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A comprehensive postpartum follow-up health care program for women with history of preeclampsia: protocol for a mixed methods research

机译:有先兆子痫病史的女性全面的产后随访保健计划:混合方法研究方案

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Long-term postpartum follow-up is of great importance since women with preeclampsia history are at high risk of upcoming health complications. However, postpartum follow-up rates are poor. According to evidences, preeclampsia is not just a transient health problem; rather it causes short term and long term complications, which affect women’s life for years after delivery. Although it seems the problem is solved by the end of pregnancy, the follow-up of subjects should not be stopped after delivery. Postpartum is the best possible time to provide necessary care to these women who are at the risk of future complications. Due to importance of well-designed follow-up plan for women suffering preeclampsia, this study will carry out to provide a postpartum follow-up health care program for subjected women. This study is a qualitative-quantitative mixed sequencing exploratory study that consists of three consecutive phases. In this study, following a qualitative approach, the researcher will explain the needs and strategies related to promoting the health of women with preeclampsia history in the postpartum period. By entering the second phase, the researcher will design a comprehensive follow-up health care program in the postpartum period in which, in addition to using the qualitative study results, related papers and texts will be also used. The proposed program is designed by a panel of experts based on prioritization guidelines. Finally, after passing different stages of program finalizing, its effectiveness on the lifestyle of women with preeclampsia history will be investigated in a semi-experimental study in the third phase of the study. It is expected conducting a mixed method study to design and execute an interventional program to follow up women with preeclampsia history improve their health status and well-being, while reducing their health care costs through prevention in various levels within the current structure of health care services. If this program is effective, it could be included in the postpartum health care guidelines. IRCT20170927036445N2 Registered 10 March 2018.
机译:产后长期随访非常重要,因为有先兆子痫病史的妇女极有可能出现健康并发症。但是,产后随访率很低。根据证据,先兆子痫不仅仅是一个暂时性的健康问题;而是会造成短期和长期的并发症,影响分娩后多年的女性寿命。尽管似乎该问题已在妊娠末期解决,但分娩后不应停止对受试者的随访。产后是为这些有未来并发症风险的妇女提供必要护理的最佳时间。由于精心设计的先兆子痫妇女随访计划非常重要,因此本研究将为受孕妇女提供产后随访保健计划。这项研究是定性-定量混合测序探索性研究,由三个连续的阶段组成。在本研究中,研究人员将采用定性方法来解释与提高产后先兆子痫病史女性健康相关的需求和策略。通过进入第二阶段,研究人员将在产后设计一个综合的后续医疗保健计划,该计划中,除了使用定性研究结果外,还将使用相关论文和文章。提议的程序由专家小组根据优先级排序准则设计。最后,在完成方案的不同阶段之后,将在研究的第三阶段进行一项半实验研究,研究其对先兆子痫史女性生活方式的影响。预计将进行混合方法研究,以设计和执行干预计划,以追踪先兆子痫病史的妇女,改善其健康状况和幸福感,同时通过在当前卫生保健服务结构内进行不同程度的预防,降低其卫生保健费用。如果该程序有效,则可以将其包含在产后保健指南中。 IRCT20170927036445N2注册于2018年3月10日。

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