通过共同创造改善斯里兰卡以人为中心的产妇护理:利用妇女的看法和利益相关者的意见
Mohamed Rishard1, Aysha Fathima Ziyad Mohamed2, Ashwini De Abrew3
1Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka; De Soysa Hospital for Women, Colombo, Sri Lanka.
Midwifery
|December 12, 2025
概括
这项研究表明,涉及母亲,医疗保健提供者和倡导团体可以在斯里兰卡创建有效的以人为中心的产妇护理干预措施. 这些共同创建的战略旨在提高产妇保健服务的质量.
科学领域:
- 孕产妇健康 孕产妇健康
- 改善医疗保健质量 改善医疗保健质量
- 参与式研究参与式研究
背景情况:
- 在斯里兰卡,有限的研究记录了以人为中心的产妇护理 (PCMC) 干预措施的共同创建,这些干预措施使用了不同利益相关者的视角.
- 低收入和中等收入国家 (LMICs) 的现有研究往往忽视了服务用户,提供商和倡导者的观点的整合.
研究的目的:
- 共同创建特定背景的干预措施,以提高斯里兰卡以人为中心的产妇护理 (PCMC) 的质量.
- 在干预开发中探索和整合母亲,医疗保健提供者和妇女倡导团体 (WAGs) 的观点.
主要方法:
- 这是一项四阶段研究,涉及斯里兰卡推产妇中心87名利益相关者.
- 第一阶段:与39名母亲的焦点小组讨论,探索PCMC的看法.
- 阶段II-IV:Delphi轮和名义小组技术与25名医疗保健提供者和23名WAG成员一起,以确定和优先考虑干预措施,随后与母亲建立共识.
主要成果:
- 第一阶段确定了关键主题:照顾和关注,劳动伙伴关系,尊重和尊严,自主意识和安全.
- 优先考虑10项干预措施,重点关注沟通技巧,妇女权利,基础设施,护理组织和人员配置.
- 94%的母亲同意优先干预措施将加强孕产妇医疗保健服务.
结论:
- 一种涉及服务用户,医疗保健提供者和WAG的参与式方法有效地共同创建了优先级干预措施,以改善低资源环境中的产妇护理质量.
- 该研究突出了PCMC的差距,并证明了共同创建特定背景干预措施的可行性.
- 建议进行进一步的实施研究,以评估确定的干预措施的可行性,可持续性和挑战.
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