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澳大利亚一家三级产科医院中女性对缺铁性贫血预防或治疗相关信息认知的调查。

Survey of women's perceptions of information provided in the prevention or treatment of iron deficiency anaemia in an Australian tertiary obstetric hospital.

作者信息

Vosnacos Emma, Pinchon Deborah J

机构信息

Infusion Unit, King Edward Memorial Hospital, Perth, WA, Australia.

Obstetric and Gynaecology Clinical Care Unit, King Edward Memorial Hospital, Perth, WA, Australia.

出版信息

Women Birth. 2015 Jun;28(2):166-72. doi: 10.1016/j.wombi.2014.11.004. Epub 2014 Nov 24.

Abstract

BACKGROUND

There is limited literature to understand the perceptions of Australian women regarding the information provided by healthcare professionals relating to the prevention and treatment of iron deficiency anaemia in pregnancy.

AIM

To establish an insight into the key themes and trends within a tertiary obstetric hospital related to the provision of dietary advice and use of iron supplements in pregnancy.

METHODS

A prospective patient survey of pregnant women and women up to 4 weeks postnatal attending hospital.

FINDINGS

Of the 110 women who participated, 73.6% were provided with information on iron rich foods and 67% made dietary changes. Eighty percent of women were advised to take oral iron and 65.5% of women were taking it at the time of the survey. In women who had independently ceased oral iron, 41.7% failed to inform their healthcare professional. In the women who did inform their healthcare professional 89.5% received advice to help overcome the reason that led to cessation. The main causes included forgetfulness and side effects. Women were less likely to require intravenous iron if oral iron was commenced early.

CONCLUSIONS

Compliance with recommended oral iron is variable within a population of pregnant women. Women are provided with information on a range of issues relating to the prevention and treatment of iron deficiency anaemia; yet there is a disparity between the information provided and the resulting action. Further research should focus on targeted measures to improve understanding and compliance with treatment from the both women's and health professionals perspective.

摘要

背景

关于澳大利亚女性对医疗保健专业人员提供的与孕期缺铁性贫血预防和治疗相关信息的看法,相关文献有限。

目的

深入了解一家三级产科医院内与孕期饮食建议提供及铁补充剂使用相关的关键主题和趋势。

方法

对在医院就诊的孕妇及产后4周内的女性进行前瞻性患者调查。

结果

参与调查的110名女性中,73.6%的人获得了富含铁食物的信息,67%的人改变了饮食。80%的女性被建议口服铁剂,调查时65.5%的女性正在服用。在自行停止口服铁剂的女性中,41.7%未告知其医疗保健专业人员。在告知医疗保健专业人员的女性中,89.5%得到了帮助克服导致停药原因的建议。主要原因包括遗忘和副作用。如果早期开始口服铁剂,女性需要静脉注射铁剂的可能性较小。

结论

孕妇群体中对推荐口服铁剂的依从性存在差异。女性获得了一系列与缺铁性贫血预防和治疗相关问题的信息;然而,所提供的信息与实际行动之间存在差距。进一步的研究应从女性和健康专业人员的角度,侧重于采取有针对性的措施,以提高对治疗的理解和依从性。

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