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文章速递综合医院助产士夜间工作效率及影响因素分析 认领
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作者 卢美秀 张咸玲 谢颖 《上海护理》 2021年第1期27-30,共4页
目的调查广西壮族自治区综合性医院助产士夜间工作效率现状及其影响因素,为采取针对性的管理策略提供参考。方法采用便利抽样法,于2019年1—3月抽取桂林市6所医院的助产士175名作为调查对象。采用一般资料调查问卷、技术测定法、助产士... 目的调查广西壮族自治区综合性医院助产士夜间工作效率现状及其影响因素,为采取针对性的管理策略提供参考。方法采用便利抽样法,于2019年1—3月抽取桂林市6所医院的助产士175名作为调查对象。采用一般资料调查问卷、技术测定法、助产士日间倦怠量表及听觉词汇学习记忆测试法进行调查。结果助产士夜间5项操作完成质量总分为(29.65±6.77)分,工作操作总时间为(89.16±14.55)min,且年龄小、无子女、文化程度高、职称低、产科工作时间短及夜班数多的助产士夜间工作效率较低(P<0.05)。助产士日间倦怠总分为(14.72±2.44)分,记忆能力总分为(18.62±4.07)分;夜间工作操作总时间与日间倦怠呈负相关(P<0.05),与记忆能力呈正相关(P<0.05)。结论助产士夜间工作效率普遍偏低,且日间倦怠、记忆能力对助产士夜间工作效率会产生一定的影响。 展开更多
关键词 助产士 夜间工作效率 日间倦怠 记忆力
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Postpartum Depression and the Role of Midwives in Its Early Detection 认领
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作者 Shqipe Tahiri Idriz Sopjani +2 位作者 Vlora Ejupi Lirije Beqiri Afërdita Berisha 《护理学期刊(英文)》 2020年第8期745-757,共13页
Transition to being a parent is a stress-producing process that involves adapting both parents and their families even in the most favorable circumstances. Information on the level of psychological adaptation of women... Transition to being a parent is a stress-producing process that involves adapting both parents and their families even in the most favorable circumstances. Information on the level of psychological adaptation of women and family before and during pregnancy is very important as anxiety and the effects of accumulated life stress can directly affect individual and family well-being in the postnatal period. Especially for women or families facing multiple stresses and limited resources, ensuring security, understanding, compassion and direction may have a significant positive effect during this phase. A sample of 91 women immediately after birth at the Obstetrics-Gynecology Clinic (KOGJ) at the University Clinical Center of Kosovo (UCCK) completed two self-administered questionnaires. Initially, literature on postpartum depression was investigated. Two instruments for this paper have been selected from the range of instruments available for postnatal depression research literature: Patient health questionnaire (PHQ-9) and Postpartum Depression Screening Scale (PDSS). The introduction and analysis of data is done with the Statistical Package of Social Sciences (SPSS), Version 21 (Statistical Package for the Social Sciences—SPSS). Failure or frustration and sleep problems are the highest mean postnatal depression indicators 1.8. Then there is fatigue or lack of energy, increased appetite or anorexia and suicidal thoughts and self-esteem with a mean attendance of 1.7 in the post-depression indicator group. Depression or loss of hope and dissatisfaction or interest in activities are in the group of indicators with an average of 1.6. Movement or speech problems and concentration problems are the least affected indicators in the post-depression indicator group, with only 1.5. Our statistics show a relatively high level of postpartum depression, which includes women of all categories without taking into account the economic situation, the level of education or the number of births, the results derived from the correlation 展开更多
