对以人为中心的产妇护理规模的评估:全球系统性审查
Osamuedeme J Odiase1, Kierra Smith2, Grace Ogunfunmi2
1Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, USA.
EClinicalMedicine
|April 9, 2025
概括
全球以人为中心的产妇护理 (PCMC) 往往不够理想,尤其是在沟通和自主方面. 这一系统性审查强调了不平等现象和需要采取干预措施来改善妇女的分娩经历.
科学领域:
- 全球卫生健康 全球卫生健康
- 孕产妇健康 孕产妇健康
- 医疗保健质量 医疗保健质量
背景情况:
- 以人为中心的产妇护理 (PCMC) 被定义为尊重,响应和同情的分娩护理.
- 该PCMC尺度量化了妇女在分娩期间的经历.
- 缺乏PCMC尺度使用的全球综合.
研究的目的:
- 用PCMC尺度量化评估妇女的分娩经历.
- 为了评估PCMC尺度的心理特征.
- 在全球范围内确定以人为中心的产妇护理预测因素.
主要方法:
- 全球系统审查使用PCMC尺度的研究.
- 在PubMed,Web of Science和Embase进行的搜索.
- 使用乔安娜·布里格斯研究所工具进行质量评估和PCMC分数,预测因素和心理测量属性的数据提取.
主要成果:
- 包括来自32个独立样本的41个出版物,其中63%来自非洲.
- 平均PCMC分数在全球范围内有所不同,在非洲普遍较低,在北美较高.
- 沟通和自主是得分最低的领域,发现了重大的社会人口统计和卫生系统相关的不平等现象.
结论:
- 在全球范围内,以人为中心的产妇护理是次优的,在沟通和自主性方面存在明显的缺陷.
- 在PCMC中存在显著的不平等,受到社会人口统计学和卫生系统因素的影响.
- 干预措施是必要的,以增强妇女的分娩经验,并解决发现的不平等.
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