美国黑人妇女的分娩经验:一种定性元合成
Elizabeth J Spurlock1, Rita H Pickler1
1Martha S. Pitzer Center for Women, Children and Youth, College of Nursing, The Ohio State University, Columbus, Ohio.
Journal of midwifery & women's health
|April 2, 2024
概括
黑人女性,黑人女性.
科学领域:
- 围产期健康差异的差异
- 定性研究是指质量研究.
- 健康的社会决定因素
背景情况:
- 在美国,黑人妇女的围产期健康结果存在显著差异.
- 越来越多的社会和结构性健康决定因素被认为是导致这些差异的因素.
- 在产周护理期间的虐待不成比例地影响黑人妇女,并可能加剧这些结果.
研究的目的:
- 进行研究美国黑人妇女分娩经历的定性研究的元综合.
- 确定黑人妇女分娩经历中的共同主题和模式.
- 提供对影响正面或负面出生体验的因素的见解.
主要方法:
- 在PubMed,Embase,PsycINFO和CINAHL数据库中进行了系统的搜索.
- 纳入标准集中在定性研究中,详细介绍了美国自认的黑人或非裔美国妇女的出生经历.
- 数据使用内容分析进行了合成,研究质量使用Joanna Briggs研究所的批判性评估清单进行了评估.
主要成果:
- 十五项研究符合元合成的纳入标准.
- 确定的主要主题包括信任的重要性 (被认识和看到),种族对护理的影响,需要维护自主权,以及出生作为潜在的创伤性经历.
- 分散的护理经常与糟糕的分娩经历有关.
结论:
- 开放的沟通和被产周护理提供者认可的感觉显著改善了黑人妇女的分娩经历.
- 这些发现与现有关于支持性护理干预措施的研究一致.
- 需要进一步的研究来探索这些主题与围产期结果之间的关系,这些见解可能会为未来的干预提供信息.
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