农村妇女的声音揭示了对加分娩地点的决定的看法:一种定性研究
Haruka Horikoshi1, Shigeko Horiuchi1
1Graduate School of Nursing Science, St. Luke's International University, Tokyo, Japan.
Japan journal of nursing science : JJNS
|October 28, 2024
概括
加的农村妇女优先考虑提供身体和心理安全,可访问性和负担能力的分娩地点. 他们避免安全问题或不尊重护理的设施,突出影响分娩决定的关键因素.
科学领域:
- 孕产妇健康 孕产妇健康
- 生殖健康 生殖健康
- 卫生社会学 卫生社会学
背景情况:
- 了解妇女关于分娩地点的决策对于改善母亲和新生儿的结果至关重要.
- 在加,影响农村环境中这些选择的因素需要进一步调查.
研究的目的:
- 探索和澄清加农村妇女关于她们在何处分娩的决定的看法.
- 确定影响农村妇女选择出生地点的关键决定因素.
主要方法:
- 定性描述性研究,采用半结构化采访,对18名20岁以上的女性进行半结构化采访,这些女性在过去两年内分娩.
- 采访是在加首都附近的农村地区进行的,采访的指导是太华决策支持框架 (ODSF) 2020模型.
- 内容分析用于分析数据,重点关注在决定出生地点时的感知.
主要成果:
- 六种类型的原因影响了出生地点的选择:身体和心理安全,身体可访问性,负担得起的医疗设施,对家庭分娩风险的担忧和医院的负面经历.
- 促进医院分娩的因素包括感知到的安全性,可访问性和可负担性.
- 使用设施的威因素包括安全威胁和不尊重产妇护理.
结论:
- 妇女对出生地点的选择是由对身体和精神安全环境的渴望驱动的,加上地理可访问性和成本效益.
- 糟糕的孕产妇护理经验和对安全的感知威胁显著阻止妇女利用医疗保健设施进行分娩.
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