在产前期询问自杀的态度,经验和影响:与产妇医疗保健从业者进行的定性研究
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.
产妇保健从业者发现许多自杀查问题没有帮助,他们宁愿不使用"自杀"这个词. 需要有针对性的培训,以改善围产期心理健康问题和自杀倾向的识别.
科学领域:
- 围产期心理健康问题
- 孕产妇的健康护理
- 自杀倾向研究的研究.
背景情况:
- 自杀是孕产妇死亡的一个重要原因.
- 产妇卫生保健从业者 (HCP) 对于识别围产期心理健康 (PMH) 问题和自杀倾向至关重要.
- 有限的研究存在于医疗保健工作者的态度和经验,关于自杀查在围产期护理.
研究的目的:
- 探索产妇卫生保健人员对16个与自杀有关的查项目的态度.
- 调查医疗保健工作者的观点和经验,与围产期妇女讨论自杀.
主要方法:
- 15个半结构面试与英国产妇卫生保健人员 (助产士,卫生访问者,全科医生,PMH从业人员).
- 感应性主题分析,以确定定性数据中的关键主题.
主要成果:
- 医务人员经常发现自杀查项目没有帮助,不喜欢模两可或情感化的语言,并避免使用'自杀'这个词.
- 出现了四个主题:讨论方法,竞争需求,培训/支持需求和服务可用性.
- 这些因素影响了医疗保健工作者对自杀倾向的信心和询问意愿.
结论:
- 医疗保健工作者需要在孕产妇设置中的PMH和自杀倾向方面进行专业培训和支持.
- 加强培训可以提高医务人员的信心和讨论自杀的能力.
- 及时识别和干预对于改善围产期自杀倾向妇女的护理至关重要.
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