A STUDY OF THE NURSING CASE SYSTEM IN THE INTRAPARTUM PERIOD - A SURVEY BASED ON THE QUALITY ASSURANCE MODEL -

产期护理案例体系研究——基于质量保证模型的调查——

• 批准号: 09672428
• 负责人: FUJIMOTO Eiko
• 金额: $ 2.11万
• 依托单位: SEIREI CHRISTOPHER 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: 1997
• 资助国家: 日本
• 起止时间: 1997 至 1999
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-09672428/
• 关键词: intrapartum care; quality assurance; continued care; consistency of care; satisfaction with the birth experience; services for the consumer; management; 分娩期ケア; 顧客サービス; 出産ケア; ケアシステム; ケアの質の評価

The purpose of this study was to evaluate intrapartum care and identify the factors needed to evaluate the nursing care system. The conceptual framework was based on the model of quality assurance, which was a 3 by 3 matrix, the abscissas of which consisted of "structure", "process" and "outcome", and the ordinate consisted of "environment", "consumer(parturient woman)" and "care giver(midwife)". The subjects consisted of 57 head nurses, 655 midwives and 796 parturient women in 58 different hospitals.These results were as follows : 1. In the ward constitution, the maternity ward accounted for about 30% of the entire birth related area. Caesarean section 's rate was an average of 19.5%. 2. In the case of the consumer, each of received cares included in the process variable, which were "daily care" and "supportive care", correlated with "satisfaction with services at delivery" and "evaluation of the birth experience", included in the outcome variable. In the case of the care giver, each of the given cares included in the process variable, which were "daily care", "supportive care" and "monitoring care", correlated with "satisfaction with intrapartum care", included in the outcome variable. 3. In the case of the consumer, there was a direct relationship between the care system ("consistency of received care" or "consistency of received information", included in the structure variable) and the outcome variable. In the case of the care giver, there was a direct relationship between the care system ("continued care from pregnancy to intrapartum period" or "continued care by the same midwife at delivery") and the outcome variable. 4. There was a stronger correlation between "monitoring care" and "satisfaction with intrapartum care" than in the other process variables. However, the strongest correlation was found between "the midwifery profession", included in the structure variable, and "monitoring care", included in the process variables.

本研究的目的是评估产时护理，并确定评估护理系统所需的因素。概念框架基于质量保证模型，该模型是一个3 × 3的矩阵，其横坐标由“结构”、“过程”和“结果”组成，纵坐标由“环境”、“消费者（产妇）”和“护理者（助产士）”组成。研究对象包括58家不同医院的57名护士长、655名助产士和796名产妇。实验结果如下：1。在病房构成中，产科病房约占整个分娩相关面积的30%。剖宫产率平均为19.5%。2. 在消费者的情况下，每一个接受照顾包括在过程变量中，即“日常护理”和“支持性护理”，与“分娩服务满意度”和“分娩经验评价”相关，包括在结果变量中。在护理者的情况下，每一个给予的照顾，包括在过程变量中，“日常护理”，“支持性护理”和“监测护理”，与“产时护理满意度”相关，包括在结果变量中。3. 在消费者的情况下，护理系统（“接受护理的一致性”或“接受信息的一致性”，包括在结构变量中）和结果变量之间存在直接关系。在护理人员的情况下，护理系统（“从怀孕到分娩期间的持续护理”或“分娩时由同一名助产士继续护理”）与结果变量之间存在直接关系。4. “监护护理”与“产时护理满意度”的相关性强于其他过程变量。然而，在结构变量中包含的“助产专业”和过程变量中包含的“监测护理”之间发现了最强的相关性。