在莱索托的一个地区医院,确定了可以避免的围产期死亡原因
Rose Nonyane1, Emmerentia Du Plessis, Jeannette Clase
1NuMIQ / School of Nursing Science, Faculty of Health Sciences, North-West University, Potchefstroom. nonyanerose@gmail.com.
Curationis
|March 1, 2024
概括
像延迟护理和行政问题这样的可避免的决定因素导致了莱索托的围产死亡. 审计和改善资源对于预防至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 新生儿医学 新生儿医学
背景情况:
- 可避免的围产期死亡是医疗保健机构的一个重大问题.
- 定期审计对于识别和解决导致可预防的婴儿死亡率的因素至关重要.
- 了解这些决定因素是制定有效预防策略的关键.
研究的目的:
- 确定和描述与可避免的围产死亡相关的决定因素.
- 探索减少这些死亡事件发生的战略.
- 为改善莱索托的一个地区医院的围产期护理提供数据.
主要方法:
- 使用了回顾性描述性研究设计.
- 分析了从2018年1月到2020年12月的142个匿名产科记录.
- 使用了一个数据收集工具,该工具是从围产期问题识别计划中改编出来的.
主要成果:
- 患者因素包括延迟护理和对产前出血和胎儿痛苦的不充分反应.
- 医疗人员因素包括部分仪的不正确使用和不充分的记录保存.
- 行政问题,如缺乏ICU床位和复苏设备,是最重要的贡献者.
结论:
- 迫切需要定期进行审计和加强患者健康教育.
- 提高工作人员的能力和基本新生儿复苏设备的可用性至关重要.
- 确定了可避免的决定因素,为减少围产死亡率的有针对性的干预提供了基础.
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