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在胎儿中心开发产后随访计划

Shelly Soni^1,2, Shaunessy Sneller¹, Susan Spinner¹

¹Richard D Wood Jr Center for Fetal Diagnosis and Treatment, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Fetal diagnosis and therapy

|June 18, 2025

概括

一个由护士领导的胎儿治疗中心的产后随访计划取得了高参与度,识别了临床问题并弥合了护理差距,以改善孕产妇健康结果. 这种远程医疗方法对专门中心来说是有前途的.

科学领域:

孕产妇健康孕产妇健康
医疗保健提供医疗保健提供
远程医疗服务是远程医疗服务.

背景情况:

专业胎儿中心的患者经常面临产后护理缺口,原因是旅行和距离主要提供者的距离.
为应对这些挑战,实施了一项由护士领导的产后后续计划.

研究的目的:

评估一个由护士领导的新型产后后续计划的实施,参与和结果.
评估该计划在弥合高风险母亲的护理差距方面的有效性.

主要方法:

一名注册护士在产后2-3周和6-8周进行了标准化的外展 (电话,短信,电子邮件).
评估包括医疗/心理健康问题,并发症,护理利用率,避孕和哺乳.

主要成果:

高参与度 (89.9%) 通过503个外展电话向407名患者实现.
超过25%的患者发现了临床问题,再入院率低 (1.7%).
心理健康查发现,患有胎儿/新生儿损失的患者 (26.5%与4.3%) 的担忧更高.

结论:

护士领导的产后计划在胎儿治疗中心是可行的和有价值的.
该计划成功弥合了护理差距,并支持为分娩后随访提供远程医疗的扩展.

关键词:

胎儿中心胎儿中心胎儿外科手术胎儿外科手术在分娩后的分娩.特殊交付单元的特殊交付单元

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