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基于社区的产后护理模式:管理产妇和新生儿的催化剂。

Community-based postnatal care model: Catalyst for management of mothers and neonates.

机构信息

Department of Advanced Nursing Science, Faculty of Health Sciences, University of Venda, Thohoyandou.

出版信息

Curationis. 2024 Apr 22;47(1):e1-e9. doi: 10.4102/curationis.v47i1.2563.

Abstract

BACKGROUND

Early postnatal discharge is perceived as a factor that contributes to the possibilities of the maternal, neonatal complications and deaths. The implementation of the community-based postnatal care model is crucial to mitigate the morbidity and mortality of postnatal women and neonates during the first weeks of delivery. A community-based postnatal care model was developed for the management of neonates during the postnatal care period in the community.

OBJECTIVES

The study aims to share the developed community-based postnatal care model that could assist postnatal women in the management of neonates.

METHOD

Empirical findings from the main study formed the basis for model development. The model development in this study was informed by the work of Walker and Avant; Chinn and Kramer Dickoff, James and Wiedenbach; and Chinn and Jacobs.

RESULTS

The results indicated that there was no community-based postnatal care model developed to manage neonates. The model is described using the practice theory of Dickoff, James and Wiedenbach elements of agents, recipients, context, process, dynamics and outcomes within the community context of the postnatal care period. The model was further described by Chinn and Krammer following the assumptions of the model, concept definition, relation statement and nature of structure.

CONCLUSION

The utilisation of the model is critical and facilitates the provision of an enabling and supportive community-based context by primary caregivers for the effective management of neonates.Contribution: This study provides a reference guide in the provision of community-based postnatal care by postnatal women after discharge from healthcare facilities.

摘要

背景

产后早期出院被认为是导致产妇、新生儿并发症和死亡的可能性因素。实施基于社区的产后护理模式对于减轻分娩后第一周产妇和新生儿的发病率和死亡率至关重要。本研究开发了一种基于社区的产后护理模式,用于管理社区内产后护理期间的新生儿。

目的

本研究旨在分享开发的基于社区的产后护理模式,以帮助产后妇女管理新生儿。

方法

主要研究的实证发现为模型开发提供了依据。本研究中的模型开发借鉴了沃克和阿凡特;金和克莱默·迪科夫、詹姆斯和威登巴赫;以及金和雅各布斯的工作。

结果

结果表明,没有开发出基于社区的产后护理模式来管理新生儿。该模型使用迪克夫、詹姆斯和威登巴赫的实践理论来描述,包括代理人、接受者、背景、过程、动态和结果等要素,以及在产后护理期间的社区背景下。金和克莱默进一步描述了该模型,包括模型假设、概念定义、关系陈述和结构性质。

结论

该模型的应用至关重要,它促进了主要照顾者在社区环境中为新生儿提供有效的管理提供了一个赋权和支持的环境。

贡献

本研究为产后妇女从医疗机构出院后提供基于社区的产后护理提供了参考指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8105/11079340/4528b9660d76/CUR-47-2563-g001.jpg

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