Objective:To explore the evaluation indexes of the ability of medical institutions to treat severe postpartum hemorrhage,it provides the basis and suggestions for the establishment of the evaluation system of the rescue ability of different medical institutions,the standardization of the rescue process and the improvement of the graded diagnosis and treatment referral.Methods:From February 2022 to November 2022,65 health care workers from 35 primary hospitals and 30 tertiary hospitals were selected by purposive sampling to participate in semi-structured interviews regarding their ability to manage severe postpartum hemorrhage.Based on the grounded theory,the concept categories and core themes were analyzed by qualitative analysis software Nvivo11,and the existing problems in the treatment of severe postpartum hemorrhage in different medical institutions were summarized.Results:44 initial concepts,21 sub-concepts and 4 core themes related to the ability to treat severe postpartum hemorrhage were analyzed,the evaluation index pool of the ability to treat severe postpartum hemorrhage in different levels of medical institutions was constructed around 4 core themes.There are some problems in medical institutions in treating severe postpartum hemorrhage,such as lack of facilities,equipment and drugs,unqualified personnel,unskilled treatment technique and irregular treatment procedure.Conclusions:The ability of medical institutions to treat severe postpartum hemorrhage is uneven and there is no uniform evaluation standard,in order to improve the ability to treat severe postpartum hemorrhage,this study initially formed the evaluation index pool of rescue ability,and suggested that hospitals at all levels should further standardize the rescue process and perfect the grading diagnosis and treatment and referral system.
关键词
严重产后出血/救治能力/质性研究/半结构化访谈/扎根理论法
Key words
Severe postpartum hemorrhage/Treatment ability/Qualitative research/Semi-structured interview/Grounded theory method
维普
万方数据