检查退伍军人,杜拉和VA产妇护理协调员对社区杜拉试点计划的看法和经验
Kristin M Mattocks1, Valerie Marteeny2, Lorrie Walker2
1VA Central Western Massachusetts Healthcare System, Leeds, Massachusetts; University of Massachusetts Chan Medical School, Worcester, Massachusetts.
概括
退伍军人报告说,他们对试点杜拉护理计划的满意度很高,并注意到积极的怀孕经历和赋权. 产妇护理协调员欢迎杜拉合作伙伴关系,加强退伍军人支持.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 孕产妇发病率和死亡率的种族差异是美国重要的公共卫生问题.
- 在接受退伍军人事务部 (VA) 产妇护理的退伍军人中,在母亲健康方面也观察到差异.
- 以前的研究表明,杜拉护理对少数群体有利,早产和剖腹产率较低.
研究的目的:
- 评估VA医疗保健系统中为退伍军人提供以社区为基础的试点doula计划.
- 评估参与该计划的退伍军人,杜拉和VA产妇护理协调员 (MCC) 的看法和经验.
主要方法:
- 在两个VA医疗中心进行了一项试点研究.
- 通过记录,转录的采访收集的定性数据,采访了28名退伍军人,7名杜拉和2名VA MCC.
- 用于识别主要主题和代表性引文的内容分析技术.
主要成果:
- 退伍军人之前的负面分娩经历激发了他们对杜拉支持的兴趣.
- 参与者报告了积极的怀孕经历,并且在杜拉的协助下增加了自我倡导.
- 退伍军人医疗中心将杜拉视为退伍军人护理中的宝贵合作伙伴.
结论:
- 退伍军人对社区杜拉计划表示高度满意.
- 该计划被视为对现有VA MCC服务的宝贵补充.
- 杜拉护理证明了改善孕产妇结果和支持孕妇退伍军人的潜力.
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