Study of customer satisfaction in primary care given by midwives working at hospitals (including care given during delivery)

对医院助产士提供的初级护理（包括分娩期间的护理）的客户满意度研究

• 批准号: 11672397
• 负责人: HIRASAWA Mieko
• 金额: $ 2.37万
• 依托单位: Japanese Red Cross College of Nursing
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1999
• 资助国家: 日本
• 起止时间: 1999 至 2001
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11672397/
• 关键词: midwives working at hospitals; low-risk pregnancy; primary care; care during delivery; customer satisfaction; effectiveness of care; 勤務助産婦のプライマリケア; 助産婦のケアの質; 助産婦のケアの評価; 助産婦のプライマリケア; ケアの質の評価

A customer satisfaction survey was conducted in 2000 and 2001 to determine the effectiveness of care provided in the prenatal, delivery and postnatal stages by midwives working at hospitals in cases of low-risk pregnancies. The subjects of the survey were divided into two groups, one consisting of women going to hospitals to receive examinations by midwives and one consisting of women receiving examinations by doctors. Of 172 women questioned during pregnancy, 111 were examined by doctors and 61 by midwives. 91 women, of whom 61 who were examined by doctors and 30 by midwives, were surveyed during and after delivery. Customer satisfaction was found highest during pregnancy for both the doctor-examined and midwife-examined groups. The women cited their desires to assure safety and to have a natural birth with minimal medical intervention as their motives for their selection of maternity facility. It was therefore concluded that for both groups the care being received met the subjects' n … More eeds. During the prenatal period 73.3 % of the subjects received care from midwives assigned to their cases from the time of admission to hospital until delivery. This group showed higher degrees of satisfaction than the group examined by doctors by its answers to the following questions concerning the subjects' general evaluation of the delivery :・ Did the delivery come close to your expectations?・ Were you yourself able to exercise control over progress of the delivery?・ Were you satisfied with the delivery?The above three questions were answered "yes" or "yes, to a certain degree" by, respectively, 90 %, 93.4 % and 90 % of the subjects who had received midwife care from admission to delivery, as opposed to 67.2 %, 81.9 % and 78.7 % by those who had been examined by doctors in the prenatal period. Only 10 % of the subjects received continuing postnatal care by primary midwives after leaving the hospital. Although little difference was shown in the responses by the respective groups concerning postnatal care, positive responses to the selection "sources of anxiety or worry during the hospital stay were dealt with satisfactorily" were given by 66.7 % of the women examined by midwives, but only 39.3 % by those examined by doctors. This study used unequal numbers of subjects in the respective groups, but did show that among low-risk pregnancies handled by hospitals, customer satisfaction is increased when consistent primary care is provided by midwives through the postnatal stage. Less

2000年和2001年进行了一次客户满意度调查，以确定在医院工作的助产士在产前、分娩和产后阶段为低风险怀孕提供护理的有效性。调查对象分为两组，一组是去医院接受助产士检查的妇女，另一组是接受医生检查的妇女。在接受询问的172名怀孕妇女中，111人接受了医生检查，61人接受了助产士检查。91名妇女在分娩期间和分娩后接受了调查，其中61人接受了医生检查，30人接受了助产士检查。客户满意度最高的是在怀孕期间的医生检查和助产士检查组。这些妇女说，她们希望确保安全，并在最少医疗干预的情况下自然分娩，这是她们选择产科设施的动机。因此得出结论，两组接受的护理均符合受试者的要求。 ...更多信息 需要在产前期间，73.3%的受试者从入院到分娩期间接受了分配给其病例的助产士的护理。通过对以下关于受试者对分娩的总体评价的问题的回答，该组显示出比医生检查组更高的满意度：您自己是否能够控制交付进度？·你对交货满意吗？从入院到分娩接受过助产士护理的受试者中，对上述三个问题的回答分别为“是”或“是，在一定程度上”的受试者分别为90%、93.4%和90%，而在产前接受过医生检查的受试者中，这三个问题的回答分别为67.2%、81.9%和78.7%。只有10%的受试者在出院后接受初级助产士的持续产后护理。虽然各群体对产后护理的回答差别不大，但对“住院期间焦虑或担心的根源得到了令人满意的处理”这一选择，接受助产士检查的妇女中有66.7%给予了肯定回答，而接受医生检查的妇女中只有39.3%给予了肯定回答。这项研究在各组中使用了不等数量的受试者，但确实表明，在医院处理的低风险妊娠中，当助产士在产后阶段提供一致的初级保健时，客户满意度会提高。少