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[分娩护理中的患者安全:脸书群组中讨论了什么?]

[Patient safety in childbirth care: what is discussed in Facebook groups?].

作者信息

Villar Vanessa Cristina Felippe Lopes, Rodrigues Juliana Loureiro da Silva de Queiroz, Martins Mônica, Rabello Elaine Teixeira

机构信息

Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.

Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.

出版信息

Cad Saude Publica. 2022 Aug 10;38(7):e00277421. doi: 10.1590/0102-311XPT277421. eCollection 2022.

Abstract

Patient safety in childbirth care is a current topic on the agendas of discussion about the quality of maternal and child care around the world. This qualitative study sought to discuss the adverse events in childbirth care and its contributing factors, as perceived by patients and family members, using data collected from posts in Facebook groups. A total of 55 posts related to childbirth care made in September and October 2019 underwent content analysis. The findings were classified into two categories: (i) adverse events, including infant, fetal and maternal death, hemorrhages, infections, neurological lesions, surgery-related problems and use of medications; and (ii) contributing factors such as delay in care, diagnosis or treatment, obstetric violence, misdiagnosis and patient identification. Digital media platforms can be legitimate spaces for debating and opining on health-related issues, including those about the quality of obstetric care. Valuing patients' perceptions, whether from these or other sources, is fundamental, but requires the involvement of institutional and professional leaders to operationalize strategies that facilitate the early identification of risk factors, and enable the diagnosis and implementation of timely appropriate treatment with the active participation of patients and families. n the reduction of hospital stay, which is so impactful on the functional condition of the elderly.

摘要

分娩护理中的患者安全是当前全球妇幼保健质量讨论议程上的一个话题。这项定性研究旨在利用从脸书群组帖子中收集的数据,讨论患者和家庭成员所感知的分娩护理中的不良事件及其促成因素。对2019年9月和10月发布的总共55篇与分娩护理相关的帖子进行了内容分析。研究结果分为两类:(i)不良事件,包括婴儿、胎儿和产妇死亡、出血、感染、神经损伤、手术相关问题和药物使用;(ii)促成因素,如护理、诊断或治疗延迟、产科暴力、误诊和患者识别。数字媒体平台可以成为就包括产科护理质量在内的健康相关问题进行辩论和发表意见的合法空间。重视患者的看法,无论这些看法来自这些平台还是其他来源,都是至关重要的,但这需要机构和专业领导人的参与,以实施有助于早期识别风险因素的策略,并在患者和家庭的积极参与下实现及时适当治疗的诊断和实施。在缩短住院时间方面,这对老年人的功能状况有很大影响。

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