在美国寻求永久避孕时,患者对临床医生支持的观点
Brooke W Bullington1,2, Madison Lyleroehr3, Kristen A Berg4,5
1Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Perspectives on sexual and reproductive health
|February 21, 2025
概括
大多数寻求永久避孕的患者都觉得他们的临床团队支持他们. 然而,有些人经历了解雇,不完整的咨询和沟通障碍,突出了以患者为中心的护理的需要.
科学领域:
- 生殖健康 生殖健康
- 以患者为中心的护理
- 定性研究是指质量研究.
背景情况:
- 绝育的历史胁迫需要以患者为中心的永久避孕护理.
- 有限的研究存在于产后永久避孕期间的患者支持.
- 了解患者的体验对于改善生殖健康保健至关重要.
研究的目的:
- 探索患者在产后永久避孕方面的经验和支持感.
- 确定影响患者对永久避孕服务满意度的因素.
- 为更多支持性临床实践的发展提供信息.
主要方法:
- 定性研究涉及采访81名希望在四个美国医疗中心进行产后永久避孕的患者.
- 采访被录音,转录,并使用快速定性方法和主题内容分析进行分析.
- 专注于了解患者对临床团队支持的看法.
主要成果:
- 大多数患者 (64/81) 报告说,他们感觉得到了临床医生的支持.
- 17名患者描述了他们的负面经历,包括被解雇的感觉,接受不完整的咨询,以及面对沟通障碍.
- 挑战包括缺乏关于障碍的信息,临床医生的优先级,沟通错误和对手术的压力.
结论:
- 虽然大多数患者感到受到支持,但很少有患者经历了低于最佳的护理.
- 负面经历突出了沟通,咨询和优先考虑永久避孕方面的问题.
- 强调以患者为中心的护理对于尊重患者的自主权和生殖目标至关重要.
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