Blankenship Maire M, Link Kim A, Henry Samantha J, Tinius Rachel A
School of Nursing and Allied Health, Western Kentucky University, Bowling Green, Kentucky, UNITED STATES.
School of Kinesiology, Recreation, and Sport, Western Kentucky University, Bowling Green, Kentucky, UNITED STATES.
Int J Exerc Sci. 2020 Sep 1;13(3):1228-1241. doi: 10.70252/VGEU4768. eCollection 2020.
Women in rural settings are at increased risk for adverse pregnancy outcomes. One potential way to improve pregnancy outcomes in rural settings is through physical activity promotion. However, given the disparities in prenatal care, women in rural areas may not receive information from their health care provider regarding physical activity during pregnancy. Therefore, the purpose of this study was to examine patient and provider communication in a rural setting (both patients' and providers' perspectives) regarding physical activity during pregnancy. A mixed methods study was performed among patients and providers in an obstetrical practice in a rural setting. During early pregnancy, patients were asked questions about their current physical activity levels and intentions for physical activity during their pregnancy. During late pregnancy, patients completed a survey regarding communication from their obstetric provider about exercise during pregnancy. Providers responsible for the patients' prenatal care were surveyed regarding communication with patients about physical activity. Seventy-one pregnant women and five providers participated. 58.2% of patients reported their provider did not discuss physical activity during pregnancy with them at all. Meanwhile, all providers (100%) reported discussing physical activity with all of their patients. Similarly, only 21.8% of patients reported their provider discussed the benefits of exercise during pregnancy, while 100% of providers reported telling their patients about the benefits of exercise during pregnancy. Our study suggests ineffective patient-provider communication regarding physical activity during pregnancy in a rural setting. Improved communication strategies could reduce disparities in health outcomes among pregnant women in rural settings.
农村地区的女性不良妊娠结局风险更高。改善农村地区妊娠结局的一种潜在方法是促进体育活动。然而，鉴于产前护理存在差异，农村地区的女性可能无法从医疗保健提供者那里获得关于孕期体育活动的信息。因此，本研究的目的是考察农村地区患者与提供者之间（包括患者和提供者双方的观点）关于孕期体育活动的沟通情况。在农村地区的一家产科诊所，对患者和提供者进行了一项混合方法研究。在孕早期，询问患者关于她们当前的体育活动水平以及孕期体育活动的打算。在孕晚期，患者完成一项关于产科提供者就孕期运动与她们沟通情况的调查。负责患者产前护理的提供者接受了关于与患者就体育活动进行沟通的调查。71名孕妇和5名提供者参与了研究。58.2%的患者报告称她们的提供者根本没有与她们讨论过孕期体育活动。与此同时，所有提供者（100%）报告称与所有患者讨论过体育活动。同样，只有21.8%的患者报告称她们的提供者讨论过孕期运动的益处，而100%的提供者报告称告知过患者孕期运动的益处。我们的研究表明，在农村地区，患者与提供者之间关于孕期体育活动的沟通效果不佳。改进沟通策略可以减少农村地区孕妇健康结局的差异。
