出生计划:开发一个共享的医疗决策辅助工具
M Goetz-Fu1, L Gaucher2,3,4, C Huissoud2,5
1Département de Gynécologie-Obstétrique, Hôpital de La Croix-Rousse, Hospices Civils de Lyon, 103 Grande Rue de La Croix-Rousse, Lyon, 69004, France. morgane.goetz9@gmail.com.
BMC pregnancy and childbirth
|March 18, 2025
概括
这项研究开发了一种帮助孕妇制定分娩计划的决策工具,将患者的偏好和专业知识纳入其中. 该工具涉及关键的分娩主题,旨在加强分娩期间的知情决策.
科学领域:
- 产科和妇科 产科和妇科
- 患者教育 患者教育
- 共享决策 - - 分享决策
背景情况:
- 出生计划的兴起反映了患者对分娩积极参与的需求日益增加.
- 现有的分娩计划可能无法完全捕捉孕妇的期望或与专业建议保持一致.
- 需要工具来促进产妇护理的协作决策.
研究的目的:
- 共同开发一种医疗决策辅助工具,帮助孕妇更好地为分娩做好准备.
- 将患者的期望与专业专业知识整合到一个用户友好的出生计划工具中.
- 加强知情决策和患者参与产妇护理.
主要方法:
- 通过患者协会和专业在线民意调查确定了关键的分娩计划主题.
- 通过专业工作小组开发初始项目,随后修改了德尔菲共识过程.
- 涉及多学科专业人士和预期的母亲在三个共识轮通过精炼项目.
主要成果:
- 最初在五个主题中提出了124个项目:镇痛,药物管理,分娩室事件,新生儿护理和围保护.
- 65.3%的项目在预期的母亲和专业人士之间达成共识.
- 在疼痛缓解的偏好 (母亲喜欢的非药物) 和信息细节 (专业人士喜欢的延迟带紧) 中发现了分歧.
结论:
- 通过使用修改后的Delphi共识,成功地与孕妇共同创建了一个决策辅助工具.
- 该工具涉及五个与计划生育和患者决策相关的核心主题.
- 需要进一步的临床验证,以评估该工具在常规产科咨询中的实用性.
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