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在产前阶段提供营养护理:孕妇的体验和支持需求。

Informing Nutrition Care in the Antenatal Period: Pregnant Women's Experiences and Need for Support.

机构信息

School of Health and Society, Faculty of Social Sciences, University of Wollongong, Wollongong, NSW, Australia.

School of Nursing, University of Wollongong, Wollongong, NSW, Australia.

出版信息

Biomed Res Int. 2017;2017:4856527. doi: 10.1155/2017/4856527. Epub 2017 Aug 14.

Abstract

This study aimed to provide insights into Australian women's experiences in gaining nutrition information during pregnancy. Individual semistructured telephone interviews were conducted with 17 pregnant (across all trimesters) and 9 postpartum women in five Australian states. Data were transcribed and analysed using inductive thematic analysis. Women valued nutrition information, actively sought it, and passively received it mainly from three sources: healthcare providers (HCPs), media, and their social networks. Women reported HCPs as highest for reliability but they had limited time and indifferent approaches. Various media were easily and most frequently accessed but were less reliable. Social networks were considered to be the least reliable and least accessed. Women reported becoming overwhelmed and confused. This in turn influenced their decisions (pragmatic/rational) and their eating behaviours ("overdo it," "loosen it," "ignore it," and "positive response"). Individual and environmental barriers impacted their application of knowledge to dietary practice. Women wanted more constructive and interactive engagement with their HCPs. This study identified the need to establish and maintain mutually respectful environments where women feel able to raise issues with their HCPs throughout their pregnancies and where they are confident that the information they receive will be accurate and meet their needs.

摘要

本研究旨在深入了解澳大利亚女性在怀孕期间获取营养信息的体验。研究在澳大利亚五个州对 17 名孕妇(孕期各阶段)和 9 名产后女性进行了半结构化的电话访谈。使用归纳主题分析对转录的数据进行分析。女性重视营养信息,积极寻求并被动接受信息,主要来自三个来源:医疗保健提供者(HCPs)、媒体和社交网络。女性认为 HCPs 最可靠,但他们时间有限,态度冷漠。各种媒体易于获取且最常被访问,但可靠性较低。社交网络被认为最不可靠且访问量最少。女性报告说感到不知所措和困惑。这反过来又影响了她们的决策(务实/理性)和饮食习惯(“过度饮食”、“放松”、“忽视”和“积极响应”)。个人和环境障碍影响了她们将知识应用于饮食实践。女性希望与 HCPs 进行更具建设性和互动性的互动。本研究确定了需要建立和维护相互尊重的环境,让女性在整个孕期都能向 HCPs 提出问题,并让她们有信心所收到的信息将是准确的,并满足她们的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10aa/5584352/d30cb8539151/BMRI2017-4856527.001.jpg

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