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Construction of a dynamic adjustment theoretical framework of childbirth fear among nulliparous women based on grounded theory
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Chen SHU1, Hui MIN2, Liping SUN2, Ying ZHAO1
Chinese Nursing Research | 2026, 40(17) : 3063 - 3067
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Chinese Nursing Research | 2026, 40(17): 3063-3067
• Original Articles •
Construction of a dynamic adjustment theoretical framework of childbirth fear among nulliparous women based on grounded theory
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Chen SHU1, Hui MIN2, Liping SUN2, Ying ZHAO1
Affiliations
  • 1School of Nursing Fudan University, Shanghai 200032 China
  • 2Obstetrics and Gynecology Hospital of Fudan University
Published: 2026-09-10 doi: 10.12102/j.issn.1009-6493.2026.17.015
Outline
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Objective

To construct a dynamic adjustment theoretical framework of childbirth fear among nulliparous women by using grounded theory.

Methods

A total of 35 nulliparous women were recruited by using purposive and theoretical sampling and participated in semi-structured in-depth interviews,with data analyzed by using grounded theory.

Results

A total of 10 first-order categories were identified,including psychological factors,physiological factors,social factors,antecedent stimuli,risk perception,need fulfillment,cognitive restructuring,belief enhancement,coping behaviors,and control.These were further integrated into four second-order categories:causes of childbirth fear,adjustment motivation,adjustment strategies,and adjustment outcomes.The core category,termed the dynamic adjustment process of childbirth fear,was identified,based on which a theoretical framework describing nulliparous women's dynamic adjustment to childbirth fear was developed.

Conclusions

The theoretical framework of dynamic adjustment of childbirth fear among nulliparous women could assist obstetric healthcare professionals in the early identification of childbirth fear and provide theoretical basis for developing targeted nursing interventions and optimizing maternity care processes.

nulliparous women  /  childbirth fear  /  psychological adjustment  /  grounded theory
疏琛, 闵辉, 孙丽萍, 赵缨. 基于扎根理论构建初产妇分娩恐惧动态调适理论框架. 护理研究, 2026 , 40 (17) : 3063 -3067 . DOI: 10.12102/j.issn.1009-6493.2026.17.015
Chen SHU, Hui MIN, Liping SUN, Ying ZHAO. Construction of a dynamic adjustment theoretical framework of childbirth fear among nulliparous women based on grounded theory[J]. Chinese Nursing Research, 2026 , 40 (17) : 3063 -3067 . DOI: 10.12102/j.issn.1009-6493.2026.17.015
Year 2026 volume 40 Issue 17
46
20
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Article Info
doi: 10.12102/j.issn.1009-6493.2026.17.015
  • Receive Date:2025-12-24
  • Online Date:2026-10-30
  • Published:2026-09-10
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History
  • Received:2025-12-24
  • Revised:2026-09-01
Affiliations
    1School of Nursing Fudan University, Shanghai 200032 China
    2Obstetrics and Gynecology Hospital of Fudan University
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https://castjournals.cast.org.cn/joweb/hlyj/EN/10.12102/j.issn.1009-6493.2026.17.015
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
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属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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