Johnsen Helle, Clausen Jette Aaroe, Hvidtjørn Dorte, Juhl Mette, Hegaard Hanne Kristine
Midwifery Program, Metropolitan University College, Sigurdsgade 26, 2200 Copenhagen N, Denmark.
Midwifery Program, Metropolitan University College, Sigurdsgade 26, 2200 Copenhagen N, Denmark.
Women Birth. 2018 Apr;31(2):e105-e114. doi: 10.1016/j.wombi.2017.07.013. Epub 2017 Aug 30.
Information and communication technologies are increasingly used in health care to meet demands of efficiency, safety and patient-centered care. At a large Danish regional hospital, women report their physical, mental health and personal needs prior to their first antenatal visit. Little is known about the process of self-reporting health, and how this information is managed during the client-professional meeting.
To explore women's experiences of self-reporting their health status and personal needs online prior to the first midwifery visit, and how this information may affect the meeting between the woman and the midwife.
Fifteen semi-structured interviews with pregnant women and 62h of observation of the first midwifery visit were carried out. Conventional content analysis was used to analyse data.
Three main categories were identified; 'Reporting personal health', 'Reducing and generating risk', and 'Bridges and gaps'. Compared to reporting physical health information, more advanced levels of health literacy might be needed to self-assess mental health and personal needs. Self-reporting health can induce feelings of being normal but also increase perceptions of pregnancy-related risk and concerns of being judged by the midwife. Although women want to have their self-reported information addressed, they also have a need for the midwife's expert knowledge and advice, and of not being perceived as a demanding client.
Self-reported health prior to the first midwifery visit appears to have both intended and unintended effects. During the midwifery visit, women find themselves navigating between competing needs in relation to use of their self-reported information.
信息与通信技术在医疗保健领域的应用日益广泛，以满足效率、安全和以患者为中心的护理需求。在丹麦一家大型地区医院，女性在首次产前检查前报告自己的身体、心理健康及个人需求。对于自我报告健康状况的过程以及在医患会面期间如何管理这些信息，人们了解甚少。
探讨女性在首次助产士检查前在线自我报告健康状况及个人需求的经历，以及这些信息如何影响女性与助产士之间的会面。
对孕妇进行了15次半结构化访谈，并对首次助产士检查进行了62小时的观察。采用常规内容分析法对数据进行分析。
确定了三个主要类别；“报告个人健康状况”、“降低和产生风险”以及“桥梁与差距”。与报告身体健康信息相比，自我评估心理健康和个人需求可能需要更高水平的健康素养。自我报告健康状况可能会让人产生正常的感觉，但也会增加对与怀孕相关风险的认知以及对被助产士评判的担忧。尽管女性希望自己报告的信息能得到处理，但她们也需要助产士的专业知识和建议，并且不希望被视为苛刻的患者。
首次助产士检查前自我报告的健康状况似乎既有预期效果，也有意外效果。在助产士检查期间，女性发现自己在使用自我报告信息方面的相互竞争的需求之间进行权衡。
