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女性对 COVID-19 的认知及其医疗保健体验:对英国全国孕妇进行的一项定性主题分析调查。

Women's perceptions of COVID-19 and their healthcare experiences: a qualitative thematic analysis of a national survey of pregnant women in the United Kingdom.

机构信息

Norfolk & Norwich University Hospital, Colney Lane, Norwich, NR47UY, UK.

出版信息

BMC Pregnancy Childbirth. 2020 Oct 7;20(1):600. doi: 10.1186/s12884-020-03283-2.

Abstract

BACKGROUND

The aim of this national survey was to explore pregnant women's perceptions of COVID-19 and their healthcare experiences.

METHODS

Through patient and public involvement, a questionnaire was developed and advertised via the BBC website, Twitter and other online media during May 2020. The findings were analysed by qualitative thematic analysis. Women who are currently pregnant, or who have delivered during the COVID-19 pandemic were invited to partake in a national online survey.

RESULTS

One thousand four hundred fifty-one participants replied to the online questionnaire. Participants provided significant insight into the perceived barriers to seeking healthcare during this pandemic. These include 'not wanting to bother anyone', 'lack of wider support from allied healthcare workers' and the influence of the media. Other concerns included the use of virtual clinics antenatally and their acceptability to patients, the presence of birthing partners, and the way in which information is communicated about rapidly changing and evolving services. The influence of the media has also had a significant impact on the way women perceive hospital care in light of COVID-19 and for some, this has shaped whether they would seek help.

CONCLUSIONS

This is the first ever reported study in the United Kingdom to explore pregnant women's perceptions of COVID-19 and their subsequent healthcare experiences. It has also provided insight into perceived barriers into seeking care as well as maternal concerns antenatally, intrapartum and postpartum.

摘要

背景

本项全国性调查旨在探讨孕妇对 COVID-19 的认知及其医疗保健体验。

方法

通过患者和公众的参与,开发了一份问卷,并于 2020 年 5 月通过 BBC 网站、Twitter 及其他在线媒体进行宣传。采用定性主题分析法对调查结果进行分析。邀请目前怀孕或在 COVID-19 大流行期间分娩的女性参与全国性在线调查。

结果

1451 名参与者回复了在线问卷。参与者对在大流行期间寻求医疗保健的感知障碍提供了重要的见解。这些障碍包括“不想打扰任何人”、“缺乏更广泛的医护人员支持”以及媒体的影响。其他担忧包括虚拟诊所在产前的使用及其对患者的可接受性、分娩伴侣的存在,以及关于快速变化和不断发展的服务的信息传达方式。媒体的影响也对女性对 COVID-19 期间医院护理的看法产生了重大影响,对一些女性而言,这影响了她们是否寻求帮助。

结论

这是英国首次开展的调查研究,旨在探讨孕妇对 COVID-19 的认知及其后续的医疗保健体验。它还深入了解了在寻求护理方面的感知障碍,以及产前、产时和产后的产妇关注点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a4f/7542700/88edd0734d23/12884_2020_3283_Fig1_HTML.jpg

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