在俄克拉荷马州分娩期间,团队分娩对患者信任和自主性的影响
概括
TeamBirth在分娩期间拥挤显著改善了患者的信任和决策自主性. 这种方法显示出增强分娩经验和促进健康公平的前景.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
背景情况:
- 患者的信任和自主性对于积极的分娩体验至关重要.
- 团队分娩聚会是一种创新的方法,可以提高分娩期间的沟通和协作.
- 了解TeamBirth对以患者为中心的结果的影响对于改善产妇护理至关重要.
研究的目的:
- 评估TeamBirth对患者在分娩期间的信任和自主性的影响.
- 为了评估患者对参与决策的看法,在TeamBirth碰撞暴露后.
- 在不同的人口群体中调查信任和自主度得分的潜在差异.
主要方法:
- 采用横截面调查设计,对两组在俄克拉荷马州医院分娩的患者进行比较 (N = 6,528).
- 参与者完成了测量医疗保健关系信任 (HCRTS-R) 和决策自主性 (MADM) 的验证秤.
- 多变量回归模型分析了TeamBirth聚会暴露和信任/自治得分之间的关联,并对种族和种族差异进行了子组分析.
主要成果:
- 与没有接触的患者相比,暴露于TeamBirth聚集的患者报告了显著更高的信任 (HCRTS-R得分) 和自主性 (MADM得分).
- 在所有研究的种族和民族群体中,TeamBirth聚集与高度的信任和自主性有关.
- 接触TeamBirth群体似乎减少了不同种族和种族群体之间的得分差异,这表明潜在的股权益.
结论:
- 在分娩期间经历TeamBirth拥挤与增加患者的信任和自主性有关.
- 团队分娩的集体模型显示了改善患者整体结果和分娩经验的潜力.
- 这种干预可以通过减少患者报告结果的差异来促进产妇护理的更多公平.
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