关键词 Postpartum Depression MIDWIVES
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Knowledge and Skills Gap of Midwives to Conduct Obstetric Ultrasonography Screening in Primary Health Care Facilities in Kajiado and Kisii Counties, Kenya 认领
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作者 Micah Matiang’i Priscilla Ngunju +1 位作者 Josephat Nyagero Jarim Omogi 《临床诊断学期刊(英文)》 2020年第2期65-79,共15页
<b><span style="font-family:Verdana;">Background: </span></b></span><span><span><span style="font-family:""><span style="font-family:Ver... <b><span style="font-family:Verdana;">Background: </span></b></span><span><span><span style="font-family:""><span style="font-family:Verdana;">Ultrasound remains a tool of much importance in maternity care with midwives regarded as key health professionals when it comes to care of pregnant mothers. There is however limited study on the knowledge and skills gaps of midwives in conducting obstetric ultrasonography screening. The purpose of this study was to assess the specific obstetric ultrasonography knowledge and skills gaps among midwives based in primary health care facilities. </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">A cross-sectional study employing both qualitative and quantitative method was conducted between July and August 2019 with 274 midwives. A structured questionnaire was used to collect data while Focus group discussion and Key Informants Interview were used to collect qualitative data. Descriptive statistics were used to summarize the data test associations between variables while the qualitative data were used to compliment the questionnaire data in eliciting more information on the gaps. </span><b><span style="font-family:Verdana;">Findings: </span></b><span style="font-family:Verdana;">Almost all (94.5%) the midwives had never been trained on any basic obstetric ultrasound while six of those that had been trained in early stages by the project</span><b> </b><span style="font-family:Verdana;">lacked equipment to practice the acquired skills. More than three quarters of the respondents opined that they wished to provide personalized care services to mothers/clients seeking Antenatal Care Services (ANC) in </span><span style="font-family:Verdana;">their community at a fee while only 13.9% had knowledge that obstetric</span><span style="font-family:Verdana;"> screening should be done before 24 weeks gestation. Four out of ten</span><b> </b><span style="font-family:Verdana;">of the respondents scored themselves a one (1) on the level of conf 展开更多
关键词 Antenatal Care Basic Ultrasound Screening MIDWIVES Primary Health Care
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Experiences of Midwives for Caring Unbooked Pregnant Mothers in a Maternity Unit at a District Hospital in the Eastern Cape Province 认领
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作者 Sithembele Magqadiyane 《生殖科学(英文)》 2020年第4期186-200,共15页
