词语,手势和态度的频率和决定因素在分娩和分娩后被认为是不尊重的:一项基于全国人口的研究
Marianne Jacques1, Anne Alice Chantry1,2, Anne Evrard3
1Obstetric, Perinatal, Paediatric Life Course Epidemiology Research Team (OPPaLE), Centre for Research in Epidemiology and Statistics (CRESS), Inserm, Université Paris Cité, Paris, France.
Acta obstetricia et gynecologica Scandinavica
|May 7, 2025
概括
法国四分之一的妇女报告说,她们经历了不尊重的产妇护理,特别是在产后停留期间. 解决心理需求和专业意识对于改善患者体验至关重要.
科学领域:
- 孕产妇健康 孕产妇健康
- 产科 产科 产科 产科 产科
- 医疗保健的质量 医疗保健的质量
背景情况:
- 缺乏尊重的孕产妇护理是一个日益关注的问题,但在高收入国家被低估了.
- 了解患病率和影响不尊重护理的因素对于改善母亲体验至关重要.
研究的目的:
- 确定妇女在分娩和产后经历的不尊重产妇护理的频率.
- 识别与不尊重护理相关的孕产妇,产科和护理相关因素.
主要方法:
- 一项使用Enquête Nationale Périnatale (ENP) 2021数据库进行的国家定量观察研究.
- 对7394名分娩后2个月随访的妇女进行了调查,调查她们的不尊重护理经历.
- 使用强大的差异波桑回归来评估关联的统计分析,对缺失的数据进行多次归算.
主要成果:
- 近25%的妇女报告经历了不尊重的照顾,主要是口头或态度,更常见的是分娩后.
- 与增加风险相关的因素包括无子期,有分娩计划,仪器或剖腹产,以及精神问题或痛苦的病史.
- 在母乳养期间更频繁地报告了不尊重护理;没有发现与其他孕产妇,产科或新生儿特征有重大关联.
结论:
- 在法国,很大一部分妇女遇到不尊重的产妇护理,这凸显了急需进行干预的必要性.
- 建议针对心理弱点提供有针对性的支持,并开展专业宣传活动,以增强妇女的护理经验.
- 系统性变化和尊重的沟通对于确保产妇服务的积极结果至关重要.
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