患者对围和早产的看法和偏好:焦点小组研究
Nour Abdulrahman1,2,3, Nicole B Burger4,5, Susan van den Broek4
1Department of Obstetrics and Gynaecology, Amsterdam University Medical Center, Vrije Universiteit Amsterdam, Boelelaan 1117, Amsterdam, The Netherlands. n.abdulrahman@amsterdamumc.nl.
概括
怀孕丧失的恐惧是 cerclage 患者的主要担忧,影响日常生活. 虽然围安置可以减少焦虑,但活动限制和缺乏明确信息给接受围手术的女性带来了挑战.
科学领域:
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 定性研究是指质量研究.
- 患者报告的结果
背景情况:
- 围用于预防早产,但其对患者日常生活和医疗保健经验的影响尚未完全理解.
- 现有的研究主要集中在外科和产科的结果上,忽视了更广泛的患者视角.
研究的目的:
- 评估与围相关的症状及其对日常功能的影响.
- 探索患者对与 cerclage 相关的医疗保健经验的看法.
- 了解因极度早产和胎儿损失而经历 cerclage 的个人所面临的挑战.
主要方法:
- 进行了定性焦点小组讨论,与参与者进行了先前的阴道或腹部 cerclage 和随后的分娩与新生儿存活.
- 用国际功能,残疾和健康分类 (ICF-DH) 框架来组织讨论.
- 结果包括了广泛的患者报告的对身体,情感和社会生活质量的观点.
主要成果:
- 对随后的流产恐惧是所有参与者的日常活动中最有限制的因素.
- 围圈放置导致大多数人减少了焦虑 (64%阴道,75%腹部).
- 参与者报告说,他们的移动性/卧床舒适性下降 (100%VCG,75%ACG),社会隔离,以及需要放弃工作/运动. 腹部围患者缺乏明确的产科管理信息.
结论:
- 怀孕丧失的恐惧对围患者的日常生活产生了重大影响.
- 围的放置有效地减少了焦虑,但床上休息和活动限制会影响社会参与.
- 迫切需要明确的患者信息,并进一步研究在怀孕期间最佳的体力活动水平.
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