增强产妇福祉：在经历妊娠剧吐时，对妇女量身定制的教育和整体支持的定性探索。

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-02-01 DOI:10.1016/j.midw.2024.104258

Taryn J Elder , Gina Iacurto , Linda Deys

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引用次数: 0

摘要

问题：妊娠剧吐（HG）对受影响的妇女及其家庭造成重大的身体、心理、情感和经济挑战。尽管它的流行和影响，量身定制的教育和全面支持干预措施是缺乏的。背景：妊娠期恶心和呕吐影响69% %的妊娠，HG影响约1.1% %，尽管可能被低估了。这是妊娠早期住院治疗的主要原因。先前的研究强调了专业支持的好处，包括个性化的健康教育和电话。然而，了解女性HG接受个性化护理的经历仍然是一个差距。方法：采用反身性主题分析的定性探索性研究来了解新建立的治疗方案中登记和招募的HG妇女的经历。深入的半结构化访谈（n = 9）在2022年和2023年期间对参与者进行，以结束他们的HG体验。研究结果：确定了四个主要主题：汞的影响；对HG缺乏了解和认识；HG项目的影响；改善资源和教育的需要。讨论：女性HG的经历突出了显著的生理和社会心理影响，需要增加临床医生的知识和支持。拥有专门的HG临床医生可以对症状减轻、心理健康和卫生系统导航产生积极影响。结论：HG对女性影响深远。由专门的临床医生提供量身定制的教育和全面支持至关重要。有必要提高认识、支持和获得护理的机会，倡导扩大服务，提高临床医生的知识和应对技能。

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Enhancing maternal wellbeing: A qualitative exploration of women's experiences of tailored education and holistic support while experiencing Hyperemesis Gravidarum

Problem

Hyperemesis Gravidarum (HG), poses significant physical, psychological, emotional, and financial challenges for affected women and their families. Despite its prevalence and impact, tailored education and holistic support interventions are lacking.

Background

Nausea and vomiting in pregnancy affect 69 % of pregnancies, HG impacts around 1.1 %, though it is likely underreported. It is a leading cause of early pregnancy hospitalisation. Prior research highlights the benefits of professional support, including individualised health education and telephone calls. However, understanding the experiences of women with HG receiving personalised care remains a gap.

Methods

A qualitative, explorative study employing reflexive thematic analysis was used to understand the experience of women with HG who were enrolled and recruited from a newly established treatment program. In-depth semi structured interviews (n = 9) were conducted with participants throughout 2022 and 2023 at the conclusion of their HG experience.

Findings

Four main themes were identified - The impact of HG; Lack of understanding and recognition of HG; Impact of HG Program; and Need for improved resources and education.

Discussion

Women's experience with HG highlights the significant physiological and psychosocial impact and the need for increased clinician knowledge and support. Having dedicated HG clinicians can positively impact symptom reduction, mental health, and health-system navigation.

Conclusion

HG profoundly affects women. Tailored education and holistic support by dedicated clinicians is crucial. There is a need for improved recognition, support, and access to care, advocating for expanded services and increased clinician knowledge and response skills.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.