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死产后的哀伤护理实践:医疗保健提供者的视角

Bereavement Care Practices Following Stillbirths: Health-Care Provider's Perspective.

作者信息

Sharma Bharti, Kulshreshtha Shatakshi, Aggarwal Neelam, Suri Vanita, Nehra Ritu

机构信息

Department of Obstetrics Gynecology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Indian J Community Med. 2022 Jan-Mar;47(1):30-33. doi: 10.4103/ijcm.ijcm_676_21. Epub 2022 Mar 16.

Abstract

BACKGROUND

Addressing stillbirth is a difficult task and becomes more challenging with a huge burden and skewed doctorpatient ratio. There is a lack of data regarding the knowledge about the bereavement care practices following pregnancy loss and practices being followed by the health-care providers in the Indian context. The objective of this study is to describe the experience, views, and practices of health-care professionals while managing women with stillbirths.

DESIGN

Internet-based Monkey Survey.

METHODOLOGY

An on-line self completion questionnaire was shared with various health care providers via emails and whats app groups.

RESULTS

A total of 281 responses of health-care providers were analyzed, and the majority of them were obstetricians. Almost 90% had managed women with stillbirth, but just a third (38.1%) had provided bereavement care. The majority of them felt the lack of a uniform and comprehensive training model for providing bereavement care to such women. Out of 281 participants, 258 (91.8%) believed that health-care providers should have a bereavement care training and support system, whereas only 23 (8.2%) rejected this idea.

CONCLUSION

There is no defined protocol or standards for providing bereavement care to women following stillbirth. Most health-care professionals feel an urgent need for professional training to bridge the gap between the expectations of patients and the care provided.

摘要

背景

解决死产问题是一项艰巨的任务,在负担沉重且医患比例失衡的情况下,这一任务变得更具挑战性。在印度背景下,缺乏关于妊娠丢失后哀伤护理实践的知识以及医疗服务提供者所遵循的实践的数据。本研究的目的是描述医疗保健专业人员在管理死产妇女时的经验、观点和实践。

设计

基于互联网的猴子调查。

方法

通过电子邮件和WhatsApp群组向各类医疗服务提供者分享一份在线自我完成问卷。

结果

共分析了281名医疗服务提供者的回复,其中大多数是产科医生。近90%的人曾管理过死产妇女,但只有三分之一(38.1%)的人提供过哀伤护理。他们中的大多数人感到缺乏为这类妇女提供哀伤护理的统一和全面的培训模式。在281名参与者中,258人(91.8%)认为医疗服务提供者应该有一个哀伤护理培训和支持系统,而只有23人(8.2%)反对这一想法。

结论

对于死产后妇女的哀伤护理,没有明确的方案或标准。大多数医疗保健专业人员迫切感到需要专业培训,以弥合患者期望与所提供护理之间的差距。

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The RESPECT Study for consensus on global bereavement care after stillbirth.全球胎儿死亡后丧亲共识的 RESPECT 研究。
Int J Gynaecol Obstet. 2020 May;149(2):137-147. doi: 10.1002/ijgo.13110. Epub 2020 Feb 26.

本文引用的文献

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The RESPECT Study for consensus on global bereavement care after stillbirth.全球胎儿死亡后丧亲共识的 RESPECT 研究。
Int J Gynaecol Obstet. 2020 May;149(2):137-147. doi: 10.1002/ijgo.13110. Epub 2020 Feb 26.
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Psychological impact of stillbirths on obstetricians.死产对产科医生的心理影响。
J Matern Fetal Neonatal Med. 2013 May;26(8):748-52. doi: 10.3109/14767058.2012.746953. Epub 2012 Dec 14.

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