减少围产期物质使用护理中的耻辱和偏见:为产科和新生儿提供者提供培训
Karli S Swenson1, Katie Breen1
1Colorado Perinatal Care Quality Collaborative, United States.
Drug and alcohol dependence
|October 15, 2025
概括
一个培训计划显著减少了医疗保健提供者在照顾有物质使用障碍 (SUD) 的孕妇患者中的耻辱和偏见. 将生活经验融入教育中,改善了对这个弱势群体的同情护理.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 医疗保健专业培训 医疗保健专业培训
背景情况:
- 意外过量服用是科罗拉多州孕妇死亡的主要原因,物质使用障碍 (SUD) 显著导致孕产妇死亡率.
- 医疗保健提供者的耻辱和偏见使护理恶化,并限制了周围SUD患者获得资源的机会.
- 需要进行干预措施,以减少医疗保健提供者在产周护理方面的偏见.
研究的目的:
- 评估90分钟培训对减少护理人员对围产SUD患者的护理者之间的耻辱和偏见的影响.
- 评估实时,虚拟或面对面培训格式的有效性.
主要方法:
- 使用了一种经过修改的干预前后研究设计.
- 产科和新生儿保健专业人员参加了培训.
- 使用培训前和培训后调查 (利克特尺度,开放响应) 和定性反来衡量结果.
主要成果:
- 响应得分的统计学显著改善 (p < 0.05) 表明减少了耻辱和偏见.
- 参与者报告了培训的积极影响和相关性.
- 质量反强调了整合生活经验的价值.
结论:
- 一次简短的培训,包括虚拟选项,显示了潜在的有效性,在减少自我报告的耻辱和偏见的提供者治疗围产SUD.
- 整合生活经验专业知识对于促进公平和富有同情心的护理至关重要.
- 该培训强调了一种可扩展的方法,以改善围产SUD患者的护理.
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