患者对手术性阴道分娩知情同意的看法:定性分析
Lauren Diskin1, Paul Burcher1,2,3, Diane Meisles1
1WellSpan York Hospital, York, Pennsylvania, USA.
Birth (Berkeley, Calif.)
|September 25, 2025
概括
经过手术性阴道分娩 (OVB) 的患者在分娩期间经常发现知情同意具有挑战性,但对他们的经验感到满意. 在紧急的OVB情况下改善沟通对于更好的同意质量至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 患者安全 患者安全
- 知情同意研究研究 信息同意研究
背景情况:
- 手术性阴道分娩 (OVB) 是一种具有固有的风险和益处的关键干预.
- 知情同意是患者参与OVB决策的关键组成部分.
- 对OVB知情同意的充分性及其对患者体验的影响仍然不清楚.
研究的目的:
- 探索患者对OVB知情同意过程的看法.
- 评估术前沟通对辅助分娩经验的影响.
- 收集患者的建议,以加强OVB知情同意过程.
主要方法:
- 对20名接受OVB治疗的患者进行了半结构面试.
- 通过三名独立调查人员的共识编码分析了采访成绩单.
- 确定了与患者对同意和分娩经验的看法相关的新兴主题.
主要成果:
- 患者报告说,在分娩的第二阶段,他们很难获得知情同意.
- 没有报告患者机构的感知损失.
- 由于偏好OVB而不是剖腹产,接受了有限的同意讨论.
结论:
- 患者报告说,尽管知情同意的局限性,他们对OVB体验感到满意.
- 患者可能接受低标准的同意程序,突出需要改善信息共享.
- 患者满意度并不等同于充分的知情同意;建议在紧急OVB期间加强沟通.
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