关键词: 胎儿畸形, 哀伤辅导, 需求, 引产, 质性研究, 产科护理

Abstract:

Objective To understand the needs and attitudes of grief counseling for women with fetal abnormalities,so as to provide references for the grief counseling work in the future. Methods A descriptive qualitative approach was conducted and a total of 19 women with fetal abnormalities were enrolled for semi-structural in-depth interviews between September and November 2020 from a women’s hospital in Hangzhou,Zhengjiang. Colaizzi method was used to analyze the data. Results 3 themes and 13 sub-themes were extracted,including characteristics of grief counseling needs（needs were hidden,needs correspond to stages of psychological development）,content of grief counseling needs （respectful care needs,needs for infant and parents identity,information needs for dead infant treatment,confirmation of decision of induced labor,emotional needs,continuous bonding）,influencing factors of grief counseling needs （popularization of grief counselling,attitudes of family members,traditional thoughts of reincarnation,opinion on grief counseling,attitudes towards the fetus）. Conclusion Nurses should accurately assess grief counseling needs of women with fetal abnormalities induced labor,provide multi-dimensional grief counseling support,and avoid increasing maternal grief reaction while providing grief counseling. Medical institutions should integrate various resources,reduce the factors influencing maternal grief counseling decision-making to alleviate the pressure of the clinical grief counseling and explore the grief counseling working mode based on the needs of women with fetal abnormalities in China.

Key words: Fetal Anomaly, Grief Counseling, Needs, Induced Labor, Qualitative Study, Obstetrical Nursing