实施两种生活方式医学模型 孕产妇组访问和住院培训
Atieno Mpyisi1, Kara Kennedy2, Alexander Thomas1
1Loma Linda University, Loma Linda, CA, USA (AM, AT, AS, MH, KS, CM).
American journal of lifestyle medicine
|December 18, 2025
概括
生活方式医学小组的访问可以通过在怀孕期间管理慢性疾病来改善母亲的健康. 这些计划在降低孕产妇死亡率和提高围产期结果方面表现有前途.
科学领域:
- 围产儿医学 围产儿医学
- 生活方式 医学 医疗
- 公共卫生 公共卫生
背景情况:
- 尽管医疗保健支出高,但美国的孕产妇死亡率正在增加.
- 慢性生活方式疾病会使怀孕复杂化,并导致不良结果.
- 医生的知识差距和时间限制阻碍了生活方式医学的实施.
研究的目的:
- 描述两种新的团体访问模型,将生活方式医学整合到围产期护理中.
- 评估这些模型对孕产妇健康和慢性疾病管理的影响.
- 评估培训医疗专业人员以生活方式为导向的围产期护理的潜力.
主要方法:
- 在FQHC实施了为期8周的"有意识的母亲" (CM) 团体访问计划.
- 基于经过验证的小组访问课程,利用居民主导的听力会议.
- 专注于治疗慢性疾病,减少母亲/婴儿发病率和死亡率.
主要成果:
- CM参与者体验了减肥,降低了抗高血压药物的处方,以及月经规律和纤维肌痛的改善.
- 在18个月的时间里,CM参与了18名患者和5名医生实习生.
- 州组听力会议平均每次有4-5名独特的与会者.
结论:
- 以生活方式医学为中心的团体访问显示了减少孕产妇慢性疾病的潜力.
- 这些模型可能会改善围产期的结果,并降低孕产妇死亡率.
- 团体访问提供了一种可行的方法,用于培训医疗保健专业人员,以生活方式医学为产周护理.
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