探讨产科分诊的概念和结构：定性内容分析。
Exploring the concept and structure of obstetric triage: a qualitative content analysis.
机构信息
Midwifery Department, Birjand University of Medical Sciences, Birjand, Iran.
Midwifery Department, Reproductive Health Promotion Research Center, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
出版信息
BMC Emerg Med. 2020 Sep 15;20(1):74. doi: 10.1186/s12873-020-00369-0.
BACKGROUND
Obstetric triage is a new idea, so the design and implementation of it requires identification of its concept and structure. The aim of this qualitative study was to explore the concept and structure of the obstetric triage in Iran.
METHODS
The purposive sampling was done and it continued until reaching the theoretical saturation. Thirty-seven semi-structured interviews were conducted individually and face-to-face. Interviews were audio recorded, transcribed, and analyzed using conventional content analysis.
RESULTS
Two themes, 8 main categories, and 16 subcategories emerged from the content analysis of the interviews and observations. The themes were the concept and structure of obstetric triage. The concept of obstetric triage consisted of three categories of nature, process, and philosophy of obstetric triage. The structure of obstetric triage included five categories of assessment criteria, emergency grading, determining the appropriate location for patient guidance, initiation of diagnostic and therapeutic measures, and timeframe for initial assessment and reassessment.
CONCLUSION
Findings highlighted that obstetric triage is a process with a dual and dynamic nature. This process involves clinical decision making to prioritize the pregnant mother and her fetus based on the severity and acuity of the disease in order to allocate medical resources and care for providing appropriate treatment at the right time and place to the right patient. The results of this study could be used for the design and implementation of the obstetric triage system.
背景
产科分诊是一个新概念，因此其设计和实施需要确定其概念和结构。本定性研究旨在探讨伊朗产科分诊的概念和结构。
方法
采用目的性抽样，持续至理论饱和。对 37 名孕妇进行了 37 次半结构式访谈。访谈采用常规内容分析法进行音频记录、转录和分析。
结果
访谈和观察的内容分析产生了两个主题、8 个主要类别和 16 个亚类。主题是产科分诊的概念和结构。产科分诊的概念包括分诊的性质、过程和哲学三个类别。产科分诊的结构包括评估标准、紧急分级、确定患者指导的适当地点、启动诊断和治疗措施以及初始评估和重新评估的时间框架五个类别。
结论
研究结果强调，产科分诊是一个具有双重和动态性质的过程。该过程涉及临床决策，根据疾病的严重程度和紧迫性对孕妇及其胎儿进行优先级排序，以分配医疗资源和护理，以便在正确的时间和地点为正确的患者提供适当的治疗。本研究的结果可用于设计和实施产科分诊系统。
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