产后护理:关于产前期的讨论和咨询
A Prince1, J Wade1, M L Power2,3
1The George Washington School of Medicine and Health Sciences, Washington, DC, USA.
产后护理需求并不总是得到满足,患者对疲劳,母乳养和疼痛的担忧很大. 建议采用护理连续模式,以改善所有母亲的产后支持.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 公共卫生
背景情况:
- 传统的产后护理仅限于产后立即的住院护理和一次六周的预约.
- 连续护理模式被认为是对母亲和婴儿健康的最佳选择.
- 许多妇女的产后担忧被医疗保健提供者不充分解决.
研究的目的:
- 为了调查患者在产后期的担忧.
- 了解患者在与提供者讨论产后护理方面的经验.
- 识别产后护理沟通中的差异.
主要方法:
- 跨部门调查于2019年6月至2021年5月期间进行.
- 主要组件分析通过种族,教育和平等来检查分娩后护理对话.
- 奇平方测试评估了特定产后担忧的意义.
主要成果:
- 分析了421项调查,大多数患者是白人,拥有研究生学位和私人保险.
- 教育程度较低,平等程度较高的患者和没有研究生学位的黑人患者获得了更多的产后咨询.
- 患者的主要担忧包括产后疲劳 (65.8%),母乳养 (62.3%),疼痛 (61.2%),体力活动 (54.9%) 和婴儿蓝色 (50.4%).
结论:
- 产后的担忧是不一致地根据患者的种族,平等和教育来解决的.
- 持续的护理,从第三季度开始,可以改善产后咨询.
- 加强提供者沟通对于解决整个产后期患者的各种需求至关重要.
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