患者报告的先天性心脏缺陷产前诊断障碍:一种混合方法研究
Joyce L Woo1,2, Shelvonne Burton1,3,4, Tara Iyengar5
1Division of Cardiology, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Prenatal diagnosis
|December 18, 2023
概括
许多护理人员面临着先天性心脏缺陷 (CHD) 的产前诊断障碍. 健康的社会决定因素,如交通和休息时间,大大阻碍了孕妇的早期检测.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 儿童心脏病学 儿童心脏病学
背景情况:
- 先天性心脏缺陷 (CHD) 是导致婴儿死亡的主要原因.
- 产前诊断的CHD可以显著改善结果.
- 无法获得产前护理和诊断的障碍尚未得到充分了解.
研究的目的:
- 为了确定患者报告的,可修改的障碍,先天性心脏缺陷 (CHDs) 的产前诊断.
- 了解健康的社会决定因素在阻碍CHD产前诊断中的作用.
主要方法:
- 混合方法研究涉及婴儿护理人员进行先天性心脏手术.
- 通过电子健康记录和半结构化电话调查收集的数据.
- 使用融合并行方法进行主题分析.
主要成果:
- 79%的护理人员报告了与健康的社会决定因素相关的障碍.
- 常见的障碍包括预约安排困难,交通问题以及无法放假.
- 34%的心血管疾病在产前没有通过超声波或心声回声图被检测出来.
结论:
- 健康的社会决定因素对产前心血管疾病诊断构成重大障碍.
- 解决这些社会障碍的干预措施对于提高产前检测率至关重要.
- 未来的研究应该专注于减轻这些可修改的障碍.
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