目的系统评价妊娠期糖尿病患者在孕期血糖管理过程中遇到的决策困境的质性研究,为后续制订促进患者血糖管理最佳决策的干预策略提供参考。方法计算机检索Cochrane Library、CINAHL、EMbase、PubMed、PsycINFO、ProQuest、Web of Scienc...目的系统评价妊娠期糖尿病患者在孕期血糖管理过程中遇到的决策困境的质性研究,为后续制订促进患者血糖管理最佳决策的干预策略提供参考。方法计算机检索Cochrane Library、CINAHL、EMbase、PubMed、PsycINFO、ProQuest、Web of Science和中国知网、万方、维普、中国生物医学文献数据库中从建库至2022年5月收录的关于妊娠期糖尿病患者孕期血糖管理决策困境的质性研究文献。文献质量评价采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准(2016版),研究结果的整合使用汇集性整合方法。结果共纳入13篇文献,提炼出56个主题,归纳为9个类别,形成了3个整合结果:血糖管理的个性化、专业信息缺乏;担忧血糖管理影响母儿健康;日常生活与血糖管理计划冲突。结论医护人员应对妊娠期糖尿病患者及其家属进行充分的血糖管理健康教育,给予个性化专业信息支持以促使其在孕期进行科学决策,同时也要为其分析不同决策的益处和风险以辅助其做出最佳决策,并强化其外部支持系统帮助落实血糖管理决策。展开更多
Objective: This study aimed to explore the experiences of women in the process of formula feeding their infants. The World Health Organization has emphasized the importance of breastfeeding for infant health. After de...Objective: This study aimed to explore the experiences of women in the process of formula feeding their infants. The World Health Organization has emphasized the importance of breastfeeding for infant health. After decades of breastfeeding promotions,breastfeeding rates in Hong Kong have been rising consistently; however, the low continuation rate is alarming. This study explores women's experiences with formula feeding their infants, including factors affecting their decision to do so.Methods: A qualitative approach using an interpretative phenomenological analysis(IPA) was adopted as the study design. Data were collected from 2014 to 2015 through individual in-depth unstructured interviews with 16 women, conducted between 3 and 12 months after the birth of their infant. Data were analyzed using IPA.Results: Three main themes emerged as follows:(1) self-struggle, with the subthemes of feeling like a milk cow and feeling trapped;(2) family conflict, with the subtheme of sharing the spotlight; and(3) interpersonal tensions, with the subthemes of embarrassment,staring, and innocence. Many mothers suffered various stressors and frustrations during breastfeeding. These findings suggest a number of pertinent areas that need to be considered in preparing an infant feeding campaign.Conclusions: The findings of this study reinforce our knowledge of women's struggles with multiple sources of pressure, such as career demands, childcare demands, and family life after giving birth. All mothers should be given assistance in making informed decisions about the optimal approach to feeding their babies given their individual situation and be provided with support to pursue their chosen feeding method.展开更多
Background and Purpose: Researchers’ incomplete perception of the concerns about childbearing decision making process is revealed in discussions about policies and programs that are designed to influence fertility. P...Background and Purpose: Researchers’ incomplete perception of the concerns about childbearing decision making process is revealed in discussions about policies and programs that are designed to influence fertility. Perceiving the concerns of women is essential to explain process of decision making for childbearing. This study aimed to understand women’s main concerns about childbearing decision making. Methods: This qualitative study was performed by conventional content analysis approach. The participants included 22 married women in Tehran who were pregnant for the first time or were using contraceptive methods. Purposeful sampling began and continued up to data saturation. To collect data, the unstructured in-depth interviews were used. Data were analyzed using qualitative content analysis by Lundman and Graneheim method. Findings: Four categories were obtained from data including “fear”, “uncertainty”, “hope” and “financial security”. The main category or theme was “concerns about one’s own future or securing child’s future” that was extracted as the main concern of women about childbearing decision making process. Conclusion: The findings of this study suggest that concerns about one’s own future or securing child’s future are the main concerns of women about childbearing decision making. Deep understanding of women’s concerns about childbearing will help midwives and other service providers to provide services, strategies and more sensitive and appropriate interventions.展开更多
In this paper, decision making in complex environment is considered and an approach integrating quantitative decision model with qualitative judgment is proposed. The concept of belief degree for quantitative decision...In this paper, decision making in complex environment is considered and an approach integrating quantitative decision model with qualitative judgment is proposed. The concept of belief degree for quantitative decision model in a complex environment is presented. The integration in formulation and reasoning of quantitative model with qualitative judgment is studied. The combination of various belief degree generated by quantitative model and qualitative judgment is discussed. A decision rule of tradeoff between optimality and belief degree of optimality is proposed.展开更多
Background: Little is known about the intention formation process regarding the use of tracheostomy and invasive ventilation (TIV) in amyotrophic lateral sclerosis (ALS) patients in the course of disease progression. ...Background: Little is known about the intention formation process regarding the use of tracheostomy and invasive ventilation (TIV) in amyotrophic lateral sclerosis (ALS) patients in the course of disease progression. Objective: To clarify the intention formation process in the use of TIV in ALS patients for the purpose of providing decision-making support. Methods: We conducted a follow-up study of 14 patients using semi-structured interviews, participant observation, and medical records review. Results: The patients’ various intentions regarding the use of TIV were formed as their symptoms progressed (e.g., declining motor, swallowing, and respiratory functions). Other factors influencing their decision were their considerations, such as their ability to communicate after receiving TIV treatment, the degree of support they would receive from professionals after TIV treatment, palliative care for physical distress, value of life after TIV treatment, and to what degree they would be a burden on their families. Conclusion: Patients’ intentions regarding the use of TIV were diverse and changeable. The decision of whether or not to use TIV was made out of conviction as well as considering individual experiences of symptom progression and quality of life after TIV use.展开更多
