Division of Family Medicine and Primary Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town.
S Afr Fam Pract (2004). 2024 Apr 30;66(1):e1-e9. doi: 10.4102/safp.v66i1.5917.
Spontaneous abortions occur in 12.5% of pregnancies and have a significant impact on the well-being of women. Dissatisfaction with health services is well-documented, but no studies have been conducted in district health services of the Western Cape. The aim was to explore the lived experiences of women presenting with spontaneous abortions to the emergency department at Helderberg Hospital.
A descriptive phenomenological qualitative study used criterion-based purposive sampling to identify suitable participants. Data were collected through semi-structured individual interviews. Atlas-ti (version 22) software assisted with data analysis using the framework method.
A total of nine participants were interviewed. There were four main themes: a supportive environment, staff attitudes and behaviour, the impact of time, and sharing of information. The comfort, cleanliness and privacy of the environment were important. COVID-19 had also impacted on this. Showing interest, demonstrating empathy and being nonjudgemental were important, as well as the waiting time for definitive treatment and the time needed to assimilate and accept the diagnosis. In addition, the ability to give relevant information, explain the diagnosis and help patients share in decision-making were key issues.
This study highlighted the need for a more person-centred approach and managers should focus on changes to organisational culture through training and clinical governance activities. Attention should be paid to the physical environment, availability of patient information materials and sequential coordination of care with primary care services.Contribution: This study identifies issues that can improve person-centredness and women's satisfaction with care for spontaneous abortion.
自然流产在 12.5%的妊娠中发生，对妇女的健康有重大影响。对卫生服务的不满已有充分记录，但在西开普省地区卫生服务中尚未进行过研究。本研究旨在探讨在赫尔德伯格医院急诊科就诊的自然流产妇女的生活体验。
本研究采用基于标准的目的抽样法进行描述性现象学定性研究，以确定合适的参与者。通过半结构化的个体访谈收集数据。使用 Atlas-ti（版本 22）软件通过框架方法进行数据分析。
共访谈了 9 名参与者。有四个主要主题：支持性环境、员工态度和行为、时间的影响以及信息共享。环境的舒适性、清洁度和隐私性很重要。COVID-19 也对此产生了影响。表现出兴趣、表现出同理心和不评判是非、等待明确治疗的时间以及需要时间来吸收和接受诊断都很重要。此外，提供相关信息、解释诊断并帮助患者参与决策的能力是关键问题。
本研究强调需要更加以患者为中心的方法，管理人员应通过培训和临床治理活动关注组织文化的变革。应注意物理环境、患者信息材料的可用性以及与初级保健服务的连续协调护理。
本研究确定了可以提高以患者为中心和妇女对自然流产护理满意度的问题。
