111614
论文已发表
注册即可获取德孚的最新动态
IF 收录期刊
- 3.4 Breast Cancer (Dove Med Press)
- 3.2 Clin Epidemiol
- 2.6 Cancer Manag Res
- 2.9 Infect Drug Resist
- 3.7 Clin Interv Aging
- 5.1 Drug Des Dev Ther
- 3.1 Int J Chronic Obstr
- 6.6 Int J Nanomed
- 2.6 Int J Women's Health
- 2.9 Neuropsych Dis Treat
- 2.8 OncoTargets Ther
- 2.0 Patient Prefer Adher
- 2.2 Ther Clin Risk Manag
- 2.5 J Pain Res
- 3.0 Diabet Metab Synd Ob
- 3.2 Psychol Res Behav Ma
- 3.4 Nat Sci Sleep
- 1.8 Pharmgenomics Pers Med
- 2.0 Risk Manag Healthc Policy
- 4.1 J Inflamm Res
- 2.0 Int J Gen Med
- 3.4 J Hepatocell Carcinoma
- 3.0 J Asthma Allergy
- 2.2 Clin Cosmet Investig Dermatol
- 2.4 J Multidiscip Healthc
已发表论文
一项关于妊娠期高血压疾病女性产后心血管疾病风险筛查障碍与促进因素的定性研究：患者与医疗保健提供者的观点
Authors Zhang Y , Jiang Y, Sun S, Jiang L, Yu W, Hu J, Ji X
Received 23 September 2025
Accepted for publication 5 December 2025
Published 11 December 2025 Volume 2025:17 Pages 5329—5342
DOI https://doi.org/10.2147/IJWH.S569780
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Everett Magann
Yan Zhang,1,* Yuyu Jiang,1,* Shijing Sun,1 Ling Jiang,1 Wei Yu,2 Jun Hu,3 Xiuming Ji1
1Department of Nursing, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, People’s Republic of China; 2Department of Obstetrics, Suzhou Women and Children’s Healthcare Hospital, Suzhou, People’s Republic of China; 3Department of Urology, Changshu No.2 People’s Hospital, Changshu, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Jun Hu, Department of Urology, Changshu No.2 People’s Hospital, No. 18 Taishan Road, Changshu, 215501, People’s Republic of China, Email 18896788315@163.com Xiuming Ji, Department of Nursing, The Affiliated Suzhou Hospital of Nanjing Medical University, No. 26 Daoqian Street, Suzhou, 215002, People’s Republic of China, Email jixiuming@njmu.edu.cn
Purpose: To explore the barriers and facilitators to postpartum cardiovascular disease (CVD) risk screening among women with hypertensive disorders of pregnancy (HDP) from both patient and healthcare provider perspectives, with the aim of informing clinical screening strategies, optimizing postpartum care services, and improving maternal health outcomes.
Patients and Methods: This study employed purposive sampling and was conducted between February and May 2025 at a tertiary hospital in Suzhou, Jiangsu Province, China. Semi-structured, one-on-one interviews were conducted with 15 women diagnosed with HDP at 3– 12 months postpartum. In addition, focus group interviews were held with nine healthcare providers from the obstetrics department and community health centers (CHCs, primary care facilities in China). A content analysis approach was used to analyze the qualitative data.
Results: Three themes and twelve subthemes emerged: (1) Limited perception of CVD risk, poor ability to screen and apply health information, fear-driven avoidance behavior, conflicting role priorities, and economic burden are individual barriers; (2) lack of guidance from healthcare providers, fragmented and unstandardized postpartum care system are system-level barriers; (3) family history of hypertension, emphasis on personal health, strong family support, and positive experience with past interventions are promoting factors that encourage women to get screened.
Conclusion: Postpartum CVD risk screening in women with HDP remains inadequate. Strengthening transitional care, integrating structured screening into postpartum guidelines, expanding insurance coverage, and enhancing digital health and provider training are essential to close clinical gaps and improve long-term cardiovascular outcomes.
Keywords: hypertensive disorders of pregnancy, cardiovascular disease, postpartum, barriers, facilitators, qualitative research
1Department of Nursing, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, People’s Republic of China; 2Department of Obstetrics, Suzhou Women and Children’s Healthcare Hospital, Suzhou, People’s Republic of China; 3Department of Urology, Changshu No.2 People’s Hospital, Changshu, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Jun Hu, Department of Urology, Changshu No.2 People’s Hospital, No. 18 Taishan Road, Changshu, 215501, People’s Republic of China, Email 18896788315@163.com Xiuming Ji, Department of Nursing, The Affiliated Suzhou Hospital of Nanjing Medical University, No. 26 Daoqian Street, Suzhou, 215002, People’s Republic of China, Email jixiuming@njmu.edu.cn
Purpose: To explore the barriers and facilitators to postpartum cardiovascular disease (CVD) risk screening among women with hypertensive disorders of pregnancy (HDP) from both patient and healthcare provider perspectives, with the aim of informing clinical screening strategies, optimizing postpartum care services, and improving maternal health outcomes.
Patients and Methods: This study employed purposive sampling and was conducted between February and May 2025 at a tertiary hospital in Suzhou, Jiangsu Province, China. Semi-structured, one-on-one interviews were conducted with 15 women diagnosed with HDP at 3– 12 months postpartum. In addition, focus group interviews were held with nine healthcare providers from the obstetrics department and community health centers (CHCs, primary care facilities in China). A content analysis approach was used to analyze the qualitative data.
Results: Three themes and twelve subthemes emerged: (1) Limited perception of CVD risk, poor ability to screen and apply health information, fear-driven avoidance behavior, conflicting role priorities, and economic burden are individual barriers; (2) lack of guidance from healthcare providers, fragmented and unstandardized postpartum care system are system-level barriers; (3) family history of hypertension, emphasis on personal health, strong family support, and positive experience with past interventions are promoting factors that encourage women to get screened.
Conclusion: Postpartum CVD risk screening in women with HDP remains inadequate. Strengthening transitional care, integrating structured screening into postpartum guidelines, expanding insurance coverage, and enhancing digital health and provider training are essential to close clinical gaps and improve long-term cardiovascular outcomes.
Keywords: hypertensive disorders of pregnancy, cardiovascular disease, postpartum, barriers, facilitators, qualitative research