乌干达东部产科并发症期间被转诊的妇女的感知和经验:一种定性研究
Richard Keem1, Rose Chalo Nabirye1, Julius N Wandabwa2
1Department of Nursing, Busitema University, Mbale, Uganda.
PLOS global public health
|July 14, 2025
概括
由于转诊系统的障碍,妇女在获得产科护理方面面临重大挑战. 改善低级设施质量对于更好的孕产妇健康结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 医疗保健系统研究 医疗保健系统研究
背景情况:
- 由于产科并发症而被转诊的妇女遇到许多进入挑战.
- 了解女性对产科转诊的看法对于改善护理途径至关重要.
研究的目的:
- 探索妇女的感知和经验,以应急产科并发症.
- 在产科推系统中识别助手和障碍.
主要方法:
- 进行了17次深入采访,对已被推的女性进行了深入采访.
- 分析了定性数据,以确定与转介经验相关的关键主题.
主要成果:
- 推促进者包括早期决策,良好的沟通和陪伴. 障碍包括财务限制,基础设施不足和运输问题.
- 较低级别的设施往往提供质量差的护理 (不尊重,短缺),而转诊站提供更好的护理 (热情接待,可用服务).
- 妇女的不情愿源于距离,对并发症的恐惧和虐待,而愿意与对转诊场所护理的信心有关.
结论:
- 产科推系统受到较低级别设施护理质量差以及到达推地点的困难所阻碍.
- 提高较低级别医疗机构的护理质量对于优化产科推系统至关重要.
- 解决妇女的恐惧和改善后勤支持可以提高遵守和推系统的积极评估.
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