<strong>Background: </strong>South Africa struggles to improve maternal health outcomes resulting to its failure to achieve millennium development goal for maternal health. Non-utilisation of antenatal hea... <strong>Background: </strong>South Africa struggles to improve maternal health outcomes resulting to its failure to achieve millennium development goal for maternal health. Non-utilisation of antenatal health services by pregnant mothers is the leading cause of unbooked cases that complicate the labour stages. <strong>Purpose:</strong> The purpose of the study was to explore the experiences of midwives for caring unbooked pregnant women in a maternity unit at a district hospital in the Eastern Cape province of South Africa. <strong>Design and Methods:</strong> A phenomenological approach was adopted in this study. Specifically, a descriptive phenomenological deign was used to explore midwives’ experiences for caring unbooked pregnant women in maternity ward of a district hospital on six (6) purposively selected midwives. In this study, the researcher utilised individual, semi structured phenomenological interviews to collect data from midwives caring for unbooked pregnant mothers in a maternity unit. Data saturation was reached after carrying out the six interviews. These interviews were audio taped and transcribed verbatim and Interpretative Phenomenological Analysis framework steps method of qualitative data was applied to analyse the collected data.<strong> Results:</strong> Three thematic categories emerged from data analysis: 1) Experiences of midwives, which interfered with emotional challenges leading to fear and anxiety. Experiences of midwives were also associated with shortage of midwives and leading to maternal incidences. 2) Caring for unbooked pregnant mothers interfered with incompetency and inexperienced midwives and reported a lack of debriefing. 3) Support system which was seen as lacking from managers. <strong>Conclusion:</strong> The study recommended collaboration with primary health care clinics including community leaders, and employment of highly skilled professionals and in-service trainings of the current midwives to minimise unnecessary incidences. 展开更多
关键词 CARING Experiences Maternity Unit MIDWIVES Unbooked Pregnant Mothers
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助产士一对一陪伴导乐分娩模式对产妇产程的影响研究 认领
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作者 刘素娟 《中国医药科学》 2020年第5期121-123,131共4页
目的探析助产士一对一陪伴导乐分娩模式对产妇产程的影响。方法将2018年6月~2019年4月在我院分娩的100例产妇作为主要研究对象,采用随机数字表法分组,每组50例。对照组实施常规分娩护理,观察组实施助产士一对一陪伴导乐分娩护理,比较两... 目的探析助产士一对一陪伴导乐分娩模式对产妇产程的影响。方法将2018年6月~2019年4月在我院分娩的100例产妇作为主要研究对象,采用随机数字表法分组,每组50例。对照组实施常规分娩护理,观察组实施助产士一对一陪伴导乐分娩护理,比较两组的相关指标。结果观察组的剖宫产率低于对照组,产程时间均短于对照组,产后出血量小于对照组,差异有统计学意义(P<0.05);观察组产妇及新生儿并发症发生率均低于对照组,两组产后的焦虑、抑郁情绪评分均低于产前,且观察组小于对照组,差异有统计学意义(P<0.05)。结论对产妇实施助产士一对一陪伴导乐分娩护理可缩短产程,降低不良妊娠结局发生率,值得推广。 展开更多
关键词 助产士 一对一陪伴 导乐分娩模式 产程
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基于聚类分析的产科护理人员岗位内容研究 认领
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作者 闫迪 夏海鸥 《中华护理杂志》 CSCD 北大核心 2020年第5期659-665,共7页
