紀要論文 妊娠・出産による女性の身体的・精神的健康問題の経験と認識:Meta-synthesis を用いて
Women’s experiences and perceptions of physical and mental issues resulted from pregnancy and labor:Meta-synthesis

坂本, 飛鳥  ,  Preeti, Sood

内容記述
 近年,妊産婦の妊娠・出産に関係するマイナートラブルは,リハビリテーション分野においても,予防・治療すべき重大な障害である.妊産婦がどのような身体的・心理的な健康問題を経験し,その健康問題についてどのように認識し,行動をとっているかを,私たち医療従事者が深く理解することは,治療を行う上で重要なことである.本稿では,Meta-Synthesis を用いて,妊産婦の身体的・精神的健康問題について質的研究の文献レビューを行った.4 つの主なテーマとして,①妊娠・出産と関係がある身体的・精神的健康問題の経験, ②その健康問題のリスクや原因についての認識, ③解決策, ④生活の変化についての予測を抽出した.妊産婦の身体的・心理的健康問題は独立して生じるだけでなく,深く関わりあっており,共通して,夫や家族,知人の支援は,その障害を軽減するために重要な要因であることがわかった.医療従事者は,心身障害の奥にある重要な問題と向き合い,その解決に取り組む必要もある.
 Pregnancy is the most important event of women’s life. Pregnancy and labor may affect a woman’s physical and mental health. Moreover, pregancy can impact on quality of life, including each individual’s role as mother, wife, working status, and/or social relationships. The purpose of this study was to deepen our understanding of women’s experiences and perception of their physical and mental problems related to pregnancy and labor through a meta-analysis. The meta-analysis focused on studies dealing with experiences and perceptions of physical and mental issues among pregnant and postpartum women in qualitative studies. Eight qualitative studies relating to women’s physical and mental health problems through pregnancy and labor from 2012 to 2014 met the inclusion criteria. Each article was evaluated with the Critical Appraisal Skills Program (CASP) to obtain CASP scores. All qualitative studies were examined for four common themes: 1) Experience of physical and mental issues related to pregnancy and labor; 2) Perception of risks and their causes; 3) Solution of issues related to pregnancy; and, 4) The expectation for further negative change. A meta-synthesis contributed to a further clarification of additional salient factors relevant to women’s physical and mental health problems resulting from pregnancy and labor. The findings will offer medical specialists and health providers a better understanding of pregnant and postpartum women’s experiences, including physical and mental health problems. We hope the study will also lead to consideration of appropriate strategies and care for the women improving their quality of life.
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