开发和初步验证GebStart工具,为处于早期分娩阶段的未婚妇女提供咨询
Susanne Grylka-Baeschlin1, Nadine Pauli2, Catherine Rapp3
1Research Institute of Midwifery and Reproductive Health, School of Health Sciences, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland.
PloS one
|May 27, 2025
概括
无卵子妇女可以使用新的15项GebStart工具来帮助决定何时在早期分娩时去医院. 这个工具有助于根据症状和资源为医院入院提供支持或反对建议.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 临床决策支持工具
背景情况:
- 无产妇妇女在早期分娩期间经常对医院入院时间感到不确定.
- 目前用于指导这一决策的方法缺乏全面的验证.
研究的目的:
- 开发和初步验证GebStart工具,这是一个新的工具,旨在为无产妇在早期分娩期间入院的建议.
- 为及时和适当的寻求医疗保健行为提供基于证据的指导.
主要方法:
- 通过焦点小组和范围审查,开发了GebStart工具的32项初步版本.
- 一项涉及394名女性的多中心研究应用了该工具.
- 项目被推断分为"身体症状"",情绪状态"",自我管理"和"资源"领域.
- 统计分析,包括调整后的Cox和多项式回归,用于项目缩小和初步验证.
主要成果:
- 简化的GebStart工具包括15个项目,具有既定的切断点 (22和33).
- 总分数与护理需求有显著的相关性,包括入院时间,活跃分娩的开始和疼痛管理的利用.
- 较高的GebStart工具得分与住院的可能性显著增加有关.
结论:
- 一个实用的15项GebStart工具已经开发和初步验证.
- 需要使用更大的样本大小进行进一步的研究.
- 应考虑临床实施,并伴随着实施研究和翻译,以便更广泛地采用.
相关概念视频
01:23Assessment of the Abdomen III: Palpation
Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
01:18Assessment of the Abdomen II: Percussion
Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
Percussion
Percussion is an essential...
Percussion
Percussion is an essential...