在英国,患者经历了带有和没有超声波扫描的堕胎
Rebecca Blaylock1,2, Patricia A Lohr3, Lesley Hoggart4
1Centre for Reproductive Research & Communication, British Pregnancy Advisory Service, London, UK rebecca.blaylock@bpas.org.
BMJ sexual & reproductive health
|February 16, 2024
概括
患者发现堕胎护理的常规超声波侵入性和有害于自主权. 根据患者偏好省略超声波是朝着以患者为中心的堕胎护理迈出的积极一步.
科学领域:
- 生殖健康 生殖健康
- 医学社会学 医学社会学
背景情况:
- 堕胎评估的常规超声波在英国很常见,尽管缺乏法律要求或指南建议.
- 皇家妇产科医生学院 (RCOG) 更新了针对预堕胎超声波的"按指示"方法的指导,以支持远程医疗堕胎护理.
- 这项研究探讨了患者在堕胎护理中的超声波经验,比较了那些有和没有超声波扫描堕胎的人.
研究的目的:
- 了解患者在堕胎护理中使用超声波的经验.
- 评估超声波对患者自主权和决策的影响.
- 为发展以患者为中心的堕胎护理实践提供信息.
主要方法:
- 涉及半结构面试的定性研究.
- 招募了24名参与者,他们在家中进行了医疗堕胎,没有进行手术前超声波和至少一次先前的超声波堕胎.
- 对19次采访进行了反思性的专题分析.
主要成果:
- 出现了三个主题:"超声波扫描及其与自主性和决策的关系"",侵入性和不合适:超声波是一种不合适的技术"和"以偏好为中心,优质护理".
- 参与者报告了超声波的负面经验,强调了它的侵入性和对决策的影响.
- 研究结果表明,超声波通常被认为是堕胎护理中不合适的技术.
结论:
- 患者证词揭示了超声波扫描在堕胎护理中的负面影响.
- 需要进一步的研究和用户测试来改善超声波扫描体验.
- 根据患者偏好省略超声波是朝着以患者为中心的堕胎护理迈出的积极一步.
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