关键词: 胎儿异常引产, 创伤后成长, 促进因素, 质性研究, 产科护理

Abstract:

Objective To explore the post-traumatic growth course for women with termination of pregnancy due to fetal abnormalities and analyze the promoting factors，in order to provide a basis for nursing and intervention tactics. Methods The purposive sampling and theoretical sampling methods were used to select 16 women who were diagnosed with fetal abnormalities and decided to terminate pregnancy in the obstetrics department of a tertiary care maternity hospital in Beijing from May 2021 to February 2022. Women were interviewed by semi-structured interviews，and the data was analyzed by Charmaz’s constructing grounded theory paradigm. Results Women with termination of pregnancy due to fetal abnormalities underwent 4 stages of post-traumatic growth：traumatic stress period，rumination and seeking of help period，and acceptance internalization period，and post-traumatic growth period. The behavior of each period was influenced by the psychological experience of the corresponding period and influenced the experience of the next period. Extroverted personality，previous normal pregnancy and delivery experience，positive perception of events，positive self-identification，good social support，appropriate hospitalization environment and regulations，open mindedness towards death and religious belief，affected women’s post-traumatic growth. Conclusion The post-traumatic growth course of women with termination of pregnancy due to fetal anomaly is a complex continuously sublimated process. Medical staff should pay attention to psychological and behavioral changes in women’s post-traumatic growth，combine the factors that promote post-traumatic growth，and provide targeted guidance to help them successfully go through this difficult period and achieve personal growth.

Key words: Termination of Pregnancy due to Fetal Abnormalities, Post-Traumatic Growth, Promoting Factors, Qualitative Study, Obstetrical Nursing