Person-centred care in interventions to limit weight gain in pregnant women with obesity - a systematic review.
Person-centred care in interventions to limit weight gain in pregnant women with obesity - a systematic review.
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DOI：
10.1186/s12884-015-0463-x
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发表时间：
2015-02-27
影响因子：
3.1
通讯作者：
Dencker A
中科院分区：
文献类型：
--
作者：
Olander EK;Berg M;McCourt C;Carlström E;Dencker A
以人为本的护理主张个人是护理的合作伙伴，与护理满意度相关，但用它来支持怀孕期间肥胖妇女的价值尚不清楚。妊娠期体重增加过多会增加母亲和婴儿的风险，因此体重增加是一个重要的干预目标。本综述的目的是 1) 探讨评估肥胖孕妇体重的干预措施在多大程度上以及以何种方式使用以人为本的护理；2) 评估包括以人为本的护理方面的干预措施是否比不采用以人为本的护理的干预措施更有效地限制体重增加。 2014 年 1 月，我们对 10 个数据库进行了系统检索。研究必须报告向肥胖孕妇提供的干预措施，并测量妊娠期体重增加情况。所有纳入的研究均独立进行双重编码，以确定它们在多大程度上包含以人为本的护理的三个明确方面：1）“启动伙伴关系”，包括确定个人的情况和动机； 2) 通过分享有关计划行动的决策来“开展合作伙伴关系”，以及 3) “通过记录护理偏好来维护合作伙伴关系”。还提取了有关妊娠体重增加、研究质量和特征的信息。该评价纳入了十项研究，其中五项是随机对照试验（RCT），其余是观察性研究。四项干预措施包括以人为本的护理方面；两项观察性研究包括“启动伙伴关系”和“开展伙伴关系”。一项观察性研究包括“启动伙伴关系”，一项随机对照试验包括“建立伙伴关系”。没有任何干预措施包括“通过文件保障伙伴关系”。虽然所有以人为本的护理方面的研究都显示出关于限制妊娠体重增加的有希望的发现，但不包括以人为本的护理方面的干预措施也是如此。目前，在针对肥胖孕妇妊娠期体重增加的干预措施中，已确定的以人为本的护理方法的使用受到限制。因此，以人为本的护理可以在多大程度上改善该人群的健康结果和护理满意度目前尚不清楚，需要更多的研究。也就是说，我们的研究结果表明，在这些干预措施中纳入以人为本的常规是可行的。本文的在线版本 (doi:10.1186/s12884-015-0463-x) 包含补充材料，可供授权用户使用。
Person-centred care, asserting that individuals are partners in their care, has been associated with care satisfaction but the value of using it to support women with obesity during pregnancy is unknown. Excessive gestational weight gain is associated with increased risks for both mother and baby and weight gain therefore is an important intervention target. The aims of this review was to 1) explore to what extent and in what manner interventions assessing weight in pregnant women with obesity use person-centred care and 2) assess if interventions including aspects of person-centred care are more effective at limiting weight gain than interventions not employing person-centred care. Ten databases were systematically searched in January 2014. Studies had to report an intervention offered to pregnant women with obesity and measure gestational weight gain to be included. All included studies were independently double coded to identify to what extent they included three defined aspects of person-centred care: 1) “initiate a partnership” including identifying the person’s circumstances and motivation; 2) “working the partnership” through sharing the decision-making regarding the planned action and 3) “safeguarding the partnership through documentation” of care preferences. Information on gestational weight gain, study quality and characteristics were also extracted. Ten studies were included in the review, of which five were randomised controlled trials (RCT), and the remaining observational studies. Four interventions included aspects of person-centred care; two observational studies included both “initiating the partnership”, and “working the partnership”. One observational study included “initiating the partnership” and one RCT included “working the partnership”. No interventions included “safeguarding the partnership through documentation”. Whilst all studies with person-centred care aspects showed promising findings regarding limiting gestational weight gain, so did the interventions not including person-centred care aspects. The use of an identified person-centred care approach is presently limited in interventions targeting gestational weight gain in pregnant women with obesity. Hence to what extent person-centred care may improve health outcomes and care satisfaction in this population is currently unknown and more research is needed. That said, our findings suggest that use of routines incorporating person-centredness are feasible to include within these interventions. The online version of this article (doi:10.1186/s12884-015-0463-x) contains supplementary material, which is available to authorized users.
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影响因子：
2
作者：
Flick, Amy A.;Brookfield, Kathleen F.;Gonzalez-Quintero, Victor Hugo
通讯作者：
Gonzalez-Quintero, Victor Hugo
DOI：
10.3945/ajcn.2009.29128
发表时间：
2010-06
期刊：
The American journal of clinical nutrition
影响因子：
--
作者：
Crozier SR;Inskip HM;Godfrey KM;Cooper C;Harvey NC;Cole ZA;Robinson SM;Southampton Women's Survey Study Group
通讯作者：
Southampton Women's Survey Study Group
影响因子：
2.7
作者：
Furber, Christine M.;McGowan, Linda
通讯作者：
McGowan, Linda
影响因子：
6.9
作者：
Kim, Shin Y.;Dietz, Patricia M.;Callaghan, William M.
通讯作者：
Callaghan, William M.
影响因子：
4.3
作者：
Lindhardt, Christina L.;Rubak, Sune;Joergensen, Jan Stener
通讯作者：
Joergensen, Jan Stener