我们如何在初级保健中改善对患有围产期焦虑的妇女的支持? 一个定性研究研究
Victoria Silverwood1, Tamsin Fisher1, Janine Proctor2
1Keele University.
概括
患有围产期焦虑症 (PNA) 的妇女希望得到各种非药物干预,这些干预往往是由NHS委托之外的社区组织提供. 需要进一步研究这些干预措施的有效性.
科学领域:
- 围产期心理健康问题
- 定性研究是指质量研究.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 围产期焦虑 (PNA) 影响超过21%的女性,影响母亲和儿童的福祉.
- 国家指导方针强调了非药物PNA干预措施的证据差距.
- 现有的指导可能与女性对PNA支持的偏好不一致.
研究的目的:
- 探索围产期心理健康 (PMH) 利益相关者对PNA非药物干预措施的观点.
- 了解患有PNA的女性,医疗保健专业人员和社区组织的经验和需求.
主要方法:
- 采用与各种利益相关者进行半结构面试的定性研究.
- 对25次采访进行主题分析,其中包括患有PNA的女性,医疗保健专业人员 (HCP) 和志愿者,社区和社会企业 (VCSE) 代表.
- 在整个研究过程中参与患者咨询小组.
主要成果:
- 患有PNA的女性更喜欢一系列非药物选择,经常通过VCSE服务获得.
- 医务人员经常将干预选择与PNA严重程度联系起来.
- 高职教育组织为PNA提供灵活和可访问的支持.
结论:
- 在NICE的建议/委托和女性所希望的PNA干预措施之间存在差异.
- 临床医生应该认识到当地VCSE服务在PNA护理中的作用.
- 进一步的研究是必要的,以解决关于VCSE提供的PNA干预措施的证据缺口.
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