澳大利亚医疗保健提供者对妊娠高血压疾病后长期健康教育的偏好：一项定性研究。
Preferences of Australian healthcare providers regarding education on long-term health after hypertensive disorders of pregnancy: a qualitative study.
机构信息
Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia
Discipline of Women's Health, University of New South Wales Faculty of Medicine and Health, Sydney, New South Wales, Australia.
出版信息
BMJ Open. 2022 May 26;12(5):e055674. doi: 10.1136/bmjopen-2021-055674.
OBJECTIVES
To explore Australian healthcare providers' (HCPs') preferred content, format and access to education regarding long-term health after hypertensive disorder of pregnancy (HDP), in order to guide the development of education programmes.
DESIGN AND SETTING
A qualitative study using a framework analysis was undertaken. Registered HCP who were practising in Australia and previously completed a survey about long-term health after HDP were invited to participate.
PARTICIPANTS
Twenty HCP were interviewed, including midwives, specialist obstetrician/gynaecologists, general practitioners with a diploma in obstetrics and gynaecology, and cardiologists.
PRIMARY AND SECONDARY OUTCOME MEASURES
Exploration of preferred content, format and distribution of educational material post-HDP.
RESULTS
Twenty HCP were interviewed in April to May 2020. Four main categories were identified. 'Obtaining evidence-based information for own learning' addressing own learning with preference for multi-disciplinary education, preferably endorsed or facilitated by professional organisations. 'Optimising the referral process from hospital to community health services' was about the need for structured long-term follow-up to transition from hospital to community health and align with HDP guidelines. 'Facilitating women's health literacy' addressed the need for evidence-based, print or web-based material to assist risk discussions with women. 'Seizing educational opportunities' addressed the responsibility of all HCP to identify education opportunities to initiate key health discussions with women.
CONCLUSIONS
HCP provided ideas on content, format and access of education regarding long-term health post-HDP within the parameters of the Australian healthcare context. This evidence will guide educational developments for HCP on post-HDP health to ensure they can better care for women and families.
目的
探索澳大利亚医疗保健提供者（HCP）在妊娠高血压疾病（HDP）后长期健康方面的首选内容、格式和获取教育的途径，以便为教育计划的制定提供指导。
设计和设置
本研究采用框架分析方法进行了定性研究。邀请了在澳大利亚执业并曾完成 HDP 后长期健康调查的注册 HCP 参加。
参与者
共采访了 20 名 HCP，包括助产士、妇产科专家、妇产科专科医生、妇产科专科医生和心脏病专家。
主要和次要结果
探讨 HDP 后教育材料的首选内容、格式和分布。
结果
2020 年 4 月至 5 月期间对 20 名 HCP 进行了采访。确定了四个主要类别。“为自身学习获取循证信息”是指通过专业组织认可或协助，进行多学科教育，以满足自身学习的需要。“优化从医院到社区卫生服务的转诊流程”是指需要进行结构化的长期随访，以实现从医院到社区卫生服务的过渡，并与 HDP 指南保持一致。“促进妇女健康素养”涉及需要提供循证、印刷或基于网络的材料，以协助与妇女进行风险讨论。“抓住教育机会”涉及所有 HCP 的责任，即确定教育机会，以便与妇女开展关键健康讨论。
结论
HCP 提供了关于 HDP 后长期健康的教育内容、格式和获取途径的想法，这些想法符合澳大利亚医疗保健背景的要求。这些证据将为 HCP 提供关于 HDP 后健康的教育发展提供指导，以确保他们能够更好地照顾妇女和家庭。
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