汤海莉,张玉,龚敏琴,李贝妮.孕晚期孕妇实施会阴按摩障碍因素的质性研究[J].上海护理,2021,21(7):
孕晚期孕妇实施会阴按摩障碍因素的质性研究
Qualitative study on the factors of perineal Massage in pregnant Women in the antenatal period;
DOI:
中文关键词:  会阴按摩  会阴损伤  孕期  障碍因素  质性研究
英文关键词:
基金项目:上海市卫计委重要薄弱学科建设项目2015ZB0303
作者单位E-mail
汤海莉 复旦大学附属妇产科医院 helen319_83@163.com 
张玉* 复旦大学附属妇产科医院 xiaoyu19830402@163.com 
龚敏琴 复旦大学附属妇产科医院  
李贝妮 复旦大学护理学院  
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中文摘要:
      目的 调查孕妇孕晚期会阴按摩实施过程中的障碍因素,为推广孕晚期实施会阴按摩,以减少分娩时的会阴损伤,促进产后盆底康复。方法 采用目的抽样法,于2018年11月至2019年3月选取上海市某妇产科医院中经会阴按摩的孕产妇10例为研究对象。对符合研究纳入标准的人群作深度访谈,采用Colaizzi描述性现象学研究法分析资料。结果 本研究通过质性研究的方法提炼出孕晚期会阴按摩相关障碍因素的三个主题:缺乏会阴按摩相关知识、孕妇操作困难以及实施操作的依从性低。结论 医务人员应采取更多措施及采取更有效的方法宣传会阴按摩的相关知识,从而减少实施过程中的相关障碍,提高孕妇的操作依从性。
英文摘要:
      Objective To investigate the obstacle factors of perineal massage for pregnant women in the late pregnancy,in order to encourage perineal massage in late pregnancy,reduce injury during childbirth, and promote postpartum pelvic floor recovery. Methods 10 pregnant women who underwent perineal massage at the Obstetrics and Gynecology Hospital from November 2018 to March 2019 were selected as study subjects. Using the purposive sampling method,in-depth interviews were conducted with people who met the criteria of study, and Colaizzi"s descriptive phenomenological methods was used to analyze the data. Results Through qualitative research methods, this study extracted three barriers for perineal massage in the late pregnancy: lack of knowledge regarding perineal massage, challenge to perform by pregnant women, and low adherence with implementation. Conclusion Medical staffs need adopt more relevant and effective strategies to promote the knowledge of perineal massage,so as to reduce the related obstacles in implementation and improve compliance of pregnant women.
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