在怀孕期间探索患者和临床医生的信任:拉丁裔患者的定性研究
Rose L Molina1, Maria Bazan1, Giuliana Rivera Casul1
1Department of Obstetrics and Gynecology and the Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Departments of Medicine and Psychiatry, Massachusetts General Hospital, Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts; Universidad Científica del Sur, Lima, Peru; and Department of Obstetrics and Gynecology, University of South Florida, Tampa, Florida.
O&G open
|September 26, 2025
概括
拉丁裔患者重视陪伴,一种独特的共享权力形式,对于怀孕护理的信任至关重要. 沟通失误等障碍阻碍了这种至关重要的临床医生与患者关系.
科学领域:
- 孕产妇健康 孕产妇健康
- 健康 公平 卫生 公平
- 定性研究是一种定性研究.
背景情况:
- 信任是患者与临床医生的关系的基础,特别是在怀孕期间.
- 了解不同患者的观点,特别是来自语言少数群体的观点,对于公平的护理至关重要.
- 现有的信任框架可能无法完全捕捉所有患者群体的经验.
研究的目的:
- 从拉丁裔患者的角度探索怀孕护理期间对临床医生的信任.
- 确定信任的独特维度,特别是对于西班牙语优先使用的语言使用者.
- 发现建立对产前和产后护理信任的障碍.
主要方法:
- 定性焦点小组研究,涉及怀孕或最近分娩的西班牙裔/拉丁裔个人.
- 讨论以西班牙语和英语进行,以半结构化的格式进行,以文献和患者咨询小组为依据.
- 分析采用修改的基础理论方法,将主题映射到已建立的信任维度 (沟通,关怀,舒适,成本,能力).
主要成果:
- 完成了八个重点小组 (五个是西班牙语,三个是英语).
- 一个重要的主题是"acompañamiento" (伴奏),代表了共享的力量和旅程,特别是在西班牙语参与者之间.
- 发现的信任障碍包括人际关系问题 (沟通失误,缺乏连续性) 和卫生系统因素 (简短的预约).
结论:
- 拉丁裔患者对怀孕护理的信任是多方面的,受文化背景的影响.
- "陪伴"代表了西班牙语患者信任的独特和至关重要的组成部分.
- 解决沟通和系统性障碍对于培养对各种孕产妇保健机构的信任至关重要.
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