在怀孕前,怀孕期间和怀孕后面对心理社会逆境的妇女中探索脆弱性的感知:使用专题分析进行定性访谈研究
L van der Meer1, H E Ernst-Smelt1, M P Lambregtse-van den Berg2
1Department of Obstetrics and Gynaecology, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands.
概括
"易受伤害"一词可以污名化孕妇,阻止照顾. 接受这一标签需要承认女性的优势和勇气,而不仅仅是她们的挑战,以改善孕产妇的医疗保健.
科学领域:
- 孕产妇健康 孕产妇健康
- 心理社会不利的情况
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- "易受伤害"一词经常应用于经历心理社会逆境的孕妇.
- 这种标签可能会改善获得护理的机会,但可能会导致耻辱化和减少医疗保健参与.
- 了解女性对脆弱性的看法对于有效支持至关重要.
研究的目的:
- 探索面临心理社会逆境的女性如何看待脆弱的概念.
- 调查妇女在怀孕期间和分娩后被标记为"脆弱"的经历.
- 确定影响与"脆弱"标签相关的接受或耻辱化的因素.
主要方法:
- 半结构化深度访谈的专题分析.
- 目的性抽样,在十个不同女性中最大限度地变化.
- 定性研究设计以捕捉微妙的经验.
主要成果:
- 妇女将脆弱性定义为需要在照顾自己和孩子方面得到支持.
- 接受"易受伤害"标签与承认他们的优势和积极努力有关.
- 当妇女的代理,个人旅程和勇气没有得到认可时,这个标签变得耻辱化.
结论:
- 有效的母亲对弱势妇女的照顾需要以患者为中心的方法,认识到挑战和优势.
- 强调女性的叙述和寻求支持的勇气可以减少耻辱感.
- 将这些观点纳入实践可以增强患者提供者关系和护理质量.
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