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阿根廷人工流产者对高质量人际护理的看法。

Perspectives on high-quality interpersonal care among people obtaining abortions in Argentina.

机构信息

Ibis Reproductive Health, Oakland, CA, USA.

Colectiva Feminista La Revuelta, Neuquén - Patagonia, Argentina.

出版信息

Reprod Health. 2022 May 2;19(1):107. doi: 10.1186/s12978-022-01401-1.

Abstract

INTRODUCTION

Little is known about how people who have abortions describe high-quality interpersonal care in Argentina. This qualitative study aimed to understand preferences and priorities in their interactions with providers.

STUDY DESIGN

We conducted 24 in-depth interviews with people who obtained abortions at a comprehensive reproductive health clinic or with support from a feminist accompaniment group in Buenos Aires and Neuquén, Argentina. We iteratively coded transcripts using a thematic analysis approach based on interpersonal domains present in current quality of care frameworks.

RESULTS

Participants described high-quality abortion care as feeling acompañamiento and contención from their providers - terms that imply receiving kind, caring, compassionate and emotionally supportive care throughout their abortion. They described four key elements of interpersonal interactions: attentive communication from providers and accompaniers, clear and understandable information provision, non-judgmental support, and individualized options for pain management.

CONCLUSIONS

People obtaining abortions in Argentina consistently identified receiving compassionate and supportive care throughout an abortion as a key aspect of care. The findings have implications for incorporating people's perspectives in the development of care guidelines, training of providers, and monitoring and improving of services. This is particularly important as the government of Argentina prepares to expand legal access to abortion.

摘要

简介

在阿根廷,人们对堕胎后获得高质量人际关怀的描述知之甚少。本研究旨在了解他们与提供者互动中的偏好和优先事项。

研究设计

我们对在布宜诺斯艾利斯和阿根廷内乌肯的一家综合性生殖健康诊所堕胎或得到女权主义陪伴组织支持的 24 名堕胎者进行了 24 次深入访谈。我们使用基于当前关怀质量框架中存在的人际领域的主题分析方法对转录本进行迭代编码。

结果

参与者将高质量的堕胎护理描述为感受到提供者的 acompañamiento 和 contención-这两个术语意味着在堕胎过程中接受友善、关怀、同情和情感支持的护理。他们描述了人际互动的四个关键要素:提供者和陪伴者的关注沟通、清晰易懂的信息提供、非评判性的支持以及个性化的疼痛管理选择。

结论

在阿根廷堕胎的人一致认为,在堕胎过程中获得同情和支持性的护理是关怀的一个关键方面。这些发现对将人们的观点纳入护理指南的制定、提供者的培训以及服务的监测和改进具有重要意义,尤其是因为阿根廷政府准备扩大合法堕胎的机会。

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