了解患者的需求和对南佛罗里达州杜拉护理的看法
Catherine Marudo1, Caroline Nicotra1, Brandon Chou1
1University of Miami Miller School of Medicine, Miami, FL, USA.
The Journal of perinatal education
|July 24, 2025
概括
文化一致的杜拉服务可以帮助减少孕产妇健康差异. 这项研究发现,在低收入和边缘化的患者群体中,对杜拉护理的需求很大,这凸显了可访问的支持的重要性.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 健康差异 在健康上的差异
背景情况:
- 种族和民族差异在孕产妇健康状况方面仍然存在,其中包括在边缘化社区中较高的剖腹产,早产,低出生体重和婴儿死亡率.
- 文化一致的杜拉服务被认为是缓解这些差异和改善母亲和婴儿福祉的潜在干预措施.
研究的目的:
- 评估两个大型学术医院的患者对杜拉护理的需求.
- 根据社区需求,为开发医院的杜拉计划提供信息.
主要方法:
- 在两个学术卫生中心,包括一个安全网医院,对176名18-49岁的同意患者进行了横截面调查.
- 在英语,西班牙语和海地克里奥尔语中提供了调查,收集了对杜拉护理的兴趣和影响访问的因素的数据.
- 统计分析发现了收入,种族和对杜拉服务的兴趣或支付能力之间的关联.
主要成果:
- 与收入低于25,000美元的患者相比,年家庭收入在25,000美元至50,000美元之间的患者对杜拉护理表达兴趣的可能性几乎是5倍.
- 在感兴趣的患者中,支付杜拉护理的能力和种族之间发现了显著的关联 (p = .01).
- 该研究表明,对杜拉服务的需求增加,特别是在低收入和历史上被边缘化的人群中.
结论:
- 显然需要增加对杜拉护理的可访问性,特别是对于服务不足的人群,以解决孕产妇健康差异.
- 需要进一步的研究,以探索杜拉护理需求和偏好的人口差异.
- 鼓励医疗保健系统评估和实施杜拉支持服务,以改善孕产妇和分娩的结果.
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