肥胖孕妇和产后妇女对医疗保健的看法:一种定性研究
Elizete Sampaio Araujo1, Claudia Galindo Novoa2, Gustavo Yano Callado3
1Department of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo, SP, Brazil.
概括
在巴西,超重和肥胖的孕妇经常在医疗保健中面临体重耻辱和歧视. 通过专业培训和尊重沟通来改善护理对于更好的健康结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 卫生社会学 卫生社会学
背景情况:
- 体重耻辱严重影响肥胖妇女的护理经验,影响健康结果.
- 关于巴西孕妇和产后妇女医疗保健中的体重耻辱的研究有限.
- 这项研究重点关注巴西超重和肥胖的孕妇和产后妇女对护理的看法,包括脂肪恐惧症.
研究的目的:
- 探索巴西超重和肥胖的孕妇和产后妇女的护理经验.
- 在巴西医疗保健系统中识别偏见和歧视 (脂肪恐惧症) 的情况.
- 了解这些经历如何影响妇女在产前,分娩和产后期间.
主要方法:
- 一个定性,描述性,探索性和诱导性的实地研究,利用netnography.
- 通过在线调查和虚拟沉浸在高风险孕妇的Facebook社区中收集的数据.
- 主题分析采用了集体主体话语 (DCS) 技术,对149名参与者 (BMI>25 kg/m2) 的数据进行了分析.
主要成果:
- 超过一半 (52.6%) 的参与者报告了负面的护理经历,理由是体重耻辱,羞辱,羞耻和缺乏同情心.
- 常见的问题包括轻视的态度,结构性障碍 (设备不足),对并发症的责怪以及判断性语言.
- 积极的体验 (47.4%) 与尊重,同情和个性化沟通有关,尽管有时与体重相关的批评仍然存在.
结论:
- 在巴西,超重和肥胖的孕妇和产后妇女中存在高患肥胖症的高患病率.
- 迫切需要更加尊重,个性化和人性化的产科护理.
- 加强专业培训和机构实践对于减轻耻辱和改善这一群体的健康结果至关重要.
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