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护士和助产士眼中的围产期临终关怀护理。

Perinatal hospice care in the opinion of nurses and midwives.

作者信息

Gruszka Martyna, Kudela Grzegorz, Wolny Agnieszka, Koszutski Tomasz, Hyla-Klekot Lidia

机构信息

Department of Pediatric Surgery and Urology; The Independent Public Clinical Hospital no. 6 of the Medical University of Silesia in Katowice, Poland.

Doctoral studies, School of Health Sciences of the Medical University of Silesia in Katowice, Poland.

出版信息

Ginekol Pol. 2019;90(12):702-706. doi: 10.5603/GP.2019.0120.

Abstract

OBJECTIVES

Perinatal medicine is a relatively new, dynamically developing branch of medicine. Its main purpose is taking care of a woman in the pre-conception period, pregnancy and delivery, as well as taking care of a newborn baby. The main aim of the study was to assess the state of knowledge and opinion on hospice perinatal care of professionally active nurses and midwives.

MATERIAL AND METHODS

An original and anonymous questionnaire containing 30 questions was used for the study. 572 nurses and midwives from the Silesian Voivodeship took part in the study. The obtained data were analyzed.

RESULTS

Only 31.6% of respondents defined the level of their knowledge of pregnancy and neonatal care as high. 12.8% of respondents were able to indicate the definition of perinatal care and accurately determine its goals. The women participating in the study were in favor of enclosing the information about not attempting resuscitation (DNAR) in medical record of children with incurable disease diagnosed in fetal life (99.3%).

CONCLUSIONS

The study showed deficits in practical and theoretical knowledge of nurses and midwives in the area of hospice perinatal care. Lack of proper preparation is also one of the most frequently mentioned difficulties in taking care of a child and family with poor prognosis.

摘要

目的

围产期医学是一个相对较新的、动态发展的医学分支。其主要目的是在孕前、孕期和分娩期照顾女性,以及照顾新生儿。本研究的主要目的是评估在职护士和助产士对临终关怀围产期护理的知识水平和看法。

材料与方法

本研究使用了一份包含30个问题的原创匿名问卷。来自西里西亚省的572名护士和助产士参与了研究。对获得的数据进行了分析。

结果

只有31.6%的受访者将自己对妊娠和新生儿护理的知识水平定义为高。12.8%的受访者能够指出围产期护理的定义并准确确定其目标。参与研究的女性赞成将不进行心肺复苏(DNAR)的信息纳入胎儿期诊断为不治之症的儿童的病历中(99.3%)。

结论

该研究表明,护士和助产士在临终关怀围产期护理领域的实践和理论知识存在不足。缺乏适当的准备也是照顾预后不良的儿童和家庭时最常提到的困难之一。

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