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女性在专门设计的分娩室中对身体特征的体验:瑞典的一项混合方法研究。

Women's Experiences of Physical Features in a Specially Designed Birthing Room: A Mixed-Methods Study in Sweden.

机构信息

Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.

Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Gothenburg, Sweden.

出版信息

HERD. 2022 Jul;15(3):193-205. doi: 10.1177/19375867221077097. Epub 2022 Mar 16.

DOI:10.1177/19375867221077097
PMID:35293256
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9254390/
Abstract

AIM

To explore women's experiences of physical features in a birthing room designed to be adaptable to personal wishes and needs during labor and birth.

BACKGROUND

Childbirth is a central life event influenced by numerous factors, including the healthcare environment; however, there is insufficient knowledge on how the physical design affects women during birth.

METHODS

This study was part of a randomized controlled trial in the Room4Birth research project, including women randomized to receive care in a new birthing room designed with physical features changeable according to personal wishes. Data consisted of responses to two questions analyzed with descriptive statistics ( = 202) and semi-structured interviews analyzed for content ( = 19).

RESULTS

A total of 93.6% ( = 189) assessed the physical features in the birthing room as meaningful to a very high or high extent. The overall impression of the room was positive and exceeded women's expectations. They felt welcomed and strengthened by the room, which shifted the focus to a more positive emotional state. The room differed from traditional hospital birthing rooms, contained familiar features that maintained integrity, and had space for companions. The variety of physical features was appreciated. Of nine listed physical features, the bathtub was ranked most important, followed by the projection of nature scenery, and dimmable lighting, but the room as a whole appeared most important.

CONCLUSIONS

When planning and designing hospital-based birthing rooms, it is crucial to offer possibilities to adapt the room and physical features according to personal wishes.

摘要

目的

探讨女性在分娩室中对个人意愿和需求适应性强的物理特征的体验。

背景

分娩是一个受多种因素影响的重要生活事件,包括医疗保健环境;然而,对于物理设计如何影响分娩期间的女性,我们知之甚少。

方法

这项研究是 Room4Birth 研究项目的一项随机对照试验的一部分,包括随机分配到新的分娩室接受护理的女性,该分娩室的物理特征可根据个人意愿进行改变。数据由对两个问题的回答组成,采用描述性统计分析(n=202)和半结构化访谈进行内容分析(n=19)。

结果

共有 93.6%(n=189)的女性评估了分娩室的物理特征非常有意义或意义重大。对房间的总体印象是积极的,超出了女性的预期。房间让她们感到欢迎和受到鼓舞,将注意力转移到更积极的情绪状态。房间与传统的医院分娩室不同,包含了保持完整性的熟悉特征,并有伴侣的空间。多样化的物理特征受到赞赏。在列出的九个物理特征中,浴缸被评为最重要的,其次是自然风景的投影和可调光照明,但整个房间似乎最重要。

结论

在规划和设计基于医院的分娩室时,根据个人意愿提供房间和物理特征的适应性非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dfd/9254390/710251225220/10.1177_19375867221077097-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dfd/9254390/710251225220/10.1177_19375867221077097-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dfd/9254390/710251225220/10.1177_19375867221077097-fig1.jpg

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The birthing room and its influence on the promotion of a normal physiological childbirth - a qualitative interview study with midwives in Sweden.分娩室及其对促进正常生理分娩的影响——瑞典助产士的定性访谈研究。
Int J Qual Stud Health Well-being. 2021 Dec;16(1):1939937. doi: 10.1080/17482631.2021.1939937.
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Place and space in relation to childbirth: a critical interpretive synthesis.
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[Impact of hospital architecture on the birthing experience: a phenomenological study with mothers-to-be who are design experts].[医院建筑对分娩体验的影响:一项针对身为设计专家的准妈妈的现象学研究]
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