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医疗保健专业人员在分娩期间使用缩宫素的情况。

The Use of Oxytocin by Healthcare Professionals During Labor.

作者信息

Alan Sultan, Akça Emine, Şenoğlu Ayse, Gozuyesil Ebru, Surucu Sule Gokyildiz

机构信息

Cukurova University, Faculty of Health Sciences, Midwifery Department, Adana, Turkey.

Inonu University, Faculty of Health Sciences, Department of Midwifery, Malatya, Turkey.

出版信息

Yonago Acta Med. 2020 Aug 20;63(3):214-222. doi: 10.33160/yam.2020.08.012. eCollection 2020 Aug.

DOI:10.33160/yam.2020.08.012
PMID:32884441
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7435109/
Abstract

BACKGROUND

Oxytocin is widely used in perinatal medicine, but it can cause serious side effects. Health professionals should be familiar with the pharmacokinetics, dosing regimen, and fetal effects of oxytocin. This study aims to explore the use of oxytocin by healthcare professionals during labor.

METHODS

This study was conducted in one medical faculty, one training and research hospital, one maternity hospital, and one private hospital in Adana, Turkey. The sample group included 107 participants. The data were gathered using a survey prepared in line with the literature. The survey was comprised of 30 questions. These questions concern the social demographic information of the participants, the knowledge and actual oxytocin use, and the views of the participants. The data were analyzed using descriptive statistics.

RESULTS

The average age of the participants was 36.76 ± 8.70 years, the mean of working experience in the delivery room was 7.79 ± 7.73 years. 85.6% of the participants who answered the question of possible effects of oxytocin as contraction, 57.9% of the possible side effects as fetal distress. 69.2% of the participants stated that they applied oxytocin after dilution in a fluid while 47% stated that they applied it after dilution in fluid with 5% Dextrose. While 40% of the participants responded that they sometimes forgot to administer medication, 39.2% stated that they did not register medication in their survey responses.

CONCLUSION

It was determined that most of the participants answered the questions about the effect of oxytocin correctly, but they could not respond to all the side effects of oxytocin. It was found that most of the participants could not answer the storage conditions that are important for the effectiveness of the drug correctly. In addition, the importance level given to the principles of drug administration by the participants was generally found to be high.

摘要

背景

缩宫素在围产期医学中广泛应用,但它可能会引起严重的副作用。医疗专业人员应熟悉缩宫素的药代动力学、给药方案和对胎儿的影响。本研究旨在探讨医疗专业人员在分娩期间对缩宫素的使用情况。

方法

本研究在土耳其阿达纳的一所医学院、一家培训和研究医院、一家妇产医院和一家私立医院进行。样本组包括107名参与者。数据通过根据文献编制的调查问卷收集。该调查问卷由30个问题组成。这些问题涉及参与者的社会人口统计学信息、对缩宫素的知识和实际使用情况以及参与者的看法。数据采用描述性统计进行分析。

结果

参与者的平均年龄为36.76±8.70岁,产房工作经验的平均值为7.79±7.73年。回答缩宫素可能的作用为宫缩的参与者占85.6%,可能的副作用为胎儿窘迫的占57.9%。69.2%的参与者表示他们在液体中稀释后应用缩宫素,而47%的参与者表示他们在5%葡萄糖溶液中稀释后应用。40%的参与者回答他们有时会忘记给药,39.2%的参与者表示他们在调查问卷回复中未记录用药情况。

结论

确定大多数参与者正确回答了关于缩宫素作用的问题,但他们无法回答缩宫素的所有副作用。发现大多数参与者不能正确回答对药物有效性很重要的储存条件。此外,总体上发现参与者对给药原则的重视程度较高。

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Knowledge, perception and practice towards oxytocin stability and quality: A qualitative study of stakeholders in three resource-limited countries.对催产素稳定性和质量的知识、认知和实践:三个资源有限国家利益相关者的定性研究。
PLoS One. 2018 Sep 25;13(9):e0203810. doi: 10.1371/journal.pone.0203810. eCollection 2018.
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Knowledge, attitudes, and practices related to uterotonic drugs during childbirth in Karnataka, India: a qualitative research study.印度卡纳塔克邦与分娩时使用子宫收缩药物相关的知识、态度和实践:一项定性研究。
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