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研究者应该在子痫前期研究中选择、收集和报告哪些结局?一项探索有子痫前期经历的女性观点的定性研究。

What outcomes should researchers select, collect and report in pre-eclampsia research? A qualitative study exploring the views of women with lived experience of pre-eclampsia.

机构信息

Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.

Balliol College, University of Oxford, Oxford, UK.

出版信息

BJOG. 2019 Apr;126(5):637-646. doi: 10.1111/1471-0528.15616. Epub 2019 Feb 24.

Abstract

OBJECTIVE

To identify outcomes relevant to women with lived experience of pre-eclampsia.

DESIGN

Qualitative interview study.

SETTING

A national study conducted in the United Kingdom.

SAMPLE

Purposive sample of women with lived experience of pre-eclampsia.

METHODS

Thematic analysis of qualitative interview transcripts.

RESULTS

Thirty women with lived experience of pre-eclampsia were interviewed. Thematic analysis identified 71 different treatment outcomes. Fifty-nine of these had been previously reported by pre-eclampsia trials. Outcomes related to maternal and neonatal morbidity, commonly reported by pre-eclampsia trials, were frequently discussed by women with lived experience of pre-eclampsia. Twelve outcomes had not been previously reported by pre-eclampsia trials. When compared with published research, it was evident that the outlook of women with lived experience of pre-eclampsia was broader. They considered pre-eclampsia in relation to the 'whole' person and attached special significance to outcomes relating to emotional wellbeing and the future health, development and wellbeing of their offspring.

CONCLUSIONS

Selecting, collecting and reporting outcomes relevant to women with pre-eclampsia should ensure that future pre-eclampsia research has the necessary reach and relevance to inform clinical practice. Future core outcome set development studies should use qualitative research methods to ensure that the long list of potential core outcomes holds relevance to patients.

TWEETABLE ABSTRACT

What do women want? A national study identifies key treatment outcomes for women with pre-eclampsia. Next step: @coreoutcomes for #preeclampsia @NIHR_DC.

摘要

目的

确定与子痫前期经历过的女性相关的结局。

设计

定性访谈研究。

地点

在英国进行的一项全国性研究。

样本

有子痫前期经历的女性的目的性样本。

方法

对定性访谈记录进行主题分析。

结果

对 30 名有子痫前期经历的女性进行了访谈。主题分析确定了 71 种不同的治疗结局。其中 59 种已在子痫前期试验中报告过。与产妇和新生儿发病率相关的结局,这些通常是子痫前期试验报告的,也经常被有子痫前期经历的女性讨论。有 12 种结局以前没有在子痫前期试验中报告过。与已发表的研究相比,很明显,有子痫前期经历的女性的前景更加广泛。她们将子痫前期与“整个人”联系起来,并特别重视与情绪健康以及后代未来健康、发展和福祉相关的结局。

结论

选择、收集和报告与子痫前期女性相关的结局应确保未来的子痫前期研究具有必要的广度和相关性,以指导临床实践。未来的核心结局集开发研究应使用定性研究方法,以确保潜在的核心结局清单与患者相关。

推文摘要

女性想要什么?一项全国性研究确定了子痫前期女性的关键治疗结局。下一步:@coreoutcomes for #preeclampsia @NIHR_DC。

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