目的分析产科护理岗位内容的特征和分类,为科学管理产科人力资源和规范产科医护职责划分标准提供依据.方法采用分层抽样法,使用助产士及产科护士岗位内容调查表,对上海市503名助产士或产科护士进行调查,并对调查结果进行系统聚类分析.... 目的分析产科护理岗位内容的特征和分类,为科学管理产科人力资源和规范产科医护职责划分标准提供依据.方法采用分层抽样法,使用助产士及产科护士岗位内容调查表,对上海市503名助产士或产科护士进行调查,并对调查结果进行系统聚类分析.结果产科门诊岗位内容聚为2类:Ⅰ类为基础内容,执行护士呈现中等学历、初级职称和工作年限高的特征;Ⅱ类为进阶内容,又分为护士负责或产科医生负责的内容,执行护士呈现中等偏高学历、初级和中级职称、工作年限高的特征.产房岗位内容聚为2类:Ⅰ类主要由助产士负责,包括初阶—自然分娩和中阶—异常分娩相关内容,其中执行中阶内容的助产士职称和工作年限相对更高;Ⅱ类则主要由产科医生负责.产后母婴同室岗位内容聚为5类:Ⅰ类为产后常规观察项目,Ⅱ类为产后危急征象的识别,Ⅲ类为产后个性化咨询,包括产后心理问题筛查等内容,Ⅳ、Ⅴ类为新生儿相关条目.执行各类岗位内容护士特征未见明显差异.结论产科门诊和产后母婴同室的岗位专科特色内容和人员分级管理有待加强,应按照岗位内容分级管理产科护理人力资源;规范产科医护职责划分标准,以促进自然分娩,降低助产服务过度医疗化趋势. 展开更多
关键词 助产士 产科护理 岗位内容 聚类分析 护理管理研究 卫生人力
某医院助产士职业认同和离职意愿的相关性调查 认领
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作者 陈丁丁 徐磊 《中国高等医学教育》 2020年第7期92-93,共2页
目的:探讨某医院助产士职业认同和离职意愿的相关性。方法:选择该院48名助产士作为研究对象,采用《职业认同量表》和《离职意愿量表》对其进行调查。结果:助产士职业认同平均得分为(105.59±16.83)分,离职意愿平均得分为(7.65±... 目的:探讨某医院助产士职业认同和离职意愿的相关性。方法:选择该院48名助产士作为研究对象,采用《职业认同量表》和《离职意愿量表》对其进行调查。结果:助产士职业认同平均得分为(105.59±16.83)分,离职意愿平均得分为(7.65±1.89)分。而工作年限>5年者显著优于≤5年者(P<0.05)。助产士职业认同与离职意愿呈显著负相关(P<0.05)。结论:该院助产士存在一定程度的离职意愿并具有中低度的职业认同,尤其年资低的助产士。 展开更多
关键词 助产士 职业认同 离职意愿 调查
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新中国成立初期上海助产士的式微及其原因(1949-1966) 认领
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作者 王瀛培 《妇女研究论丛》 CSSCI 北大核心 2020年第2期105-121,共17页
助产士是20世纪中国妇幼卫生工作的主要力量。中华人民共和国成立后,助产事业得以延续。因中等卫生教育培养模式趋向全科,助产教育呈式微态势。新老助产士进入国家妇幼保健体系后,其层级定位是既要向上"助"产科医师,又要向下&... 助产士是20世纪中国妇幼卫生工作的主要力量。中华人民共和国成立后,助产事业得以延续。因中等卫生教育培养模式趋向全科,助产教育呈式微态势。新老助产士进入国家妇幼保健体系后,其层级定位是既要向上"助"产科医师,又要向下"启"接生员,然而,实际工作中助产士与产科医师间的明确职权界限、助产士与接生员间的业务竞争关系成为助产士进一步式微的原因。加之分娩医疗化趋势、助产士无独立职称体系等新困境出现,助产士一职最终被国家卫生部门划入护士序列。 展开更多
关键词 助产士 上海 新中国成立初期 接生员
360°带教护士评价体系在助产士带教质量评价中的应用 认领
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作者 孙礼鹃 黄俊芝 +2 位作者 郭英 王云芳 周超 《中国继续医学教育》 2020年第21期54-57,共4页
目的探讨360°全方位带教护士评价体系在产科助产士带教质量评价中的应用。方法选取2017年8月—2018年6月在医院产科(产房)实习的32名助产士作为研究对象,随机分为观察组和对照组,各16名。两组助产士均由同一组6名带教教师进行临床... 目的探讨360°全方位带教护士评价体系在产科助产士带教质量评价中的应用。方法选取2017年8月—2018年6月在医院产科(产房)实习的32名助产士作为研究对象,随机分为观察组和对照组,各16名。两组助产士均由同一组6名带教教师进行临床护理带教,观察组采用360°全方位带教护士评价体系,对照组助产士采用传统评教考核办法。带教20周后分别对带教教师的教学质量、助产士的护理质量及对本次带教的满意度进行评价。结果两组带教教师的专业知识及专业技能评分差异无统计学意义(P>0.05),但观察组带教教师的教学态度、带教管理、带教技巧等3项维度的评分高于对照组,差异具有统计学意义(P<0.05);观察组助产士的护理品德、护理知识、护理技能和护理能力各项评分均高于对照组,差异具有统计学意义(P<0.05);观察组的带教教师满意率(100%)、助产士满意率(93.75%)均高于对照组,但差异无统计学意义(P>0.05);产妇的满意率(96.16%)显著提高,差异具有统计学意义(P<0.05)。结论产科助产士带教过程中应用360°全方位带教护士评价体系可有效分析带教过程中存在的问题,提高带教教师的教学质量、助产士的护理质量,有效提高带教教师、助产士及患者对带教过程的满意度。 展开更多
关键词 护理带教 助产士 临床实践 质量评价 满意度 教学质量
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四川省规范化培训结业助产士核心胜任力现状及分析 认领
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作者 陈绍传 王鑫 +3 位作者 孙蓉 曾宇航 王利民 李虹玉 《中华医学教育探索杂志》 2020年第3期348-352,共5页
目的了解与分析四川省规范化培训结业助产士核心胜任力现状,为该省助产士规培提供参考。方法采用一般资料问卷(包括一般情况、职业素养情况、医院情况共计14个条目)、助产士核心胜任力量表(包含6个维度共54个条目),对四川省2016年7月至2... 目的了解与分析四川省规范化培训结业助产士核心胜任力现状,为该省助产士规培提供参考。方法采用一般资料问卷(包括一般情况、职业素养情况、医院情况共计14个条目)、助产士核心胜任力量表(包含6个维度共54个条目),对四川省2016年7月至2018年6月参加规范化培训并结业的助产士进行调查;共发放问卷109份,回收有效问卷102份。采用SPSS 21.0,对结果进行单因素分析和多元线性回归分析。结果本次研究核心胜任力量表平均总得分为(203.470±32.398)分;各维度得分中,产后保健和孕期保健相对较高,公共卫生保健相对较低。多元回归分析显示,规培期间是否取得母婴保健证、是否有单独针对助产士的培训体系以及轮转科室安排情况,是规培结业助产士核心胜任力的影响因素(P<0.05)。结论四川省规培结业助产士核心胜任力为中等水平;该省助产士规培正处于起步阶段,缺乏系统管理,急需构建标准统一的规范化培训体系。 展开更多
关键词 规范化培训 助产士 核心胜任力
Midwives’views and experiences of providing midwifery care in the task shifting context:a meta-ethnography approach 认领
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作者 Chunyi Gu Xiaojiao Wang +2 位作者 Lingling Li Yan Ding Xu Qian 《全球健康杂志(英文)》 2020年第3期96-106,共11页
