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以人为主导的设计与孕产护理:这是一种可能的相互作用吗?——一项系统综述

Human-centered design and maternity care: is this a possible interplay?-a systematic review.

作者信息

Landeiro Filipa, Silva Mónica, Moura Carolina Veiga E, Martins Catarina, Miller Paula, Ferraz Sandrina, de Azevedo Andréa Paula, Gancho Sara, Rocha Luís, Patrício Rui, Nunes Inês

机构信息

Universidade Europeia, IADE, Faculdade de Design, Tecnologia e Comunicação, UNIDCOM/IADE, Unidade de Investigação em Design e Comunicação, Av. D. Carlos I, 4, 1200-649, Lisboa, Portugal.

Universidade Europeia, IADE, Faculdade de Design, Tecnologia e Comunicação, Av. D. Carlos I, 4, 1200-649, Lisboa, Portugal.

出版信息

BMC Pregnancy Childbirth. 2025 Mar 8;25(1):261. doi: 10.1186/s12884-024-07119-1.

DOI:10.1186/s12884-024-07119-1
PMID:40057731
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11890511/
Abstract

This paper argues that putting women at the center of care requires the right balance between adequate clinical care and human-centered design (HCD) approaches. Enhancing their experience during the maternity journey would make it possible to address societal challenges and effectively achieve the humanization of maternity care. Thus, the aim is to investigate the interplay between human-centered design and maternity care through a literature review. MEDLINE (Pubmed), CINAHL (EBSCO), Web of Science, and Scopus databases were searched, and twenty-one papers were selected as primary studies according to predefined inclusion criteria and as per agreement of the authors, either from design/social sciences or clinical backgrounds. Studies from eight countries targeting prenatal, childbirth, and/or postnatal care were reviewed, including healthcare professionals and pregnant women as participants. A systematic approach was followed for the papers, and specific attention was paid to socioeconomic and racial issues. The last phase included prototype testing, which involved digital resources development. Creating solutions for the mainstay problems throughout HCD is a helpful tool in surpassing systems' problems and disadvantages, allowing for identifying and accurately targeting healthcare system gaps and maternity care opportunities to achieve a positive and humanized journey.

摘要

本文认为,将女性置于护理中心需要在充分的临床护理和以人为本的设计(HCD)方法之间取得适当平衡。改善她们在孕产过程中的体验将有助于应对社会挑战,并有效实现孕产护理的人性化。因此,本文旨在通过文献综述来研究以人为本的设计与孕产护理之间的相互作用。检索了MEDLINE(PubMed)、CINAHL(EBSCO)、科学网和Scopus数据库,并根据预先定义的纳入标准以及作者的共识,从设计/社会科学或临床背景中筛选出21篇论文作为主要研究。对来自八个国家的针对产前、分娩和/或产后护理的研究进行了综述,研究参与者包括医疗保健专业人员和孕妇。对这些论文采用了系统的方法,并特别关注社会经济和种族问题。最后阶段包括原型测试,其中涉及数字资源开发。在以人为本的设计过程中为主要问题创建解决方案,是克服系统问题和缺点的有用工具,有助于识别并精准定位医疗保健系统的差距以及孕产护理的机会,从而实现积极且人性化的孕产过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a52/11890511/d79b22bc0542/12884_2024_7119_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a52/11890511/6a3ab8e61871/12884_2024_7119_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a52/11890511/d79b22bc0542/12884_2024_7119_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a52/11890511/6a3ab8e61871/12884_2024_7119_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a52/11890511/d79b22bc0542/12884_2024_7119_Fig2_HTML.jpg

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本文引用的文献

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JMIR Res Protoc. 2022 Jul 7;11(7):e37947. doi: 10.2196/37947.
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Developing multi-language maternal health education videos for refugee and migrant women in southeast Melbourne.为墨尔本东南部的难民和移民妇女制作多语言的孕产妇健康教育视频。
Midwifery. 2022 Aug;111:103369. doi: 10.1016/j.midw.2022.103369. Epub 2022 May 14.
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Inclusive, supportive and dignified maternity care (SDMC)-Development and feasibility assessment of an intervention package for public health systems: A study protocol.
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PLoS One. 2022 Feb 9;17(2):e0263635. doi: 10.1371/journal.pone.0263635. eCollection 2022.
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The Application of Human-Centered Design Approaches in Health Research and Innovation: A Narrative Review of Current Practices.以人为本的设计方法在健康研究和创新中的应用:当前实践的叙述性综述。
JMIR Mhealth Uhealth. 2021 Dec 6;9(12):e28102. doi: 10.2196/28102.
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JMIR Form Res. 2021 Nov 25;5(11):e29214. doi: 10.2196/29214.
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