孕前护理培训专注于初级卫生保健提供者:对孕前护理知识和提供的影响
Natália de Castro Nascimento1, Ana Luiza Vilela Borges1, Elizabeth Fujimori1
1Public Health Nursing Department, School of Nursing, University of São Paulo, Av. Doutor Enéas de Carvalho Aguiar, 419, 05403-000, São Paulo, SP, Brazil.
快速培训改善了医疗保健提供者对怀孕前护理的知识,但并没有显著改变像叶酸处方这样的做法. 需要进一步的干预措施来加强孕前护理的提供.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 生殖健康 生殖健康
背景情况:
- 孕前护理对于改善母亲和儿童健康结果至关重要.
- 在初级卫生保健机构有效实施孕前护理需要知识博和熟练的卫生保健提供者.
- 评估有针对性的培训干预措施的影响对于优化医疗保健提供至关重要.
研究的目的:
- 评估快速培训干预对医疗服务提供者的知识和产前护理的有效性.
- 确定增强的知识是否转化为改善初级卫生保健中的临床实践.
主要方法:
- 一个随机社区试验在巴西的八个初级医疗保健机构中进行.
- 医疗保健提供者接受了关于怀孕前健康主题的快速培训.
- 通过在干预之前和之后向卫生保健提供者和生育年龄的妇女管理的问卷来评估知识和实践.
主要成果:
- 卫生服务提供者在培训干预后表明,他们对孕前健康的知识增加了.
- 在提供孕前护理信息或叶酸处方方面没有观察到任何重大变化.
- 对未来怀孕意向的查显示,干预后略有但显著增加.
结论:
- 虽然快速培训提高了医疗服务提供者的知识,但它不足以改变关键的妊娠前护理实践.
- 为了实施全面的孕前护理,需要采取额外的策略,包括服务重组和指导方针的制定.
- 优先考虑非孕妇和提高认识对于推进孕前健康倡议至关重要.
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