Larivière-Bastien Danaë, deMontigny Francine, Verdon Chantal
J Emerg Nurs. 2019 Nov;45(6):670-676. doi: 10.1016/j.jen.2019.06.008. Epub 2019 Sep 5.
Miscarriage is a common event, usually managed in the emergency department. Although studies have examined the impact of miscarriage on women's mental health and the effects of their dissatisfaction with health care received, little is known about the characteristics of the miscarriage experience in the emergency department. The objective of this study was to identify characteristics of care management that may have contributed to the difficulties experienced by women presenting with miscarriage in the emergency department.
Forty-eight women treated at 4 emergency departments in different regions of Quebec, Canada, were interviewed for 60 to 90 minutes. A thematic qualitative analysis of these interviews was performed.
Analyses revealed that participants' experiences were characterized particularly by a lack of information at 3 critical junctures of the miscarriage experience: the announcement of the miscarriage, the course of the miscarriage, and the ED discharge. The topics on which the women lacked information were categorized into 7 subthemes within these junctures.
Lack of information throughout the care management of miscarriage exacerbated the already-difficult nature of this event for the participants. Training emergency nurses to give adequate and complete information enables the delivery of compassionate care, potentially making a difficult situation less traumatic.
流产是一种常见情况，通常在急诊科进行处理。尽管已有研究探讨了流产对女性心理健康的影响以及她们对所接受医疗服务不满的后果，但对于急诊科流产经历的特点却知之甚少。本研究的目的是确定可能导致流产女性在急诊科遇到困难的护理管理特征。
对在加拿大魁北克不同地区4个急诊科接受治疗的48名女性进行了60至90分钟的访谈。对这些访谈进行了主题定性分析。
分析显示，参与者的经历尤其表现为在流产经历的三个关键节点缺乏信息：流产的告知、流产的过程以及从急诊科出院。在这些节点上，女性缺乏信息的主题被归类为7个子主题。
在流产护理管理过程中缺乏信息加剧了这一事件对参与者来说本就困难的性质。培训急诊护士提供充分和完整的信息能够提供富有同情心的护理，有可能使艰难的情况减少创伤性。