Objective:This study aimed to explore the existing knowledge about midwives’views and experiences of providing care for women in the context of task shifting.Methods:We conducted a qualitative systematic review using... Objective:This study aimed to explore the existing knowledge about midwives’views and experiences of providing care for women in the context of task shifting.Methods:We conducted a qualitative systematic review using meta-ethnography to describe the views and experiences of midwives on providing care in the context of task shifting.Comparative textual analysis of published qualitative studies involved translation of first-order key concepts and meanings from included studies to generate second-and third-order concepts.A grid was made to identify core findings and compare them reciprocally.Results:Thirty-six qualitative studies met the inclusion criteria.The literature comprised of 32 first key concepts.Eight second-order constructs emerged,and three third-order interpretations were generated.The three overarching themes were:(1)midwives perceived themselves as providing culturally competent and high quality women-centered care;(2)they valued their profession but saw it as complex and challenging;(3)as health professionals,they reported a variety of organizational,cultural,and professional barriers to providing women-centered care.Conclusions:While performing a specific task in the task shifting context,midwives perceived their crucial roles and responsibilities,along with achieved value and reward.However,due to a range of existing barriers,the caring task posed great challenges in completely implementing women-centered care.It is essential for systems to identify and eliminate these barriers early,to consider midwives’emotional well-being,and to develop overall strategies to better support the midwifery workforce.Policy makers and administrators should establish a supportive environment to facilitate midwives to perform women-centered caring tasks in more effective and efficient ways. 展开更多
关键词 Midwifery care MIDWIVES META-ETHNOGRAPHY Qualitative study Task shifting
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模拟分娩教育联合自我效能增强干预在助产士咨询门诊初产妇中的应用 认领 被引量：1
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作者 董琛琛 范天丽 林金生 《护理实践与研究》 2020年第4期104-106,共3页
目的探讨模拟分娩教育联合自我效能增强干预在助产士咨询门诊初产妇中的应用效果。方法选取我院2018年1月至2019年1月接诊的助产士咨询门诊初产妇100例,将其随机等分为对照组和观察组,对照组予以常规门诊产检,观察组在常规产检基础上实... 目的探讨模拟分娩教育联合自我效能增强干预在助产士咨询门诊初产妇中的应用效果。方法选取我院2018年1月至2019年1月接诊的助产士咨询门诊初产妇100例,将其随机等分为对照组和观察组,对照组予以常规门诊产检,观察组在常规产检基础上实施模拟分娩教育联合自我效能增强干预,比较两组产妇的分娩方式、产程及分娩自我效能。结果观察组自然分娩率均高于对照组(P<0.05);观察组第一、二产程及总产程时间短于对照组(P<0.05);观察组结果效能、期望效能评分高于对照组(P<0.05)。结论模拟分娩教育联合自我效能增强干预在助产士咨询门诊初产妇中的应用,能增强初产妇自然分娩信心,改善分娩结局,缩短产程,提高产妇自我效能,值得临床推广应用。 展开更多
关键词 模拟分娩教育 自我效能增强干预 助产士 咨询门诊 初产妇
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Midwives’views and experiences of providing healthy eating advice to pregnant women:a qualitative content analysis of semi-structured interviews 认领
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作者 Shwikar Mahmoud Etman Othman Julie-Anne Fleet +1 位作者 Mary Steen Rasika Jayasekara 《护理前沿(英文)》 CAS 2020年第4期345-358,共14页
