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分娩陪伴者教育手册的效果:一项随机临床试验的初步研究

Efficacy of an educational manual for childbirth companions: pilot study of a randomized clinical trial.

作者信息

Teles Liana Mara Rocha, Américo Camila Félix, Oriá Mônica Oliveira Batista, Vasconcelos Camila Teixeira Moreira, Brüggemann Odaléa Maria, Damasceno Ana Kelve de Castro

机构信息

Nursing Department, Universidade Federal do Ceará, Fortaleza, CE, Brazil.

出版信息

Rev Lat Am Enfermagem. 2018;26:e2996. doi: 10.1590/1518-8345.2277.2996. Epub 2018 May 7.

Abstract

OBJECTIVE

to evaluate the effectiveness of an educational manual in the instrumentalization of companions to provide support to the parturients and check its influence on the satisfaction of companions and women during vaginal delivery.

METHOD

pilot study of a randomized controlled clinical trial with 65 companions and puerperal women (intervention = 21 and control = 44). The previous knowledge of the companions was evaluated at baseline. The Evaluation Form for Companions in the Delivery Room was used to measure the actions provided and the satisfaction with the experience, and the Questionnaire for Evaluation of the Experience and Satisfaction of Puerperal Women with Labor and Delivery was used to evaluate the satisfaction of women with childbirth. The Student's t-test or Wilcoxon, chi-square or Fisher's exact test, risk ratios and 95% confidence intervals were used.

RESULTS

the companions in the intervention group performed a greater number of support actions (7.2 vs 4.6, p: 0.001) and had higher satisfaction scores (72.4 vs 64.2; p = 0.00). Puerperal women in the intervention group had higher satisfaction with childbirth (119.6 vs 107.9; p: 0.000).

CONCLUSION

the manual was effective for the instrumentalization of companions, contributed to support actions to the parturients and had repercussions on the satisfaction of companions and women with the birthing process. RBR-776d9s.

摘要

目的

评估一本教育手册在指导陪伴者为产妇提供支持方面的有效性,并检查其对陪伴者和产妇在阴道分娩过程中满意度的影响。

方法

一项随机对照临床试验的试点研究,涉及65名陪伴者和产妇(干预组 = 21人,对照组 = 44人)。在基线时评估陪伴者的既往知识。使用产房陪伴者评估表来衡量所提供的行动和对该经历的满意度,使用产妇分娩经历和满意度评估问卷来评估产妇对分娩的满意度。采用学生t检验或威尔科克森检验、卡方检验或费舍尔精确检验、风险比和95%置信区间。

结果

干预组的陪伴者执行了更多的支持行动(7.2对4.6,p:0.001),并且满意度得分更高(72.4对64.2;p = 0.00)。干预组的产妇对分娩的满意度更高(119.6对107.9;p:0.000)。

结论

该手册在指导陪伴者方面是有效的,有助于为产妇提供支持行动,并对陪伴者和产妇对分娩过程的满意度产生影响。RBR - 776d9s。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf91/5942876/c8480a149716/0104-1169-rlae-26-e2996-gf1.jpg

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