产后永久避孕决策中的不确定性:医生和患者的观点
Brooke W Bullington1, Madeline Thornton2, Madison Lyleroehr3
1Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
患者通常对永久避孕感到肯定,但有些人经历了怀疑或悲伤. 医生 医生 医生
科学领域:
- 生殖健康 生殖健康
- 避孕药是一种避孕药,用于避孕.
- 决策科学 决策科学
背景情况:
- 了解患者和医生对永久避孕的看法对于有效的生殖健康护理至关重要.
- 不确定性是重大生活决策的常见因素,包括永久避孕选择.
研究的目的:
- 探索患者和医生如何在永久避孕决策过程中概念化不确定性.
- 确定与永久避孕决定有关的患者经验和医生策略.
主要方法:
- 定性研究涉及采访产后患者 (n=81),希望永久避孕及其分娩医生 (n=67).
- 使用快速内容分析和主题内容分析来检查决策细微差别.
主要成果:
- 大多数患者报告说他们确信,尽管有些人经历了怀疑和手术后的悲伤,其中一个人后悔这个决定.
- 医生采用各种策略来确保患者的确定性和减轻潜在的遗憾,有时忽视决策的复杂性.
结论:
- 患者对避孕药的决策是复杂的,流动的,细微的.
- 医生咨询应该承认这种复杂性,超越仅仅关注潜在的遗憾.
- 个性化,支持和共享的决策对于知情和自主生殖选择至关重要.
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