在初级和专科门诊护理中对高风险怀孕的产前评估:一项混合研究
Fabiana Fontana Medeiros1, Izabel Dayana de Lemos Santos1, Juliana Vicente de Oliveira Franchi1
1Universidade Estadual de Londrina. Londrina, Paraná, Brazil.
Revista brasileira de enfermagem
|November 16, 2023
概括
共享产前护理改善了高风险母亲的健康结果,包括检测和咨询. 加强转诊系统对于持续,有效的护理提供至关重要.
科学领域:
- 孕产妇健康 孕产妇健康
- 改善医疗保健质量 改善医疗保健质量
- 产科 产科 产科 产科 产科
背景情况:
- 评估高风险产前护理对于改善母亲和婴儿的结果至关重要.
- 确定有效的策略可以提高产前服务的质量和连续性.
研究的目的:
- 评估公立分娩医院提供高风险产前护理的质量.
- 确定可行的策略,以提高产前护理提供和患者的结果.
主要方法:
- 一种混合方法的方法,将前性队列研究 (319名母亲) 与定性访谈 (13名经理) 结合起来.
- 量化分析使用了基平方测试 (p≤0.05).
- 用社会现象学分析了定性数据.
主要成果:
- 在所有护理标准中观察到更高的不足率.
- 分享护理模型显示,测试绩效 (p=0.023),咨询 (p=0.002),风险分层 (p=0.013) 和紧急信息传播 (p≤0.000) 的提高率.
- 记录缺陷表明了重要的沟通和护理连续性的问题.
结论:
- 共享护理成为提高高风险产前护理的关键策略.
- 有效的转诊和反转诊系统需要加强,以确保护理的连续性.
相关概念视频
Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
Nursing Assessment
7.6K
The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
7.6K
Specialized Care Centers and Settings-II
731
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
731
Specialized Care Centers and Settings-I
947
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
947
Planning Nursing Care I
4.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.5K


