"这是一个现在或永远的情况":对患有多种长期健康状况的妇女进行妊娠前护理和支持的经验
Stephanie J Hanley1, Sharon McCann2, Siang Ing Lee1
1Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK.
概括
患有多种长期健康状况的妇女经常面临怀孕前护理的缺口,导致孤立和需要自我倡导. 定制支持和综合服务对于改善母亲和儿童的结果至关重要.
科学领域:
- 生殖健康 生殖健康
- 孕产妇医学 孕产妇医学
- 公共卫生 公共卫生
背景情况:
- 五分之一的妇女在怀孕开始时患有多种慢性健康状况,增加了母亲和孩子的风险.
- 现有的指导方针和研究往往忽视了患有多种长期疾病的妇女独特的怀孕前护理需求.
研究的目的:
- 探索多种长期健康状况的妇女在怀孕前护理和支持方面的经验.
- 了解参与这些妇女护理的医疗保健专业人员的观点.
主要方法:
- 来自英国57名妇女和51名医疗保健专业人员的半结构面试的定性数据的二次分析.
- 对2022年3月至2023年5月期间收集的数据进行主题分析.
主要成果:
- 六个主题出现了,突出了需要量身定制的护理,以病情为中心的咨询和药物规划.
- 妇女报告了同情和参与的混合经验,由于专业知识差距,她们经常需要自我提倡.
- 挑战包括缺乏服务整合,可用性,时间和资金,使护理提供复杂化.
结论:
- 患有多种长期疾病的妇女经历了严重的怀孕前护理缺口,不一致的指导和有限的支持,导致孤立.
- 调查结果将为共同开发护理包提供信息,以改善这一群体的怀孕前护理.
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