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一项探索澳大利亚原住民女性在怀孕期间口腔健康体验和观点的定性研究。

A Qualitative Study Exploring the Experiences and Perspectives of Australian Aboriginal Women on Oral Health during Pregnancy.

机构信息

Centre for Oral Health Outcomes and Research Translation (COHORT), School of Nursing and Midwifery, Western Sydney University, Penrith, NSW 2751, Australia.

South Western Sydney Local Health District, Ingham Institute for Applied Medical Research, Liverpool, NSW 2170, Australia.

出版信息

Int J Environ Res Public Health. 2021 Jul 29;18(15):8061. doi: 10.3390/ijerph18158061.

Abstract

The aim of this study was to explore whether oral health was an important consideration for Aboriginal and Torres Strait Islander women during pregnancy, whether oral health could be promoted by Aboriginal health staff, and strategies that would be appropriate to use in a new model of care. A qualitative descriptive methodology underpinned the study. All participants in this study identified as Aboriginal, with no Torres Strait Islander participants, and were from New South Wales, Australia. The interviews were analysed using inductive thematic analysis. From the data, two themes were constructed. The first theme identified that oral health was not always the first priority for participants as poor accessibility alongside other competing commitments were challenges to accessing oral health services. The second theme highlighted how relationships with personal networks and healthcare providers were essential and could be used to support maternal oral health during pregnancy. Effective strategies to promote oral health during pregnancy for Aboriginal and Torres Strait Islander women should involve key stakeholders and health care providers, like Aboriginal Health Workers, to facilitate culturally safe support and tailored oral health advice.

摘要

本研究旨在探讨口腔健康是否是土著和托雷斯海峡岛民妇女在怀孕期间的一个重要考虑因素,土著卫生工作人员是否可以促进口腔健康,以及在新的护理模式中使用哪些策略是合适的。该研究采用定性描述性方法为基础。本研究的所有参与者都自认为是土著人,没有托雷斯海峡岛民参与者,他们来自澳大利亚新南威尔士州。使用归纳主题分析对访谈进行了分析。从数据中构建了两个主题。第一个主题确定,口腔健康并不总是参与者的首要任务,因为难以获得口腔健康服务以及其他竞争承诺是获得口腔健康服务的挑战。第二个主题强调了与个人网络和医疗保健提供者的关系是至关重要的,并且可以用于在怀孕期间支持产妇的口腔健康。促进土著和托雷斯海峡岛民妇女在怀孕期间口腔健康的有效策略应涉及主要利益相关者和医疗保健提供者,如土著卫生工作者,以促进文化安全支持和定制口腔健康建议。

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