巴基斯坦城市卡拉奇分娩后症状寻求护理的模式:对干预设计的影响
Farzeen Hirani1, Shabina Ariff1, Apsara Ali Nathwani1
1Pediatrics and Child Health, The Aga Khan University, Karachi, Pakistan.
巴基斯坦的孕产妇死亡率很高,产后败血症是主要原因. 由于意识低和文化因素导致寻求护理的延迟,导致产后败血症妇女的危急状况和不良结果.
科学领域:
- 孕产妇健康 孕产妇健康
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 产后 (PP) 败血症是巴基斯坦孕产妇死亡率的重要原因之一.
- 识别和管理PP败血症的延迟会导致严重的后果,包括死亡率和不孕症.
研究的目的:
- 探索半城市卡拉奇的PP败血症最近分娩妇女 (RDW) 寻求护理的模式.
- 确定及时寻求护理的障碍,以改善临床结果.
主要方法:
- 32个半结构化的定性访谈与RDW,传统分娩护理人员 (TBA),医疗保健提供者和家庭成员.
- 在卡拉奇的一个城市占地者定居点和一个第三级护理机构进行的采访.
- 使用NVivo软件进行主题分析,以确定模式和主题.
主要成果:
- 对PP败血症症状和文化规范的有限认识推迟了初步寻求护理.
- 在求助于三级护理之前,妇女经常寻求TBA,化学家或自我治疗的护理.
- 经济上的限制和对不熟练护理的依赖导致了入院时的危急状况.
结论:
- 教育计划对于提高妇女及其家属对PP败血症症状的认识至关重要.
- 培训社区卫生工作者和TBA以迅速识别和转诊病例至关重要.
- 解决及时寻求护理的障碍可以减少对不适当护理来源的依赖,并改善母亲的结果.
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