一项针对有子痫前期病史的女性的全面产后随访保健计划：混合方法研究方案。
A comprehensive postpartum follow-up health care program for women with history of preeclampsia: protocol for a mixed methods research.
机构信息
Student Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Reproductive Health, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
Reprod Health. 2018 May 18;15(1):81. doi: 10.1186/s12978-018-0521-8.
BACKGROUND
Long-term postpartum follow-up is of great importance since women with preeclampsia history are at high risk of upcoming health complications. However, postpartum follow-up rates are poor. According to evidences, preeclampsia is not just a transient health problem; rather it causes short term and long term complications, which affect women's life for years after delivery. Although it seems the problem is solved by the end of pregnancy, the follow-up of subjects should not be stopped after delivery. Postpartum is the best possible time to provide necessary care to these women who are at the risk of future complications. Due to importance of well-designed follow-up plan for women suffering preeclampsia, this study will carry out to provide a postpartum follow-up health care program for subjected women.
METHODS
This study is a qualitative-quantitative mixed sequencing exploratory study that consists of three consecutive phases. In this study, following a qualitative approach, the researcher will explain the needs and strategies related to promoting the health of women with preeclampsia history in the postpartum period. By entering the second phase, the researcher will design a comprehensive follow-up health care program in the postpartum period in which, in addition to using the qualitative study results, related papers and texts will be also used. The proposed program is designed by a panel of experts based on prioritization guidelines. Finally, after passing different stages of program finalizing, its effectiveness on the lifestyle of women with preeclampsia history will be investigated in a semi-experimental study in the third phase of the study.
DISCUSSION
It is expected conducting a mixed method study to design and execute an interventional program to follow up women with preeclampsia history improve their health status and well-being, while reducing their health care costs through prevention in various levels within the current structure of health care services. If this program is effective, it could be included in the postpartum health care guidelines.
TRIAL REGISTRATION
IRCT20170927036445N2 Registered 10 March 2018.
背景
长期的产后随访非常重要，因为有子痫前期病史的女性未来发生健康并发症的风险很高。然而，产后随访率却很差。有证据表明，子痫前期不仅仅是一个短暂的健康问题，而是会导致短期和长期的并发症，这些并发症会影响女性产后多年的生活。尽管在妊娠结束时似乎问题已经解决，但产后随访不应在分娩后停止。产后是为有未来并发症风险的女性提供必要护理的最佳时机。由于为患有子痫前期的女性制定精心设计的随访计划非常重要，因此本研究将开展一项产后随访保健计划，为研究对象提供服务。
方法
这是一项混合方法的定性-定量探索性研究，包括三个连续阶段。在本研究中，研究者将采用定性方法，解释促进有子痫前期病史的女性产后健康的需求和策略。进入第二阶段后，研究者将设计一个全面的产后随访保健计划，该计划除了使用定性研究结果外，还将使用相关的论文和文献。该方案由一个专家组根据优先排序指南设计。最后，在经过不同阶段的方案定稿后，将在研究的第三阶段采用半实验研究调查该方案对有子痫前期病史的女性生活方式的影响。
讨论
预计进行一项混合方法研究，设计并实施一项干预性方案，以改善有子痫前期病史的女性的健康状况和生活质量，同时通过在现有医疗服务结构的各个层面进行预防来降低其医疗保健成本。如果该方案有效，它可以被纳入产后保健指南。
试验注册
IRCT20170927036445N2 于 2018 年 3 月 10 日注册。
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