低社会经济地位妇女的孕产妇健康机构:一种定性研究
Sharissa Mandy Smith1, Leonieke Willemien Kranenburg2, Djanifa da Conceicao3
1Department of Obstetrics and Gynaecology, Erasmus University Medical Centre, Rotterdam, The Netherlands.
概括
孕妇健康机构对于怀孕至关重要,受低社会经济地位 (SES) 的影响. 提高目标意识,而不仅仅是获得护理,是提高产妇健康机构以获得更好的结果的关键.
科学领域:
- 孕产妇健康 孕产妇健康
- 健康心理学 心理健康心理学
- 健康的社会经济决定因素
背景情况:
- 卫生机构涉及目标设定,控制和追求健康目标的手段.
- 低社会经济地位 (SES) 与减少健康机构和不良妊娠结果有关.
- 了解孕产妇健康机构至关重要,因为仅仅获得医疗保健对低SES人口来说可能不够.
研究的目的:
- 探索有孩子或想要孩子的妇女的孕产妇健康机构的概念.
- 确定导致低SES妇女健康机构受损的因素.
- 为改善孕产妇健康结果的策略提供信息.
主要方法:
- 与15名参与者 (有孩子或想要孩子的妇女) 进行了半结构化采访.
- 根据社区的中位收入和教育程度来定义低SES.
- 采用主题内容分析来确定关键主题和子主题.
主要成果:
- 两个主要主题出现了:个人目标的起源/发展以及追求目标的意识/能力.
- 参与者的目标受到文化规范,个人叙述和直觉的影响.
- 内部冲突源于目标和行为之间的差异,需要负担和利益的平衡.
结论:
- 孕产妇健康机构是一个可修改的因素,受目标意识和其他因素的影响.
- 孕产妇健康机构的损伤似乎主要与缺乏目标意识有关,而不是无法采取行动.
- 干预措施应侧重于提高目标意识,以改善孕产妇健康机构.
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