住院助产士人员数量和产后再接收:一个回顾性的多中心纵向研究
Lesley Yvonne Turner1, Christina Saville2, Jane Ball2
1School of Health Sciences, University of Southampton, Southampton, UK lyt1g19@soton.ac.uk.
BMJ open
|April 3, 2024
概括
防止产后再接收至关重要. 低分娩助产士人员数量与产后早期再入院的增加有关,这凸显了在产妇护理方面需要足够的人员.
科学领域:
- 孕产妇健康 孕产妇健康
- 医疗保健管理的管理
- 护理研究 护理研究
背景情况:
- 产后住院再接收率的上升是一个重大挑战.
- 怀疑护士和助产士人数不足会影响护理质量.
- 本研究调查了人员数量对产后再接收率的影响.
研究的目的:
- 检查英语产妇服务中人员数量和产后再接收率之间的关联.
- 确定低于平均水平的人员是否与再接收风险增加有关.
- 为改善产妇护理质量和减少再接收提供数据.
主要方法:
- 一项回顾性纵向研究,使用来自英国三个产科服务中心 (2015-2020) 的患者数据.
- 分析住院和出院记录,包括病例组合数据.
- 计算人员数量以每小时为单位,每班每天的患者数量和后勤回归以评估再接收几率.
主要成果:
- 总共有64,250名母亲入院导致分娩,其中4.5%在30天内重新入院.
- 低于平均水平的助产人员数量与更高的产后再录取率在7天内显著相关 (aOR 1.108).
- 低于平均水平的产科助理人员数量显示出非显著的回收率下降的趋势.
结论:
- 低于预期的助产士人员数量与产后再入院的增加有关.
- 需要进一步的研究来探索调解因素和重新接收的具体原因.
- 调查结果强调了足够的助产人员对产妇护理质量的重要性.
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