在实施加拿大首个助产中心 (AMU) 之前和之后,比较了分娩经验和对助产护理的满意度
Beth Murray-Davis1, Lindsay N Grenier1, Jenifer Li1
1Department of Obstetrics and Gynecology, McMaster Midwifery Research Centre, McMaster University, Hamilton, Ontario, Canada.
PloS one
|August 21, 2024
概括
加拿大首个助产科旁边分院 (AMU) 提供了很高的满意度,特别是在决策和控制感方面. 出生体验和满意度没有受到影响,并有可能为分娩的个体提供更大的自主权.
科学领域:
- 生殖健康 生殖健康
- 孕产妇的护理 孕产妇的护理
- 医疗保健创新 医疗保健创新
背景情况:
- 全球范围内,助产士领导的分娩单位表现出积极的临床结果和分娩经验.
- 加拿大第一个辅助助产科单位 (AMU) 在马克汉姆斯托夫维尔医院成立.
- 对AMU的评估涉及将分娩经验和满意度与传统产科单位进行比较.
研究的目的:
- 探索和比较在AMU的助产师客户之间的分娩经验和满意度,与传统的产科单位相比.
- 评估AMU对患者对护理,安全和自主意识的影响.
主要方法:
- 一个结构化的,在线的,横截面调查被管理到助产士的客户.
- 收集的数据包括个人能力,参与,安全,控制,安全,专业支持和整体满意度的验证措施.
- 在AMU实施前和实施后长达18个月进行了调查;分析使用SPSS.
主要成果:
- 总共分析了193个反应 (47个AMU前,146个AMU后).
- 所有参与者都报告了评估领域的积极经验.
- 与传统单位相比,在AMU提供服务的客户报告了更多关于积极参与护理,安全和控制感的积极经验.
结论:
- 安大略省的AMU与高分娩满意度有关,特别是在积极决策,控制和安全方面.
- 在AMU环境中的护理不会对分娩经验或满意度产生负面影响.
- 在分娩期间,AMU可以增强个体的自主性和代理权.
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