Zhang Xiaoqian, Matheï Catharina, Vermandere Mieke, Zuo Xiaoli, Wang Qian, Leng Hui, Li Tang, Buntinx Frank
Academic Center for General Practice, Catholic University of Leuven, Leuven, Belgium.
Qingdao United Family Hospital, Qingdao, China.
Arch Public Health. 2022 Dec 6;80(1):247. doi: 10.1186/s13690-022-01000-3.
Postpartum care is an expanding concept in China, and it is gaining vast attention in Chinese society. However, due to some Chinese traditions and rituals during the postpartum period, the utilization of modern postpartum care should be improved on both individual and community levels from different aspects. This integrative review outlined the inhibitors and facilitators of postpartum care utilization in China.
Writing an integrative review, a literature search was conducted in Chinese and English databases including Wan Fang, China National Knowledge infrastructure, Medline, Web of Science, and Embase till 31 October 2021 to capture citations covering 'postpartum care', 'utilization' and 'China'. Titles and abstracts were screened independently by three reviewers. Included studies were critically appraised using tools and checklists independently for both qualitative and quantitative studies by two different reviewers who also performed thematic synthesis.
Of the 4359 citations screened, 41 studies (450,788 patients) were selected. Categorization of the factors influencing postpartum care utilization revealed five components: sociocultural (25 studies); educational (24 studies); organizational (12 studies); economic (19 studies); and physical (6 studies). Factors influencing postpartum care utilization both on individual and community levels were identified. They included facilitated factors such as higher mother's and partner's education level, higher socioeconomic status, lower parity, better insurance coverage, urban geographical location, Han ethnicity, and better transportation. Inhibitory factors such as under-managed policy regulation, migrants without domicile, and lower quality of care were also reported.
This review has identified the inhibitors and facilitators of postpartum care utilization in China. Five major aspects including sociocultural, educational, organizational, economic, and physical components have been analysed. Results can be used to improve the utilization of modern postpartum care on both individual and community levels in Chinese society.
产后护理在中国是一个不断扩展的概念，正受到中国社会的广泛关注。然而，由于产后期间的一些中国传统习俗，现代产后护理的利用率在个人和社区层面都应从不同方面加以提高。本整合性综述概述了中国产后护理利用的阻碍因素和促进因素。
撰写一篇整合性综述，在中国知网、万方、Medline、Web of Science和Embase等中英文数据库中进行文献检索，截至2021年10月31日，以获取涵盖“产后护理”“利用”和“中国”的文献引用。由三位评审员独立筛选标题和摘要。纳入的研究由两位不同的评审员分别使用定性和定量研究的工具及清单进行严格评估，他们还进行了主题综合分析。
在筛选的4359条文献引用中，选取了41项研究（450,788名患者）。对影响产后护理利用的因素进行分类，发现有五个组成部分：社会文化（25项研究）；教育（24项研究）；组织（12项研究）；经济（19项研究）；以及身体因素（6项研究）。确定了在个人和社区层面影响产后护理利用的因素。其中包括促进因素，如母亲和伴侣的教育水平较高、社会经济地位较高、低生育次数、更好的保险覆盖范围、城市地理位置、汉族以及更好的交通条件。也报告了一些阻碍因素，如政策监管不力、无户籍的移民以及护理质量较低。
本综述确定了中国产后护理利用的阻碍因素和促进因素。分析了社会文化、教育、组织、经济和身体因素这五个主要方面。研究结果可用于提高中国社会个人和社区层面现代产后护理的利用率。
