丧失胎儿再次妊娠女性孕期体验与需求质性研究的Meta整合

doi:10.3761/j.issn.0254-1769.2026.02.016

摘要/Abstract

摘要：

目的系统评价丧失胎儿再次妊娠女性的孕期体验与需求，为后续制订针对性的心理干预措施提供依据。方法计算机检索PubMed、Web of Science、Cochrane Library、Embase、CINAHL、中国知网、万方数据库、中国生物医学文献数据库及维普数据库中关于丧失胎儿再次妊娠女性孕期体验与需求的质性研究，检索时限为建库至2025年3月14日。采用2016版澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价工具对纳入文献进行质量评价，采用汇集性整合方法对研究结果进行整合。结果共纳入15篇文献，提炼出64个研究结果，归纳出10个类别，进一步综合得到3个整合结果：希望与不安的复杂交织、不确定性中的应对方式、多元层次化的支持需求。结论丧失胎儿再次妊娠女性在孕期面临复杂的情感体验，产科医护人员应主动关注并疏导其负性情绪，挖掘其内心深处的需求，提供情感与信息支持，进而促进积极妊娠体验、保障母婴安全。

关键词: 妊娠丧失, 孕期体验, 需求, 质性研究, Meta整合, 循证护理学

Abstract:

Objective To systematically evaluate the pregnancy experiences and needs of women who have experienced pregnancy loss and subsequently become pregnant again，providing evidence for the development of targeted psychological intervention measures. Methods PubMed，Web of Science，CINAHL，Cochrane Library，Embase，CNKI，Wanfang Database，CBM，and VIP Database were searched to collect qualitative studies on the pregnancy experiences and needs of women who have experienced pregnancy loss and are pregnant again. The search time was from inception to March 14，2025. The quality of the included literature was evaluated according to the 2016 edition of the Qualitative Research Quality Evaluation Criteria of the Joanna Briggs Institute for Evidence-Based Health Care in Australia，and the results were summarized by meta-synthesis method. Results A total of 15 studies were included，and 64 research results were extracted，which were grouped into 10 new categories. 3 integrated themes were finally synthesized，including the complex interplay of hope and unease，coping strategies amid uncertainty，and multitiered support needs. Conclusion Women who have experienced pregnancy loss and are attempting to conceive again face complex emotional experiences during pregnancy. Clinical healthcare providers should proactively address and alleviate their negative emotions，identify their underlying needs，and provide emotional and informational support to promote positive pregnancy experiences and ensure maternal and infant safety.

Key words: Pregnancy Loss, Pregnancy Experience, Needs, Qualitative Research, Meta-Synthesis, Evidence-Based Nursing

王雅雯, 孙菲, 秦钥, 沈绮怡, 雷霞, 周临. 丧失胎儿再次妊娠女性孕期体验与需求质性研究的Meta整合[J]. 中华护理杂志, 2026, 61(2): 258-266.

WANG Yawen, SUN Fei, QIN Yue, SHEN Qiyi, LEI Xia, ZHOU Lin. Subsequent pregnancy experiences and needs of women with pregnancy loss：a Meta-synthesis of qualitative research[J]. Chinese Journal of Nursing, 2026, 61(2): 258-266.

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