在尼日利亚实施静脉注射铁治疗孕产妇贫血:使用正常化过程理论对医疗保健提供者经验的定性研究
Damilola Onietan1, Chisom Obi-Jeff2,3, Yusuf Adelabu4
1Department of Psychiatry, Dalhousie University 5909 Veterans' Memorial Lane, 8th Floor Abbie J. Lane Memorial Building QEII Health Sciences Centre Halifax, Nova Scotia, Canada.
PloS one
|February 23, 2026
概括
尼日利亚对母亲贫血的静脉注射 (IV) 铁的实施显示出强大的供应商买入和监测,但面临着工作流和参与挑战. 成功扩展需要领导力支持和可持续性规划,以获得更好的孕产妇健康结果.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 实施科学 实施科学
背景情况:
- 孕产妇贫血影响尼日利亚25-46%的孕妇,导致不良结果.
- 静脉注射 (IV) 铁是治疗中度至重度贫血的口服铁的潜在替代品.
- 在资源有限的环境中实施IV铁带来了独特的挑战.
研究的目的:
- 探索将IV铁的实施纳入常规实践.
- 确定影响医疗保健提供者的参与和工作流集成的因素.
- 评估尼日利亚医疗保健设施中IV铁使用的可持续性.
主要方法:
- 在IVON-IS项目中对拉各斯六个医疗机构进行定性研究.
- 与熟练的医疗保健提供者 (SHPs) 进行了18次关键信息人采访.
- 使用规范化过程理论 (NPT) 构造和感应主题分析分析数据.
主要成果:
- 强有力的供应商协议关于IV铁的好处 (连贯性).
- 变量提供者参与 (认知参与) 受领导和患者动机的影响.
- 工作流程中断和人员问题影响了集体行动,尽管有资源可用.
- 有效监测IV铁的有效性,对长期可持续性的担忧.
结论:
- 尼日利亚的IV铁实施在NPT结构中显示出混合的结果.
- 领导力支持,资源,质量改进和可持续性规划对于成功至关重要.
- 结果为尼日利亚和类似环境中的IV铁缩放提供了指导.
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