林波波省部分地区实施孕前保健建议的相关因素：一项定性研究
Factors Related to the Implementation of Preconception Care Recommendations in Selected Districts of Limpopo Province: A Qualitative Study.
作者信息
Ndou Ntombizodwa Paulinah, Malwela Thivhulawi, Maputle Maria Sonto, Raliphaswa Ndidzulafhi Selina, Mabasa Lawrence, Samie Amidou, Netshikweta Mutshinyalo Lizzy
机构信息
Faculty of Health Sciences, Department of Advanced Nursing Sciences, University of Venda, Private Bag X5050, Thohoyandou 0950, South Africa.
Biomedical Research and Innovation Platform (BRIP), South Africa Medical Research Council, Tygerberg 7505, South Africa.
出版信息
Healthcare (Basel). 2023 Sep 19;11(18):2586. doi: 10.3390/healthcare11182586.
UNLABELLED
Preconception care (PCC) is the provision of biomedical, behavioural, and social health interventions to women and couples before they fall pregnant. The World Health Organization (WHO) developed PCC recommendations in 2013, which were included in the South African maternity care guidelines in 2016. The purpose of PCC is to lessen behaviours and environmental factors leading to maternal ill-health, thus reducing maternal and perinatal mortality rates.
OBJECTIVE
To determine the implementation of PCC recommendations at health facilities in the selected districts of Limpopo Province and the associated factors.
METHODS
A qualitative exploratory design was used. Nonprobability, purposive sampling was used to sample 29 professional nurses (PNs), and 51 women of childbearing age (WCBA) (19-35 years) from clinics and community health centres (CHCs). Data were collected through in-depth interviews with the professional nurses and focus group discussions with the WCBA. Data analysis was performed through open coding. Measures of trustworthiness were adhered to. Permission to conduct the study was obtained from relevant stakeholders, participation was voluntary and participants signed a consent form prior to data collection.
RESULTS
The findings of the study revealed that there was partial implementation of the PCC recommendations in the selected districts of Limpopo Province, PCC provision was dependent on clients' initiation, a knowledge gap regarding PCC recommendations was identified from the professional nurses, and a lack of awareness regarding PCC from the WCBA.
CONCLUSION
The preconception period is an important determinant of the pregnancy outcome; therefore, focus should be redirected to the pre-pregnancy period and not only to when the woman is already pregnant. However, to achieve this, professional nurses and WCBA should be empowered regarding PCC and its benefits.
未标注
孕前保健（PCC）是在妇女和夫妇怀孕前提供生物医学、行为和社会健康干预措施。世界卫生组织（WHO）于2013年制定了孕前保健建议，并于2016年纳入南非孕产妇保健指南。孕前保健的目的是减少导致孕产妇健康不良的行为和环境因素，从而降低孕产妇和围产期死亡率。
目的
确定林波波省选定地区医疗机构对孕前保健建议的实施情况及其相关因素。
方法
采用定性探索性设计。使用非概率目的抽样法，从诊所和社区卫生中心（CHC）抽取29名专业护士（PN）和51名育龄妇女（WCBA，年龄19 - 35岁）。通过对专业护士的深入访谈和与育龄妇女的焦点小组讨论收集数据。通过开放式编码进行数据分析。遵循可信度衡量标准。已获得相关利益攸关方进行该研究的许可，参与是自愿的，参与者在数据收集前签署了同意书。
结果
研究结果显示，林波波省选定地区对孕前保健建议的实施情况不完整，孕前保健的提供取决于客户的主动要求，专业护士对孕前保健建议存在知识差距，育龄妇女对孕前保健缺乏认识。
结论
孕前时期是妊娠结局的重要决定因素；因此，应将重点重新转向孕前阶段，而不仅仅是妇女已经怀孕的时候。然而，要实现这一点，应增强专业护士和育龄妇女对孕前保健及其益处的认识。
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