产妇分娩满意度理论框架的构建

doi:10.3761/j.issn.0254-1769.2025.01.002

摘要/Abstract

摘要：

目的构建产妇分娩满意度理论框架，为采取措施提高产妇的分娩满意度，促进护理质量的提升提供科学依据。方法采用目的抽样法，于2023年7月—9月，选取在南通市3所三级甲等医院产后门诊进行产后42 d复查的30名产妇进行半结构化深度访谈，运用程序化扎根理论进行资料分析。结果建立了多维层面的产妇分娩满意度理论框架，包括基础层面（知识普及、资源获取、心理调适）、核心层面（专业素养、互动协作、信息共享）、精神层面（尊重自主、情绪关怀、赋权增能）及实践层面（舒适安全、技能提升、全面恢复）4个层面。结论该研究构建了产妇分娩满意度理论框架，为优化产妇分娩满意度的护理实践和提高服务水平提供了新视角与方法论指导。护理人员可利用该框架对护理服务进行持续改进和提升，以满足产妇不断变化的需求，帮助其顺利分娩。

关键词: 产妇, 分娩满意度, 扎根理论, 理论框架, 产科护理

Abstract:

Objective To construct a theoretical framework of multidimensional level of maternal labour satisfaction to provide a scientific basis for taking measures to improve maternal labour satisfaction，in order to promote the improvement of nursing care quality. Methods A purposive sampling method was used to select 30 mothers who underwent a 42 days postpartum review in the postpartum clinics of 3 tertiary A hospitals in Nantong City from July to September 2023 for semi-structured in-depth interviews，and programmatic grounded theory was used for data analysis. Results A theoretical framework for multidimensional maternal satisfaction in childbirth was established，comprising 4 dimensions of the basic level（knowledge dissemination，resource acquisition，psychological adjustment），the core level（professionalism，interaction and cooperation，information sharing），the spiritual level（respect for autonomy，emotional care，empowerment），and the practical level（comfort and safety，skill enhancement，comprehensive recovery）. Conclusion This study constructs a multidimensional theoretical framework for assessing childbirth satisfaction among parturient women，providing innovative perspectives and methodological guidance to optimize nursing practices and elevate service quality. Nursing personnel should utilize this framework to ensure the ongoing improvement and enhancement of nursing services，meeting the evolving needs of parturient women and facilitating a smooth transition through the critical life event of childbirth.

Key words: Postpartum Women, Delivery Satisfaction, Grounded Theory, Theoretical Framework, Obstetrical Nursing

王艳驰, 徐旭娟, 张凤. 产妇分娩满意度理论框架的构建[J]. 中华护理杂志, 2025, 60(1): 18-23.

WANG Yanchi, XU Xujuan, ZHANG Feng. Construction of the theoretical framework for maternal satisfaction with childbirth[J]. Chinese Journal of Nursing, 2025, 60(1): 18-23.

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