Abstract:

Objective To explore influence of participating in a family-centered group prenatal care model on pregnant women,and to provide theoretical evidence for this model.Methods A family-centered group prenatal care model was established,60 pregnant women were conveniently selected to participate in group activities under this model. Qualitative study method was undertaken to interview 16 pregnant women who participated in the group model using semi-structured interviews. Colaizzi’s analysis method was used to analyze data.Results Three themes（holistic self-care management,participatory health education,and diverse social support） and the core theme of fitting existing and potential needs of pregnancy emerged from data,which reflected the comprehensive experience of pregnant women.Conclusion Compared with traditional prenatal care model,the family-centered group prenatal care model can meet women and their family’s needs of peer support and family support,as well as their expectations of professional support and self-care management. The group model can enhance the utilization and efficiency of prenatal care.

Key words: Family-Centered, Group, Prenatal Care, Qualitative Research, Obstetrical Nursing, Prenatal Care

摘要：

目的 探讨参与以家庭为中心的群组式孕期保健活动对孕妇的影响,为在国内推广该孕期保健模式提供理论依据。方法 构建以家庭为中心的群组式孕期保健模式,便利选取60名孕妇参与该模式下的群组活动。运用质性研究法,对参与该孕期保健活动的16名孕妇进行半结构式访谈,使用Colaizzi分析法,对获取的资料进行分析、总结、归纳。结果 提炼出孕妇参与以家庭为中心的群组式孕期保健活动体验的3个主题（整体化自护管理、参与式健康教育和多元化社会支持）,以及“契合现存和潜在的孕期需求”这一反映孕妇综合体验的核心主题。结论与传统的孕期保健模式相比,以家庭为中心的群组式孕期保健模式促进了孕妇及其家属对孕期专业支持的寻求,提高了孕妇孕期的自我管理能力,满足了孕妇所需的同伴支持和家庭支持,有助于提高孕期保健的利用率和有效性。

关键词: 以家庭为中心, 群组式, 孕期保健, 质性研究, 产科护理, 产前保健