关键词: Foetal anomaly Grounded theory Termination of pregnancy Theoretical framework

Mesh : Abortion, Induced / methods psychology Adult China Cognition Congenital Abnormalities / psychology Female Grounded Theory Humans Pregnancy Qualitative Research

来  源:   DOI:10.1016/j.midw.2018.10.006   PDF(Sci-hub)

Abstract:
OBJECTIVE: To understand the cognition, emotions, and behaviour of women who had recently undergone termination due to a foetal anomaly. In this study, we developed and tested a theoretical model to describe how women went through the process after termination.
METHODS: A grounded theory study.
METHODS: Three general hospitals and one special hospital in Changsha, Hunan, China.
METHODS: 41 women who had recently undergone a pregnancy termination.
METHODS: In-depth interviews were conducted from May to September 2017. A combination of convenience sampling and theoretical sampling was used, and conceptual depth criteria were used to measure the progress of the theoretical sampling.
RESULTS: This study developed a cognitive-behavioural experience framework of women undergoing pregnancy termination due to a foetal anomaly. The model included 4 phases: 1. Denial Phase, 2. Confirmation Phase, 3. Decision-making Phase and 4. Recovery Phase. Different cognitive appraisal, emotional, and behavioural reactions were included in each phase, and the different reactions influenced one another.
UNASSIGNED: We built and tested a theoretical framework by interviewing women who had gone through a pregnancy termination. The framework describes their experiences more clearly from three dimensions, including cognitive appraisal, emotional reaction, and behavioural response in the different phases. This framework provides a basic understanding of the women\'s emotional process and, therefore, provides baseline data for developing an effective intervention to help women cope with termination stresses.
摘要:
目的:了解认知,情感,以及最近因胎儿异常而终止妊娠的妇女的行为。在这项研究中,我们开发并测试了一个理论模型来描述女性在终止妊娠后的经历过程.
方法:扎根理论研究。
方法:长沙市三家综合医院和一家专科医院,湖南,中国。
方法:41名最近终止妊娠的妇女。
方法:2017年5月至9月进行了深度访谈。采用了方便抽样和理论抽样相结合的方法,和概念深度标准被用来衡量理论抽样的进展。
结果:这项研究建立了一个因胎儿异常而终止妊娠的女性的认知行为体验框架。该模型包括4个阶段:1.否认阶段,2.确认阶段,3.决策阶段和4。恢复阶段。不同的认知评价,情感,行为反应包括在每个阶段,不同的反应相互影响。
我们通过采访经历了终止妊娠的女性,建立并测试了一个理论框架。该框架从三个维度更清楚地描述了他们的经历,包括认知评估,情绪反应,以及不同阶段的行为反应。这个框架提供了对女性情感过程的基本理解,因此,为制定有效的干预措施以帮助女性应对终止压力提供基线数据.
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