影响农村剖宫产率持续上升因素的定性分析  

QUALITATIVE STUDY ON AFFECTING FACTORS OF CONTINUING INCREASING IN CAESAREAN SECTION RATE IN RURAL AREA

作　　者：刘浏[1] 陶芳标[1] 黄锟[1] 

机构地区：[1]安徽医科大学公共卫生学院儿少卫生与妇幼保健学系,合肥230032

出　　处：《现代预防医学》2010年第20期3865-3866,3869,共3页Modern Preventive Medicine

基　　金：欧盟第六框架国际合作项目"中国农村地区适宜母婴保健的结构性障碍和促进因素研究(CHIMACA)"(INCO-CT-2005-01539)

摘　　要：[目的]剖析影响农村剖宫产率持续上升的主要因素,为促进剖宫产率维持在合理范围提供参考资料。[方法]选取孕产妇、家属、服务提供者、关键知情人采用焦点小组访谈和个人深入访谈进行定性研究。[结果]影响农村剖宫产率持续上升的因素包括产妇年龄小,忍受疼痛能力差,孕产妇在选择分娩方式时采纳医生和长辈的建议,院方以剖宫产为规避医疗风险的手段,对剖宫产术后生活质量认知偏颇,年轻妇产科医生自身助产技术的下降。[结论]农村剖宫产率持续上升是需方(孕产妇及家庭)及供方(医院)需求增加的结果。[Objective] To analyze the affecting factors of continuing increasing caesarean section（CS） rate in rural areas.[Methods] Pregnant women,family members,service providers and managers were selected to participate in focus group discussions and/or individual in-depth interviews.[Results] Factors affecting choice of caesarean section included young puerpera＇s age,fear of pain,recommendations from doctors and elders,hospital＇s defensive medical care,inappropriate cognition of quality of life after cesarean section and poor skills of young obstetricians and midwifes.[Conclusion] The continuing increasing caesarean section rate is a conjunctive result of increasing demands from health suppliers（hospital） and health consumers（pregnant women and their family members） in rural area.

关 键 词：定性研究 焦点小组访谈 个人深入访谈 防御性医疗 

分 类 号：R714[医药卫生—妇产科学]