子痫还是癫痫?被诊断为子痫前期和子痫的孕妇的有趣经历:一项描述性探索研究。

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL SAGE Open Medicine Pub Date : 2024-08-12 eCollection Date: 2024-01-01 DOI:10.1177/20503121241271768
Dorothy Serwaa Boakye, Vida Maame Kissiwaa Amoah, Christian Amoah, Agartha Afful Boateng, Charles Owusu Aduomi-Botchwey, Florence Bamfo, Jennifer Boampong
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引用次数: 0

摘要

目的:本研究的目的是探讨那些遭受子痫前期和子痫压力影响的孕妇在怀孕、分娩和产后的经历:采用描述性探索方法,从 2022 年 2 月至 3 月期间被诊断为子痫前期和子痫的孕期妇女中收集深度数据。在加纳阿哈福地区的一家市立医院中,采用有目的的抽样调查方法招募了 12 名参与者。研究采用布劳恩和克拉克方法对数据进行了专题分析:研究发现,妇女在被诊断为子痫前期或子痫后会产生强烈的负面情绪反应。她们经常感到内疚、愤怒、恐惧、否认或不相信自己的病情。许多妇女对这些疾病持有错误的观念(她们将子痫误认为是癫痫),并将自己孤立起来,这主要是由于社区对她们的疾病持有错误的观念和偏见。参与者对信息和情感支持的需求没有得到满足。她们获得的有关其病情的信息不足、相互矛盾且令人困惑。一些妇女还感到被迫进行剖宫产,但在决策过程中没有充分的讨论和发言权:这些发现揭示了子痫前期/子痫对社会心理的重要影响,以及在针对具体病情的教育和以患者为中心的移情沟通方面存在的差距。提高医疗服务提供者的知识和咨询技能以及社区意识可能有助于解决加纳妇女在面临这一孕产妇健康威胁时尚未得到满足的需求。
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Eclampsia or epilepsy? The intriguing experiences of pregnant women diagnosed with preeclampsia and eclampsia: A descriptive exploratory study.

Aim: The purpose of this study was to explore the experiences of pregnant women who suffer the stressful effects of preeclampsia and eclampsia through pregnancy, delivery, and postpartum.

Methods: A descriptive exploratory approach was adopted to gather in-depth data from women diagnosed with preeclampsia and eclampsia during pregnancy from February to March 2022. Purposive sampling was used to enlist 12 participants from a Municipal Hospital in the Ahafo region of Ghana. Data were analyzed thematically following Braun and Clark approach.

Results: The study found that women had strong negative emotional reactions after being diagnosed with preeclampsia or eclampsia. They frequently felt guilty, angry, scared, in denial, or disbelief about their condition. Many women held mistaken beliefs about the diseases (they misconstrued eclampsia to be epilepsy) and isolated themselves, mainly because of false perceptions and stigma around their illness in the community. Participants expressed unfulfilled needs for informational and emotional support. The information they received about their condition was insufficient, contradictory, and confusing. Some women also felt pressured into having cesarean deliveries without enough discussion or say in the decision-making process.

Conclusion: These findings reveal important psychosocial impacts of preeclampsia/eclampsia and gaps in condition-specific education and empathetic, patient-centered communication. Improving provider knowledge and counseling skills along with community awareness may help address these unmet needs among Ghanaian women facing this threat to maternal health.

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来源期刊
SAGE Open Medicine
SAGE Open Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
4.30%
发文量
289
审稿时长
12 weeks
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