目的 系统评价围产期丧失后再次妊娠孕产妇及其配偶心理体验的质性研究，为医护人员制订相关干预措施提供参考。 方法 检索PubMed、Web of Science、CINAHL、Embase、ProQuest、Ovid MEDLINE、知网、万方、维普、SinoMed中有关围产期丧失后再次妊娠体验的质性研究，检索时限为建库至2024年6月，采用汇集性整合方法进行Meta整合。 结果 共纳入14篇文献，提炼34个研究结果，归纳成8个类别，得出4个整合结果，即复杂情绪体验、应对策略、心理社会调适、困境与需求。 结论 经历围产期丧失后再次妊娠的孕妇及其配偶负性情绪尤为突出，需求形式多样，医护人员应重视其心理状况，满足多元需求的同时引导其形成正确认知，帮助其转变心态。

Objective To systematically review the qualitative studies of the experience of re-pregnancy after perinatal loss (PL),and to provide references for healthcare professionals to develop relevant intervention measures.Methods Qualitative studies on the experience of re-pregnancy after PL were retrieved from PubMed,Web of Science,CINAHL,Embase,ProQuest,Ovid MEDLINE,CNKI,Wanfang,VIP,and SinoMed.The search period was from the inception to June 2024 and a meta-integration method was employed.Results A total of 14 articles were included,with 34 research results extracted and categorized into 8 categories.Four integrated results were obtained, namely complex emotional experiences,coping strategies,psychosocial adaptation, and dilemmas and needs.Conclusions Pregnant women and their spouses who have experienced PL and are pregnant again have particularly prominent negative emotions and diverse needs.Healthcare professionals should pay attention to their psychological conditions,meet their diverse needs,guide them to form correct cognition,help them change their mindset.

R473.71;R47-05

中国生命关怀协会人文护理科研项目（RW2024YB03）