基于电话的干预以改善未知地点怀孕的计划生育护理:回顾性前后研究
Anne Nichols Flynn1,2, Nathanael C Koelper2, Sarita Sonalkar2
1University of California, Davis, Sacramento, CA, United States.
Journal of medical Internet research
|August 28, 2023
概括
基于电话的干预显著改善了未知位置怀孕的患者的避孕咨询和处方率. 这种标准化的方法解决了计划生育的需求,提高了生殖保健的结果.
科学领域:
- 生殖健康 生殖健康
- 临床干预 临床干预
- 患者护理管理的管理.
背景情况:
- 不知位置怀孕 (PUL) 的管理通常涉及远程跟踪,可能会忽视解决方案后的关键避孕需求.
- 现有的护理途径可能无法充分解决PUL患者的计划生育问题.
研究的目的:
- 评估基于电话的干预对PUL患者的避孕咨询和采用避孕措施的影响.
- 评估在实施标准化干预之前和之后,避孕咨询和处方率的变化.
主要方法:
- 回顾性前后研究设计,分析PUL患者的病历.
- 在电话干预之前和之后,避孕咨询文档和处方率的比较.
- 后勤回归用于识别与避孕咨询和接收相关的因素.
主要成果:
- 在干预后,避孕咨询从27%增加到78% (OR 9.77).
- 在不希望重复怀孕的患者中,处方避孕药的使用率从19%上升到37% (OR 2.54).
- 干预表明,咨询和处方率都有显著的改善.
结论:
- 意外怀孕的很大一部分发生在PUL患者身上.
- 基于电话的标准化干预措施有效地增强了已解决的PUL病例的避孕咨询和处方.
- 这种干预模式可以适应各种医疗机构的远程患者管理.
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