产后多学科康复建议的制定:修改后的Delphi研究
Zayël Z Frijmersum1,2, Eva Van der Meij3, Esther V A Bouwsma4
1Department of Obstetrics and Gynaecology, Research Institute, Amsterdam University Medical Center location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands (Frijmersum and Huirne).
现在可以获得产后康复指南. 多学科专家制定了基于证据的建议,以恢复阴道和剖腹产,改善产后母亲的护理.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 产后护理 产后护理
背景情况:
- 产后恢复通常超过传统的6周时间.
- 缺乏基于证据的产后康复建议.
- 目前的研究优先考虑住院时间,而不是门诊康复.
研究的目的:
- 为产后康复制定多学科建议.
- 为了改善阴道分娩和剖腹产后的康复.
- 使用修改后的Delphi方法来建立共识.
主要方法:
- 一个由16名多学科专家 (妇科医生,助产士,护士,全科医生,理疗师) 组成的小组参加了会议.
- 为无并发性阴道分娩和剖腹产制定了建议.
- 一个经过修改的Delphi程序与文献审查,为27个功能活动的共识提供了信息.
主要成果:
- 在27项产后康复功能活动中,就26项活动达成共识.
- 七个因素被确定为可能延迟恢复的因素,需要调整建议.
- 医疗组织的代表认可建议是可行的.
结论:
- 在产后康复建议方面,成功达成了多学科的共识.
- 制定了指导方针,针对无并发性阴道分娩和剖腹产后的康复.
- 这项研究为改善基于证据的产后护理提供了基础.
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