تبیین علل عدم دریافت واکسن کووید-19 در بارداری: یک مطالعه‌ی کیفی

نوع مقاله : Original Article(s)

نویسندگان

1 استادیار، گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران

2 استادیار، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی لرستان، خرم آباد، ایران

3 استادیار، گروه مامایی، مرکز تحقیقات بهداشت باروری و مشاوره در مامایی، دانشگاه علوم پزشکی گلستان، گرگان، ایران

4 مربی، گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران

5 مربی، گروه مامایی، دانشگاه علوم پزشکی شهر کرد، شهر کرد، ایران

چکیده

مقاله پژوهشی




مقدمه: در دوران شیوع بیماری‌های عفونی همچون کووید- 19، زنان باردار و جنین آن‌ها جزء گروه‌های پرخطر مسحوب می‌شوند و واکسیناسیون یکی از مؤثرترین راه‌های پیشگیری از برخی بیماری‌های عفونی است. با این حال، اطلاعات اندکی در خصوص نگرش زنان باردار و همسرانشان و ارائه‌دهندگان خدمات بهداشتی به آن‌ها در خصوص دریافت ایمن‌سازی کووید-19 وجود دارد. لذا هدف از پژوهش حاضر، تبیین علل عدم دریافت واکسن کووید-19 در بارداری بود.
روش‌ها: پژوهش حاضر در چارچوب رویکرد کیفی و با روش تحلیل محتوای استقرایی و در سال 1401 انجام شد. با روش هدفمند و با راهبرد انتخاب مشارکت‌کننده با حداکثر تنوع، 29 نفر شامل زنان باردار، همسران آن‌ها و ارائه‌دهندگان خدمات بهداشتی به عنوان مشارکت‌کننده انتخاب شدند. ابزار جمع‌آوری داده‌ها مصاحبه نیمه ساختار یافته بود. تحلیل داده‌ها به صورت دستی و با روش گرانهایم و لاندمن انجام شد.
یافته‌ها: تحلیل داده‌ها منجر به ظهور367 کد، 10 زیر طبقه و 3 طبقه اصلی (کژکاری‌های سیستم بهداشتی، نگرش، عقائد و باورها و ترس‌ها و ابهامات) شد.
نتیجه‌گیری: شناخت موانع تزریق واکسن، به منظور اجرای مداخلات مؤثر در جهت پوشش بهینه ایمن‌سازی کمک‌کننده است. آگاه‌سازی زنان باردار با همکاری و نقش پررنگ ماماها و متخصصین زنان بر مبنای مستندات جدید و علمی و با تأکید بر بی‌خطری، اثربخشی، کارآیی و نقش واکسن در کاهش مرگ و میر مادر باردار و حتی نوزاد ممکن خواهد بود تا میزان پذیرش واکسیناسیون در بحران‌های مشابه در بین زنان باردار به عنوان یکی از گروه‌های پر خطر جامعه افزایش یابد.

تازه های تحقیق

زیبا رئیسی دهکردی: Google Scholar, PubMed

حدیث سوری نژاد: Google Scholar, PubMed

الهام ادیب مقدم: Google Scholar, PubMed

صدیقه جمالی گندمانی: Google Scholar, PubMed

اکرم کرمی دهکردی: Google Scholar, Pubhttps://www.scopus.com/authid/detail.uri?authorId=56650787500Med

مریم شیر محمدی: Google Scholar, PubMed

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Explaining the Reasons for Not Receiving the COVID-19 Vaccine during Pregnancy: A Qualitative Study

نویسندگان [English]

  • Ziba Raisi Dehkordi 1
  • Hadis Sourinejad 2
  • Elham Adib-Moghaddam 3
  • Sedighe Jamali Gandomani 4
  • Akram Karami Dehkordi 5
  • Maryam Shirmohammadi 1
1 Assistant Professor, Department of Midwifery, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran
2 Assistant Professor, Student Research Committee, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran
3 Assistant Professor, Counseling and Reproductive Health Research Centre, Golestan University of Medical Sciences, Gorgan, Iran
4 Instructor, Department of Midwifery, School of Nursing and Midwifery Shahrekord University of Medical Sciences, Shahrekord, Iran
5 Instructor of Midwifery Education, Department of Midwifery, School of Nursing and Midwifery Shahrekord University of Medical Sciences, shahrekord, Iran
چکیده [English]

Background: During the outbreak of infectious diseases such as COVID-19, pregnant women and their fetuses are among high-risk groups, and vaccination is one of the most effective ways to prevent some infectious diseases. However, there is little information about the attitude of pregnant women, their husbands, and health service providers regarding receiving COVID-19 immunization. Therefore, the purpose of the present study was to explain the reasons for not receiving the COVID-19 vaccine during pregnancy.
Methods: The present research was conducted in the framework of a qualitative approach and with the method of inductive content analysis in 2022. 29 participants including pregnant women, their spouses and, health service providers were selected with purposeful sampling and a maximum diversity participant selection strategy. The data collection tool was a semi-structured interview. Data analysis was done manually by the Granheim and Lundman method.
Findings: The data analysis led to the emergence of 367 codes, 10 subcategories, and 3 main categories ("Incorrect performance of the health system", " Attitudes, opinions, beliefs " and "fears and uncertainties").
Conclusion: Knowing the obstacles to vaccine injection helps implement effective interventions for optimal immunization coverage. It will be possible to inform pregnant women with the cooperation and strong role of midwives and gynecologists based on new and scientific documents and emphasizing the safety, effectiveness, efficiency, and role of the vaccine in reducing the mortality of pregnant mothers and even neonates until the acceptance of vaccination in similar crises will increase among pregnant women as one of the most dangerous groups in the society.

کلیدواژه‌ها [English]

  • Attitude
  • COVID-19
  • Mass vaccination
  • Pregnancy
  • Qualitative research

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مجله دانشکده پزشکی اصفهان
دوره 41، شماره 741
هفته 1، دی
آذر و دی 1402
صفحه 953-964

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سابقه مقاله

  • تاریخ دریافت: 13 مهر 1402
  • تاریخ بازنگری: 16 دی 1402
  • تاریخ پذیرش: 17 دی 1402

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