在加纳的一家教学医院探索剖腹产的共享决策过程:一项混合方法研究
Kwaku Asah-Opoku1,2,3, Aisha N Onisarotu4,5, Mercy A Nuamah6,7
1Department of Obstetrics and Gynecology, University of Ghana Medical School, Accra, Ghana. kasah-opoku@ug.edu.gh.
BMC pregnancy and childbirth
|June 8, 2023
概括
加纳的母亲知道剖腹产 (CS) 指示,但缺乏对共享决策 (SDM) 的认识. 让妇女和伙伴参与CS决策可以改善经验,教育和工具有助于SDM.
科学领域:
- 孕产妇健康 孕产妇健康
- 外科手术的结果
- 以患者为中心的护理
背景情况:
- 剖腹产率的上升需要改善患者的沟通.
- 共享决策 (SDM) 对于以患者为中心的护理至关重要,需要知情的患者.
- 加纳妇女对CS的看法各不相同,影响她们参与决策.
研究的目的:
- 探索母亲对剖腹产的知识和看法.
- 确定影响加纳CS程序共享决策 (SDM) 的因素.
- 在CS率上升的背景下,了解SDM的障碍和促进者.
主要方法:
- 这是一项跨学科的混合方法研究,在加纳的Korle-Bu教学医院进行.
- 通过深度访谈,焦点小组讨论和问卷 (n=236) 收集的数据.
- 统计分析包括Pearson的Chi-square测试和SDM因素的多重后勤回归.
主要成果:
- 母亲们对CS指标的知识很高,但对SDM的认识很低.
- 对CS的看法从危险到拯救生命不等;对缓解疼痛的了解很差.
- 关键的SDM影响因素包括教育水平,丈夫/宗教领袖的参与和咨询时间;平价≥5减少了参与的愿望.
结论:
- 在了解CS指示和对SDM的认识/障碍之间存在很大的差距.
- 较少的产前护理访问与更多的参与CS决策的愿望相关.
- 通过教育,参与合作伙伴和利用决策工具来加强SDM可以改善母亲的经验,并与尊重产妇护理保持一致.
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