芬兰助产士提供的患者对分娩支持行为的感知
Pirjo Koski1, Eija Raussi-Lehto1, Päivi Leskinen1
1Metropolia University of Applied Sciences, Helsinki, Finland.
芬兰助产士的短期就业培训对劳动支持和分娩结果的影响最小. 然而,母乳养支持增加,有针对性的援助到达了最需要帮助的母亲,这表明需要全面的培训和资源.
科学领域:
- 孕产妇健康 孕产妇健康
- 助产士的实践 助产士的实践
- 医疗保健干预措施 医疗保健干预措施
背景情况:
- 在芬兰的助产士中,劳动支持并没有得到广泛的认可,尽管大多数分娩都发生在医院.
- 现有的知识差距凸显了对劳动支持策略的更好理解和实施的需要.
研究的目的:
- 评估在职培训对助产士劳动支持行为的影响.
- 用BANSILQ来测量感知到劳动支持的变化,使用Bryanton适应护理劳动支持问卷 (BANSILQ).
主要方法:
- 2012年,在两家医院的70名助产士进行了一次简短的就业培训干预.
- 在干预和控制医院对母亲 (n=1500前,n=1500后) 进行了调查 (BANSILQ).
- 数据与芬兰医疗出生登记册 (MBR) 进行了链接,以进行全面分析.
主要成果:
- 在区域干预医院,分娩的第二阶段显著缩短.
- 母亲有三倍的机会有联系时间,并且在干预医院获得母乳养支持的可能性是两倍.
- 教育程度较低的母亲获得了更有形和非正式的支持.
结论:
- 培训干预对劳动支持和分娩结果的整体影响很小.
- 在支持母乳养和帮助受教育程度较低的母亲方面,观察到有针对性的改进.
- 加强助产护理需要有效的培训和适当的资源配置.
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