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摩洛哥和荷兰的摩洛哥裔孕妇对妊娠高血压疾病的认知:一项定性访谈研究。

Knowledge of hypertensive disorders in pregnancy of Moroccan women in Morocco and in the Netherlands: a qualitative interview study.

机构信息

Laboratory of Genetic, Neuroendocrinology and Biotechnology, Faculty of Sciences, Ibn Tofail University, Kenitra, Morocco.

High Institute of Nursing Professions and Technical Health, Rabat, Morocco.

出版信息

BMC Pregnancy Childbirth. 2018 Aug 22;18(1):344. doi: 10.1186/s12884-018-1980-1.

DOI:10.1186/s12884-018-1980-1
PMID:30134940
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6106822/
Abstract

BACKGROUND

Hypertensive disorders in pregnancy (HDP) are the most common medical disorders in pregnancy and the greatest single cause of maternal mortality worldwide. Ethnicity appears to be a significant risk factor for pregnancy related mortality and for severe maternal morbidity. Most of the complications caused by HDP may be reduced by early detection and proper management. Health education during antenatal care attendance may play an important role in preventing the disease to aggravate. The purpose of this study was to investigate the status of knowledge that Moroccan pregnant women, both in Morocco and in the Netherlands, have of HDP in terms of symptoms, complications, treatment and management.

METHODS

A qualitative research design was used to explore and describe the knowledge of HDP of pregnant Moroccan women. Interviews were held on the basis of a topic list. The interviews were recorded, transcribed, coded and analysed.

RESULTS

Nineteen Moroccan women were interviewed, nine in the Netherlands and ten in Morocco. Half of them never heard about hypertension in pregnancy and had no knowledge of symptoms or alarm signals related to HDP. All women acknowledged the importance of knowledge of HDP because of the possibly dangerous complications. The interviewees stated that information on symptoms, alarm signs and complications is the most important information. Nearly all women stated that communicating information via movies was the most appropriate tool to inform Moroccan pregnant women about HDP.

CONCLUSIONS

The knowledge of Moroccan women, living in Morocco or in the Netherlands, of symptoms and alarm signs related to hypertensive disorders of pregnancy was very limited, if not absent. Since early detection provides the opportunity for follow-up management and/or treatment, this may reduce complications of HDP. Therefore, it is important to inform pregnant women about the signs and symptoms of HDP.

摘要

背景

妊娠高血压疾病(Hypertensive disorders in pregnancy,HDP)是妊娠中最常见的医学疾病,也是全球孕产妇死亡的最大单一原因。种族似乎是妊娠相关死亡和严重孕产妇发病率的重要危险因素。HDP 引起的大多数并发症可以通过早期发现和适当的管理来减少。产前保健期间的健康教育可能在预防疾病恶化方面发挥重要作用。本研究旨在调查摩洛哥孕妇(包括在摩洛哥和荷兰的孕妇)对 HDP 的症状、并发症、治疗和管理的知识状况。

方法

采用定性研究设计,探索和描述摩洛哥孕妇对 HDP 的知识。根据主题清单进行访谈。对访谈进行录音、转录、编码和分析。

结果

共采访了 19 名摩洛哥妇女,其中 9 名在荷兰,10 名在摩洛哥。她们中的一半人从未听说过妊娠高血压,对与 HDP 相关的症状或警报信号一无所知。所有妇女都承认了解 HDP 的重要性,因为它可能会导致危险的并发症。受访者表示,与 HDP 相关的症状、警报信号和并发症的信息是最重要的信息。几乎所有的妇女都表示,通过电影传达信息是告知摩洛哥孕妇 HDP 的最合适工具。

结论

生活在摩洛哥或荷兰的摩洛哥妇女对妊娠高血压疾病相关症状和警报信号的了解非常有限,如果不是没有的话。由于早期发现为后续管理和/或治疗提供了机会,这可能会减少 HDP 的并发症。因此,告知孕妇 HDP 的迹象和症状很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e452/6106822/80fc35d49685/12884_2018_1980_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e452/6106822/80fc35d49685/12884_2018_1980_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e452/6106822/80fc35d49685/12884_2018_1980_Fig1_HTML.jpg

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