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在 1 类剖宫产术中伴侣在手术室的存在:一项前瞻性探索性研究。

Presence of the partner in the operating room during a category 1 cesarean section: a prospective explorative study.

机构信息

Department of Anesthesiology and Intensive Care, University Hospital of Southern Denmark, Kolding, Denmark; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.

Department of Anesthesiology and Intensive Care, University Hospital of Southern Denmark, Kolding, Denmark.

出版信息

Int J Obstet Anesth. 2024 Feb;57:103939. doi: 10.1016/j.ijoa.2023.103939. Epub 2023 Oct 10.

Abstract

BACKGROUND

Little information exists regarding attitudes related to the presence of the partner in the operation room (OR) during category 1 emergency cesarean section (cat. 1 CS). We investigated how cat. 1 CS under general anesthesia is experienced, both by partners present in the OR and those not.

METHODS

An explorative prospective cohort trial, with qualitative elements, involving all cat. 1 CS in 2022 in two hospitals. At site 1 the partner was present in the OR during cat. 1 CS, whereas at site 2 the partner was not. Parents and staff answered questionnaires following each cat. 1 CS and semi-structured interviews with partners were held three months after surgery. Qualitative data were analyzed using content analysis. The primary outcome was the partner's answer to the question: "Would you have preferred not being present/being present in the OR?" respectively.

RESULTS

Seventeen and eight cat. 1 CS occurred at each site respectively. All parents agreed to participate. No partners in site 1 would have preferred to wait outside, and all evaluated the experience very positively. Partners at site 2 also evaluated not being present positively. Overarching themes from the qualitative analysis were "Being the family witness" and "Experience of being the partner". Mothers and staff from site 1 were very positive about their partners' presence.

CONCLUSION

Partners present in the OR during cat. 1 CS under general anesthesia evaluated this very positively. Most partners, who had not been present in the OR, also evaluated this positively. No partners had post-traumatic stress.

摘要

背景

关于伴侣在一级紧急剖宫产(cat. 1 CS)手术室内出现的相关态度,信息较少。我们调查了全身麻醉下进行一级 CS 的经历,包括伴侣在手术室中以及不在手术室中的情况。

方法

这是一项探索性前瞻性队列研究,包含定性元素,涉及 2022 年两家医院的所有一级 CS。在site1,伴侣在一级 CS 手术室内,而在 site2 则不在。父母和工作人员在每次一级 CS 后回答问卷,并在手术后三个月对伴侣进行半结构化访谈。使用内容分析法分析定性数据。主要结局是伴侣对以下问题的回答:“您更希望不在手术室/在手术室中吗?”

结果

每个地点分别有 17 例和 8 例一级 CS。所有父母都同意参加。site1 中没有伴侣希望在外面等待,并且所有人都对体验评价非常积极。site2 的伴侣对不在手术室中也评价积极。从定性分析中得出的主要主题是“作为家庭的见证者”和“作为伴侣的体验”。site1 的母亲和工作人员对伴侣的出现非常满意。

结论

伴侣在全身麻醉下一级 CS 手术室内时,对这种情况评价非常积极。大多数不在手术室的伴侣也对这种情况评价积极。没有伴侣出现创伤后应激。

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