一个综合性回顾 探索妇女在围产服务中重新创伤的经验
Jennifer Gordon1, Andrew Hunter2, Fiona Callanan1,3
1Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.
Journal of midwifery & women's health
|July 22, 2024
概括
获得围产服务的妇女经历了再创伤,通常与过去的创伤有关. 本综述确定了关键因素和干预措施,以防止围产期护理机构的有害做法.
科学领域:
- 围产期心理健康问题
- 创伤信息化的护理
- 综合性审查方法 综合性审查方法
背景情况:
- 重复创伤对使用产周服务的妇女产生重大影响.
- 儿童时期的逆境和创伤很普遍,增加了精神健康障碍的风险.
- 关于妇女在围产期护理和预防策略中的再创伤经历的研究有限.
研究的目的:
- 进行一个综合性回顾妇女的经验与重创在围产环境中.
- 识别导致重创的因素.
- 在产周服务中确定有效的预防措施.
主要方法:
- 根据惠特莫尔和Knafl的5个阶段框架进行综合性审查.
- 在五个数据库 (Web of Science,MEDLINE,CINAHL,ASSIA,PsychINFO) 进行无限制的系统搜索.
- 根据系统审查和元分析 (PRISMA) 准则的首选报告项目进行报告.
主要成果:
- 包括15项研究,参与者报告了儿童性虐待,性虐待和强奸的历史.
- 确定了关键主题:激活事件 (劳动位置,程序,沟通,失去控制),情绪反应和干预 (医疗保健专业人员的作用,查).
- 有证据表明,在临床环境中采取了正式的方法来预防再创伤.
结论:
- 妇女在产周服务中经历了再创伤.
- 这项研究是首次检查促成因素,并推减少有害做法的策略.
- 这些发现支持创伤信息化的产前护理的开发和实施.
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