孕妇参与群组孕期保健体验质性研究的Meta整合

doi:10.16460/j.issn1008-9969.2021.06.006

摘要/Abstract

摘要： 目的了解孕妇参与群组孕期保健的体验及观点,以孕妇视角衡量群组孕期保健的可行性和有效性,为群组孕期保健的推广提供依据。方法检索PubMed、Web of Science 、PsycINFO、Cochrane Library、EMbase、Scopus、CINAHL、知网、中国生物医学文献数据库、维普、万方数据库,收集孕妇参与群组孕期保健体验的质性研究,检索时限均为建库至2020年11月8日。采用澳大利亚JBI循证卫生保健中心的质性研究质量评价标准进行质量评价,并采用汇集性整合方法整合结果。结果共纳入12项研究,提炼39个研究结果,归纳形成8个类属,综合成3个整合结果：形成社会支持网络,建立有意义的联系;为孕妇赋能;群组孕期保健模式存在的挑战。结论群组孕期保健为我国孕期保健模式的优化提供了策略,但需要结合我国不同地区的卫生保健环境,深入探讨孕妇、群组孕期保健组织者和政策层面的系统策略,以确保群组孕期保健的实施效果。

关键词: 群组孕期保健, 孕期保健, 孕妇, 体验, 质性研究, Meta整合

Abstract: Objective To integrate authentic experience and opinions of pregnant women participating in Group Antenatal Care (GANC), and measure the feasibility and effectiveness of GANC from the perspective of pregnant women, and to provide reference for the promotion of GANC model. Methods We searched PubMed, Web of Science, PsycINFO, Cochrane Library, EMbase, Scopus, CINAHL, CNKI, Sino-med, VIP and WanFang data for eligible studies on pregnant women participating in GANC from database inception to November 8, 2020. The quality of included studies was evaluated according to JBI Critical Appraisal Tool for qualitative studies, and meta-integration was conducted using the aggregative integration method. Results Twelve qualitative studies were included involving 39 results and 8 categories, then 3 integrated themes were extracted: establishing social supporting network and significant connections; empowering pregnant women and challenges in the promotion of GANC. Conclusion GANC provides reference for the optimization of pregnancy health care mode and the improvement of pregnancy health care quality in China. Practical health care conditions of different regions in China and systematic strategies at different levels of pregnant women, GANC organizers and policies are beneficial to the implementation effect of GANC.

Key words: group antenatal care, antenatal care, pregnant women, experience, qualitative study, Meta synthesis

中图分类号:

R473.71

李玉娟, 李君艳, 欧阳艳琼. 孕妇参与群组孕期保健体验质性研究的Meta整合[J]. 护理学报, 2021, 28(6): 6-12.

LI Yu-juan, LI Jun-yan, OUYANG Yan-qiong. Qualitative Studies on Pregnant Women's Experience of Group Antenatal Care: A Meta Synthesis[J]. Journal of Nursing, 2021, 28(6): 6-12.

