妊娠剧吐患者终止意愿妊娠与自杀意念：一项混合方法研究。
Termination of wanted pregnancy and suicidal ideation in hyperemesis gravidarum: A mixed methods study.
作者信息
Nana Melanie, Tydeman Florence, Bevan Georgie, Boulding Harriet, Kavanagh Kimberley, Dean Caitlin, Williamson Catherine
机构信息
Department of Obstetric Medicine, Guy's and St Thomas' NHS Foundation Trust, UK.
Department of Mathematics and Statistics, University of Strathclyde, UK.
出版信息
Obstet Med. 2022 Sep;15(3):180-184. doi: 10.1177/1753495X211040926. Epub 2021 Oct 19.
BACKGROUND
Difficulty accessing medication and poor patient experience have been implicated as risk factors for termination of pregnancy and suicidal ideation in women with hyperemesis gravidarum. We aimed to gain further insight into these factors in order to further inform and improve patient care.
METHODS
We performed a sub-analysis on quantitative data generated through a UK-wide survey of 5071 participants. A qualitative analysis of free text comments was performed using an inductive thematic approach.
RESULTS
41.2% % of women taking prescribed medications had to actively request them. 'Extremely poor' or 'poor' experiences were described in 39.4% and 30.0% of participants in primary and secondary care respectively. Protective factors for termination of pregnancy and suicidal ideation include holistic support from family, friends and healthcare providers.
CONCLUSION
Optimal care in hyperemesis gravidarum should incorporate timely access to pharmacotherapy, assessment of mental health, consideration of referral to specialist services and care being delivered in a compassionate manner.
背景
获得药物治疗困难和患者体验不佳被认为是妊娠剧吐女性终止妊娠和自杀意念的风险因素。我们旨在进一步深入了解这些因素，以便为患者护理提供更多信息并加以改善。
方法
我们对通过全英国范围内对5071名参与者进行的调查所产生的定量数据进行了子分析。使用归纳主题方法对自由文本评论进行了定性分析。
结果
41.2%服用处方药的女性必须主动要求开药。分别有39.4%和30.0%的初级和二级护理参与者描述经历为“极差”或“差”。终止妊娠和自杀意念的保护因素包括家人、朋友和医疗保健提供者的全面支持。
结论
妊娠剧吐的最佳护理应包括及时获得药物治疗、心理健康评估、考虑转诊至专科服务以及以富有同情心的方式提供护理。
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