[1]罗香平,高钰琳,王菘,等.助产士对疤痕子宫产妇阴道分娩行会阴切开决策影响因素的质性研究[J].军事护理,2021,38(01):21-24.[doi:10.3969/j.issn.1008-9993.2021.01.006]
 LUO Xiangping,GAO Yulin,WANG Song,et al.Qualitative Study on the Influencing Factors of Midwives' Decision-making on Episiotomy During Vaginal Birth for Multiparas after Cesarean[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(01):21-24.[doi:10.3969/j.issn.1008-9993.2021.01.006]
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助产士对疤痕子宫产妇阴道分娩行会阴切开决策影响因素的质性研究
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年01期
页码:
21-24
栏目:
论著
出版日期:
2021-01-15

文章信息/Info

Title:
Qualitative Study on the Influencing Factors of Midwives' Decision-making on Episiotomy During Vaginal Birth for Multiparas after Cesarean
文章编号:
1008-9993(2021)01-0021-04
作者:
罗香平1高钰琳2王菘1张军1周燕莉1
(1.南方医科大学南方医院 妇产科,广东 广州 510515; 2.南方医科大学 护理学院)
Author(s):
LUO Xiangping1GAO Yulin2WANG Song1ZHANG Jun1ZHOU Yanli1
(1.Department of Obstetrics and Gynecology,Nanfang Hospital,Southern Medical University,Guangzhou 510515,Guangdong Province,China; 2.School of Nursing,Southern Medical University)
关键词:
剖宫产术 阴道分娩 助产士决策 会阴切开
Keywords:
cesarean section vaginal delivery midwives' decision-making episiotomy
分类号:
R473.71
DOI:
10.3969/j.issn.1008-9993.2021.01.006
文献标志码:
A
摘要:
目的 探索助产士对疤痕子宫产妇阴道分娩行会阴切开术的决策影响因素。方法 采用目的抽样的方法,选取广州市3家医院的10名助产士进行半结构式访谈,采用内容分析法对访谈内容进行整理分析。结果 共总结出除会阴切开指征以外的4个主题因素:助产士个人因素; 产科医生的决策; 产妇自身因素; 医疗机构管理因素。结论 需加强疤痕子宫孕妇的产前指导及医务人员助产专业知识培训,改善助产质量,以促进会阴切开术的合理应用,改善疤痕子宫产妇顺产后的生活质量。
Abstract:
Objective To explore the factors that influence midwives' decision-making on performing episiotomy during vaginal birth for multiparas after cesarean.Methods Purposive sampling was used to recruit ten midwives from 3 hospitals in Guangzhou City for semi-structured interviews.The content analysis method was applied to analyze the interviews.Results Besides the medical indications of episiotomy,four themes of factors were concluded,including personal factors of midwives,decisions of obstetricians,maternal factors,management factors of medical institutions.Conclusions Prenatal education for multiparas with previous cesareans should be strengthened.Midwifery professional training for medical staff are required to improve the quality of midwifery.Appropriate performance of episiotomy should be promoted to help multiparas have better quality of postpartum life after vaginal birth.

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(本文编辑:陈晓英)

备注/Memo

备注/Memo:
【 收稿日期 】 2020-05-29 【 修回日期 】 2020-11-10
【 作者简介 】 罗香平,本科,主管护师,从事临床护理工作
【 通讯作者 】 高钰琳,电话:18675872518
更新日期/Last Update: 2021-01-15