参与式监测和候选性:对怀孕中蛋白尿症自我检测的观点进行话语分析
Bethany E Jakubowski1,2, Katherine L Tucker3, Layla Lavallee3
1Department of Women and Children's Health, King's College London, London, UK.
Qualitative health research
|October 17, 2024
概括
孕妇和医疗保健提供者认为,对蛋白尿的自我检测有好处,但对适合性和专业责任的担忧仍然存在. 这影响了参与式监测在产前护理中的整合.
科学领域:
- 孕产妇健康 孕产妇健康
- 诊断测试 诊断测试 诊断测试
- 医疗保健服务研究 医疗服务研究
背景情况:
- 血压和蛋白尿的自我监测是高血压怀孕中检测子宫前的关键.
- 关于蛋白尿尿在怀孕期间进行自我检测的证据有限,特别是关于其对产妇护理结构的影响.
- 将患者自我管理纳入产前护理是一个不断发展的实践.
研究的目的:
- 探索怀孕个体和医疗保健专业人员对蛋白尿症自我测试的经验和态度.
- 了解自我测试如何通过话语分析重新塑造日常产前护理.
主要方法:
- 有关面试,焦点小组和自由文本明信片的定性研究.
- 话语分析,以检查自我测试在产前护理中的整合.
- 在诊断准确性研究中招募孕妇和医疗保健专业人员.
主要成果:
- 在授权参与式监测和医疗保健专业人员对自我测试的"候选人"的判断之间存在着紧张关系.
- 孕妇和医疗保健专业人员都对参与式监测持积极态度.
- 人们担心失去"临床眼神"和不愿意放弃专业责任.
结论:
- 在产前护理中的参与式监测具有赋权的潜力,但面临着与专业判断和责任相关的挑战.
- "候选人"的概念影响了某些患者群体获得自我测试干预措施的机会.
- 需要进一步的研究,以便在解决专业问题的同时,将自我测试纳入传统产妇护理中.
相关概念视频
01:26Nephrotic Syndrome II : Assessment and Medical Management
2
IntroductionNephrotic syndrome is a kidney disorder marked by excessive protein loss in the urine, leading to various systemic complications. This condition often results from damage to the glomeruli—the kidney's filtering units—causing proteinuria, low blood protein levels, and fluid retention. Understanding the assessment, diagnosis, and management of nephrotic syndrome is essential for effective treatment and prevention of further kidney damage.AssessmentPatient History: Document...
2
01:29Urine Studies I: Urinalysis
1
Urinalysis is a widely used diagnostic test that analyzes urine's physical, chemical, and microscopic characteristics. Healthcare providers use it to detect and monitor various health conditions, including renal disease, urinary tract infections (UTIs), diabetes, and metabolic or systemic disorders.Components of UrinalysisUrinalysis consists of three primary components: physical, chemical, and microscopic examination. Each provides unique insights into the urine sample and, by extension, the...
1