在产周护理期间共享决策的感知现实和主观重要性
Yvonne Kuipers1,2, Valerie Bosmans2, Vanessa De Bock2
1School of Health and Social Care, Edinburgh Napier University, Edinburgh, UK y.kuipers@napier.ac.uk.
Research and theory for nursing practice
|June 7, 2024
概括
在产周护理中,共享决策 (SDM) 是至关重要的. 社区助产士在SDM方面表现出色,强调需要将患者的期望与经验中的现实保持一致,以获得更好的孕产妇护理结果.
科学领域:
- 围产期护理 围产期护理
- 分享决策的共同决策
- 孕产妇健康 孕产妇健康
背景情况:
- 分享决策 (SDM) 在产妇护理中至关重要.
- 了解患者对SDM的看法对于质量改善至关重要.
研究的目的:
- 探索人们所感知的现实和SDM的主观重要性.
- 评估助产士和产科医生在产前,产后和产后护理期间提供的SDM.
主要方法:
- 比利时弗兰德斯的横截面研究.比利时.
- 使用了观察患者发动性 (OPTIN) 尺度.
- 使用了多变量通用线性模型和Bonferroni hoc后期测试.
主要成果:
- 1,216名女性提供了1,987份关于SDM的自我报告.
- 在护理专业人员之间发现了对现实感知和SDM的重要性的显著差异 (p < .001).
- 与医院助产士和产科医生相比,社区助产士表现出优异的SDM.
结论:
- 优化产周护理需要使主观重要性与SDM的感知现实保持一致.
- 社区助产士为产妇服务中有效的共享决策制定了基准.
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