母亲经历围产儿死亡事件体验的系统评价

目的 系统评价母亲经历围产儿死亡事件的体验。方法 计算机检索中国知网、万方、VIP、PubMed、Web of Science、Medline、Wiley、EMbase数据库从建库至2020年3月有关母亲经历死产和围产儿死亡事件体验的质性研究,对文献进行质量评价后,采用Noblit和Hare's的Meta民族志方法对研究文献进行分析归纳。结果 纳入研究文献16篇。提炼出一个核心概念"母亲在痛苦的绝望中寻求新希望",基于以下4个主题,无声痛苦：母亲承受巨大的身心压力,负性情感突出;寻找出路：母亲通过应对策略抵御内心的痛苦;重建世界：母亲生活的改变与成长;未来曙光：母亲渴望得到尊重与照顾,对未来充满希冀。结论 医务人员应充分认识到围产儿的死亡不仅仅是医学问题,更是社会问题。应关注母亲心理变化,重视对母亲的情感支持,促进母亲生活重建。

Systematic Review of Maternal Experience of Perinatal Death

Objective To systematically evaluate the maternal experience of perinatal death.Methods Qualitative research on maternal experience of stillbirth and perinatal death events in CNKI,Wanfang database,VIP,PubMed,Web of Science,Medline,Wiley and EMbase database were searched by computer from the inception to March 2020.After quality evaluation of the literature,the meta-ethnography methods of Noblit and Hare's was used to analyze and summarize the literature.Results Sixteen articles were included.One core concept of seeking hope in painful despair is extracted based on the following four themes:prominent negative emotion demonstrated by silent pain and severe physical and mental pressure;coping strategies for inner torture;rebuilding the world:the change and growth of mother's life;future dawn:desire for respect and care and full of hope for the future.Conclusion Perinatal death is not only a medical issue,but also a social problem.Attaching importance to psychological changes of mothers,and providing emotional support for mothers will promote the reconstruction of mothers'life.