Objective:To explore midwives’views on how they provide healthy eating education to pregnant women after attending a healthy eating education workshop/webinar.Methods:A qualitative descriptive approach was utilized.S... Objective:To explore midwives’views on how they provide healthy eating education to pregnant women after attending a healthy eating education workshop/webinar.Methods:A qualitative descriptive approach was utilized.Semi-structured interviews were conducted to explore the views and experiences of midwives on providing healthy eating education for pregnant women.A purposive sample of six midwives was interviewed face-to-face,and one was conducted by telephone interview.Data were analyzed through qualitative conventional content analysis.Results:Midwives described their views and experiences of factors that impacted their role in providing healthy eating educa-tion.They identified three categories:perceived role of midwi ves,health literacy,and model of care.Conclusions:Knowledge and confidence of midwives improved after attending the workshop/webinar on healthy eating education.Findings suggested that midwives perceived their role as important in providing nutrition education.However,time and resources were highlighted as challenges when providing healthy eating education for pregnant women.The availability of health literacy and model of care were significant factors in enabling midwives to adequately provide this education.Midwives acknowledged a need for further education in areas of vegan diet,cultural food preferences for ethnic minority groups,and regular updates on national healthy eating guidelines. 展开更多
关键词 MIDWIVES healthy eating guidelines nutrition policy qualitative content analysis EDUCATION maternity health services
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助产士分级授权管理模式在产房质量控制的临床应用效果 认领
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作者 廖江 刘霞 《中国卫生产业》 2020年第9期50-52,共3页
目的分析助产士分级授权管理模式在产房质量控制的临床应用效果。方法选择2017年8月-2018年9月该院接受的76例产妇作为案例,结合不同的管理方式随机实施分组,分别是对照组和观察组,分别实施的是常规管理方式和助产士分级授权管理模式,... 目的分析助产士分级授权管理模式在产房质量控制的临床应用效果。方法选择2017年8月-2018年9月该院接受的76例产妇作为案例,结合不同的管理方式随机实施分组,分别是对照组和观察组,分别实施的是常规管理方式和助产士分级授权管理模式,分别管理后对结果进行分析。结果对比分析两组案例的产房质量控制情况,观察组的各项不良反应的发生几率低于对照组。对比分析两组案例的护理满意度评分和职业成就感评分,观察组分数值较高。对比分析两组案例的护理事故的发生几率,对比得知,观察组的护理事故发生几率是5.2%,整体几率低于对照组。结论针对产妇实施助产士分级授权管理方式,整体上有重要的作用,能降低护理投诉和护理缺陷,有助于改善日常护理工作,值得实施和推广。 展开更多
关键词 助产士 分级授权管理 产房 质量控制
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助产士门诊对产前健康教育干预的效果观察 认领
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作者 刘妙莲 《智慧健康》 2020年第21期25-26,共2页
目的探究产前健康教育中助产士门诊的参与对产妇产前教育干预质量提升的效果。方法选取2018年9月至2019年3月在我院建册并定期产检的低危初产妇90例为研究对象,对比两组产妇分娩情况以及新生儿基本情况。结果研究组阴道分娩率及护理满... 目的探究产前健康教育中助产士门诊的参与对产妇产前教育干预质量提升的效果。方法选取2018年9月至2019年3月在我院建册并定期产检的低危初产妇90例为研究对象,对比两组产妇分娩情况以及新生儿基本情况。结果研究组阴道分娩率及护理满意度高于对照组,新生儿不良情况发生率低于对照组,差异有统计学意义(P<0.05)。结论助产士门诊产前教育对产妇孕期及分娩安全性的提升有非常重要的促进作用。 展开更多
关键词 产前健康教育 助产士 妊娠结局 门诊
助产士对产妇分娩质量的影响及效果分析 认领
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作者 张妍 《智慧健康》 2020年第1期187-188,共2页
