助产士在围保护和表皮切割决策方面的实践:定性和描述性研究
Silvia Rodrigues1,2, Paulo Silva2, Rosa Vieira2
1Biomedical Sciences Institute Abel Salazar, Porto, Portugal.
European journal of midwifery
|May 13, 2024
概括
助产士 助产士 助产士 在
科学领域:
- 产科和妇科 产科和妇科
- 助产士的实践 助产士的实践
- 围产创伤管理 围产创伤管理
背景情况:
- 在分娩期间围外伤导致显著的短期和长期发病率.
- 创伤的程度直接与相关的发病率的严重程度相关.
- 有效的围保护策略对于减轻与分娩相关的伤害至关重要.
研究的目的:
- 调查当前助产士在分娩的第二阶段对围保护的做法.
- 了解在进行表皮切割时所涉及的决策过程.
- 确定影响围保护技术和表皮切割率的因素.
主要方法:
- 采用了一种描述性和解释性的研究设计.
- 来自葡萄牙一家三级医院的22名助产士参与了这项研究.
- 通过半开放式采访收集数据,并使用NVivo软件进行主题分析进行分析.
主要成果:
- 出现了四个关键主题:影响围保护的因素,出生位置,特定技术和表皮切割的指示.
- 刺骨切割的原因包括紧张的腹膜,巨大的胎儿体重,先前的关节损伤和克里斯泰勒机动.
- 在讨论的保护技术中,围按摩显著缺席.
结论:
- 助产士目前的围保护和表皮切开术指示的做法并不总是与已建立的基于证据的指导方针保持一致.
- 需要将基于证据的围保护技术,如围按摩,纳入常规实践.
- 可能需要进一步的教育和政策更新,以弥合实践和证据之间的差距.
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