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"他们是我的"毛利人患有围产期精神疾病发现文化安全和临床优秀的医疗保健

  • 0Department of Māori and Indigenous Health Innovation, University of Otago | Ōtākou Whakaihu Waka, 45 Cambridge Terrace, Christchurch, NZ 8013, New Zealand. cara.meredith@otago.ac.nz.
International Journal for Equity in Health +

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2025年八月21日

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2025年八月21日

在PubMed上查看摘要

概括

此摘要是机器生成的。

毛利母亲在产前护理方面遇到了挑战,但积极的互动以关系,保护和尊严为中心. 提高文化安全的护理需要系统性变化和以家庭为中心的做法.

科学领域

  • 母婴健康
  • 原住民的健康
  • 心理健康服务研究

背景情况

  • 在新西兰的阿托亚罗亚,殖民导致毛利人的健康不平等,特别是在产前心理健康方面.
  • 过去的负面临床经验可能会削弱毛利母亲和分娩父母的信任和安全.
  • 系统性不平等在围产期对毛利人产生了不成比例的影响,导致心理健康状况不佳.

研究的目的

  • 探索毛利母亲和分娩父母在产前期的临床经验.
  • 引导临床医生提供高质量,文化安全的围产期心理健康护理.
  • 确定导致积极和消极临床相互作用的因素.

主要方法

  • 根据Kaupapa Māori的方法进行定性研究.
  • 与19名毛利母亲和生育父母进行了半结构化采访.
  • 分析的重点是了解临床界面的经验.

主要成果

  • 参与者确定了临床相互作用的挑战和积极方面.
  • 这里出现的关键主题是 whakawhanaungatanga (关系), kaitiakitanga (监护人) 和 mana (尊严).
  • 通过持续的护理和 whānau (家庭/支持网络) 的包容,积极的接触得到了增强.

结论

  • 在产周护理中,积极的临床体验被定义为 whakawhanaungatanga, kaitiakitanga 和 mana.
  • 护理的连续性和以家庭为中心的方法促进了这些关系价值.
  • 系统性变化对于公平的结果至关重要, 要求医疗机构支持以 whānau 为中心的做法和文化安全的护理.

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