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采用改良德尔菲法为产科医学专业人员制定孕产妇保健运动与盆腔腹部康复课程

Development of a Maternal Health Care Exercise and Pelvic Abdominal Rehabilitation Curriculum for Obstetric Medical Professionals Using a Modified Delphi Process.

作者信息

Chen Zhaoying, Huang Shijie, Hao Fengming, Chen Ling, Ren Wei, Cai Wenzhi

机构信息

Department of Nursing, Shenzhen Hospital of Southern Medical University, Room 815, Administrative Building, Xinhu Road 1333, Baoan Area, Shenzhen, Guangdong Province, China.

School of Nursing, Southern Medical University, Guangzhou, Guangdong Province, China.

出版信息

Int Urogynecol J. 2025 Apr 9. doi: 10.1007/s00192-025-06125-x.

Abstract

INTRODUCTION AND HYPOTHESIS

The purpose of this study was to develop a maternal health care exercise and pelvic abdominal rehabilitation curriculum for obstetric medical professionals. Maternal health care exercise and pelvic abdominal rehabilitation can effectively prevent and alleviate pelvic-floor-rehabilitation problems in pregnant women and improve their quality of life. However, there is a lack of standardized courses for training obstetric medical professionals.

METHODS

This study used the Delphi method to design two rounds of expert consultation. A group of 17 specialists from the fields of gynecology, obstetrics, and rehabilitation, who are involved in clinical teaching and management, participated in the study. Data were collected between October and December 2023.

RESULTS

The effective recovery rates of the two rounds of questionnaires were 85.0% and 94.1%. The expert-authority coefficients were 0.90 and 0.88. The Kendall coordination coefficient was 0.35-0.41. The average importance score for each index ranged from 3.25 to 4.94. The coefficient of variation for each index ranged from 0.07 0.20. Based on the curricular topics, we constructed four first-level indicators, 16 second-level indicators, and 58 third-level indicators of exercise and pelvic and abdominal rehabilitation for obstetric medical professionals.

CONCLUSION

The training curriculum provides obstetric medical professionals with the basis for obstetric rehabilitation. The training system is clear and coherent, and the content is clear and comprehensive, which enriches global obstetrical rehabilitation education resources. It is helpful to guide and educate on maternal obstetric rehabilitation to improve the quality of life of the women.

摘要

引言与假设

本研究旨在为产科医学专业人员制定一套孕产妇保健运动及盆腔腹部康复课程。孕产妇保健运动及盆腔腹部康复能够有效预防和缓解孕妇盆底康复问题,提高其生活质量。然而,目前缺乏针对产科医学专业人员培训的标准化课程。

方法

本研究采用德尔菲法设计两轮专家咨询。一组来自妇科、产科和康复领域,参与临床教学和管理的17位专家参与了本研究。数据收集于2023年10月至12月期间。

结果

两轮问卷的有效回收率分别为85.0%和94.1%。专家权威系数分别为0.90和0.88。肯德尔协调系数为0.35 - 0.41。各指标的平均重要性得分在3.25至4.94之间。各指标的变异系数在0.07至0.20之间。基于课程主题,我们构建了产科医学专业人员运动及盆腔和腹部康复的四个一级指标、16个二级指标和58个三级指标。

结论

该培训课程为产科医学专业人员提供了产科康复的依据。培训体系清晰连贯,内容清晰全面,丰富了全球产科康复教育资源。有助于指导和开展孕产妇产科康复教育,提高女性生活质量。

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