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分娩硬膜外镇痛的产前教育

Antenatal education for childbirth-epidural analgesia.

作者信息

Cutajar Lisa, Cyna Allan M

机构信息

Department of Women's and Children's Health Birth Unit, Nepean Hospital, Nepean Blue Mountains Local Health District Entrance via Derby St, Kingswood 2747, PO Box 63 Penrith, NSW, Australia.

Anaesthesia and Pain Management Nepean Hospital, Nepean Blue Mountains Local Health District Entrance via Derby St, Kingswood 2747, PO Box 63 Penrith, NSW, Australia; Clinical Associate Professor at the University of Sydney, Nepean Clinical School, Kingswood 2747, Penrith, NSW, Australia; Discipline Acute Care Medicine, University of Adelaide, SA 5005, Australia.

出版信息

Midwifery. 2018 Sep;64:48-52. doi: 10.1016/j.midw.2018.04.024. Epub 2018 May 7.

Abstract

UNLABELLED

The language structures used by antenatal educators have not been previously researched in the context of antenatal childbirth classes. Epidural analgesia for labour is a common, and a frequently asked about, component of antenatal education for parents in hospitals providing maternity care.

AIM OF THE STUDY

We aimed to identify the way information is described and presented by childbirth educators to assess content and determine which language structures such as metaphor, suggestion, information and storytelling are utilized.

DESIGN

This observational study of antenatal education was conducted at a single tertiary referral center for maternity care in Western Sydney, Australia. All three childbirth educators agreed to be video recorded whilst providing information to parents during antenatal classes. Audio data was subsequently transcribed and then analysed by two researchers, independently categorising the various language structures and types of information provided. For the purposes of the current study, data concerning a single topic was used for the analysis-'epidural analgesia for labour'.

FINDINGS

Language structures used were highly variable between educators, as was the content and time taken for the information being provided.

CONCLUSION AND RECOMMENDATIONS

Our findings represent a first attempt to identify baseline information used in the clinical setting of antenatal education in order to categories communication structures used. This study has identified areas for further improvements and consistency in the way educators provide information to parents and has important implications for future midwifery practice, education and research.

摘要

未标注

产前教育工作者使用的语言结构此前尚未在产前分娩课程的背景下进行研究。分娩时的硬膜外镇痛是提供产科护理的医院中为父母进行产前教育的常见且经常被问到的内容。

研究目的

我们旨在确定分娩教育工作者描述和呈现信息的方式,以评估内容并确定使用了哪些语言结构,如隐喻、建议、信息和讲故事等。

设计

这项关于产前教育的观察性研究在澳大利亚悉尼西部的一个单一的三级产科转诊中心进行。所有三位分娩教育工作者都同意在产前课程向父母提供信息时进行录像。随后对音频数据进行转录,然后由两名研究人员进行分析,独立对提供的各种语言结构和信息类型进行分类。就本研究而言,分析使用了关于单个主题的数据——“分娩时的硬膜外镇痛”。

研究结果

教育工作者之间使用的语言结构差异很大,所提供信息的内容和时长也是如此。

结论与建议

我们的研究结果首次尝试确定产前教育临床环境中使用的基线信息,以便对所使用的沟通结构进行分类。本研究确定了教育工作者向父母提供信息的方式中需要进一步改进和保持一致的领域,对未来的助产实践、教育和研究具有重要意义。

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