Wang Guoqing, Li Xiaoyu, Xie Yimei, Gong Wenjie
Department of Maternal and Child Health, Xiangya School of Public Health, Central South University, Changsha 410013, China.
FuRong Laboratory, Changsha 410078, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2024 Dec 28;49(12):1999-2004. doi: 10.11817/j.issn.1672-7347.2024.240414.
Postpartum visit are maternal and child health services provided by primary care workers at the homes of postpartum women within one week after hospital discharge. However, China currently lacks detailed work guidelines and standardized protocols for such services, making it difficult to effectively assess the competency of postpartum visitors and improve service quality. This study reviewed 24 Chinese and English articles retrieved using a combination of subject and free terms, selected based on inclusion and exclusion criteria. The key components of postpartum visit competency were summarized into 3 dimensions: Health assessment, health education, and communication/coordination. While home visitors were generally capable of performing basic physical examinations and providing health education for mothers and newborns, they often lacked the ability to deliver more specialized maternal and infant care. Factors affecting the effectiveness of postpartum visit services included the personal characteristics, technical skills, and training of the visitors. Strategies to improve competencies involve reforming training methods, enhancing home visit skills, and standardizing procedures. Currently, there is a lack of comprehensive tools to assess postpartum visit competency.
产后访视是基层医护人员在产妇出院后一周内，到产妇家中提供的母婴保健服务。然而，中国目前缺乏此类服务的详细工作指南和标准化流程，难以有效评估产后访视人员的能力并提高服务质量。本研究回顾了通过主题词和自由词相结合检索到的24篇中英文文章，并根据纳入和排除标准进行筛选。产后访视能力的关键要素归纳为3个维度：健康评估、健康教育以及沟通/协调。虽然家访人员一般能够进行基本体格检查并为母亲和新生儿提供健康教育，但他们往往缺乏提供更专业母婴护理的能力。影响产后访视服务效果的因素包括访视人员的个人特质、技术技能和培训情况。提高能力的策略包括改革培训方法、提升家访技能以及规范流程。目前，缺乏评估产后访视能力的综合工具。
