对剖腹产麻醉护理患者和提供者优先事项的比较研究
B Clifton1, Y L Park2, R Ashraf2
1Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States; University of Minnesota Medical School, University of Minnesota, Minneapolis, MN, United States.
对于剖腹产麻醉护理的患者和提供者优先级不同,患者优先考虑婴儿安全. 这两组都同意尽量减少严重的副作用如记忆丧失和脊柱头痛.
科学领域:
- 麻醉学
- 妇产科
- 患者体验研究
背景情况:
- 对于剖腹产麻醉的患者优先级尚未明确.
- 之前的研究集中在身体方面, 忽视了关键的患者中心因素,
- 了解这些优先事项对于改善剖腹产经验至关重要.
研究的目的:
- 为了比较患者和医疗保健提供者对剖腹产麻醉护理的优先考虑.
- 确定影响剖腹产经验的关键患者中心因素.
- 探索出生创伤历史对优先设置的影响.
主要方法:
- 一个前性的,横截面的定量调查研究.
- 包括127名患者和17名临床提供者.
- 强制排列11个以患者为中心的因素和麻醉副作用,
主要成果:
- 患者对"婴儿的身体安全"的评价最高, 比提供者要高得多.
- 两组人都同意避免记忆力丧失,脊髓头痛和疼痛是优先考虑的; 嗜睡,和是优先考虑的.
- 自我报告的出生创伤与对母亲和婴儿安全的优先考虑相关.
结论:
- 在剖腹产麻醉护理方面,患者和提供者之间存在显著的分歧.
- 在麻醉相关的副作用方面观察到共同的优先级.
- 未来的研究和临床改进应使护理与以患者为中心的结果保持一致,
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