知情同意和产科暴力:妇女生育经历的经历
Antonio Hernández-Martínez1, Victoriano González-Trujillo2, Miriam Donate-Manzanares3
1Department of Nursing, Faculty of Nursing of Ciudad Real, Instituto de Investigación Sanitaria de Castilla-La Mancha (IDISCAM), University of Castilla-La Mancha, Ciudad Real, Spain.
产妇暴力与未经知情同意而进行的手术有关,特别是非紧急的表皮切割和催产素使用. 尊重护理,特别是助产士的护理,可以减少对分娩期间虐待的看法.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 医疗保健中的人权.
背景情况:
- 产妇暴力是一个普遍存在的问题,侵犯了妇女在分娩期间的生殖权利.
- 知情同意是基本权利,但在产科护理中,即使在非紧急情况下,信息同意往往是不充分的或不存在的.
研究的目的:
- 根据背景 (紧急情况与常规情况) 和知情同意,确定与增加对产科暴力的看法相关的临床实践.
- 评估专业治疗对妇女产妇暴力经历的影响.
主要方法:
- 一项涉及西班牙公共医院2,367名妇女的横截面观察研究.
- 使用了分娩滥用和尊重评估 - 母亲问卷 (CARE-MQ) 和患者视角 - 产后问卷 (QPP-I) 的质量.
主要成果:
- 没有知情同意的程序与更高的产科暴力感知有显著的相关性 (p < .001).
- 非紧急的表皮切割和催产素的使用与被认为的滥用有很强的关联.
- 负面的专业治疗看法也显著增加了产科暴力得分 (p < .001),助产士获得了最高的评分.
结论:
- 缺乏知情同意是感知产科暴力的主要驱动因素,无论临床环境如何.
- 针对低同意率的程序和促进尊重护理,特别是助产士领导的模型,可以增强产妇服务.
- 改善沟通,伦理培训和助产士主导的护理对于尊重产妇护理和维护妇女权利至关重要.
更多相关视频
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
05:46Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
相关概念视频
Nurses' Legal Responsibilities I
The legal responsibilities of a nurse regarding informed consent include the following:
Milgram's Obedience to Authority
Obedience
Local Anesthetics: Clinical Application as Epidural Anesthesia
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Fetal Circulation
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Pre-Procedural Guidelines for Assessing Blood Pressure
