Lee Lysha, Gerber Katrin, Kammers Marjolein P M
School of Nursing & Midwifery, Deakin University, Melbourne, Victoria, Australia.
Melbourne Ageing Research Collaboration, National Ageing Research Institute, Melbourne, Victoria, Australia.
Aust N Z J Obstet Gynaecol. 2025 Apr;65(2):203-211. doi: 10.1111/ajo.13881. Epub 2024 Sep 15.
Miscarriage is a common medical occurrence which can be associated with significant psychological distress. Patients and partners are frequently disappointed by aspects of their care, especially with regard to emotional support. Although most published studies investigated the experiences of patients and partners in emergency departments (EDs) of public hospitals, miscarriage is also frequently diagnosed in non-emergency settings, such as during sonography or antenatal appointments, and approximately 25% of Australian women receive maternity care in private hospitals.
Because the experience of miscarriage is known to be setting-dependent, it is important to understand how patients and partners experience care outside the ED. Here, we addressed this gap by investigating the experiences of patients and partners who attended a private maternity hospital for miscarriage using a mixed-methods approach.
Eighteen patients and six partners who had recently experienced a miscarriage were recruited at a private maternity hospital to take part in both semi-structured interviews and online surveys.
Overall, patients and partners were highly satisfied with the emotional care they received. Thematic analysis of semi-structured interviews allowed us to identify a total of ten themes that contributed to satisfaction with emotional care.
We provide the first specific insights into the experiences of women and partners who received care for miscarriage in an Australian private hospital setting, and the first example of a healthcare setting that achieves high satisfaction with emotional care around miscarriage. The ten themes we identify provide a framework for improving satisfaction with care also in other settings.
流产是一种常见的医学情况，可能会伴有严重的心理困扰。患者及其伴侣常常对他们所接受的护理的某些方面感到失望，尤其是在情感支持方面。尽管大多数已发表的研究调查了公立医院急诊科患者及其伴侣的经历，但流产也常在非急诊环境中被诊断出来，比如在超声检查或产前检查期间，并且大约25%的澳大利亚女性在私立医院接受产科护理。
由于已知流产经历因环境而异，了解患者及其伴侣在急诊科之外的护理体验很重要。在此，我们采用混合方法研究，探讨了在私立妇产医院流产的患者及其伴侣的经历，以填补这一空白。
在一家私立妇产医院招募了18名近期经历流产的患者和6名伴侣，让他们参与半结构化访谈和在线调查。
总体而言，患者及其伴侣对所接受的情感护理非常满意。对半结构化访谈的主题分析使我们总共确定了10个有助于对情感护理感到满意的主题。
我们首次深入了解了在澳大利亚私立医院环境中接受流产护理的女性及其伴侣的经历，也是首个在流产情感护理方面获得高度满意度的医疗环境实例。我们确定的10个主题也为在其他环境中提高护理满意度提供了一个框架。
