Oliveira Nayara Rodrigues Gomes de, Assis Thaís Rocha, Amaral Waldemar Naves do, Falone Valdivina Eterna, Salviano Lívia Maria Oliveira
Division of Infectious and Parasitics Diseases, Department of Health Sciences, Universidade Federal de Goiás, Jataí, Goiás, Brazil.
Department of Health Sciences, Universidade Federal de Goiás, Jataí, Goiás, Brazil.
Rev Bras Ginecol Obstet. 2017 May;39(5):202-208. doi: 10.1055/s-0037-1603315. Epub 2017 May 18.
To evaluate the perception of health professionals involved in the labor process and the assistance to normal delivery, comparing two hospitals in the city of Goiânia, Brazil, regarding the perception of these professionals when they are performing the routines and practices recommended by the World Health Organization (WHO). This is an analytical comparative study with a quantitative approach, performed in two public hospitals in the city of Goiânia, in the state of Goiás, Brazil. The study included 86 professionals working in assistance to immediate labor in two hospitals. A questionnaire containing 40 questions was applied. The questionnaire related to the Program for the Humanization of Prenatal and Childbirth Care (PHPN, in the Portuguese acronym) of the Brazilian Ministry of Health, the presence of a companion, and the procedures performed. For the data analysis, we used the chi-square and Fisher's exact tests. Most of the professionals claimed to know about the PHPN proposed by Brazilian Ministry of Health in the two hospitals. With regard to good practices, most professionals said that they are performed in maternity ward 2, while on maternity 1, although many of them are present, there are still many unnecessary interventions. When comparing the two maternity hospitals, maternity 2, which was created as a routine humanization model, manages to better adhere to the WHO recommendations. In maternity 1, there was a series of interventions considered by the WHO as ineffective, or used in an inappropriate manner.
为了评估参与分娩过程及正常分娩助产的卫生专业人员的认知情况,比较巴西戈亚尼亚市的两家医院中这些专业人员在执行世界卫生组织(WHO)推荐的常规操作和做法时的认知。这是一项采用定量方法的分析性比较研究,在巴西戈亚斯州戈亚尼亚市的两家公立医院开展。该研究纳入了在两家医院从事即刻分娩助产工作的86名专业人员。应用了一份包含40个问题的问卷。问卷涉及巴西卫生部的产前和分娩护理人性化项目(葡萄牙语首字母缩写为PHPN)、陪伴人员的在场情况以及所执行的程序。对于数据分析,我们使用了卡方检验和费舍尔精确检验。大多数专业人员声称了解两家医院中巴西卫生部提出的PHPN。关于良好做法,大多数专业人员表示在2号产科病房实施,而在1号产科病房,虽然许多良好做法存在,但仍有许多不必要的干预。在比较两家产科医院时,作为常规人性化模式设立的2号产科病房能够更好地遵循WHO的建议。在1号产科病房,存在一系列被WHO认为无效或使用不当的干预措施。