Department of Psychology and Methods, Jacobs University Bremen, 28759 Bremen, Germany.
Aktionsbündnis Patientensicherheit e.V. (APS), 10179 Berlin, Germany.
Int J Environ Res Public Health. 2021 Mar 5;18(5):2616. doi: 10.3390/ijerph18052616.
(1) Background: Obstetric work requires good communication, which can be trained through interventions targeting healthcare providers and pregnant women/patients. This systematic review aims to aggregate the current state of research on communication interventions in obstetrics. (2) Methods: Using the PICOS scheme, we searched for studies published in peer-reviewed journals in English or German between 2000 and 2020. Out of 7018 results, 71 studies were included and evaluated in this synthesis using the Oxford Level of Evidence Scale. (3) Results: The 63 studies that included a communication component revealed a positive effect on different proximal outcomes (i.e., communication skills). Three studies revealed a beneficial effect of communication trainings on distal performance indicators (i.e., patient safety), but only to a limited extent. Most studies simultaneously examined different groups, however, those addressing healthcare providers were more common than those with students (61 vs. 12). Only nine studies targeted expectant mothers. Overall, the evidence level of studies was low (only 11 RCTs), with 24 studies with an evidence level I-II, 35 with level III, and 10 with level IV. (4) Conclusions: Communication trainings should be more frequently applied to improve communication of staff, students, and pregnant women and their partners, thereby improving patient safety.
(1) 背景：产科工作需要良好的沟通，这可以通过针对医疗保健提供者和孕妇/患者的干预措施来培养。本系统评价旨在综合目前关于产科沟通干预的研究现状。
(2) 方法：使用 PICOS 方案，我们在 2000 年至 2020 年间以英文或德文在同行评议期刊上搜索研究。在 7018 项结果中，有 71 项研究被纳入本综述，并使用牛津证据等级量表进行评估。
(3) 结果：63 项包含沟通内容的研究显示，对不同的近端结局（即沟通技巧）有积极影响。三项研究显示沟通培训对远程绩效指标（即患者安全）有有益影响，但仅在一定程度上。大多数研究同时检查了不同的群体，但那些针对医疗保健提供者的研究比针对学生的研究更常见（61 对 12）。只有九项研究针对孕妇。总体而言，研究的证据水平较低（仅有 11 项 RCT），24 项研究的证据水平为 I-II，35 项为 III，10 项为 IV。
(4) 结论：应更频繁地应用沟通培训来提高工作人员、学生、孕妇及其伴侣的沟通能力，从而提高患者安全。
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