电视访问与日常产前护理的面对面访问相比:系统性审查
Ethan M Balk1, Valery A Danilack, Wangnan Cao
1Center for Evidence Synthesis in Health and the Department of Epidemiology, Brown University School of Public Health, Providence, Rhode Island; the Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut; the Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing, China; and the Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor.
Obstetrics and gynecology
|June 8, 2023
概括
孕妇可能更喜欢混合产前护理,将电视和亲自访问相结合. 目前的证据表明,临床结果没有显著差异,但需要更多的研究.
科学领域:
- 产科和妇科 产科和妇科
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 常规的产前护理传统上涉及到亲自访问.
- 远程医疗与医疗保健的整合加速了,特别是在COVID-19后.
- 评估不同产前护理提供模式的比较有效性和安全性至关重要.
研究的目的:
- 为了比较电视的好处和害处与日常产前护理的面对面访问.
- 评估与不同产前护理模式相关的母亲,儿童,医疗保健利用和伤害结果.
主要方法:
- 在主要数据库 (PubMed,Cochrane,EMBASE,CINAHL,ClinicalTrials.gov) 进行了系统的文献搜索,截至2022年2月.
- 比较电视和面对面的例行产前护理的研究被独立选.
- 数据提取和分析使用SRDRplus进行.
主要成果:
- 包括7项研究 (2项RCT,4项非RCT,1项调查),其中一些是在COVID-19大流行期间进行的.
- 低强度的证据表明,新生儿重症监护室的入院或早产率在混合和所有面对面的访问之间没有显著差异.
- 孕妇报告说,她们对混合产前护理访问的满意度更高,尽管对其他结果的证据有限.
结论:
- 孕妇可能更喜欢混合产前护理模式,将电视和面对面的访问结合起来.
- 目前的证据不足以对大多数临床结果来说,混合相比面对面访问的优越性或劣等性得出最终的结论.
- 需要进一步的研究,以充分评估在更广泛的结果范围内的益处和危害.
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