参考文献

[1] Hunter LJ,Da Motta G, McCourt C, et al.Better Together: A Qualitative Exploration of Women's Perceptions And Experiences of Group Antenatal Care[J].Women Birth, 2019,32(4):336-345. DOI:10.1016/j.wombi.2018.09.001.
[2] Mazzoni SE, Carter EB.Group Prenatal Care[J].Am J Obstet Gynecol, 2017,216(6):552-556. DOI:10.1016/j.ajog.2017.02.006.
[3] 李林蔚,张彩虹,郭洪花.群组式护理模式在围产期保健的应用进展[J].护理学报, 2019,26(23):41-44. DOI:10.16460/j.issn1008-9969.2019.23.041.
[4] WHO.WHO Recommendations on Antenatal Care for A Positive Pregnancy Experience[EB/OL].(2016-11-07)[2021-01-20].http://www.who.int/en/.
[5] 胡雁.郝玉芳.循证护理学[M].2版.北京:人民卫生出版社, 2018:157-172.
[6] Mcneil DA, Vekved M, Dolan SM, et al.Getting More Than They Realized They Needed: A Qualitative Study of Women's Experience of Group Prenatal Care[J].BMC Pregnancy Childbirth, 2012,12:17. DOI:10.1186/1471-2393-12-17.
[7] Novick G, Sadler LS, Kennedy HP, et al.Women's Experience of Group Prenatal Care[J].Qual Health Res,2010,21(1):97-116. DOI:10.1177/1049732310378655.
[8] Sultana M, Ali N, Akram R, et al.Group Prenatal Care Experiences Among Pregnant Women in a Bangladeshi Community[J].Plos One,2019,14(6):e218169. DOI:10.1371/journal.pone.0218169.
[9] Musabyimana A, Lundeen T, Butrick E, et al.Before and After Implementation of Group Antenatal Care in Rwanda: A Qualitative Study of Women's Experiences[J].Reprod Health,2019,16(1):90. DOI:10.1186/s12978-019-0750-5.
[10] Risisky D, Asghar SM, Chaffee M, et al.Women's Perceptions Using the CenteringPregnancy Model of Group Prenatal Care[J].J Perinat Educ, 2013,22(3):136-144. DOI:10.1891/1058-1243.22.3.136.
[11] Heberlein EC, Picklesimer AH, Billings DL, et al.Qualitative Comparison of Women's Perspectives on the Functions and Benefits of Group and Individual Prenatal Care[J].J Midwifery Womens Health, 2016,61(2):224-234. DOI:10.1111/jmwh.12379.
[12] Kweekel L, Gerrits T, Rijnders M, et al.The Role of Trust in CenteringPregnancy: Building Interpersonal Trust Relationships in Group-based Prenatal Care in the Netherlands[J].Birth, 2017,44(1):41-47. DOI:10.1111/birt.12260.
[13] Kennedy HP, Farrell T, Paden R, et al.“I Wasn't Alone”-A Study of Group Prenatal Care in the Military[J].J Midwifery Womens Health, 2009,54(3):176-183. DOI:10.1016/j.jmwh.2008.11.004.
[14] Herrman JW, Rogers S, Ehrenthal DB.Women's Perceptions of CenteringPregnancy: A Focus Group Study[J].MCN Am J Matern Child Nurs, 2012,37(1):19-26. DOI:10.1097/NMC.0b013e3182385204.
[15] 陈丹丹,李益民,周临,等.初产妇对助产士主导的家庭群组式孕期保健服务的体验[J].护理学杂志, 2018,33(12): 32-34. DOI:10.3870/j.issn.1001-4152.2018.12.032.
[16] 周临,张晶,陈丹丹,等.以家庭为中心的群组式孕期保健模式的应用及效果研究[J].中华护理杂志, 2019,54(3): 401-405. DOI:10.3761/j.issn.0254-1769.2019.03.015.
[17] Sharma J, O'Connor M, Rima Jolivet R.Group Antenatal Care Models in Low-and Middle-income Countries:A Systematic Evidence Synthesis[J].Reprod Health, 2018,15(1):38. DOI:10.1186/s12978-018-0476-9.
[18] Abraham C.Rethinking the Traditional Prenatal Care Model[J].Obstet Gynecol, 2020,135(5):1024-1026. DOI:10.1097/AOG.0000000000003789.
[19] Pekkala J, Cross Barnet C, Kirkegaard M, et al.Key Considerations for Implementing Group Prenatal Care: Lessons from 60 Practices[J].J MidwiferyWomens Health, 2020,65(2):208-215. DOI:10.1111/jmwh.13047.
[20] 潘旋,张晶,周临,等.杭州市孕产妇孕期保健质量及影响因素分析[J].预防医学,2018,30(4):352-355. DOI:10.19485/j.cnki.issn2096-5087.2018.04.008.
[21] 袁雨,漆洪波.结合中国实践谈WHO 2016年孕期保健指南[J].中国实用妇科与产科杂志, 2017,33(6):567-571. DOI:10.19538/j.fk2017060105.
[22] 韦俭俭,赵红,李颖.美国小组产前保健模式应用及效果研究进展[J].中国护理管理, 2017,17(1):141-143. DOI:10.3969/j.issn.1672-1756.2017.01.035.
[23] Peahl AF, Gourevitch RA, Luo EM, et al.Right-sizing Prenatal Care to Meet Patients' Needs and Improve Maternity Care Value[J].Obstet Gynecol, 2020,135(5):1027-1037. DOI:10.1097/AOG.0000000000003820.
[24] Strickland C, Merrell S, Kirk JK.Centering Pregnancy: Meeting the Quadruple Aim in Prenatal Care[J].N C Med J, 2016, 77(6):394-397. DOI:10.18043/ncm.77.6.394.
[25] 李小梅,梁燕梅,伍丽燕.基于集中群组化的产前保健服务模式的研究[J].护理学报, 2019,26(11):37-40. DOI:10.16460/j.issn1008-9969.2019.11.037.
[26] 王义会,王惠琳,李颖.集中群组孕期保健模式的临床效果评价[J].中国妇幼保健, 2020,35(9):1603-1606. DOI:10.19829/j.zgfybj.issn.1001-4411.2020.09.011.
[27] Kania-Richmond A, Hetherington E, Mcneil D, et al.The Impact of Introducing Centering Pregnancy in a Community Health Setting:A Qualitative Study of Experiences and Perspectives of Health Center Clinical and Support Staff[J].Matern Child Health J,2017,21(6):1327-1335. DOI:10.1007/s10995-016-2236-1.
[28] Harsha Bangura A, Nirola I, Thapa P, et al.Measuring Fidelity, Feasibility, Costs: An Implementation Evaluation Of A Cluster-controlled Trial of Group Antenatal Care in Rural Nepal[J].Reprod Health, 2020, 17(1):5. DOI:10.1186/s12978-019-0840-4.
[29] Adaji SE, Jimoh A, Bawa U, et al.Women's Experience with Group Prenatal Care in a Rural Community in Northern Nigeria[J].Int J Gynecol Obstet, 2019,145(2):164-169. DOI:10.1002/ijgo.12788.
[30] Huang Y, Shallcross D, Pi L, et al.Ethnicity and Maternal and Child Health Outcomes and Service Coverage in Western China: A Systematic Review and Meta-analysis[J].Lancet Global Health, 2018, 6(1):E39-E56. DOI:10.1016/S2214-109X(17)30445-X.

相关文章 15

[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]	陈燕华, 冯梅, 胡佩欣. 粤港联合个案管理师临床实践培训体验的质性研究[J]. 护理学报, 2025, 32(1): 24-28.
[6]	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.
[7]	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.
[8]	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.
[9]	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.
[10]	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.
[11]	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.
[12]	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.
[13]	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.
[14]	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.
[15]	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.

Metrics

Viewed

Full text

Abstract

Cited

Shared