在马拉维,患者和医疗保健工作者认为在治疗孕前方面存在挑战
Memory M Ngwira1, Luis A Gadama2, Renuka Shanmugalingam3
1Western Sydney University, Sydney, Australia; Kamuzu University of Health Sciences, Malawi; Heart Research Institute, University of Sydney, Sydney, Australia.
孕前对马拉维的患者和医疗保健工作者 (HCW) 都带来了重大挑战,影响了护理和结果. 解决这些障碍对于改善孕前管理和患者结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 非洲的公共卫生.
背景情况:
- 孕前是一个重大的全球健康挑战,特别是在资源较低的环境中.
- 了解患者和医疗保健工作者 (HCW) 的观点对于有效的孕前管理至关重要.
- 马拉维的布兰泰尔市面临着解决子宫前的特殊挑战.
研究的目的:
- 调查患者和医疗保健工作者在管理马拉维布兰泰尔孕前时所面临的挑战.
- 从患者和提供者的角度来看,从患者和提供者的角度来看,识别最佳孕前护理的障碍.
- 为改善该地区孕前结果的策略提供信息.
主要方法:
- 采用了一种描述性的,横截面的形成性研究设计.
- 在伊丽莎白女王中央医院 (QECH) 与患者和医疗保健工作者进行了半结构化的深度访谈 (IDI).
- 使用NVIVOTM软件进行的主题内容分析,促进了数据解释.
主要成果:
- 患者认为压力,缺乏信息,身体症状和延迟护理是关键挑战.
- 糟糕的怀孕结果是患者的一个重大问题.
- 医疗保健工作者报告说,诊断迟到,员工倦怠,技能不足和资源限制是管理挑战.
结论:
- 对马拉维的患者和医疗保健工作者来说,孕前的诊断和管理是复杂的.
- 在所有医疗保健层面解决已确定的挑战对于最佳的产前管理至关重要.
- 改善护理对于改善马拉维和非洲的孕产妇和婴儿结果至关重要.
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