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评估瑞典母婴保健中孕期饮酒的方法——一项针对助产士与酒精相关的教育、知识和实践的全国性调查。

Approaches to assessment of alcohol intake during pregnancy in Swedish maternity care--a national-based investigation into midwives' alcohol-related education, knowledge and practice.

机构信息

Department of Medical and Health Sciences, Division of Social Medicine and Public Health Science, Linköping University, SE-581 83 Linköping, Sweden.

出版信息

Midwifery. 2010 Aug;26(4):430-4. doi: 10.1016/j.midw.2008.10.009. Epub 2009 Jan 29.

DOI:10.1016/j.midw.2008.10.009
PMID:19185397
Abstract

OBJECTIVE

to evaluate how much education midwives in Sweden have undertaken to help them assess alcohol intake during pregnancy, and what tools they use to identify women who may be at risk of drinking during pregnancy.

DESIGN

a national survey was conducted in March 2006, using a questionnaire constructed by a Swedish team of researchers and clinicians.

SETTING

maternity health-care centres in Sweden.

PARTICIPANT

2106 midwives.

FINDINGS

nearly all midwives stated that they had excellent or good knowledge concerning the risks associated with drinking during pregnancy. They considered themselves less knowledgeable about detecting pregnant women with risky alcohol consumption before pregnancy. The majority of the midwives had participated in some education in handling risky drinking. Almost half of the midwives assessed women's alcohol intake before pregnancy. Important facilitators for increased activity concerned recommendations and decisions at different levels (national, local and management) on how to address alcohol with expectant parents and work with risky drinkers.

KEY CONCLUSIONS

more education was associated with more common use of a questionnaire for assessment of women's alcohol intake before pregnancy, and more frequent counselling when identifying a pregnant woman whose pre-pregnancy consumption was risky.

摘要

目的

评估瑞典的助产士接受了多少帮助其评估孕妇饮酒量的教育,以及他们使用了哪些工具来识别可能在怀孕期间饮酒的高危妇女。

设计

2006 年 3 月进行了一项全国性调查,使用了由瑞典研究人员和临床医生组成的小组制定的问卷。

地点

瑞典的产妇保健中心。

参与者

2106 名助产士。

发现

几乎所有的助产士都表示,他们对与怀孕期间饮酒相关的风险有很好的或很好的了解。他们认为自己在发现孕妇在怀孕前有危险饮酒方面的知识较少。大多数助产士都参加了一些关于处理危险饮酒的教育。几乎一半的助产士在怀孕前评估了妇女的饮酒量。增加活动的重要促进因素包括在不同层面(国家、地方和管理层)的建议和决定,涉及如何与准父母讨论酒精问题以及如何与危险饮酒者合作。

主要结论

更多的教育与更常见地使用问卷评估妇女在怀孕前的饮酒量以及在识别有风险的孕妇时更频繁地进行咨询有关。

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