探讨澳大利亚女性在妊娠高血压疾病后长期健康方面的教育偏好：一种定性视角。
Exploring education preferences of Australian women regarding long-term health after hypertensive disorders of pregnancy: a qualitative perspective.
机构信息
Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.
School of Women's and Children's Health, UNSW Medicine, University of New South Wales, Sydney, NSW, Australia.
出版信息
BMC Womens Health. 2021 Nov 1;21(1):384. doi: 10.1186/s12905-021-01524-w.
BACKGROUND
Hypertensive disorders of pregnancy (HDP) affect 5-10% of pregnant women. Long-term health issues for these women include 2-3 times the risk of heart attacks, stroke and diabetes, starting within 10 years after pregnancy, making long-term health after HDP of major public health importance. Recent studies suggest this knowledge is not being transferred sufficiently to women and how best to transmit this information is not known. This study explored women's preferred content, format and access to education regarding long-term health after HDP.
METHODS
This was a qualitative study and framework analysis was undertaken. Women with a history of HDP who had participated in a survey on long-term health after HDP were invited to participate in this study. During telephone interviews women were asked about preferences and priorities concerning knowledge acquisition around long-term health after HDP.
RESULTS
Thirteen women were interviewed. They indicated that they wanted more detailed information about long-term and modifiable risk factors. Their preference was to receive risk counselling from their healthcare provider (HCP) early after giving birth along with evidence-based, print or web-based information to take home. All women suggested more structured postnatal follow-up, with automated reminders for key appointments. Automated reminders should detail rationale for follow-up, recommended tests and discussion topics to be addressed at the appointment.
CONCLUSION
Our findings show that most participants wanted information soon after birth with all women wanting information within 12 months post birth, complemented with detailed take-home evidence. Participants indicated preference for structured follow-up via their HCP with automated alerts about the appointment and recommended tests. This evidence can be used to guide the development of education programs for women on health after HDP which may enhance knowledge, preventive health management and more generally improve women's health trajectories.
背景
妊娠高血压疾病（HDP）影响了 5-10%的孕妇。这些女性长期存在的健康问题包括在怀孕后 10 年内发生心脏病、中风和糖尿病的风险增加 2-3 倍，这使得 HDP 后的长期健康问题成为主要的公共卫生问题。最近的研究表明，这些知识并没有充分传递给女性，并且不知道如何最好地传递这些信息。本研究探讨了女性对 HDP 后长期健康教育的内容、格式和获取方式的偏好。
方法
这是一项定性研究，并进行了框架分析。邀请有 HDP 病史且参与过 HDP 后长期健康调查的女性参与本研究。在电话访谈中，询问了女性关于获取 HDP 后长期健康知识的偏好和优先事项。
结果
共对 13 名女性进行了访谈。她们表示，希望获得有关长期和可改变的危险因素的更详细信息。她们希望在分娩后不久从医疗保健提供者（HCP）那里获得风险咨询，并获得基于证据的印刷或网络信息带回家。所有女性都建议在产后进行更结构化的随访，并设置关键预约的自动提醒。自动提醒应详细说明随访的理由、推荐的检查和在预约时要讨论的话题。
结论
我们的研究结果表明，大多数参与者希望在分娩后不久获得信息，所有女性都希望在产后 12 个月内获得信息，并辅以详细的家庭信息。参与者表示希望通过 HCP 进行结构化随访，并通过自动提醒预约和推荐检查。这些证据可用于指导 HDP 后妇女健康教育计划的制定，这可能会提高知识水平、预防保健管理，并更普遍地改善妇女的健康轨迹。
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