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对胎盘增殖谱的以患者为中心的护理:根据患者和医疗保健提供者报告的经验,探索基于建议的实施
Helena C Bartels1, Karin A Fox2, Rozi Aditya Aryananda3
1Department of Obstetrics and Gynecology, School of Medicine, University College Dublin, National Maternity Hospital, Dublin 2, Ireland.
胎盘增殖谱 (PAS) 患者希望以家庭为中心的护理建议. 虽然被提供者重视,但成本和资源是障碍,需要实用,低成本的解决方案来改善患者的支持.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 患者体验研究 研究研究
背景情况:
- 已经建立了以往对胎盘增生谱 (PAS) 中以家庭为中心护理的建议.
- 患者的经验和这些建议的利用需要进一步调查.
- 了解医疗保健提供者对这些建议和实施障碍的看法至关重要.
研究的目的:
- 探索患者与与胎盘增殖谱 (PAS) 相关的护理的经验.
- 评估以前推的以家庭为中心的护理策略的利用率.
- 确定医疗保健提供者的观点,这些建议的价值和实施障碍.
主要方法:
- 对有PAS病史的患者和参与PAS护理的医疗保健提供者进行了两次横截面调查.
- 在8周的时间里 (2024年9月至10月) 进行了调查,重点关注四个关键领域:分娩准备,支持性护理,提供者教育和产后护理.
- 使用定量数据和定性内容分析来确定主题和经验.
主要成果:
- 155名受访患者中的大多数 (78%) 报告说,由于缺乏准备资源,他们感到丧,尽管63%的人觉得自己为分娩做好了准备.
- 不到一半的患者 (44%) 接受了心理健康转诊,尽管得到了积极的接受;只有40%的患者获得了专业的产后护理.
- 医疗保健提供者 (89名受访者) 将成本,保险和地理距离列为障碍;患者强烈希望咨询,身体健康支持和分娩后专业护理.
结论:
- 患者强烈希望先前推的以家庭为中心的护理策略用于胎盘增殖谱 (PAS).
- 医疗保健提供者认识到并重视支持性护理,但面临与成本和资源限制相关的实施挑战.
- 需要实用,低成本的干预措施来弥补在PAS患者的护理提供中发现的差距.
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