目的了解对产妇分娩过程中充分重视助产士作用对分娩质量的影响和效果。方法分析对象年限为2018年间,均为到本院产科接受常规产检并确认在本院分娩的产妇,随机抽取120例,根据产妇分娩期间护理措施差异将其分为常规组与观察组,各组有60例... 目的了解对产妇分娩过程中充分重视助产士作用对分娩质量的影响和效果。方法分析对象年限为2018年间,均为到本院产科接受常规产检并确认在本院分娩的产妇,随机抽取120例,根据产妇分娩期间护理措施差异将其分为常规组与观察组,各组有60例,对应给予常规助产护理、全程针对性助产护理。比较不同助产护理干预下产妇的分娩过程和妊娠结局。结果分娩后观察组产妇负性情绪(焦虑、抑郁)评价所得数据优于常规组(P<0.05);分娩护理前后两组产妇接受视觉疼痛模拟评分(VAS)评价,干预后两组产妇疼痛程度均有所缓解而观察组干预后所得数据更具优越性(P<0.05);从多方面评价两组产妇妊娠结局,各方面观察组产妇所得数据均优于常规组(P<0.05)。结论在产妇分娩过程中重视并充分发挥助产士的作用,能够有效缓解疼痛并积极影响母婴妊娠结局,值得于此类群体中广泛推广。 展开更多
关键词 助产士 产妇 分娩质量
Perception of Pharmacovigilance by Nurses and Midwives of the Cocody University Teaching Hospital in Abidjan 认领
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作者 Balayssac Eric Tadjo Jean +1 位作者 Adon Auguste Ehouman Mocket 《药理与制药(英文)》 2019年第11期474-483,共10页
Objective: To assess the perception on pharmacovigilance by the nurses and midwives at the University Teaching Hospital (CHU) of Cocody in 2017. Methodology: Descriptive and analytic cross-sectional study conducted in... Objective: To assess the perception on pharmacovigilance by the nurses and midwives at the University Teaching Hospital (CHU) of Cocody in 2017. Methodology: Descriptive and analytic cross-sectional study conducted in 17 services of the University Teaching Hospital (CHU) of Cocody using an anonymized and standardized questionnaire. Results: The response rate was 39.33% for the 86 nurses and 21 midwives with at least 10 years of professional experience (50.6%). 57.94% of the respondents (n = 62) have already heard about pharmacovigilance during their basic training (40.18%, n = 43). However, only 19.63% (21/107) of the respondents knew about the existence of a pharmacovigilance unit which they wrongly located to the pharmacy (11/21) of the CHU of Cocody. 40.18% of respondents (n = 43) had previously experienced an adverse drug reaction that was reported (76.74%, n = 33) to a hierarchical supervisor (60.60%, n = 20). The causes of non-reporting were either the frequent occurence (4/10) or the benign nature (2/10) of the adverse drug reaction. Specific actions to be taken (37.38%, n = 40) and a feedback (28.97%, n = 31) were the respondents’ main expectations for the stimulation of the reporting system. They also wanted the pharmacovigilance monitors to regularly visit their services (34.57%, n = 37) and to provide them with the reporting forms (30.84%, n = 33). Conclusion: Our study has allowed us to highlight the lack of knowledge of the pharmacovigilance and to identify certain factors that could improve the perception of the pharmacovigilance by the nurses and the midwives in Ivory Coast. 展开更多
关键词 PERCEPTION PHARMACOVIGILANCE Nurses MIDWIVES HOSPITAL
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Maternal Health Care in Cox’s Bazar, Bangladesh: A Survey of Midwifery Experience at Hope Foundation and a Review of the Literature 认领
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作者 Iftikher Mahmood Hannah Bergbower +1 位作者 Arman Mahmood Annekathryn Goodman 《妇产科期刊(英文)》 2019年第12期1624-1637,共14页
