期刊文章JMIR出版物患者报告的围产儿护理结果和经验措施指导临床实践卡塔尔世界杯8强波胆分析前瞻性观察研究%A Depla,Anne Louise %A Lamain-de Ruiter,Marije %A Laureij,Lyzette T %A Ernst-Smelt,Hiske E %A Hazelzet,Jan A %A Franx,Arie %A Bekker,Mireille N %A， %+乌得勒支大学医学中心Wilhemina儿童医院妇产科，Lundlaan 6，乌得勒支，3584 EA，荷兰，31 88 7553981，M.N.Bekker-3@umcutrecht.nl %K围产护理%K患者报告的结果%K患者报告的经历%K以患者为中心的结果测量%K基于价值的医疗保健%K共同决策%K个性化护理%K综合护理%D 2022 %7 5.7.2022 %9原文%J J医学互联网研究%G英语%X国际健康结果测量联合会发布了一套以患者为中心的妊娠和分娩结果测量(PCB集)，包括患者报告的结果测量(PROMs)和患者报告的经验测量(PREMs)。为了建立基于价值的妊娠和分娩护理，在荷兰实施了PCB集，使用患者水平的结果进行共同决策，并在总体水平上进行质量改进。目的:本研究旨在报告在临床实践中实施PCB集的初步结果、经验和实践见解。方法:荷兰共有7个产科护理网络，每个网络由1或2家医院和多个社区助产实践(数量从2到18)组成，将PCB集的PROM和PREM域作为临床常规的一部分实施。这项观察性研究包括所有参与临床项目的女性。在5个时间点(妊娠期2个，产后3个)对PROMs和PREMs进行问卷调查。临床阈值(警报)支持护理专业人员解释答案，指出每个领域可能出现的警报结果。 Data collection took place from February 2020 to September 2021. Data analysis included missing (pattern) analysis, sum scores, alert rates, and sensitivity analysis. Results: In total, 1923 questionnaires were collected across the 5 time points: 816 (42.43%) at T1 (first trimester), 793 (41.23%) at T2 (early third trimester), 125 (6.5%) at T3 (maternity week), 170 (8.84%) at T4 (6 weeks post partum), and 19 (1%) at T5 (6 months post partum). Of these, 84% (1615/1923) were filled out completely. Missing items per domain ranged from 0% to 13%, with the highest missing rates for depression, pain with intercourse, and experience with pain relief at birth. No notable missing patterns were found. For the PROM domains, relatively high alert rates were found both in pregnancy and post partum for incontinence (469/1798, 26.08%), pain with intercourse (229/1005, 22.79%), breastfeeding self-efficacy (175/765, 22.88%), and mother-child bonding (122/288, 42.36%). Regarding the PREM domains, the highest alert rates were found for birth experience (37/170, 21.76%), shared decision-making (101/982, 10.29%), and discussing pain relief ante partum (310/793, 39.09%). Some domains showed very little clinical variation; for example, role of the mother and satisfaction with care. Conclusions: The PCB set is a useful tool to assess patient-reported outcomes and experiences that need to be addressed over the whole course of pregnancy and childbirth. Our results provide opportunities to improve and personalize perinatal care. Furthermore, we could propose several recommendations regarding methods and timeline of measurements based on our findings. This study supports the implementation of the PCB set in clinical practice, thereby advancing the transformation toward patient-centered, value-based health care for pregnancy and childbirth. %M 35787519 %R 10.2196/37725 %U //www.mybigtv.com/2022/7/e37725 %U https://doi.org/10.2196/37725 %U http://www.ncbi.nlm.nih.gov/pubmed/35787519