获得认知,智力和发育障碍妇女生殖健康服务的患者经验:系统性审查
Claire Chang1, Rogie Royce Carandang2, Jillian Silverberg3
1University of Connecticut School of Medicine, Farmington, Connecticut.
概括
患有认知,智力和发育障碍 (CIDD) 的人面临性和生殖健康 (SRH) 服务的重大障碍,包括较低的预防护理和避孕使用. 未来的努力必须优先考虑患者的观点和可获得的,包容性的护理.
科学领域:
- 公共卫生 公共卫生
- 关于残疾人的研究.
- 生殖健康 生殖健康
背景情况:
- 残疾人在获得医疗保健服务方面遇到重大障碍.
- 生活过程和社会生态视角对于理解这些挑战至关重要.
研究的目的:
- 审查有关认知,智力和发育障碍 (CIDD) 个体在获得性和生殖健康 (SRH) 服务方面的经验的研究.
- 用社会生态框架确定关键主题和障碍.
主要方法:
- 在六个数据库和灰色文献中进行系统搜索 (2010年1月至2024年6月).
- 使用社会生态框架进行叙事综合.
- 偏差风险和证据评估的确定性 (GRADE和GRADE-CERQual).
主要成果:
- 包括26项研究,分析预防护理,青春期,计划生育,怀孕和癌症治疗.
- 患有CIDD的个体表现出较低的预防性护理,减少了避孕措施的使用,更高的绝育率和更差的产科结果.
- 护理人员的支持很突出,但患者的观点被低估.
结论:
- 优先考虑患有CIDD的个体的观点,特别是在青春期和更年期.
- 强调以患者为中心的方法,护理人员支持,提供者培训和可访问的医疗保健基础设施.
- 通过政策和研究,降低SRH对CIDD患者的护理障碍.
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