van Vliet Relin, Bink Marieke, Polman Julian, Suntharan Amaran, Grooten Iris, Zwolsman Sandra E, Roseboom Tessa J, Painter Rebecca C
University Medical Centers Amsterdam, University of Amsterdam, Amsterdam, Netherlands.
Department of Gynaecology and Obstetrics, Noordwest Ziekenhuisgroep, Alkmaar, Netherlands.
J Pregnancy. 2018 Oct 30;2018:5378502. doi: 10.1155/2018/5378502. eCollection 2018.
Hyperemesis gravidarum (HG) medical therapies are currently of limited effect, which creates a larger role for patient preferences in the way HG care is arranged. This is the first study using in-depth interviews to investigate patients' preferences and experiences of HG treatment.
We conducted individual in-depth interviews among women who had been hospitalized for HG in North Holland at least once in the past 4 years. We asked them about their experiences, preferences, and suggestions for improvement regarding the HG treatment they received. The sample size was determined by reaching data saturation. Themes were identified from analysis of the interview transcripts.
13 women were interviewed. Interviewees emphasized the importance of early recognition of the severity of HG, increasing caregivers' knowledge on HG, early medical intervention, and nasogastric tube feeding. They valued a single room in hospital, discussion of treatment options, more possibilities of home-treatment, psychological support during HG and after childbirth, and more uniform information and policies regarding HG treatment.
Further research is needed to establish whether the suggestions can lead to more (cost) effective care and improve the course of HG and outcomes for HG patients and their children.
妊娠剧吐（HG）的药物治疗目前效果有限，这使得患者偏好对HG护理安排方式的作用更大。这是第一项使用深入访谈来调查患者对HG治疗的偏好和体验的研究。
我们对过去4年中至少有一次因HG住院的荷兰北部女性进行了个人深入访谈。我们询问了她们对所接受的HG治疗的体验、偏好和改进建议。样本量通过达到数据饱和来确定。通过对访谈记录的分析确定主题。
采访了13名女性。受访者强调了早期识别HG严重程度、增加护理人员对HG的了解、早期医疗干预和鼻饲喂养的重要性。她们重视医院的单人病房、治疗方案的讨论、更多的家庭治疗可能性、HG期间和产后的心理支持，以及关于HG治疗更统一的信息和政策。
需要进一步研究以确定这些建议是否能带来更（具成本）效益的护理，并改善HG患者及其子女的HG病程和结局。
