护理干预措施在资源有限的环境中减少孕产妇死亡率的有效性:系统性审查和元分析
Jasneet Kaur1, Sheela Upendra2
1Professor, Ph.D.; Symbiosis College of Nursing, Symbiosis International (Deemed University); Pune; Maharashtra; India; jasneetkaur@scon.edu.in.
Investigacion y educacion en enfermeria
|November 25, 2025
概括
护士主导的干预措施显著提高了产前护理 (ANC) 出勤率和低资源环境中的设施出生率. 这些发现支持将护理模式纳入孕产妇健康战略,以获得更好的结果.
科学领域:
- 孕产妇健康 孕产妇健康
- 护理干预 护理干预
- 全球健康 全球健康
背景情况:
- 资源有限的环境在提供孕产妇医疗保健方面面临挑战.
- 产前护理 (ANC) 的出席对于改善母亲和新生儿的结果至关重要.
- 现有的医疗保健模式可能无法充分满足低资源环境中的需求.
研究的目的:
- 评估护士主导或护士整合干预措施的有效性.
- 评估孕产妇健康结果的改善,特别是ANC出席率.
- 从资源有限的环境中综合证据.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 在PubMed,Scopus,CINAHL和Web of Science数据库中进行了搜索.
- 使用Cochrane RoB 2和纽卡斯尔-太华尺度评估偏差风险;对ANC出席率进行随机效应元分析.
主要成果:
- 十一项研究符合纳入标准;3项被纳入元分析.
- 护士主导的干预措施显示ANC出席率显著改善 (OR=1.48,95%CI=1.06-2.08).
- 在出生时使用设施观察到的积极效应 (OR=1.49) 和减少产后出血/死亡 (RR = 0.40).
结论:
- 护士主导和护士整合的干预措施有效地改善了在低资源环境中ANC的利用率.
- 这些护理模型表明对关键的孕产妇健康指标产生积极影响.
- 政策制定者应该考虑将这些干预措施扩展到更广泛的孕产妇健康战略中.
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