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评估 BMI≥40kg/m²的妇女的专科产前营养诊所:一项定性研究。

Evaluation of a specialist antenatal nutrition clinic for women with a body mass index ≥ 40kg/m: A qualitative study.

机构信息

The University of Canberra, Faculty of Health, Locked bag 1, ACT, Australia, 2601.

The University of Canberra, Faculty of Health, Locked bag 1, ACT, Australia, 2601.

出版信息

Midwifery. 2022 Jun;109:103315. doi: 10.1016/j.midw.2022.103315. Epub 2022 Mar 17.

DOI:10.1016/j.midw.2022.103315
PMID:35339909
Abstract

OBJECTIVE

To explore the views of women who attended a specialist antenatal nutrition clinic that was specifically developed and piloted for pregnant women with a BMI ≥ 40 kg/m.

DESIGN

A phenomenological approach, using individual interviews, was employed. Discussions were audio recorded, transcribed verbatim and scrutinised using Interpretive Phenomenological Analysis. Themes were pinpointed and supported with direct quotes to demonstrate results.

SETTING AND PARTICIPANTS

Eight women, with a BMI ≥ 40 kg/m, receiving antenatal care at a tertiary hospital in south eastern Australia and who participated in a specialist antenatal nutrition service were interviewed.

FINDINGS

Three main themes emerged: 1) Motivation to be Healthy; 2) Woman Centred Nutrition Care; 3) Conflicts, Confusion and Assumptions.

KEY CONCLUSIONS

Pregnant women with a BMI ≥ 40kgm responded positively to incorporating dietitians in the antenatal care setting. The reinforcement and reassurance provided by the specialist dietetic team was highly valued. More effective communication regarding referrals, improved consistency in information provided by the entire antenatal service and continuity of dietetic support beyond birth would add value to future interventions.

摘要

目的

探讨参加专为 BMI≥40kg/m²的孕妇设立并试点的专科产前营养诊所的女性的观点。

设计

采用现象学方法,采用个体访谈。讨论进行了录音,逐字转录,并使用解释性现象学分析进行了仔细审查。确定了主题,并提供了直接引语以证明结果。

地点和参与者

在澳大利亚东南部的一家三级医院接受产前护理的 8 名 BMI≥40kg/m²的女性参加了专科产前营养服务,并接受了采访。

发现

出现了三个主要主题:1)健康动机;2)以女性为中心的营养护理;3)冲突、困惑和假设。

主要结论

BMI≥40kg/m²的孕妇对在产前保健环境中纳入营养师的做法反应积极。专科营养团队提供的强化和保证受到高度重视。关于转诊的更有效的沟通,整个产前服务提供的信息的一致性的提高,以及产后营养支持的连续性将为未来的干预措施增加价值。

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