访问限制和决策:医疗保健代孕母亲的经历
Rimsha Rana1, Angelette Pham2, Nina Laing3
1Georgetown University School of Medicine, Washington, DC, USA.
Patient education and counseling
|July 16, 2023
概括
在COVID-19期间,医院访问限制严重扰乱了代孕决策,延迟了护理并阻碍了悲伤仪式. 这些政策对患者及其家属的愈合过程产生了负面影响.
科学领域:
- 医学伦理 医学伦理
- 患者护理 患者护理
- 公共卫生政策 公共卫生政策
背景情况:
- 在COVID-19大流行期间,医院访问限制被广泛实施.
- 一些机构在疫情后也维持了这些限制.
- 对代理决策过程的影响仍然是一个令人担忧的领域.
研究的目的:
- 调查医院访问限制对代孕产妇决策的影响.
- 了解这些限制下的医疗代孕产妇的经历.
主要方法:
- 对13名医疗保健代孕者的半结构面试进行主题分析.
- 参与者参与了2021年1月重症监护室患者的息治疗咨询.
- 从一家大型三级医院收集的数据.
主要成果:
- 访问限制推迟了代孕的决策,因为代孕希望咨询患者.
- 限制破坏了悲伤过程和生命终结仪式.
- 代孕患者报告说,沟通不一致,虚拟连接无效,整体沟通压力很大.
结论:
- 访问限制阻碍了关键的治疗和悲伤仪式,使代孕的决策复杂化.
- 尽管有技术援助,但限制使得代孕母亲难以连接.
- 这些限制带来了风险,包括延迟决策和减少访问的感知治愈益处.
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