社区产后护理模式:母亲和新生儿管理的催化剂

Katekani J. Shirindza, T. Malwela, S. Maputle
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摘要

背景:产后过早出院被认为是导致产妇、新生儿并发症和死亡的一个因素。实施以社区为基础的产后护理模式,对于降低产后妇女和新生儿在分娩头几周的发病率和死亡率至关重要。我们开发了一种社区产后护理模式,用于在社区产后护理期间对新生儿进行管理:本研究旨在分享所开发的社区产后护理模式,以帮助产后妇女管理新生儿:方法:主要研究的经验性发现是模型开发的基础。本研究的模型开发参考了 Walker 和 Avant、Chinn 和 Kramer Dickoff、James 和 Wiedenbach 以及 Chinn 和 Jacobs 的研究成果:结果:研究结果表明,目前还没有针对新生儿管理的社区产后护理模式。该模式采用 Dickoff、James 和 Wiedenbach 的实践理论进行描述,包括产后护理社区环境中的行为主体、接受者、环境、过程、动态和结果等要素。Chinn 和 Krammer 根据模型的假设、概念定义、关系陈述和结构性质对模型进行了进一步描述:结论:该模式的使用至关重要,有助于基层护理人员为新生儿的有效管理提供有利的、支持性的社区环境:本研究为产后妇女从医疗机构出院后提供社区产后护理提供了参考指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Community-based postnatal care model: Catalyst for management of mothers and neonates
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.
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