围产期妇女在产妇护理机构讨论自杀的观点和经验:一种定性研究
Elizabeth Dudeney1, Rose Meades1, Susan Ayers1
1Centre for Maternal and Child Health Research, School of Heath and Psychological Sciences, City, University of London, London, United Kingdom.
围产期妇女在披露自杀倾向时面临重大障碍,包括耻辱和缺乏护理连续性. 医疗保健提供者应采用敏感,多样化的方法来识别和支持在产前期经历自杀想法的妇女.
科学领域:
- 围产期心理健康研究
- 预防孕产妇自杀的方法
- 医疗保健的沟通 医疗保健的沟通
背景情况:
- 自杀是产后第一年母亲死亡的主要原因.
- 关于影响披露围产期妇女自杀倾向的因素的研究有限.
- 了解这些因素对于制定有效的支持策略至关重要.
研究的目的:
- 探讨围产期妇女对识别和披露产妇护理中自杀倾向的障碍和促进者的看法.
- 了解妇女在怀孕和产后期间对自杀评估的适当医疗保健从业者方法的观点.
- 为在围产环境中制定敏感和有效的自杀查协议提供信息.
主要方法:
- 在英国对21名围产期妇女进行了半结构面试.
- 包括17名自我报告患有围产期精神健康问题和/或自杀倾向的妇女.
- 利用感应性主题分析来识别关键主题和子主题.
主要成果:
- 确定了四个主要主题和11个与披露障碍和促进者的子主题.
- 关键障碍包括耻辱,社会期望,症状不充分识别,忙预约,缺乏连续性和医疗保健从业人员的人际交往技能差.
- 促进者包括提供心理健康信息和同行支持;妇女建议各种披露方法 (例如,表格,面对面) 和敏感的沟通.
结论:
- 显著的障碍阻碍了围产期妇女披露自杀倾向.
- 产妇护理机构需要采用承认这些障碍的方法.
- 开发安全和舒适的环境对于诚实地披露与自杀有关的担忧至关重要.
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