高危妊娠保健在医疗网络中的复杂性。
Complexity of high-risk pregnancy care in the health care network.
机构信息
Universidade Federal de Santa Catarina (UFSC), Centro de Ciências da Saúde, Programa de Pós-Graduação em Enfermagem. Florianópolis, Santa Catarina, Brasil.
Secretaria de Estado da Saúde de Santa Catarina. Florianópolis, Santa Catarina, Brasil.
出版信息
Rev Gaucha Enferm. 2022 Jul 31;43:e20210155. doi: 10.1590/1983-1447.2022.20210155.en. eCollection 2022.
OBJECTIVE
To understand the complexity of high-risk care for pregnant women in the health care network.
METHOD
Qualitative study with theoretical framework of Edgar Morin's Complex Thought and Grounded Theory methodology, Strauss's version. Data collection by theoretical sampling, including twelve health professionals and seven women users of the care network in a municipality in the south of Brazil from July to October 2018. Analysis by open and axial coding and selective integration.
RESULTS
The phenomenon "Caring for high-risk pregnant women in the health care network", comprises four categories: Noticing autonomous decision making; Promoting care; Developing multiprofessional work; and Accessing the health care network.
CONCLUSION
Every high-risk pregnant woman should be seen as a singular and multidimensional being with comprehensive and continuous care, considering the complexity of local, regional, and global reality.
目的
了解医疗保健网络中高危孕妇护理的复杂性。
方法
采用埃德加·莫兰的复杂思想理论框架和扎根理论方法的定性研究，施特劳斯版本。通过理论抽样收集数据，包括 2018 年 7 月至 10 月在巴西南部一个城市的 12 名卫生专业人员和 7 名妇女保健网络使用者。通过开放式和轴向编码以及选择性整合进行分析。
结果
现象“医疗保健网络中高危孕妇护理”，包含四个类别：自主决策的觉察；促进护理；开展多专业工作；以及获得医疗保健网络。
结论
应将每一位高危孕妇视为具有全面和连续护理的独特和多维个体，同时考虑到当地、区域和全球现实的复杂性。
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