在报告复杂分娩的患者中,团队分娩与信任和自主之间的关联
MCN. The American journal of maternal child nursing
|March 2, 2026
概括
在分娩期间的TeamBirth拥挤增强了患者的信任和自主性,特别是对于那些经历了分娩并发症的人来说. 这种协作方法改善了劳动和分娩期间以患者为中心的护理.
科学领域:
- 产科和妇科 产科和妇科
- 患者体验研究 研究研究
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 患者的信任和自主性是优质分娩体验的关键组成部分.
- 产后并发症可能会对患者对护理的看法产生负面影响.
- 基于团队的护理模式旨在改善沟通和患者的治疗结果.
研究的目的:
- 调查分娩并发症是否会缓和TeamBirth拥挤与患者信任和自主性之间的关联.
- 评估TeamBirth实施对患者报告结果的影响.
主要方法:
- 对31家医院6528名患者的患者体验调查的二次分析.
- 利用多变量回归与相互作用术语来分析并发症的作用.
- 使用医疗保健关系信任度量 (HCRTS-R) 测量患者信任度,使用我的决策自主度量 (MADM) 测量自主度.
主要成果:
- 产后并发症显著加强了TeamBirth暴露和患者信任之间的积极关系 (b = 2.86,p < .001).
- 并发症也放大了TeamBirth暴露和患者自主性之间的积极关联 (b = 3.77,p < .001).
- 在所有患者群体中,TeamBirth 聚会对信任和自主性产生了积极影响.
结论:
- 团队分娩团队积极影响患者的信任和自主性,特别是对于那些面临分娩并发症的人.
- 护士是TeamBirth成功实施的组成部分,增强了以患者为中心的护理.
- 团队分娩模型在减轻并发症对分娩经历的负面影响方面表现有前途.
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