为我们所有的人群照顾布巴:土著和托雷斯海峡岛民社区的经验和对死胎的看法
Luciana Massi1,2, Carolyn Lewis3, Skye Stewart4
1Stillbirth Centre of Research Excellence, Mater Research Institute, The University of Queensland, Brisbane, QLD, Australia.
Frontiers in public health
|May 1, 2024
概括
澳大利亚土著妇女的死胎率是澳大利亚土著妇女的两倍. 社区商揭示了文化安全,以家庭为中心的护理以及改善沟通以减少差异的优先事项.
科学领域:
- 土著健康土著健康
- 孕产妇和产周健康
- 定性研究是一种定性研究.
背景情况:
- 在澳大利亚的土著和托雷斯海峡岛屿妇女中,死产率不成比例地高,这表明健康差异很大.
- 尽管有国家优先事项,但在减少这些差异方面取得的进展是有限的,需要社区知情的方法.
研究的目的:
- 了解社区对土著和托雷斯海峡岛民死胎的经验,看法和优先事项.
- 确定社区驱动的预防死产和改善护理的策略.
主要方法:
- 一项由土著研究人员领导的定性研究,涉及18个社区的面对面咨询 (线采访,焦点小组,研讨会).
- 数据来自54名社区成员和159名偏远,区域和城市地区的卫生专业人员.
- 以文化保护协议和非结构化研究框架为指导的专题分析.
主要成果:
- 关键主题出现了,重点是以家庭为中心的死产护理 ('Sorry Business Baby'),通过土著'认识,存在和做事方式'的文化安全,以及应用'在国家诞生'原则.
- 线方法被认为是加强沟通和教育的关键.
- 确定了五个优先领域,以解决死产问题.
结论:
- 需要共同设计的,基于证据的,文化上合适的,社区可以接受的资源.
- 解决死胎差异需要将土著知识和实践纳入孕产妇和产周护理.
- 为了制定有效的死产预防和护理策略,社区参与至关重要.
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