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发展中国家孕妇对产科危险信号的认知:系统评价。

Pregnant woman awareness of obstetric danger signs in developing country: systematic review.

机构信息

Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.

Escola Superior de Saúde, University of Algarve, Faro, Portugal.

出版信息

BMC Pregnancy Childbirth. 2023 May 16;23(1):357. doi: 10.1186/s12884-023-05674-7.

Abstract

BACKGROUND

Mother's awareness of obstetric danger signs is the degree of a pregnant woman to fully utilize her knowledge of the signs and symptoms of complications of pregnancy, which helps the mother and family to seek medical help immediately. High maternal and infant mortality rates in developing countries are due to a combination of a lack of quality, resources and access to health services coupled with mother's lack of awareness. The purpose of this study was to collect current empirical studies to describe the pregnant women awareness about the obstetric danger sign in developing country.

METHOD

This review employed the Prisma-ScR checklist. The articles searched in four electronic databases (Scopus, CINAHL, Science Direct, Google Scholar). Variables that used to search the articles (pregnant woman, knowledge, awareness, danger signs pregnancy). The Framework used to review is PICOS.

RESULT

The results of the article found 20 studies which met inclusion criteria. The determinants were high educational status, more pregnancy experience, more ANC visit, and labour in the health facility.

CONCLUSION

The level of awareness is low to medium, only some have fair awareness, in which related to determinant. The recommended effective strategy is to improve the ANC program by assess the risk of obstetric danger sign promptly, assess the barrier of health seeking related to the family support, i.e. the husband and the elderly. Additionally, use MCH handbook or mobile application to record the ANC visit and communicate with the family.

摘要

背景

产妇对产科危险信号的认识是指孕妇充分利用其对妊娠并发症的体征和症状的知识的程度,这有助于母亲和家庭立即寻求医疗帮助。发展中国家高的母婴死亡率是由于缺乏质量、资源和获得卫生服务的机会以及母亲缺乏意识的综合作用。本研究的目的是收集当前的实证研究,描述发展中国家孕妇对产科危险信号的认识。

方法

本综述采用了 Prisma-ScR 清单。文章在四个电子数据库(Scopus、CINAHL、Science Direct、Google Scholar)中进行了搜索。用于搜索文章的变量(孕妇、知识、意识、妊娠危险信号)。使用的综述框架是 PICOS。

结果

文章的结果发现了 20 项符合纳入标准的研究。决定因素是高教育程度、更多的妊娠经历、更多的 ANC 就诊次数和在医疗机构分娩。

结论

意识水平低至中等,只有一些有公平的意识,与决定因素有关。建议的有效策略是通过及时评估产科危险信号的风险来改善 ANC 计划,评估与家庭支持(即丈夫和老年人)有关的寻求医疗保健的障碍。此外,使用母婴保健手册或移动应用程序记录 ANC 就诊情况并与家庭进行沟通。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7c6/10186674/c7f39556b529/12884_2023_5674_Fig1_HTML.jpg

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