为妇女实施常规产后护理指南的促进者和障碍:使用批判性解释合成进行系统范围审查
Lenka Beňová1,2, Aline Semaan1,3, Anayda Portela4
1Institute of Tropical Medicine, Antwerp, Belgium.
Journal of global health
|November 24, 2023
概括
实施常规产后护理 (PNC) 准则面临挑战,原因是供应分散,重点狭窄. 解决这些障碍对于改善全球母亲和新生儿健康结果至关重要.
科学领域:
- 全球健康 全球健康
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 产后护理 (PNC) 对于预防母亲和新生儿发病率和死亡率至关重要.
- 常规PNC指南旨在标准化护理,但面临实施挑战.
- 本次审查综合了实施常规PNC指南的促进者和障碍.
研究的目的:
- 识别和综合与女性常规产后护理 (PNC) 指南实施的促进者和障碍相关的主题.
- 探索在各种环境中开发,调整和实施PNC指南的挑战.
主要方法:
- 一个由Arksey & O'Malley的框架指导的范围审查.
- 来自四个数据库 (Medline,Embase,全球健康,CINAHL Plus) 的证据的批判性解释综合.
- 使用社会生态模型框架进行主题绘图和综合.
主要成果:
- 43项研究确定了PNC常规指南实施的促进者和障碍.
- 实施的挑战包括平衡标准化与个性化.
- 碎片化的PNC规定使弱势妇女的护理复杂化,并限制了卫生系统的参与.
结论:
- 碎片化和狭窄的PNC规定阻碍了指导方针的实施,影响了寻求护理.
- 目前的PNC方法未能解决交叉的脆弱性和不平等问题.
- 需要更多关于个性化PNC的证据,以支持全球以女性为中心的护理.
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