The relationship between women-centred care and women's birth experiences: A comparison between birth centres, clinics, and hospitals in Japan
The relationship between women-centred care and women's birth experiences: A comparison between birth centres, clinics, and hospitals in Japan
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DOI：
10.1016/j.midw.2011.07.002
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发表时间：
2012-08-01
期刊：
影响因子：
2.7
通讯作者：
Porter, Sarah E.
中科院分区：
文献类型：
--
作者：
Iida, Mariko;Horiuchi, Shigeko;Porter, Sarah E.
目的：以妇女为中心的护理的目标是尊重、安全、整体观、伙伴关系和妇女的普遍福祉，这可能导致赋予妇女权力。向所有孕妇提供WCC的第一步是描述妇女在怀孕期间在不同卫生设施对WCC的看法。本研究的目的是询问（a）日本生育中心、诊所和医院对WCC的看法和比较以及（B）WCC与女性生育体验的三个维度之间的关系：（1）对怀孕和分娩期间获得的护理的满意度，（2）分娩和分娩期间的控制感，（3）对新生儿的依恋。设计：这是一个横断面研究，使用自我完成的回顾性问卷。设置：三种类型的卫生设施：生育中心（n=7），诊所（n=4），和医院（n=2）。参与者：参与者是妇女谁有一个单胎分娩，并被接纳到一个研究设置。患有重病的妇女被排除在外。数据进行了分析482 women.Measurements：仪器包括：一个研究人员开发的WCC怀孕问卷，劳动能力量表，产妇依恋问卷，和一个研究人员开发的护理满意度Scale.Findings：在三种类型的设置中，妇女谁在分娩中心高度评价WCC和满意的照顾，他们收到的那些谁在诊所和医院分娩相比。WCC与妇女的满意度，他们收到的照顾。关键结论：在分娩中心分娩的妇女有最积极的看法WCC。这与产前检查和助产士护理的连续性，这是WCC.Implications的核心要素的尊重通信实践：卫生保健提供者应考虑WCC和妇女的满意度的看法的正相关性。每一位妇女都应得到持续的护理，并进行相互尊重的沟通，这是妇协的核心要素。(C)2011爱思唯尔有限公司保留所有权利。
Objective: the goal of women-centred care (WCC) is respect, safety, holism, partnership and the general well-being of women, which could lead to women's empowerment. The first step in providing WCC to all pregnant women is to describe women's perceptions of WCC during pregnancy in different health facilities. The objectives of this study were to ask (a) what are the perceptions and comparison of WCC at Japanese birth centres, clinics, and hospitals and (b) what are the relationships between WCC and three dimensions of women's birth experience: (1) satisfaction with care they received during pregnancy and birth, (2) sense of control during labour and birth, and (3) attachment to their new born babies.Design: this was a cross-sectional study using self-completed retrospective questionnaires.Setting: three types of health facility: birth centres (n=7), clinics (n=4), and hospitals (n=2).Participants: participants were women who had a singleton birth and were admitted to one of the study settings. Women who were seriously ill were excluded. Data were analysed on 482 women.Measurements: instrumentation included: a researcher-developed WCC-pregnancy questionnaire, Labour Agentry Scale, Maternal Attachment Questionnaire, and a researcher-developed Care Satisfaction Scale.Findings: among the three types of settings, women who delivered at birth centres rated WCC highly and were satisfied with care they received compared to those who gave birth at clinics and hospitals. WCC was positively associated with women's satisfaction with the care they received.Key conclusions: women giving birth at birth centres had the most positive perceptions of WCC. This was related to the respectful communication during antenatal checkups and the continuity of care by midwives, which were the core elements of WCC.Implications for practice: health-care providers should consider the positive correlation of WCC and women's perception of satisfaction. Every woman should be provided continuity of care with respectful communication, which is a core element of WCC. (C) 2011 Elsevier Ltd. All rights reserved.