关于剖腹产产生的信息决策:德尔菲研究开发一个核心信息集
Carol Kingdon1, Ben Greenfield1,2, Mahmoud Aljubeh1,2
1Department of Women's and Children's Health, Institute of Life Course and Medical Sciences, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK.
概括
这项研究开发了剖腹产产生的三个核心信息集 (CIS),以改善知情决策. 这些标准化套件为计划,计划外和紧急剖腹产提供了必要的信息.
科学领域:
- 产科和妇科 产科和妇科
- 患者信息和教育
- 外科手术的安全性
背景情况:
- 剖腹产是全球最常见的手术程序.
- 在接受剖腹产分娩的妇女中,知情决策和同意至关重要.
- 核心信息集 (CIS) 标准化了患者与临床医生讨论的基本信息.
研究的目的:
- 开发一个全面的剖腹产分娩核心信息集.
- 确保妇女获得足够的信息,以获得知情同意和决策.
- 建立利益相关者之间关于剖腹产产生的关键信息点的共识.
主要方法:
- 在英国进行了一项两阶段修改后的Delphi共识研究.
- 从系统性审查,患者说明书和定性研究中确定了信息点.
- 通过Delphi调查和涉及患者和产妇专业人员的专家会议,达成了共识.
主要成果:
- 建立了三个核心信息集:产前 (14分),紧急剖腹产 (EMCB; 5分) 和产后EMCB (12分).
- 这项研究涉及了第一个Delphi轮的360名参与者,到第二轮时,退出率为56.4%.
- 在产前CIS的73个项目上达成共识,其中37个项目最初没有共识.
结论:
- 为了支持妇女和临床医生之间的知情讨论,开发了三个剖腹产CIS.
- 预产前CIS可用于计划和非计划的剖腹产,并有讨论时间.
- 还建立了一个一页的CIS用于紧急剖腹产和一个产后CIS.
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