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利用电子健康提升自主性支持性护理:一项产前护理的多中心干预研究

Using eHealth to Increase Autonomy Supportive Care: A Multicenter Intervention Study in Antenatal Care.

作者信息

Johnsen Helle, Blom Karina Fischer, Lee Anne, Nørgaard Birgitte

机构信息

Author Affiliations: Department of Nutrition and Midwifery (Ms Johnsen), Metropolitan University College, Copenhagen; Department of Gynecology and Obstetrics (Ms Blom), Herlev Hospital; and Department of Public Health (Ms Lee and Ms Nørgaard), University of Southern Denmark, Odense.

出版信息

Comput Inform Nurs. 2018 Feb;36(2):77-83. doi: 10.1097/CIN.0000000000000389.

DOI:10.1097/CIN.0000000000000389
PMID:28984634
Abstract

eHealth solutions are increasingly implemented in antenatal care to enhance women's involvement. The main aim of this study was to evaluate women's assessment of autonomy supportive care during the antenatal care visits among low-risk pregnant women. An intervention study was conducted including a control group attending standard antenatal care and an intervention group having access to an eHealth knowledge base, in addition to standard care. A total of 87 women were included in the control group and a total of 121 women in the intervention group. Data were collected using an online questionnaire 2 weeks after participants had given birth. Data were analyzed using χ tests and Wilcoxon rank sums. Use of an eHealth knowledge base was associated with statistically significant higher scores for women's overall assessment of antenatal care visits, the organization of antenatal care visits, confidence after antenatal care visits, and involvement during antenatal care visits. We also found a statistically significant higher overall self-perceived autonomy supportive care in the intervention group compared with the control group.

摘要

电子健康解决方案越来越多地应用于产前护理,以提高女性的参与度。本研究的主要目的是评估低风险孕妇在产前检查期间对自主性支持性护理的评价。开展了一项干预研究,包括一个接受标准产前护理的对照组和一个除标准护理外还可使用电子健康知识库的干预组。对照组共纳入87名女性,干预组共纳入121名女性。在参与者分娩2周后,通过在线问卷收集数据。使用χ检验和Wilcoxon秩和检验分析数据。使用电子健康知识库与女性对产前检查的总体评价、产前检查的组织安排、产前检查后的信心以及产前检查期间的参与度得分在统计学上显著更高相关。我们还发现,与对照组相比,干预组在总体自我感知的自主性支持性护理方面在统计学上显著更高。

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