在偏好未得到满足时促进积极的出生体验:定性分析
Tiwadeye Lawal1,2, Laura E Dodge1,2, David Toffey1,2
1Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Birth (Berkeley, Calif.)
|October 25, 2023
概括
通过准备,沟通和舒适,从业人员的支持可以改善接受分娩诱导的妇女的分娩体验,即使偏好不同于医疗指示.
科学领域:
- 产科和妇科 产科和妇科
- 以患者为中心的护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 高质量的卫生系统优先考虑患者的偏好,以改善体验.
- 出生偏好可能与分娩期间医疗指示的程序相冲突.
- 了解患者与非计划性分娩程序的经历,如诱导,至关重要.
研究的目的:
- 确定从业人员如何支持经历非计划性分娩手术的患者,特别是分娩诱导.
- 探索妇女和分娩人员的经验与劳动诱导,当它不同于他们的初始偏好或期望.
主要方法:
- 在美国一个大型学术中心进行了一项涉及产前和产后调查的研究.
- 参与者经历了想要/预期和接受分娩诱导之间的不一致性被采访.
- 采访被分析使用修改接地理论方法,以了解对出生偏好和结果的态度.
主要成果:
- 73%的参与者报告说,想要和经历诱导之间存在分歧; 54%的参与者表示,期待和经历之间存在分歧.
- 两个关键主题出现了:没有减轻的负面经验和从业者互动的缓冲效应.
- 患者更喜欢通过准备,沟通和护理/舒适来提供支持,以促进自主.
结论:
- 积极的分娩经历是可能的,即使患者的偏好没有完全满足.
- 实践者准备,沟通和响应性护理可以减轻在分娩诱导期间的负面经历.
- 这些支持措施增强了患者的自主权,并可能导致更积极的出生结果.
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