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围产期失子后母亲对健康中心服务质量的认知

Mothers' Perception of Quality of Services from Health Centers after Perinatal Loss.

作者信息

Sereshti Manije, Nahidi Fateme, Simbar Masomeh, Ahmadi Fazlollah, Bakhtiari Maryam, Zayeri Farid

机构信息

Department of Midwifery & Reproductive Health, School of Nursing and Midwifery, International Branch, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Midwifery & Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Electron Physician. 2016 Feb 25;8(2):2006-17. doi: 10.19082/2006. eCollection 2016 Feb.

Abstract

INTRODUCTION

Perinatal loss is one of the most stressful life events that parents and caregivers experience. Providing an empathetic, caring environment to support mothers who experience perinatal loss is necessary. The aim of this study was to assess mothers' perception of the quality of services received from health centers after perinatal loss.

METHODS

This study was conducted in 2014-2015 using qualitative content analysis. Participants in the study were 40 women with a history of miscarriage, stillbirth, or neonatal death who live in Tehran and Shahrekord, Iran. Data were collected from the participants through semi-structured, in-depth interviews, and they were analyzed using qualitative content analysis.

RESULTS

One theme and six main categories were developed, and they indicated the mothers' experiences and understandings of the quality of service received after perinatal loss. The major theme was 'dissatisfaction with the quality of care received.' The main categories included: 1) effective communication, 2) expecting responsiveness, 3) expecting to respect the patient's dignity, 4) expecting better care, 5) tension of medical expenses, and 6) insufficient facilities.

CONCLUSION

The findings of this study highlighted the weaknesses, inadequacies, strengths, and opportunities in providing health services. They can help reproductive health policy-makers reduce the pain and suffering of the affected families with appropriate measures.

摘要

引言

围产期损失是父母和护理人员所经历的最具压力的生活事件之一。为经历围产期损失的母亲提供一个富有同情心、关怀备至的环境是必要的。本研究的目的是评估母亲们对围产期损失后从健康中心获得的服务质量的看法。

方法

本研究于2014 - 2015年采用定性内容分析法进行。研究参与者为40名有流产、死产或新生儿死亡史的女性,她们居住在伊朗的德黑兰和沙赫雷克德。通过半结构化的深入访谈从参与者那里收集数据,并使用定性内容分析法进行分析。

结果

形成了一个主题和六个主要类别,它们表明了母亲们对围产期损失后所获得服务质量的经历和理解。主要主题是“对所接受护理质量的不满”。主要类别包括:1) 有效沟通,2) 期待回应,3) 期待尊重患者尊严,4) 期待更好的护理,5) 医疗费用压力,6) 设施不足。

结论

本研究结果突出了提供健康服务中的弱点、不足、优势和机会。它们可以帮助生殖健康政策制定者采取适当措施减轻受影响家庭的痛苦。

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