在产前咨询中,定位舒适度措施是适宜生育的婴儿所需的
Katherine Carroll1, Megan Thorvilson2, Christopher Collura2
1School of Sociology, College of Arts and Social Sciences, Australian National University, Canberra, Australian Capital Territory, Australia.
Sociology of health & illness
|October 10, 2024
概括
新生儿科医生很少强调对极度早产婴儿的舒适护理,在讨论中经常将其边缘化. 共享决策可以改善产前沟通和以患者为中心的护理.
科学领域:
- 新生儿医学 新生儿医学
- 围产期沟通 围产期沟通
- 生物伦理学生物伦理学
背景情况:
- 在可行性灰色区的极度早产婴儿的护理在新生儿医学中提出了重大挑战.
- 有限的研究存在于新生儿科医生和父母之间关于可存活婴儿出生的产前沟通.
研究的目的:
- 分析新生儿科医生关于可活婴儿护理轨迹的沟通.
- 在产前咨询中探索舒适护理与救命干预的定位.
主要方法:
- 分析了美国中西部一家医院新生儿科医生和家长之间的25次产前咨询.
- 对用于为极度早产婴儿设置护理选择的语言进行定性检查.
主要成果:
- 在新生儿科医生语言中,舒适护理的特色是最小的,并且经常被边缘化.
- 关于急性,拯救生命的医学和妊娠年龄限制的讨论主导了讨论.
- 在制定护理轨迹时,共享决策模型未得到充分利用.
结论:
- 新生儿科医生的沟通往往会把可活婴儿的舒适护理放在一边.
- 灵活性,注意力和开放性对于有效的产前共享决策至关重要.
- 重新思考沟通策略可以提高家长的参与和响应能力,在可靠的婴儿护理.
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