Experiences of social support among women presenting for obstetric fistula repair surgery in Tanzania.
Experiences of social support among women presenting for obstetric fistula repair surgery in Tanzania.
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DOI：
10.2147/ijwh.s110202
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Watt MH
中科院分区：
文献类型：
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作者：
Dennis AC;Wilson SM;Mosha MV;Masenga GG;Sikkema KJ;Terroso KE;Watt MH
产科瘘管病是一种分娩损伤，导致无法控制的尿液和/或粪便泄漏，并可能导致身体和心理挑战，包括社会孤立。在瘘管修补手术前后，社会支持可以帮助妇女重新融入社区。本研究的目的是初步探讨坦桑尼亚妇女在产科瘘修复手术之前和之后的重返社会期间，产科瘘的社会支持的经验。本研究采用混合方法设计，分析横断面调查（n=59）和深度访谈（n=20）。妇女报告说，她们从家庭成员和伴侣那里得到的社会支持程度差别很大，一半的抽样妇女报告说，总体上社会支持程度很高。对于获得支助较少的妇女来说，瘘管病往往加剧了关系中的现有问题，有时直接导致分居或离婚。许多妇女在倡导其瘘管病护理和关系需求方面表现得自信而有韧性。我们的数据表明，虽然一些妇女在产科瘘管病后遭受负面的社会经历，需要额外的资源和服务，但许多妇女报告说，家庭成员和伴侣提供了大量社会支持，可以利用这些支持来改善对病人的全面护理。
An obstetric fistula is a childbirth injury resulting in uncontrollable leakage of urine and/or feces and can lead to physical and psychological challenges, including social isolation. Prior to and after fistula repair surgery, social support can help a woman to reintegrate into her community. The aim of this study was to preliminarily examine the experiences of social support among Tanzanian women presenting with obstetric fistula in the periods immediately preceding obstetric fistula repair surgery and following reintegration. The study used a mixed-methods design to analyze cross-sectional surveys (n=59) and in-depth interviews (n=20). Women reported widely varying levels of social support from family members and partners, with half of the sample reporting overall high levels of social support. For women experiencing lower levels of support, fistula often exacerbated existing problems in relationships, sometimes directly causing separation or divorce. Many women were assertive and resilient with regard to advocating for their fistula care and relationship needs. Our data suggest that while some women endure negative social experiences following an obstetric fistula and require additional resources and services, many women report high levels of social support from family members and partners, which may be harnessed to improve the holistic care for patients.