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加纳南部的一项定性研究:妇女经历严重产科并发症存活的体验

Women's experiences of surviving severe obstetric complications: a qualitative inquiry in southern Ghana.

机构信息

37 Military Hospital, Intensive Care Unit, Accra, Ghana.

Maternal and Child Health Department, School of Nursing and Midwifery/ College of Health Sciences. University of Ghana, Legon, Ghana.

出版信息

BMC Pregnancy Childbirth. 2022 Mar 16;22(1):212. doi: 10.1186/s12884-022-04538-w.

Abstract

Women who survive severe obstetric complications (SOC) have health and well-being issues even up to 1 year postpartum and have challenges in their quality-of-life (QoL). However, little is known about their predicaments. This study aimed to describe the impact of severe obstetric complications on women's QoL and well-being after surviving severe obstetric complications. Using the WHO standards for near-miss, twelve (12) women who survived severe obstetric complications were recruited between January and March 2019. The study adopted a qualitative approach with an exploratory descriptive design to explore the experiences of women who survived SOC in Southern Ghana. The participants were purposively sampled and were interviewed face to face in their homes and healthcare facility after discharge from the Hospital. Recorded interviews were transcribed and analyzed. Two (2) major themes and nine (9) sub-themes emerged. The findings revealed that women who suffered SOC are unable to perform functional activities, have financial constraints, residual hypertension, signs and symptoms of anaemia, pain, and mostly have difficulty in sleeping due to fear of death when they fall asleep. Anxiety, sadness, and emotional trauma was a common phenomenon. The study findings offer insights and directions on measures to improve the care and QoL of women who have survived severe obstetric complications in Ghana.

摘要

患有严重产科并发症(SOC)的女性即使在产后 1 年仍存在健康和福祉问题,并在生活质量(QoL)方面面临挑战。然而,人们对她们的困境知之甚少。本研究旨在描述严重产科并发症对幸存严重产科并发症的女性的 QoL 和幸福感的影响。使用世界卫生组织(WHO)对接近发生的病例的标准,2019 年 1 月至 3 月期间招募了 12 名幸存严重产科并发症的女性。该研究采用定性方法,采用探索性描述设计,以探索加纳南部幸存 SOC 的女性的经历。参与者采用目的性抽样,在出院后在家中和医疗机构接受面对面访谈。记录的访谈被转录并进行分析。出现了两个(2)个主要主题和九个(9)个次要主题。研究结果表明,患有 SOC 的女性无法进行功能活动,存在经济限制、残余高血压、贫血的迹象和症状、疼痛,并且由于入睡时担心死亡,大多数人睡眠困难。焦虑、悲伤和情绪创伤是常见现象。本研究结果为改善加纳幸存严重产科并发症女性的护理和 QoL 提供了见解和方向。

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