在家产后护理的以客户为中心的灵活规划:对护理质量的随机对照试验
Fleur J Lambermon1, Noortje T L van Duijnhoven1, Christine Dedding2
1Department of Obstetrics & Gynaecology, Radboud University Medical Center, Nijmegen, The Netherlands.
Birth (Berkeley, Calif.)
|May 8, 2024
概括
荷兰家庭产后护理计划的灵活性并没有改善母乳养率. 扩展护理范围没有影响纯母乳养,但略有恶化了整体体验.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 孕产妇和儿童的健康
- 护理科学 护理科学
背景情况:
- 标准化的卫生系统可能会阻碍以客户为中心的护理.
- 研究荷兰家庭产后护理的灵活性,以提高质量.
- 探索以客户为中心的产后支持的创新方法.
研究的目的:
- 评估产后护理规划的灵活性是否提高了产后护理质量.
- 评估延长护理时间对客户中心性的影响.
- 检查灵活产后护理对母乳养结果的影响.
主要方法:
- 随机对照试验 (2017-2019) 与1275名参与者.
- 干预组:产后护理长达14天.
- 对照组:通常的护理 (连续8-10天).
- 主要结果:最后一天的纯母乳养率.
- 二次结果:自我照顾,整体照顾经验,母乳养时间.
主要成果:
- 纯母乳养率没有显著差异 (86.7%和88.9%).
- 群体之间有类似的自我照顾经验.
- 干预组报告说,整体护理经验略差,母乳养时间较短.
结论:
- 增加产后护理规划的灵活性并没有提高产后护理质量.
- 目前家庭产后护理的质量指标可能需要重新评估.
- 需要进行对话,以建立更好的方法来衡量产后护理质量.
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