Quality of counselling in intrapartum recovery in Finland – Cross-sectional survey

IF 2.5 3区 医学 Q1 NURSING
Iida Laine , Pirjo Kaakinen , Maria Kääriäinen , Mira Rajala
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引用次数: 0

Abstract

Introduction

Counselling is becoming increasingly important in postpartum recovery. Good quality counselling is necessary to help mothers adapt to the changed situation after childbirth and to recover from it. Therefore, postpartum counselling is important to adapt mothers to the changed situation after childbirth and to recover from it. Midwife-led counselling was provided in the wards before and after childbirth. Postpartum counselling includes matters related to going home after childbirth, caring for the newborn, and recovering from childbirth. This study aims to describe the quality of postpartum counselling, and the factors associated with it.

Methods

A descriptive cross-sectional study design was used, and data were collected from mothers who gave birth at Finnish university hospital in 2021. The study conducted an electronic survey using a 65-item Quality of Counselling Instrument. The data were analyzed using descriptive statistics, differences between background and sum variables were tested using Chi-squared or Fisher's test and using the t-test or Mann-Whitney U test. Logistic regression analysis was used to predict the quality of counselling. The survey was distributed to mothers during their stay in the maternity ward and via social media, and 132 mothers completed the survey.

Results

Slightly more than half of the mothers (54 %) received sufficient information about childbirth and postpartum recovery and counselling was family-orientated (85 %). Most mothers (79 %) felt that counselling had a positive benefit on their well-being. The effect of counselling on lifestyle was weaker; less than half of the mothers (42 %) felt that the counselling had a positive effect on their lifestyle (p < 0.002). The sum variables mother's well-being (OR=13.25; 95 % CI=2.79, 63.03; p < 0.001), mother's way of life (OR=4.02; 95 % CI=1.65, 9.78; p < 0.002) and family-orientation in counselling (OR=8.45; 95 % CI=1.57, 45.46; p < 0.013) predicted good quality of counselling.

Conclusions

This study results showed that mothers received adequate information about childbirth and postpartum recovery. Also, counselling was implemented in a family-oriented way. Mothers who live alone had to take more account during counselling session in the hospital. Further research is needed to determine the effectiveness of various counselling interventions in different settings.
芬兰产时康复的咨询质量-横断面调查
咨询在产后恢复中变得越来越重要。高质量的咨询是必要的,以帮助母亲适应分娩后的变化情况,并从中恢复过来。因此,产后咨询对于使母亲适应分娩后变化的情况并从中恢复非常重要。在分娩前后,在病房提供助产士主导的咨询。产后咨询包括与分娩后回家、照顾新生儿和产后恢复有关的事项。本研究旨在描述产后咨询的质量,以及与之相关的因素。方法采用描述性横断面研究设计,收集2021年在芬兰大学医院分娩的母亲的数据。这项研究使用了一项65项的咨询质量工具进行了电子调查。数据采用描述性统计进行分析,背景变量和总和变量之间的差异采用卡方检验或Fisher检验,使用t检验或Mann-Whitney U检验。采用Logistic回归分析预测咨询质量。该调查在产妇住院期间通过社交媒体分发给母亲,共有132名母亲完成了调查。结果略多于一半(54%)的母亲获得了有关分娩和产后恢复的充分信息,咨询以家庭为导向(85%)。大多数母亲(79%)认为咨询对她们的幸福有积极的好处。心理咨询对生活方式的影响较弱;不到一半的母亲(42%)认为咨询对她们的生活方式有积极影响(p <;0.002)。总和变量为母亲幸福感(OR=13.25;95% ci =2.79, 63.03;p & lt;0.001),母亲的生活方式(OR=4.02;95% ci =1.65, 9.78;p & lt;0.002)和家庭取向(OR=8.45;95% ci =1.57, 45.46;p & lt;0.013)预示着良好的咨询质量。结论本研究结果表明,母亲获得了足够的分娩和产后恢复信息。此外,还以面向家庭的方式提供咨询。独自生活的母亲在医院咨询期间必须考虑更多的问题。需要进一步的研究来确定在不同环境下各种咨询干预措施的有效性。
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来源期刊
Midwifery
Midwifery 医学-护理
CiteScore
4.50
自引率
7.40%
发文量
221
审稿时长
13.4 weeks
期刊介绍: Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.
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