探索澳大利亚对医院和初级保健之间的母婴产后护理过渡的知识和实践:一个范围审查
Jennifer E Green1, Nicole Ang2, Ben Harris-Roxas3
1Collective for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney (UTS), Sydney, NSW 2007, Australia; Faculty of Health, University of Technology Sydney (UTS), Sydney, NSW 2007, Australia; School of Clinical Medicine, Faculty of Medicine & Health, University of New South Wales (UNSW), Sydney, NSW 2052, Australia.
澳大利亚的产后护理过渡不一致,影响长期的母亲健康. 改善出院沟通和综合护理对于出院后的有效后续行动至关重要.
科学领域:
- 孕产妇健康 孕产妇健康
- 医疗保健的转型 医疗保健的转型
- 整合初级保健的整合.
背景情况:
- 围产期对于妇女的长期健康至关重要.
- 从医院到初级保健的有效过渡对于最佳的孕产妇结果至关重要.
- 目前的产后护理往往不足以支持这些关键的过渡.
研究的目的:
- 探索澳大利亚当前对孕产妇产后护理过渡的做法.
- 识别障碍物和促进有效的退院和护理转移的因素.
- 了解如何优化从产妇到初级卫生机构的护理连续性.
主要方法:
- 根据PRISMA-ScR指南进行了全面的范围审查.
- 在主要的医学数据库 (Medline,Embase,CINAHL,Scopus,Cochrane Library) 进行了广泛的文献搜索.
- 包括在2010年1月至2024年6月期间以英语出版的研究,重点关注澳大利亚母亲产后护理过渡.
主要成果:
- 分析了18项研究,揭示了澳大利亚各地各种各样的产后护理过渡.
- 有效过渡的关键组成部分包括以女性为中心的出院计划,综合护理,后续和连续性.
- 观察到不同的通讯流程,突出了对并发症和后续行动的清晰度的需要.
结论:
- 在澳大利亚,医院和初级保健之间的产后过渡目前是不一致的和不理想的.
- 不充分的交接流程阻碍了基于证据的后续护理,特别是在复杂怀孕后.
- 加强沟通和综合护理模式对于改善产后护理连续性和结果至关重要.
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