Patterson Karen, Logan-Sinclair Patricia
Department of Nursing, Faculty of Health and Behavioural Sciences, University of Wollongong, New South Wales, Australia.
Aust J Rural Health. 2003 Jun;11(3):110-5. doi: 10.1046/j.1440-1584.2003.00499.x.
The aim of the study was to determine the effect of the woman held antenatal record card (PNC2) on the continuity of maternity care received when presenting to the acute rural setting for clinical assessment.
Qualitative, open-ended questionnaires.
Rural New South Wales public hospital.
Maternity consumers, 50 women who were inpatients receiving antenatal or postnatal care between August and October 1998. A stratified sample of healthcare professionals employed by the service, 12 midwives and 13 general practitioners.
The self reported use of the antenatal card and the viewed effects of the card on the continuity of healthcare received.
The study identified a significant difference between the responding professionals (93%) positive perception of the effect of the PNC2 on the women's pregnancy continuum of care and the maternity consumer (36%), who felt it bore little impact on their care. The study findings suggested a lack of compliance and standardisation in usage of the antenatal card negated any flow on effects for the women.
The intended purposes of the PNC2 were compromised in this rural setting. The study recommends that stakeholders in rural maternity care be accountable for examining the benefits and barriers of their antenatal practices, that the rural community's expectations of 'continuity of maternity care' are sought and that there should be a review of the available models of rural antenatal care.
本研究旨在确定妇女持有的产前记录卡（PNC2）对在农村急症环境中进行临床评估时所接受的孕产妇护理连续性的影响。
定性、开放式问卷调查。
新南威尔士州农村公立医院。
孕产妇消费者，50名在1998年8月至10月期间接受产前或产后护理的住院妇女。该服务机构雇佣的医疗保健专业人员的分层样本，12名助产士和13名全科医生。
自我报告的产前卡使用情况以及该卡对所接受医疗保健连续性的可见影响。
研究发现，回应的专业人员（93%）对PNC2对妇女孕期护理连续性的影响持积极看法，而孕产妇消费者（36%）则认为其对她们的护理影响不大，两者之间存在显著差异。研究结果表明，产前卡使用缺乏依从性和标准化，抵消了对妇女的任何后续影响。
在这个农村环境中，PNC2的预期目的受到了损害。该研究建议，农村孕产妇护理的利益相关者应对审查其产前护理做法的益处和障碍负责，应了解农村社区对“孕产妇护理连续性”的期望，并且应对现有的农村产前护理模式进行审查。
