在精神卫生保健中解决怀孕和育儿问题:患有严重精神疾病的妇女的观点
Karissa Fenwick1, Emily C Dossett2, Rebecca Gitlin3
1Karissa Fenwick, Veterans Affairs (VA) Greater Los Angeles Healthcare System, Los Angeles, California.
患有严重精神疾病 (SMI) 的女性发现怀孕和育儿与心理健康提供者的讨论缺乏. 改善提供者沟通和支持对于改善这一群体中母亲和儿童的结果至关重要.
科学领域:
- 生殖健康 生殖健康
- 心理健康 心理健康
- 社会学 社会学 社会学
背景情况:
- 患有严重精神疾病 (SMI) 的女性面临更高的妊娠和育儿不良结果的风险.
- 关于他们与心理健康提供者讨论怀孕和育儿的经历,人们的理解有限.
研究的目的:
- 探索患有SMI的女性在与他们的心理健康提供者讨论怀孕和育儿方面的经验和偏好.
- 确定SMI妇女在生殖和育儿健康方面的护理和支持方面的差距.
主要方法:
- 对22名被诊断患有SMI的生育年龄的女性进行半结构面试.
- 分析了定性数据,以了解患者对提供者沟通和支持的看法.
主要成果:
- 参与者报告说,与心理健康提供者对怀孕和药物治疗性进行的讨论有限或不令人满意.
- 对讨论怀孕的开放性取决于主题的相关性和提供者的信任.
- 关于育儿的讨论被认为是有帮助的,并确定需要额外的支持.
结论:
- 对于患有SMI的女性,关于怀孕和育儿的信息,支持和资源存在重大差距.
- 需要加强提供者能力,以有效地满足SMI妇女的生殖和育儿需求.
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