组多模式产前护理和产后结果
Lyndsay A Avalos1,2, Nina Oberman1, Lizeth Gomez1
1Division of Research, Kaiser Permanente Northern California, Oakland.
JAMA network open
|May 21, 2024
概括
与个人多式联络产前护理 (IMPC) 相比,群体多式联络产前护理 (GMPC) 的压力降低,护理质量提高. 虚拟团体会议与面对面的访问相结合,为孕妇提供了一个有希望的替代方案.
科学领域:
- 产科和妇科 产科和妇科
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 组产前护理模型显示,产后的结果与传统的个人护理相当或优越.
- 群体多式模式产前护理 (GMPC) 的有效性,是一种混合虚拟和面对面的模型,需要与个人多式模式产前护理 (IMPC) 相比进行评估.
研究的目的:
- 为了比较GMPC和IMPC之间的产后结果.
- 评估GMPC对心理社会福祉和对护理质量的影响.
主要方法:
- 一项频率匹配的纵向队列研究涉及424名孕妇 (212名GMPC,212名IMPC) 在北加利福尼亚州凯泽永久医院.
- 参与者完成了关于心理社会结果,护理质量和行为措施的产前和产后4-8周的调查.
- 使用了日志-双项和线性回归分析,包括基于访问出席率的剂量分层分析.
主要成果:
- 在初级分析中,与IMPC相比,GMPC与感知压力的风险降低了21%.
- 在GMPC参与者中观察到,他们对产前护理和婴儿护理的准备有更高的感知质量,他们至少参加了70%的访问.
- 对于其他心理社会结果,整体满意度或为自我照顾做好准备没有发现显著差异.
结论:
- 与IMPC相比,组多式产前护理 (GMPC) 显示了同等或改善的产后结果,特别是减少了压力.
- 这些发现支持将虚拟群体产前护理整合到多式联络护理模式中.
- 医疗保健系统可能会将GMPC视为产前护理的有价值选择.
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