摘要
目的通过深入访谈了解孕晚期妇女实施会阴按摩的情况及阻碍因素,以期减少分娩时会阴损伤和促进产妇产后盆底康复。方法选取2018年11月至2019年3月就诊于复旦大学附属妇产科医院助产士门诊并接受会阴按摩宣教的10名孕产妇为研究对象,围绕会阴按摩实施体验对其进行半结构式深度访谈,采用Colaizzi描述性现象学研究法进行资料分析。结果根据访谈内容,提炼出阻碍孕晚期妇女实施会阴按摩的3个主题:缺乏会阴按摩的相关知识和技能,在实施过程中存在实际困难,以及孕产妇主观重视不足。结论医务人员可通过采取针对性、多样化的宣教,促进孕晚期妇女更好地掌握会阴按摩的相关知识和技能,提高其操作依从性,进而减少分娩时会阴损伤的发生率,促进产后恢复。
Objective To investigate the situation and barriers of perineal massage among pregnant women in the third trimester,so as to reduce perineal injury during delivery and promote postpartum pelvic floor recovery of lying‑in women.Methods A total of 10 pregnant and lying‑in women who visited the Midwife Clinic of Obstetrics and Gynecology Hospital of Fudan University from November 2018 to March 2019 and received perineal massage education were selected as the subjects.They underwent semi‑structured in‑depth interviews around their experience of perineal massage.Colaizzi's descriptive phenomenological method was used for data analysis.Results According to the interview details,3 barriers for the implementation of perineal massage among pregnant women in the third trimester were summed up:lack of relevant knowledge and skills of perineal massage,actual difficulties in the implementation process,and less attention paid by pregnant and lying‑in women.Conclusion Medical staff can enhance the understanding of pregnant women in the third trimester about relevant knowledge and skills of perineal massage and improve their compliance through targeted and diversified education,thus reducing the incidence of perineal injury during delivery and promote postpartum recovery.
作者
汤海莉
张玉
龚敏琴
李贝妮
TANG Haili;ZHANG Yu;GONG Minqin;Li Beini(Obstetrics and Gynecology Hospital of Fudan University,Shanghai 200090;School of Nursing,Fudan University,Shanghai 200032)
出处
《上海护理》
2021年第7期15-18,共4页
Shanghai Nursing
基金
上海市卫生和计划生育委员会重要薄弱学科建设项目(2015ZB0303)。
关键词
会阴按摩
会阴损伤
孕期
障碍因素
质性研究
Perineal massage
Perineal injury
Pregnancy
Barriers
Qualitative study
