背景:流产可能是女性和男性的毁灭性事件,可能导致短期和长期的情绪困扰。研究报告了流产和抑郁症之间的关联,焦虑,和女性的创伤后应激障碍。男人在伴侣流产后也会经历强烈的悲伤和悲伤。虽然许多研究报告了影响流产父母情绪健康的医院相关因素,缺乏综合当前研究结果的综述证据。
目的:本综述的目的是综合在医院环境中经历流产的女性和男性的情绪困扰和幸福的研究结果。
方法:于2020年10月在三个不同的数据库(CINAHL,MEDLINE和PsycInfo)和相关慈善组织网站,Google,OpenGrey使用混合方法评估工具(MMAT)和AACODS清单来评估主要研究的质量。
结果:本综述包括30项研究,代表定性(N=21),定量(N=7),以及来自11个国家的混合方法(N=2)研究。研究结果表明,女性和男性的情绪健康受到与卫生专业人员互动的影响,提供信息,医院环境。父母在医院的经历的特点是,医疗保健专业人员对他们的损失和所需的情感支持的重要性缺乏理解。家长报告说,缺乏信息加剧了他们的痛苦,支持,以及流产后的孤立感。Further,有人对医院环境表示担忧,特别是缺乏隐私。
结论:女性和男性对医院环境中获得的情绪支持不满意,并将许多与医院相关的因素描述为情绪困扰的确切因素。
结论:本综述强调医院需要采取循证措施,以改善服务范围内流产患者的情绪支持服务。
BACKGROUND: Miscarriage can be a devastating event for women and men that can lead to short- and long-term emotional distress. Studies have reported associations between miscarriage and depression, anxiety, and post-traumatic stress disorder in women. Men can also experience intense grief and sadness following their partner\'s miscarriage. While numerous studies have reported hospital-related factors impacting the emotional wellbeing of parents experiencing miscarriage, there is a lack of
review evidence which synthesises the findings of current research.
OBJECTIVE: The aim of this
review was to synthesise the findings of studies of emotional distress and wellbeing among women and men experiencing miscarriage in hospital settings.
METHODS: A systematic search of the literature was conducted in October 2020 across three different databases (CINAHL, MEDLINE and PsycInfo) and relevant charity organisation websites, Google, and OpenGrey. A Mixed Methods appraisal tool (MMAT) and AACODS checklist were used to assess the quality of primary studies.
RESULTS: Thirty studies were included in this
review representing qualitative (N = 21), quantitative (N = 7), and mixed-methods (N = 2) research from eleven countries. Findings indicated that women and men\'s emotional wellbeing is influenced by interactions with health professionals, provision of information, and the hospital environment. Parents\' experiences in hospitals were characterised by a perceived lack of understanding among healthcare professionals of the significance of their loss and emotional support required. Parents reported that their distress was exacerbated by a lack of information, support, and feelings of isolation in the aftermath of miscarriage. Further, concerns were expressed about the hospital environment, in particular the lack of privacy.
CONCLUSIONS: Women and men are dissatisfied with the emotional support received in hospital settings and describe a number of hospital-related factors as exacerbators of emotional distress.
CONCLUSIONS: This
review highlights the need for hospitals to take evidence-informed action to improve emotional support services for people experiencing miscarriage within their services.