在撒哈拉以南非洲地区进行剖腹产时的咨询,知情同意和解答:一个范围审查
Sumeya Faysal1, Loveday Penn-Kekana1, Louise-Tina Day1
1Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
对剖腹产的知情同意需要咨询,但在撒哈拉以南非洲,对其有效性和产后报告的研究很少. 障碍存在于多个层面,提供者层面的因素是关键的促进者.
科学领域:
- 产科和妇科 产科和妇科
- 知情同意研究研究 信息同意
- 医疗保健通讯 医疗保健通讯
背景情况:
- 在剖腹产时,知情同意至关重要,辅导是先决条件.
- 产后汇报为妇女提供了一个平台,与医疗保健提供者 (HCP) 讨论她们的CS经验.
研究的目的:
- 概述在CS知情同意中咨询和汇报的实践和经验.
- 确定影响CS知情同意的障碍和促进者.
- 审查旨在加强对CS的知情同意的干预措施.
主要方法:
- 在多个数据库 (PubMed,EMBASE,PsycINFO等) 中进行了全面的文献搜索. ) 的情况.
- 包括2011年至2022年间发表的英语研究,重点关注CS同意和满足质量标准.
- 基于Beauchamp和Childress的知情同意元素,采用了一个叙事综合框架.
主要成果:
- 在21项关于CS同意的研究中,只有12项涉及咨询,只有1项提到解答.
- 在服务,妇女,提供者和社会层面上确定了知情同意的障碍.
- 促进者和干预主要在提供者或服务层面运行.
结论:
- 在撒哈拉以南非洲地区,关于剖腹产的知情同意,咨询和汇报的研究显著缺乏.
- 需要进一步调查,以了解和改进该地区CS的知情同意过程.
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