Background: The Ministry of Health and Family Welfare of the Government of Bangladesh developed a midwifery education strategy in 2011 and starting in 2013, BRAC University developed a three-year Diploma in Midwifery.... Background: The Ministry of Health and Family Welfare of the Government of Bangladesh developed a midwifery education strategy in 2011 and starting in 2013, BRAC University developed a three-year Diploma in Midwifery. A survey was developed to understand the challenges of the newly graduated midwives and to identify resource and educational needs. The survey feedback will help develop and strengthen curriculum for primary and postgraduate midwifery training. Methods: A 30-question survey was given to midwives at the Hope Hospital in Cox’s Bazar and at the birth centers in the surrounding rural communities. Questions explored the midwives’ clinical experience, patient problems in the prenatal, intrapartum, and postnatal period, and asked about what education;training and clinical resources were needed. Results: Thirty-two midwives answered the surveys. The midwives’ average time from graduation from the midwifery diploma program was sixteen months. All the respondents felt comfortable managing most maternal issues but felt further training was important. They also identified the lack of many clinical resources including blood products, medicines, vaccines, and ultrasound. They identified significant maternal health issues among their patients including adolescent pregnancy, malnutrition, anemia, sexual violence, pregnancy-induced hypertension, hemorrhage, low birth weight infants, prolonged and obstructed labors. Conclusion: Training and increasing the number of midwives are crucial strategies for reducing maternal and neonatal mortality. There is a significant need for long-term placement and commitment of midwives to rural areas in Bangladesh. Health systems and organizations employing midwives must be accountable for the continuing education, mentorship, and supportive needs of midwives. 展开更多
关键词 BANGLADESH MATERNAL Mortality MATERNAL Healthcare Midwives MIDWIFERY MIDWIFERY Training Cox’s Bazar Adolescent PREGNANCY PREGNANCY Outcomes Medical Decision Making Sexual Reproductive Healthcare HOPE FOUNDATION
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助产士产前教育对初产妇产程及分娩方式的影响效果 认领
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作者 姜燕 《世界最新医学信息文摘》 2019年第55期314-314,316共2页
目的探讨助产士产前教育对初产妇产程及分娩方式的效果分析。方法选取了2014年至2018年收治的初产妇78例,分为2组作为此次观察的对象。结果实验组产妇自然分娩率为37例94.87%,明显高于对照组产妇的自然分娩率27例69.23%,P<0.05;经过... 目的探讨助产士产前教育对初产妇产程及分娩方式的效果分析。方法选取了2014年至2018年收治的初产妇78例,分为2组作为此次观察的对象。结果实验组产妇自然分娩率为37例94.87%,明显高于对照组产妇的自然分娩率27例69.23%,P<0.05;经过助产士的产前教育,实验组产妇在第一、第二产程时间均低于对照组产妇的产程时间,P<0.05。结论研究表明,对初产妇进行产前教育可有效提高自然分娩率,减少产妇的产程时间。 展开更多
关键词 助产士 产前教育 产程及分娩方式 影响效果
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助产士分级授权管理模式对产房质量的影响 认领 被引量：1
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作者 翁昌凤 《中国继续医学教育》 2019年第25期91-93,共3页
目的研究在产房质量控制中使用助产士分级授权管理模式的临床效果和价值。方法实验组选为2017 年5 月—2018 年5 月期间本院收入的行助产士分级授权管理模式的60 例分娩产妇,参照组选为2016 年5 月—2017 年4 月期间本院收入的行常规管... 目的研究在产房质量控制中使用助产士分级授权管理模式的临床效果和价值。方法实验组选为2017 年5 月—2018 年5 月期间本院收入的行助产士分级授权管理模式的60 例分娩产妇,参照组选为2016 年5 月—2017 年4 月期间本院收入的行常规管理模式的60 例分娩产妇,评价两组满意度评分、职业成就感评分、产房质量控制情况。结果与参照组相关数据比较,实验组满意度评分、职业成就感评分优于参照组(P < 0.05),伤口愈合不良、会阴侧切、新生儿窒息、会阴Ⅲ度撕裂较比参照组发生率更低(P < 0.05)。结论使用助产士分级授权管理模式在产房质量控制中展现较为显著作用。 展开更多
关键词 产科 助产士 分级授权管理模式 产房质量 职业成就感 满意度
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