文摘目的系统评价妊娠期糖尿病患者在孕期血糖管理过程中遇到的决策困境的质性研究,为后续制订促进患者血糖管理最佳决策的干预策略提供参考。方法计算机检索Cochrane Library、CINAHL、EMbase、PubMed、PsycINFO、ProQuest、Web of Science和中国知网、万方、维普、中国生物医学文献数据库中从建库至2022年5月收录的关于妊娠期糖尿病患者孕期血糖管理决策困境的质性研究文献。文献质量评价采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准(2016版),研究结果的整合使用汇集性整合方法。结果共纳入13篇文献,提炼出56个主题,归纳为9个类别,形成了3个整合结果:血糖管理的个性化、专业信息缺乏;担忧血糖管理影响母儿健康;日常生活与血糖管理计划冲突。结论医护人员应对妊娠期糖尿病患者及其家属进行充分的血糖管理健康教育,给予个性化专业信息支持以促使其在孕期进行科学决策,同时也要为其分析不同决策的益处和风险以辅助其做出最佳决策,并强化其外部支持系统帮助落实血糖管理决策。
文摘Objective: This study aimed to explore the experiences of women in the process of formula feeding their infants. The World Health Organization has emphasized the importance of breastfeeding for infant health. After decades of breastfeeding promotions,breastfeeding rates in Hong Kong have been rising consistently; however, the low continuation rate is alarming. This study explores women's experiences with formula feeding their infants, including factors affecting their decision to do so.Methods: A qualitative approach using an interpretative phenomenological analysis(IPA) was adopted as the study design. Data were collected from 2014 to 2015 through individual in-depth unstructured interviews with 16 women, conducted between 3 and 12 months after the birth of their infant. Data were analyzed using IPA.Results: Three main themes emerged as follows:(1) self-struggle, with the subthemes of feeling like a milk cow and feeling trapped;(2) family conflict, with the subtheme of sharing the spotlight; and(3) interpersonal tensions, with the subthemes of embarrassment,staring, and innocence. Many mothers suffered various stressors and frustrations during breastfeeding. These findings suggest a number of pertinent areas that need to be considered in preparing an infant feeding campaign.Conclusions: The findings of this study reinforce our knowledge of women's struggles with multiple sources of pressure, such as career demands, childcare demands, and family life after giving birth. All mothers should be given assistance in making informed decisions about the optimal approach to feeding their babies given their individual situation and be provided with support to pursue their chosen feeding method.
文摘Background and Purpose: Researchers’ incomplete perception of the concerns about childbearing decision making process is revealed in discussions about policies and programs that are designed to influence fertility. Perceiving the concerns of women is essential to explain process of decision making for childbearing. This study aimed to understand women’s main concerns about childbearing decision making. Methods: This qualitative study was performed by conventional content analysis approach. The participants included 22 married women in Tehran who were pregnant for the first time or were using contraceptive methods. Purposeful sampling began and continued up to data saturation. To collect data, the unstructured in-depth interviews were used. Data were analyzed using qualitative content analysis by Lundman and Graneheim method. Findings: Four categories were obtained from data including “fear”, “uncertainty”, “hope” and “financial security”. The main category or theme was “concerns about one’s own future or securing child’s future” that was extracted as the main concern of women about childbearing decision making process. Conclusion: The findings of this study suggest that concerns about one’s own future or securing child’s future are the main concerns of women about childbearing decision making. Deep understanding of women’s concerns about childbearing will help midwives and other service providers to provide services, strategies and more sensitive and appropriate interventions.
文摘In this paper, decision making in complex environment is considered and an approach integrating quantitative decision model with qualitative judgment is proposed. The concept of belief degree for quantitative decision model in a complex environment is presented. The integration in formulation and reasoning of quantitative model with qualitative judgment is studied. The combination of various belief degree generated by quantitative model and qualitative judgment is discussed. A decision rule of tradeoff between optimality and belief degree of optimality is proposed.
文摘Background: Little is known about the intention formation process regarding the use of tracheostomy and invasive ventilation (TIV) in amyotrophic lateral sclerosis (ALS) patients in the course of disease progression. Objective: To clarify the intention formation process in the use of TIV in ALS patients for the purpose of providing decision-making support. Methods: We conducted a follow-up study of 14 patients using semi-structured interviews, participant observation, and medical records review. Results: The patients’ various intentions regarding the use of TIV were formed as their symptoms progressed (e.g., declining motor, swallowing, and respiratory functions). Other factors influencing their decision were their considerations, such as their ability to communicate after receiving TIV treatment, the degree of support they would receive from professionals after TIV treatment, palliative care for physical distress, value of life after TIV treatment, and to what degree they would be a burden on their families. Conclusion: Patients’ intentions regarding the use of TIV were diverse and changeable. The decision of whether or not to use TIV was made out of conviction as well as considering individual experiences of symptom progression and quality of life after TIV use.
