The perception of childbearing sense of coherence among Chinese couples: a qualitative study

Abstract Background Although childbearing health care is wellness-based and promotes normal physiology, it is in a medical model and focuses on risk aversion and disease prevention. The salutogenic theory might provide an alternative perspective to health care concerning childbearing, supporting hea...

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Main Authors: Bingbing Li, Mengmei Yuan, Ke Zhang, Sha Ni, Huimin Zhao, Xi Lang, Zhenjing Hu, Tieying Zeng
Format: Article
Language:English
Published: BMC 2023-12-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-17363-3
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author Bingbing Li
Mengmei Yuan
Ke Zhang
Sha Ni
Huimin Zhao
Xi Lang
Zhenjing Hu
Tieying Zeng
author_facet Bingbing Li
Mengmei Yuan
Ke Zhang
Sha Ni
Huimin Zhao
Xi Lang
Zhenjing Hu
Tieying Zeng
author_sort Bingbing Li
collection DOAJ
description Abstract Background Although childbearing health care is wellness-based and promotes normal physiology, it is in a medical model and focuses on risk aversion and disease prevention. The salutogenic theory might provide an alternative perspective to health care concerning childbearing, supporting health-promoting factors, not solely on avoiding adverse events. However, there is a dearth of qualitative research exploring couples’ perceptions of childbearing from the salutogenic lens. This study aimed to explore perceptions and experiences concerning childbearing among couples in the perinatal period and identify salutogenic aspects of it. Methods The qualitative descriptive study adopted a directed content analysis to analyse data from a semi-structured and individual interview with 25 purposively selected Chinese couples between July 2022 and December 2022. The concepts of the sense of coherence (SOC) from the salutogenic theory were used as the theory framework for coding. Results Definitions and content for the salutogenic aspects of Chinese couples’ perception of childbearing sense of coherence were developed. For comprehensibility of childbearing, four subthemes were extracted (the challenge to health and endurance; transition to and identification with the new role; conflict and reconciliation in relationships; resistance and compromise between social culture and personal development). For manageability of childbearing, two subthemes were extracted (helplessness and hope of childbearing; self-doubt and self-assurance of childbearing). For meaningfulness of childbearing, three subthemes were extracted (personal realisation; family bonding and harmony; the continuation of life). Conclusions The findings of this study could give a greater understanding in maintaining couples’ health in the perinatal period from the salutogenic lens and provide a guide to further research that the salutogenic theory could bring a health and wellness-focused agenda in practice and policy-making in the perinatal period.
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spelling doaj.art-2f9bcf9d0d8d449fbe651bd19602b2aa2023-12-03T12:39:24ZengBMCBMC Public Health1471-24582023-12-0123111210.1186/s12889-023-17363-3The perception of childbearing sense of coherence among Chinese couples: a qualitative studyBingbing Li0Mengmei Yuan1Ke Zhang2Sha Ni3Huimin Zhao4Xi Lang5Zhenjing Hu6Tieying Zeng7Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologySchool of Nursing, Tongji Medical College, Huazhong University of Science and TechnologySchool of Nursing, Shanxi University of Chinese MedicineSchool of Nursing, Tongji Medical College, Huazhong University of Science and TechnologySchool of Nursing, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyAbstract Background Although childbearing health care is wellness-based and promotes normal physiology, it is in a medical model and focuses on risk aversion and disease prevention. The salutogenic theory might provide an alternative perspective to health care concerning childbearing, supporting health-promoting factors, not solely on avoiding adverse events. However, there is a dearth of qualitative research exploring couples’ perceptions of childbearing from the salutogenic lens. This study aimed to explore perceptions and experiences concerning childbearing among couples in the perinatal period and identify salutogenic aspects of it. Methods The qualitative descriptive study adopted a directed content analysis to analyse data from a semi-structured and individual interview with 25 purposively selected Chinese couples between July 2022 and December 2022. The concepts of the sense of coherence (SOC) from the salutogenic theory were used as the theory framework for coding. Results Definitions and content for the salutogenic aspects of Chinese couples’ perception of childbearing sense of coherence were developed. For comprehensibility of childbearing, four subthemes were extracted (the challenge to health and endurance; transition to and identification with the new role; conflict and reconciliation in relationships; resistance and compromise between social culture and personal development). For manageability of childbearing, two subthemes were extracted (helplessness and hope of childbearing; self-doubt and self-assurance of childbearing). For meaningfulness of childbearing, three subthemes were extracted (personal realisation; family bonding and harmony; the continuation of life). Conclusions The findings of this study could give a greater understanding in maintaining couples’ health in the perinatal period from the salutogenic lens and provide a guide to further research that the salutogenic theory could bring a health and wellness-focused agenda in practice and policy-making in the perinatal period.https://doi.org/10.1186/s12889-023-17363-3SalutogenesisChildbearingCouplesQualitative researchChinese
spellingShingle Bingbing Li
Mengmei Yuan
Ke Zhang
Sha Ni
Huimin Zhao
Xi Lang
Zhenjing Hu
Tieying Zeng
The perception of childbearing sense of coherence among Chinese couples: a qualitative study
BMC Public Health
Salutogenesis
Childbearing
Couples
Qualitative research
Chinese
title The perception of childbearing sense of coherence among Chinese couples: a qualitative study
title_full The perception of childbearing sense of coherence among Chinese couples: a qualitative study
title_fullStr The perception of childbearing sense of coherence among Chinese couples: a qualitative study
title_full_unstemmed The perception of childbearing sense of coherence among Chinese couples: a qualitative study
title_short The perception of childbearing sense of coherence among Chinese couples: a qualitative study
title_sort perception of childbearing sense of coherence among chinese couples a qualitative study
topic Salutogenesis
Childbearing
Couples
Qualitative research
Chinese
url https://doi.org/10.1186/s12889-023-17363-3
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