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澳大利亚异性恋女性在妊娠丢失后的医疗保健服务体验。

Australian heterosexual women's experiences of healthcare provision following a pregnancy loss.

机构信息

School of Psychology, The University of Adelaide, 5005, Australia.

The University of Adelaide, Australia.

出版信息

Women Birth. 2018 Aug;31(4):331-338. doi: 10.1016/j.wombi.2017.11.002. Epub 2017 Nov 26.

Abstract

BACKGROUND

Despite increased awareness of the psychological impact of pregnancy loss, a lack of recognition continues with regards to women's experiences. Healthcare professionals have an important role to play in supporting women following a pregnancy loss, yet to date only a relatively small body of research has examined women's experiences with healthcare providers.

AIM

This paper seeks to contribute to the literature on women's engagement with healthcare professionals by exploring the experiences of an Australian sample.

METHOD

Fifteen heterosexual women living in South Australia were interviewed about their experiences of pregnancy loss. A thematic analysis was undertaken, focused on responses to one interview question that explored experiences with healthcare professionals.

FINDINGS

Three themes were identified. The first theme involved negative experiences with healthcare providers, and included four subthemes: (1) 'confusing and inappropriate language and communication', (2) 'the hospital environment', (3) 'lack of emotional care', and (4) 'lack of follow-up care'. Under the second theme of positive experiences, the sub-themes of (1) 'emotionally-engaged and present individual staff', and (2) 'the healthcare system as a whole' were identified. Finally, a third theme was identified, which focused holistically on the importance of healthcare professionals.

CONCLUSION

The paper concludes by discussing the importance of training for healthcare professionals in supporting women who experience a pregnancy loss, and the need for further research to explore the experiences of other groups of people affected by pregnancy loss.

摘要

背景

尽管人们越来越意识到妊娠丢失对心理的影响,但人们对女性的相关经历仍缺乏认识。医疗保健专业人员在女性妊娠丢失后为其提供支持方面发挥着重要作用,但迄今为止,只有相对较少的研究考察了女性与医疗保健提供者的相关经历。

目的

本文旨在通过探索澳大利亚样本的经历,为有关女性与医疗保健专业人员互动的文献做出贡献。

方法

对居住在南澳大利亚的 15 名异性恋女性进行了有关妊娠丢失经历的访谈。进行了主题分析,重点是对一个访谈问题的回应,该问题探讨了与医疗保健专业人员的相关经历。

结果

确定了三个主题。第一个主题涉及医疗保健提供者的负面经历,包括四个子主题:(1)“混乱和不适当的语言和沟通”,(2)“医院环境”,(3)“缺乏情感关怀”和(4)“缺乏后续护理”。第二个主题是积极的经历,包括两个子主题:(1)“情感投入和在场的个人员工”,以及(2)“整个医疗保健系统”。最后,确定了第三个主题,该主题整体关注医疗保健专业人员的重要性。

结论

本文最后讨论了对医疗保健专业人员进行支持妊娠丢失女性培训的重要性,以及需要进一步研究以探讨其他受妊娠丢失影响人群的相关经历。

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