产后检查 6-8 周的内容和时间:一种混合方法研究
Clare Macdonald1, Fiona Cross-Sudworth2, Laura Quinn3
1Department of Applied Health Sciences, University of Birmingham, Birmingham, UK ccm011@student.bham.ac.uk.
一般医生 (GPs) 往往没有足够的时间进行6-8周的产后检查,这导致了多样化的护理. 改善咨询时间和使用模板可以提高妇女的产后护理.
科学领域:
- 一般的做法一般的做法
- 妇女健康 妇女健康
- 产后护理 产后护理
背景情况:
- 总体医疗服务合同规定,英格兰妇女必须进行6至8周的产后检查.
- 从历史上看,这些检查的提供一直不一致,许多妇女报告了不满意的经历.
研究的目的:
- 调查一般医生 (GPs) 和妇女关于6-8周产后检查的观点.
- 确定这些商的关键组成部分和最佳时间.
主要方法:
- 采用混合方法的方法,包括与全科医生和妇女的重点小组.
- 在英格兰各地的全科医生进行了在线调查,以评估他们的临床实践,并确定需要改进的领域.
- 用一个专题框架分析了定性数据,而定量数据则探索了与临床方法的人口学关联.
主要成果:
- 心理健康和避孕被确定为关键话题,尽管并不总是解决.
- 大多数全科医生报告覆盖了推指南,使用模板,了解指南或是女性/父母的人遵守指南的比例更高.
- 相当多的总医生 (49%) 认为分配的时间不足,大多数咨询 (78%) 分配15分钟或更少,52%在这个时间范围内完成.
结论:
- 一般医生经常分配不够的时间进行产后咨询,导致实践的相当多变化.
- 政策调整,如明确咨询时间和促进临床模板的使用,可能会改善妇女的产后护理和结果.
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