第四个三个月的短信:mHealth用于产后护理
Kelly C Bogaert1, Elianna Kaplowitz2, Ashish Atreja3,4
1Department of Obstetrics and Gynecology, Denver Health, Denver, Colorado.
American journal of perinatology
|October 17, 2024
概括
交互式短信并没有改善产后访问对母亲的坚持. 移动健康 (mHealth) 干预措施需要进一步的研究,以加强产后护理,并应对不断上升的孕产妇死亡率.
科学领域:
- 产科和妇科 产科和妇科
- 移动健康和数字健康干预措施
- 孕产妇健康和产后护理
背景情况:
- 美国不断上升的孕产妇发病率和死亡率与产后期有关,产后访问的出席率较低加剧了这一现象.
- 产后护理的差距包括避孕,心理健康服务和慢性病管理,有助于不利的孕产妇结果.
- 移动健康 (mHealth) 在改善产前护理遵守方面显示出前景,这表明产后应用的潜力.
研究的目的:
- 为了确定使用交互式,教育性短信的mHealth干预是否可以改善女性分娩后护理的坚持.
- 评估mHealth短信对产后关键结果的影响,包括访问出席率,母乳养,避孕措施使用和产后抑郁症.
主要方法:
- 一个随机对照试验,涉及191名接受妇产科医生护理的妇女,比较常规护理与mHealth短信干预.
- 干预组收到了交互式,教育性的短信和特定于交付类型的预约提醒.
- 主要终点:参加6周产后检查;次要终点:母乳养,避孕,急诊和产后抑郁症得分.
主要成果:
- 在mHealth短信组 (59%) 和对照组 (66%) 之间,在6周的产后诊所出席率上没有显著差异.
- 由于COVID-19大流行,一些访问转移到远程医疗;在面对面或远程医疗访问的组之间没有观察到出席率的显著差异.
- 仅仅是自动化短信并没有改善对产后护理的坚持,即使有了远程医疗整合.
结论:
- 作为一个独立的干预措施,交互式短信并没有有效地提高对产后护理预约的遵守率.
- 随着COVID-19大流行,常规产后护理提供面临挑战,影响了研究动态.
- 进一步的研究是必要的,以探索mHealth干预在产后护理的有效性,可能需要增强的人类导航员等策略.
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