]. 护理学报, 2024, 31(5): 50-55.
[14] 李珂, 杨振楠, 韩舒羽, 张建霞, 张梦杰, 李君. 护士经历护理中断事件真实体验的Meta整合[J]. 护理学报, 2024, 31(5): 61-66.
[15] 商丽, 黄菲, 程利, 张桃桃, 王宏梅. 本科护生参与漫改剧学习体验的质性研究[J]. 护理学报, 2024, 31(3): 25-29.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!