患有高血压的产后再入院患者的经验:一种定性研究
Radhika Viswanathan1,2, Sarah E Little3, Louise Wilkins-Haug3
1SUNY Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY, 11203, USA. Radhika.viswanathan@mountsinai.org.
BMC pregnancy and childbirth
|May 14, 2024
概括
妊娠高血压障碍 (HDP) 通常导致重新入院. 患者的经验突出了沟通缺口和护理协调问题,需要解决这些问题,以改善产后高血压管理.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 妊娠高血压疾病 (HDP) 是产后再入院的主要原因.
- 现有的产后管理临床指南往往缺乏患者的观点.
- 了解患者的经验对于改善产后护理至关重要.
研究的目的:
- 探索因产后高血压重新入院的患者的生活经历.
- 为了确定患者为中心的因素,有助于重新接收HDP.
- 为改善产后治疗高血压疾病的情况提供信息.
主要方法:
- 使用半结构面试进行的定性研究,对9名患者进行了半结构面试,这些患者被重新接受了产后HDP.
- 采访由一个研究人员进行,以确保一致性.
- 使用NVivo软件的演和归纳编码进行主题分析.
主要成果:
- 六个关键主题出现了,包括怀孕的变化,怀孕前症症状的驳回和错误沟通.
- 确定了产后护理协调和重新入院患者的医院物流方面的挑战.
- 在再接收对话中承认患者的扎改善了幸福感.
结论:
- 患者的观点揭示了关键的护理差距,有助于HDP产后再入院.
- 建议包括改善出院前的血压管理,加强随访,提供更好的咨询.
- 将患者的见解纳入医院政策可以创造以患者为中心的护理,并降低再入院率.
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