Abstract:

Objective To explore midwives' inner feelings and experience of providing bereavement care for women experiencing perinatal death. Methods Study participants were recruited through purposive sampling. Semi-structured interviews were conducted between October and December 2019 in 18 midwives from 11 tertiary hospitals in Guangdong,China. Transcripts of interviews were analyzed using Colaizzi 7-step analysis method. Results 3 themes were extracted,including the suffering from negative emotions of midwives,the co-existence of positive and negative coping,and the expectation to receive organizational support. Conclusion When caring for bereaved women,midwives had negative emotional reactions and adopted negative coping styles,which could not ensure the quality of maternal care. It is suggested that hospitals and relevant departments can provide emotional support and training for midwives,and encourage midwives to respond positively. At the same time,formulation of evidence-based nursing pathway and establishment of multi-disciplinary professional teams are necessary,so as to promote the development of perinatal bereavement care services.

Key words: Midwives, Perinatal Death, Bereavement Care, Qualitative Study, Obstetrical Nursing

摘要：

目的 深入了解助产士对围产儿死亡产妇进行哀伤辅导的内心感受及护理经验。 方法 采用目的抽样法,于2019年10月—12月选取广东省11所三级甲等医院的18名助产士进行半结构式深入访谈,运用Colaizzi 7步分析法分析访谈资料,提炼主题。 结果 助产士对围产儿死亡产妇进行哀伤辅导的体验可归纳为3个主题：助产士存在多种负性情绪、积极与消极应对并存和期望更多的组织支持。 结论 助产士在护理围产儿死亡产妇时存在消极情感反应,消极的应对方式不利于保证产妇的护理质量。建议医院和科室为助产士提供情感支持和培训,鼓励助产士积极应对,与此同时,制订循证护理路径,组建多领域专业团队,促进围产期哀伤辅导服务的发展。

关键词: 助产士, 围产儿死亡, 哀伤辅导, 质性研究, 产科护理