开发一种新的以患者为中心的严重孕产妇发病率定义
Adina R Kern-Goldberger1, Lauren E Callans2, Rebecca F Hamm3
1Cleveland Clinic Foundation, Ob/Gyn and Women's Health Institute, Cleveland, OH (Kern-Goldberger); Cleveland Clinic Lerner Research Institute, Department of Quantitative Health Sciences, Cleveland, OH (Kern-Goldberger).
American journal of obstetrics & gynecology MFM
|May 27, 2025
概括
患者对严重孕产妇发病率 (SMM) 的看法与当前的定义不同. 纳入患者评估的结果,如严重的产后抑郁症,对于以患者为中心的母亲保健方法至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 以患者为中心的护理
- 公共卫生 公共卫生
背景情况:
- 目前严重孕产妇发病率 (SMM) 的框架不包括患者的经验.
- 患者的观点对于全面了解孕产妇发病率至关重要.
研究的目的:
- 评估患者对母亲怀孕并发症的价值观和看法.
- 开发一种以患者为中心的,针对孕产妇发病率的综合测量方法.
主要方法:
- 一项混合方法研究,涉及与产后患者进行半结构面试和调查.
- 对定性数据的专题分析确定了患者感知到的不良事件.
- 患者根据严重程度对孕产妇并发症进行排名,包括CDC定义的SMM指标.
主要成果:
- 出现了9个患者感知的发病率主题,与现有的SMM标准不同.
- 脑卒中/,子宫切除术和心力衰竭是患者排名最高的疾病.
- 严重的产后抑郁症在66.3%的患者中排名高于出血和输血.
结论:
- 已建立的SMM复合物与患者优先考虑的孕产妇不良结果不一致.
- 扩大SMM定义以包括重度抑郁症等患者估值指标至关重要.
- 以患者为中心的方法可以改善临床实践和研究中的SMM评估和缓解.
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