深圳市福田区梅毒感染孕产妇获取预防母婴传播服务的定性研究  

A qualitative study on the influencing factors for accessing prevention of mother-to-child transmission services among syphilis-infected pregnant women in Futian District,Shenzhen

作　　者：何静 曾晓秋 彭文湃 吴缃琦 周洁 吴大东 HE Jing;ZENG Xiaoqiu;PENG Wenpai;WU Xiangqi;ZHOU Jie;WU Dadong(Shenzhen Futian District Maternity&Child Healthcare Hospital,Shenzhen 518016,Guangdong,China;Affiliated Shenzhen Maternity&Child Healthcare Hospital,Southern Medical University,Shenzhen 518000,Guangdong,China)

机构地区：[1]深圳市福田区妇幼保健院,广东深圳518016 [2]南方医科大学附属深圳妇幼保健院,广东深圳518000

出　　处：《中国艾滋病性病》2023年第8期911-913,共3页Chinese Journal of Aids & STD

基　　金：深圳市福田区卫生公益性科研项目(FTWS2021040)。

摘　　要：目的深入了解福田区梅毒感染孕产妇的生活、就医经历,探索促进或阻碍其接受梅毒检测和规范治疗的主要因素,为完善现有服务模式、提高服务质量提供依据。方法采用目的抽样,按照“信息饱和”原则招募研究对象,开展一对一、面对面半结构化深度访谈,采用描述性分析和主题分析法对访谈资料进行归纳总结。结果共访谈梅毒感染孕产妇16人。研究对象普遍不担心治疗费用,多数对现有服务感到满意。渴望治愈、避免影响胎儿是促使她们接受梅毒检测和规范治疗的主要原因,然而助产医疗机构咨询能力仍有待加强。部分感染孕产妇在就医过程中遭受过歧视,包括医务人员过度自我保护、差别对待、暴露患者隐私等。结论充足的经费为预防梅毒母婴传播项目实施提供了保障,但服务质量仍有待提升。建议加强助产医疗机构医务人员能力建设,优化预防母婴传播服务流程,加强社会面宣传教育,重点营造无歧视的医疗环境。Objective To gain an in-depth understanding of the life and medical experiences of pregnant women infected with syphilis in Futian District.To explore the main facilitators and barriers of accessing syphilis testing and standardized treatment among pregnant women to provide evidence for improving the existing service model and service quality.Methods Purpose sampling was used to select study subjects according to the principle of"information saturation".The one-on-one and face-to-face semi-structured in-depth interviews were carried out.Descriptive analysis and theme analysis were used to analyze the interview data.Results A total of 16 syphilis-infected pregnant women were interviewed.The study subjects were generally not concerned about the cost of treatment,and the majority of them were satisfied with the available services.The desire to cure and avoid affecting the fetus is the main reason for mothers to be tested and treated,but the consultation capacity of midwifery facilities still needs to be improved.A significant proportion of the infected pregnant women have experienced discrimination during accessing the services,including medical staff's excessive self-protection,differential treatment,and disclosure of patient privacy.Conclusions Sufficient funding has provided assurance for the implementation of the prevention of mother-to-child transmission of syphilis services,but the service quality still needs to be improved.It is recommended to strengthen the capacity building of medical staff in midwifery institutions,optimize the service process,strengthen publicity and education in society,and focus on creating a non-discriminatory medical environment.

关 键 词：梅毒 孕产妇 预防母婴传播 定性研究 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]