妇女在设施性堕胎护理方面的经验:世卫组织的定性证据综合
Bela Ganatra1, Annik Mahalia Sorhaindo1, Amanda Cleeve2
1UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, 20 Avenue Appia, 1211, Geneva, Switzerland.
Social science & medicine (1982)
|December 12, 2024
概括
这项研究对堕胎护理经验进行了分类,发现支持性护理增强了幸福感,而负面经验因背景而恶化. 了解这些经验对于改善安全堕胎准入至关重要.
科学领域:
- 生殖健康 生殖健康
- 定性研究是指质量研究.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 世界卫生组织 (WHO) 强调安全,有效,可访问,公平,可接受和以人为中心的堕胎护理.
- 了解患者体验对于将服务与世卫组织指导方针保持一致至关重要.
研究的目的:
- 开发一种基于设施的堕胎护理患者体验的类型学.
- 确定影响这些体验及其后果的因素.
- 根据世卫组织的建议,为评估堕胎护理质量提供一个框架.
主要方法:
- 对1996年1月至2023年9月期间发表的定性研究进行系统的文献搜索.
- 来自42个国家的111篇论文的综合证据.
- 开发一种类型,描述积极,混合和负面的堕胎护理体验.
主要成果:
- 积极的经历包括情绪上的支持和保护免受伤害.
- 负面经历包括阻碍,判断,羞耻,缺乏尊严,延迟,拒绝照顾和伤害.
- 背景因素和个人特征加剧了负面经历,而支持性护理减少了耻辱和增加了信心.
结论:
- 开发的类型学可以根据世卫组织的标准来评估堕胎护理质量.
- 调查结果可以弥合政策和计划之间的差距,以提高堕胎护理质量.
- 该类型为全球监测和改进堕胎服务提供了基础.
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