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预防孕妇巨细胞病毒感染:荷兰初级护理助产士的作用

Maternal cytomegalovirus infection prevention: the role of Dutch primary care midwives.

作者信息

Pereboom Monique T R, Manniën Judith, Spelten Evelien R, Hutton Eileen K, Schellevis François G

机构信息

Department of Midwifery Science, AVAG and the EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, P.O. Box 7057 (D4.40), 1007 MB Amsterdam, The Netherlands.

Department of Midwifery Science, AVAG and the EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, P.O. Box 7057 (D4.40), 1007 MB Amsterdam, The Netherlands; Department of Medical Statistics & BioInformatics, Leiden University Medical Center, Leiden, The Netherlands.

出版信息

Midwifery. 2014 Dec;30(12):1196-201. doi: 10.1016/j.midw.2014.04.007. Epub 2014 May 1.

Abstract

OBJECTIVE

to assess the knowledge of cytomegalovirus (CMV) infection among Dutch primary care midwives, and clinical approaches to informing women about CMV.

DESIGN

cross-sectional study, using self-administered questionnaires.

PARTICIPANTS

330 Dutch primary care midwives.

SETTING

primary midwifery care practices across the Netherlands.

MAIN OUTCOME

Midwives' knowledge of CMV transmission routes and maternal symptoms, and clinical practice behaviours regarding CMV, the information typically provided or reasons for not informing pregnant women about CMV.

FINDINGS

the overall median knowledge score was 8.0 out of a maximum possible score of 13.0. Of all participants, 10.6% reported always informing pregnant women about CMV infection prevention and 41.0% reported never informing pregnant women. The main reason indicated for not informing pregnant women was lack of knowledge about preventive methods (45.7%).

CONCLUSION

Dutch primary care midwives have limited knowledge of CMV infection. Improvement in providing education to pregnant women about strategies to prevent CMV is necessary.

摘要

目的

评估荷兰初级护理助产士对巨细胞病毒(CMV)感染的了解情况,以及向孕妇告知CMV相关信息的临床方法。

设计

采用自填式问卷的横断面研究。

参与者

330名荷兰初级护理助产士。

地点

荷兰各地的初级助产护理机构。

主要结果

助产士对CMV传播途径和母体症状的了解,以及关于CMV的临床实践行为、通常提供的信息或不向孕妇告知CMV的原因。

研究结果

在满分13分的情况下,总体知识得分中位数为8.0分。在所有参与者中,10.6%的人报告总是向孕妇告知预防CMV感染的信息,41.0%的人报告从未向孕妇告知。不向孕妇告知的主要原因是缺乏预防方法的知识(45.7%)。

结论

荷兰初级护理助产士对CMV感染的了解有限。有必要改进对孕妇进行预防CMV策略的教育。

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