有难民背景的非洲国家女性的围产期保健：与心理健康交叉的定性研究。
Perinatal care for women with refugee backgrounds from African countries: a qualitative study of intersections with psychological wellbeing.
机构信息
The School of Psychology, The University of Adelaide, Adelaide, SA, Australia.
College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.
出版信息
BMC Pregnancy Childbirth. 2022 Aug 8;22(1):628. doi: 10.1186/s12884-022-04957-9.
BACKGROUND
Experiences with healthcare services, including perinatal healthcare services, contribute to psychological wellbeing for refugees post-resettlement. To address the paucity of literature examining the relationship between perinatal healthcare and psychological wellbeing in women with refugee backgrounds from African countries this study aimed to: (1) understand the relationship between psychological wellbeing and perinatal care amongst this population, and; (2) identify areas for improved perinatal healthcare services to ensure positive wellbeing outcomes in this population.
METHODS
A total of 39 participants were included in the study. Nineteen women from seven African countries participated in interviews - seven both prior to and after having their babies, two only while pregnant and ten only after their baby had been born. In addition, interviews were conducted with 20 service providers. Interviews were thematically analysed.
RESULTS
Four key themes were identified, covering continuity of care, cultural safety of care, agency in decision making, and ongoing impacts of perinatal care experiences.
CONCLUSIONS
The results highlighted the need for changes to perinatal healthcare provision at the systems level, including implementing a continuity of care model, and ensuring women's access to individualised, trauma-informed perinatal services which attend to the cultural and psychosocial resettlement needs of this population. These findings informed recommendations for improving perinatal healthcare services and better psychological outcomes - and in turn broader health outcomes - for African-background refugee mothers.
背景
医疗服务体验，包括围产期医疗服务，有助于难民重新安置后的心理健康。为了解决有关非洲国家背景的女性围产期保健和心理健康之间关系的文献不足的问题，本研究旨在：（1）了解这一人群中心理健康和围产期保健之间的关系；（2）确定改善围产期保健服务的领域，以确保这一人群的积极健康结果。
方法
共有 39 名参与者纳入研究。来自七个非洲国家的 19 名妇女参加了访谈 - 七名妇女在生育前后都参加了访谈，两名妇女仅在怀孕期间参加了访谈，十名妇女仅在生育后参加了访谈。此外，还对 20 名服务提供者进行了访谈。访谈采用主题分析。
结果
确定了四个关键主题，涵盖了护理的连续性、护理的文化安全性、决策的代理权以及围产期护理体验的持续影响。
结论
结果强调了需要在系统层面上改变围产期保健服务，包括实施连续性护理模式，并确保妇女能够获得个性化的、创伤知情的围产期服务，以满足这一人群的文化和心理社会重新安置需求。这些发现为改善围产期保健服务和改善非洲背景难民母亲的心理健康结果 - 进而改善更广泛的健康结果 - 提供了建议。
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