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Korean J Women Health Nurs > Volume 24(2); 2018 > Article
Korean Journal of Women Health Nursing 2018;24(2):196-208.
DOI: https://doi.org/10.4069/kjwhn.2018.24.2.196    Published online June 20, 2018.
Health-care Needs of High-risk Pregnant Women Hospitalized in Maternal-Fetal Intensive Care Units: A Mixed-methods Design
Hyunjin Kim, Horan Park
1Samsung Medical Center, Seoul, Korea.
2College of Nursing, The Catholic University of Korea, Seoul, Korea. hrpark@catholic.ac.kr
Abstract
PURPOSE
To identify the characteristics and health-care needs of high-risk pregnant women in maternal-fetal intensive care units (MFICU).
METHODS
mixed-methods design was adopted. Data were collected from 78 high-risk pregnant women admitted to the MFICU. Qualitative data included ten participants' experiences with hospitalization and childbirth, which were analyzed using mixed content analysis. Quantitative data were analyzed using at-test and one-way ANOVA testing.
RESULTS
The average score for pregnancy and childbirth health-care needs was 3.54 points. Average score by area was before-admission health care (3.70), health care of baby (3.67), health of childbirth (3.61), postpartum health (3.51), and pregnancy health care during hospitalization (3.48). Qualitative results showed diverse feelings and experiences of high-risk pregnant women and their need for health care, which was expressed in three themes and 11 sub-themes.
CONCLUSION
Nurses should recognize high-risk mothers' feelings and needs for pregnancy and childbirth-focused health care to help patients accept their vulnerability and cope positively.
Key Words: Needs assessment; Healthcare; Pregnancy; High risk; Prenatal care
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