To construct a dynamic adjustment theoretical framework of childbirth fear among nulliparous women by using grounded theory.
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.
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.
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.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 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 |