Homer C S, Davis G K, Everitt L S
Midwifery Practice and Research Centre, St George Hospital, New South Wales.
Aust N Z J Obstet Gynaecol. 1999 Feb;39(1):54-7. doi: 10.1111/j.1479-828x.1999.tb03445.x.
We report the introduction of a woman-held record into an antenatal clinic in a NSW teaching hospital using a randomized controlled trial. In 1997, 150 women were randomized to either retaining their entire antenatal record through pregnancy (women-held group) or to holding a small, abbreviated card, as was standard practice (control group). A questionnaire was distributed to women to measure sense of control, involvement in care and levels of communication. Availability of records at antenatal visits was also measured. Women in both groups were satisfied with their allocated method of record keeping, however, those in the women-held group were significantly more likely to report feeling in 'control' during pregnancy. Women in the control group were more likely to feel anxious and helpless and less likely to have information on their records explained to them by their caregiver. The number of records available at each clinic was similar in both groups.
我们报告了一项在新南威尔士州一家教学医院的产前诊所开展的随机对照试验，该试验引入了由孕妇持有记录的方式。1997年，150名女性被随机分为两组，一组在整个孕期保留其全部产前记录（孕妇持有组），另一组则像常规做法那样持有一张简短的小卡片（对照组）。向女性发放了一份问卷，以衡量她们的控制感、参与护理的程度以及沟通水平。还对产前检查时记录的可获取性进行了测量。两组女性对各自分配的记录保存方式都感到满意，然而，孕妇持有组的女性在孕期更有可能报告感觉“掌控”局面。对照组的女性更容易感到焦虑和无助，且护理人员向她们解释记录信息的可能性更小。两组每次诊所可获取的记录数量相似。
