了解妇女在药物堕胎和堕胎药丸逆转期间与其提供者的沟通:一个探索性分析
Katherine Rafferty1, Tessa Longbons2
1Iowa State University, Ames, Iowa, USA.
The Linacre quarterly
|June 16, 2023
概括
寻求堕胎药丸逆转的妇女报告说,与逆转提供者之间的沟通比堕胎提供者更好. 选择药物堕胎比选择堕胎药丸逆转更难.
科学领域:
- 生殖健康 生殖健康
- 患者与医疗服务提供者之间的沟通
- 决策过程 决策过程
背景情况:
- 药物流产是美国妇女普遍选择的选择,占所有堕胎的一半以上.
- 了解患者对药物堕胎和堕胎药丸逆转 (APR) 的经验对医疗保健提供者至关重要.
- 患者和医疗服务提供者之间有效的沟通对护理质量产生重大影响.
研究的目的:
- 探讨妇女关于药物堕胎和堕胎药丸逆转 (APR) 的决策经验.
- 在这些过程中,专门分析妇女和她们的医疗服务提供者之间的沟通动态.
- 确定影响药物堕胎和APR之间选择困难的因素.
主要方法:
- 对与国际心跳协会联系并询问关于堕胎药丸逆转的妇女进行的调查.
- 资格要求完成APR的最低2周的孕激素协议.
- 评估决策难度 (利克尔特级) 和提供者沟通 (医生与患者互动质量问卷 - QQPPI);对叙述进行主题分析.
主要成果:
- 33名妇女符合分析的资格标准.
- 与堕胎提供者相比,APR提供者的沟通质量得分明显高 (p < 0.0001).
- 据报道,选择药物流产比选择APR要困难得多 (p < 0.0001).
结论:
- 越来越多的关于堕胎药丸逆转的询问突出了了解这种患者群体的必要性.
- 处方药物堕胎和APR的医疗保健提供者必须认识到医生与患者互动的重要性.
- 高质量的沟通对于为考虑这些选择的孕妇提供有效护理至关重要.
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