探索荷兰孕妇的心理社会脆弱性:一个注册研究
Darie O A Daemers1, Marijke J C Hendrix1, Linda Quadvlieg2,3
1Research Centre for Midwifery Science, Zuyd University of Applied Sciences, Maastricht, The Netherlands.
Journal of psychosomatic obstetrics and gynaecology
|July 1, 2024
概括
在荷兰,大约20%的孕妇经历了需要心理社会支持的非医疗脆弱性. 鹿特丹定义有效地识别了这些弱势群体,强调了针对性干预的必要性.
科学领域:
- 围产期健康 围产期健康
- 健康的社会决定因素
- 公共卫生 公共卫生
背景情况:
- 荷兰的不良周产期结局与地理位置不同的非医学因素有关.
- 心理社会逆境影响孕妇,需要识别和支持.
研究的目的:
- 分析荷兰两个不同地区孕妇的非医疗脆弱性.
- 评估鹿特丹定义在助产士主导的护理环境中识别脆弱性的适用性.
主要方法:
- 在格罗宁根和南林堡进行了一项注册研究,分析了助产士领导的护理中的妇女的数据.
- 基于鹿特丹定义的标准化病例报告表格用于评估非医疗脆弱性.
- 在实施了脆弱性识别工具后,在南林堡进行了第二次测量.
主要成果:
- 在这两个地区,大约10%的孕妇表现出一种或多种紧急脆弱性,通常与其他非紧急脆弱性相积累.
- 另外10%的女性有三个或更多非紧急脆弱性的组合.
- 鹿特丹定义表明,由于其脆弱的处境,大约20%的孕妇可能需要心理社会支持.
结论:
- 鹿特丹定义似乎是一个合适的工具,用于识别孕妇的非医疗弱点.
- 很大一部分孕妇 (约20%),表现出需要心理社会支持的脆弱性.
- 需要进一步的研究来评估保护因素的影响和支持干预措施对围产和儿童结果的有效性.
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