RESUMO
The present study aimed to clarify the smoking cessation motivations,challenges and coping strategies among pregnant couples.A qualitative design using a grounded theory approach was applied.Data were collected by individual semi-structured interviews with 39 married individuals (21 non-smoking pregnant women and 18 smoking or ever-smoking men with a pregnant wife) and 3 imams in an ethnically diverse region of far westem China.The most common theme for smoking cessation motivation was "embryo quality" (i.e.,a healthier baby),followed by family's health.Most interviewees reported that husband's withdrawal symptoms were the greatest challenge to smoking cessation,followed by the Chinese tobacco culture.Coping strategies given by the pregnant women typically involved combining emotional,behavioral and social interventions.Social interventions showed advantages in helping to quit smoking.Pregnancy appears to be a positive stimulus for pregnant couples' smoking cessation.Our results suggest that pregnancy,a highly important life event,may help to reduce barriers to smoking cessation at the social level (e.g.,limiting access to cigarettes,avoiding temptation to smoke),but does little to help with the withdrawal symptoms.Professional guidance for smoking cessation is still necessary.
RESUMO
PURPOSE: This study was to investigate the types and seriousness of pregnancy-related physical and psychological symptoms among pregnant couples. METHOD: Subjects consisted of 77 pregnant couples at one hospital in Seoul, Korea. The pregnant couples had not been diagnosed with any medical complications. Data were analyzed by the SPSS WIN program. RESULT: In the degree of physical and psychological symptoms of pregnancy experienced by subjects, the mean score of perceived physical symptoms (2.40, 1.86) was higher than the mean score of psychological symptoms (2.13, 1.83) for both pregnant women and their spouses. In the couple's difference of physical and psychological symptoms of pregnancy experienced by subjects, there were not statistically significant differences in the physical symptoms: "I have hemorrhoids" (t=1.91, p=.06), "My body weight decreased" (t=1.78, p=.08), "I have colds more often" (t=1.77, p=.08), and "I became more active than ordinary times" (t=1.99, p=.05) or in the psychological symptoms: "I am more elated than ordinary times" (t=.83, p=.41), and "I feel inferior" (t=1.62, p=.11). Therefore, these symptoms are coincidental between couples. In the difference of physical and psychological symptoms of pregnancy experienced by subjects according to general characteristics, there were not significant differences. In the relationship between physical and psychological symptoms experienced by subjects, there were statistically significant correlations between subject's physical symptoms and psychological symptoms (r=.54, p< .001; r=.78, p< .001). CONCLUSION: Physical and psychological symptoms of pregnancy experienced by pregnant couples are an issue for nurses who perform an important role in the care of pregnant women and their spouses