Ratzon Ronit, Cohen Arnon, Hadar Amnon, Froimovici Miron, Bilenko Natalya
Department of Public Health, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva 8410501, Israel.
Department of Quality Measurements (Director), Clalit Health Services, Tel Aviv 6209813, Israel.
J Clin Med. 2022 Aug 26;11(17):5015. doi: 10.3390/jcm11175015.
The importance of acquiring knowledge of pregnant women on prenatal care lies in its leading to confidence and ability in decision-making. There is a growing need for a model of prenatal care that will allow nurses to provide the most efficient pregnancy-related guidance with minimum need for additional staff. This study compares the level of knowledge on subjects pertaining to pregnancy and birth in low-risk pregnancies when delivered in group versus individual settings. The study is an open, controlled, semi-randomized community trial. The intervention arm received prenatal care services in a group setting led by a nurse. The control arm received prenatal care services in routine individual meetings with a nurse. Knowledge of prenatal subjects was evaluated by questionnaires. The level of knowledge of the women in the group setting for the pre-service questionnaire was lower than that of the women in the individual group, but higher for the final questionnaire. After accounting for a starting point difference (the women in the individual care arm started with a higher knowledge score), the women in the group setting had a three-fold improvement in score compared to the women in the individual setting ( = 0.043). Prenatal care provided in a group setting may lead to better knowledge acquisition, leading to better awareness of pregnancy-related medical conditions and to enhanced adherence to recommended pregnancy tests and healthy lifestyle.
让孕妇了解产前护理知识的重要性在于它能带来决策的信心和能力。越来越需要一种产前护理模式，使护士能够以最少的额外人员需求提供最有效的与怀孕相关的指导。本研究比较了低风险妊娠在集体环境与个体环境中分娩时，孕妇对与怀孕和分娩相关主题的知识水平。该研究是一项开放、对照、半随机的社区试验。干预组在由一名护士带领的集体环境中接受产前护理服务。对照组在与护士的常规个体会面中接受产前护理服务。通过问卷调查评估产前主题的知识。集体环境中女性在服务前问卷的知识水平低于个体组中的女性，但在最终问卷中更高。在考虑起始点差异（个体护理组中的女性起始知识得分更高）后，集体环境中的女性得分相比个体环境中的女性提高了三倍（P = 0.043）。在集体环境中提供的产前护理可能会带来更好的知识获取，从而提高对与怀孕相关医疗状况的认识，并增强对推荐的妊娠检查和健康生活方式的依从性。
