助产士、产科医生及近期分娩产妇对产前护理远程监测的看法：回顾性调查
Midwives', Obstetricians', and Recently Delivered Mothers' Perceptions of Remote Monitoring for Prenatal Care: Retrospective Survey.
作者信息
Lanssens Dorien, Vandenberk Thijs, Lodewijckx Joy, Peeters Tessa, Storms Valerie, Thijs Inge M, Grieten Lars, Gyselaers Wilfried
机构信息
Limburg Clinical Research Program, Mobile Health Unit, Hasselt University, Diepenbeek, Belgium.
Faculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, Belgium.
出版信息
J Med Internet Res. 2019 Apr 15;21(4):e10887. doi: 10.2196/10887.
BACKGROUND
The Pregnancy Remote Monitoring (PREMOM) study enrolled pregnant women at increased risk of developing hypertensive disorders of pregnancy and investigated the effect of remote monitoring in addition to their prenatal follow-up.
OBJECTIVE
The objective of this study was to investigate the perceptions and experiences of remote monitoring among mothers, midwives, and obstetricians who participated in the PREMOM study.
METHODS
We developed specific questionnaires for the mothers, midwives, and obstetricians addressing 5 domains: (1) prior knowledge and experience of remote monitoring, (2) reactions to abnormal values, (3) privacy, (4) quality and patient safety, and (5) financial aspects. We also questioned the health care providers about which issues they considered important when implementing remote monitoring. We used a 5-point Likert scale to provide objective scores. It was possible to add free-text feedback at every question.
RESULTS
A total of 91 participants completed the questionnaires. The mothers, midwives, and obstetricians reported positive experiences and perceptions of remote monitoring, although most of them had no or little prior experience with this technology. They supported a further rollout of remote monitoring in Belgium. Nearly three-quarters of the mothers (34/47, 72%) did not report any problems with taking the measurements at the required times. Almost half of the mothers (19/47, 40%) wanted to be contacted within 3 to 12 hours after abnormal measurement values, preferably by telephone.
CONCLUSIONS
Although most of midwives and obstetricians had no or very little experience with remote monitoring before enrolling in the PREMOM study, they reported, based on their one-year experience, that remote monitoring was an important component in the follow-up of high-risk pregnancies and would recommend it to their colleagues and pregnant patients.
TRIAL REGISTRATION
ClinicalTrials.gov NCT03246737; https://clinicaltrials.gov/ct2/show/NCT03246737 (Archived by WebCite at http://www.webcitation.org/76KVnHSYY).
背景
妊娠远程监测（PREMOM）研究招募了妊娠高血压疾病发生风险增加的孕妇，并在其产前随访基础上研究了远程监测的效果。
目的
本研究的目的是调查参与PREMOM研究的母亲、助产士和产科医生对远程监测的看法和体验。
方法
我们为母亲、助产士和产科医生制定了特定的问卷，涉及5个领域：（1）远程监测的既往知识和经验，（2）对异常值的反应，（3）隐私，（4）质量和患者安全，以及（5）财务方面。我们还询问了医疗保健提供者在实施远程监测时认为哪些问题很重要。我们使用5点李克特量表来提供客观评分。每个问题都可以添加自由文本反馈。
结果
共有91名参与者完成了问卷。母亲、助产士和产科医生报告了对远程监测的积极体验和看法，尽管他们中的大多数人此前没有或几乎没有使用过这项技术的经验。他们支持在比利时进一步推广远程监测。近四分之三的母亲（34/47，72%）没有报告在规定时间进行测量时出现任何问题。几乎一半的母亲（19/47，40%）希望在测量值异常后的3至12小时内得到联系，最好是通过电话。
结论
尽管大多数助产士和产科医生在参与PREMOM研究之前没有或几乎没有远程监测的经验，但根据他们一年的经验，他们报告说远程监测是高危妊娠随访中的一个重要组成部分，并会向同事和孕妇推荐。
试验注册
ClinicalTrials.gov NCT03246737；https://clinicaltrials.gov/ct2/show/NCT03246737（由WebCite存档于http://www.webcitation.org/76KVnHSYY）。
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