Patient Preferences and Experiences in Hyperemesis Gravidarum Treatment: A Qualitative Study

INTRODUCTION: Hyperemesis gravidarum (HG) medical therapies are currently of limited effect, which creates a larger role for patient preferences in the way HG care is arranged. This is the first study using in-depth interviews to investigate patients' preferences and experiences of HG treatment...

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Autores principales: van Vliet, Relin, Bink, Marieke, Polman, Julian, Suntharan, Amaran, Grooten, Iris, Zwolsman, Sandra E., Roseboom, Tessa J., Painter, Rebecca C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234451/
https://www.ncbi.nlm.nih.gov/pubmed/30515329
http://dx.doi.org/10.1155/2018/5378502
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author van Vliet, Relin
Bink, Marieke
Polman, Julian
Suntharan, Amaran
Grooten, Iris
Zwolsman, Sandra E.
Roseboom, Tessa J.
Painter, Rebecca C.
author_facet van Vliet, Relin
Bink, Marieke
Polman, Julian
Suntharan, Amaran
Grooten, Iris
Zwolsman, Sandra E.
Roseboom, Tessa J.
Painter, Rebecca C.
author_sort van Vliet, Relin
collection PubMed
description INTRODUCTION: Hyperemesis gravidarum (HG) medical therapies are currently of limited effect, which creates a larger role for patient preferences in the way HG care is arranged. This is the first study using in-depth interviews to investigate patients' preferences and experiences of HG treatment. MATERIALS AND METHODS: We conducted individual in-depth interviews among women who had been hospitalized for HG in North Holland at least once in the past 4 years. We asked them about their experiences, preferences, and suggestions for improvement regarding the HG treatment they received. The sample size was determined by reaching data saturation. Themes were identified from analysis of the interview transcripts. RESULTS AND DISCUSSION: 13 women were interviewed. Interviewees emphasized the importance of early recognition of the severity of HG, increasing caregivers' knowledge on HG, early medical intervention, and nasogastric tube feeding. They valued a single room in hospital, discussion of treatment options, more possibilities of home-treatment, psychological support during HG and after childbirth, and more uniform information and policies regarding HG treatment. CONCLUSION: Further research is needed to establish whether the suggestions can lead to more (cost) effective care and improve the course of HG and outcomes for HG patients and their children.
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spelling pubmed-62344512018-12-04 Patient Preferences and Experiences in Hyperemesis Gravidarum Treatment: A Qualitative Study van Vliet, Relin Bink, Marieke Polman, Julian Suntharan, Amaran Grooten, Iris Zwolsman, Sandra E. Roseboom, Tessa J. Painter, Rebecca C. J Pregnancy Research Article INTRODUCTION: Hyperemesis gravidarum (HG) medical therapies are currently of limited effect, which creates a larger role for patient preferences in the way HG care is arranged. This is the first study using in-depth interviews to investigate patients' preferences and experiences of HG treatment. MATERIALS AND METHODS: We conducted individual in-depth interviews among women who had been hospitalized for HG in North Holland at least once in the past 4 years. We asked them about their experiences, preferences, and suggestions for improvement regarding the HG treatment they received. The sample size was determined by reaching data saturation. Themes were identified from analysis of the interview transcripts. RESULTS AND DISCUSSION: 13 women were interviewed. Interviewees emphasized the importance of early recognition of the severity of HG, increasing caregivers' knowledge on HG, early medical intervention, and nasogastric tube feeding. They valued a single room in hospital, discussion of treatment options, more possibilities of home-treatment, psychological support during HG and after childbirth, and more uniform information and policies regarding HG treatment. CONCLUSION: Further research is needed to establish whether the suggestions can lead to more (cost) effective care and improve the course of HG and outcomes for HG patients and their children. Hindawi 2018-10-30 /pmc/articles/PMC6234451/ /pubmed/30515329 http://dx.doi.org/10.1155/2018/5378502 Text en Copyright © 2018 Relin van Vliet et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
van Vliet, Relin
Bink, Marieke
Polman, Julian
Suntharan, Amaran
Grooten, Iris
Zwolsman, Sandra E.
Roseboom, Tessa J.
Painter, Rebecca C.
Patient Preferences and Experiences in Hyperemesis Gravidarum Treatment: A Qualitative Study
title Patient Preferences and Experiences in Hyperemesis Gravidarum Treatment: A Qualitative Study
title_full Patient Preferences and Experiences in Hyperemesis Gravidarum Treatment: A Qualitative Study
title_fullStr Patient Preferences and Experiences in Hyperemesis Gravidarum Treatment: A Qualitative Study
title_full_unstemmed Patient Preferences and Experiences in Hyperemesis Gravidarum Treatment: A Qualitative Study
title_short Patient Preferences and Experiences in Hyperemesis Gravidarum Treatment: A Qualitative Study
title_sort patient preferences and experiences in hyperemesis gravidarum treatment: a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234451/
https://www.ncbi.nlm.nih.gov/pubmed/30515329
http://dx.doi.org/10.1155/2018/5378502
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