文献分享 | Models of care for pregnant women with multiple long-term conditions and the role of the midwife: A scoping review
来源： Women and Birth
DOI： 10.1016/j.wombi.2024.101645
Abstract 摘要
Background：More women are experiencing pregnancy with two or more long-term health conditions such as hypertension, depression or HIV (MLTC). Care can be complex and include multiple teams, health professionals and services. The type and range of maternity care models for these women and the role of the midwife within such models is unknown.
背景：越来越多的妇女在怀孕期间患有两种或两种以上的长期健康问题，如高血压、抑郁症或艾滋病毒（MLTC）。护理可能很复杂，包括多个团队、医疗专业人员和服务。针对这些妇女的产科护理模式的类型和范围以及助产士在这些模式中的作用尚不清楚。
Aim：To provide an overview of the literature on models of care for pregnant, birthing, and postnatal women with MLTC and the role of the midwife.
目的：概述有关对患有多发性骨髓瘤的孕妇、分娩和产后妇女的护理模式以及助产士的作用的文献。
Methods：We conducted a scoping review guided by the Joanna Briggs Institute scoping review methodology. Five databases MEDLINE, CINAHL Plus, PsycINFO, EMBASE and The Maternity and Infant Care database were searched from inception until August 2022. A total of 3458 titles and abstracts and 56 full text papers were screened independently by two researchers. Data was extracted from five papers and synthesised narratively.
方法：我们在乔安娜-布里格斯研究所（Joanna Briggs Institute）范围界定审查方法的指导下进行了范围界定审查。我们检索了五个数据库：MEDLINE、CINAHL Plus、PsycINFO、EMBASE 和母婴护理数据库，检索时间从开始到 2022 年 8 月。共有 3458 篇标题和摘要以及 56 篇全文由两名研究人员独立筛选。从五篇论文中提取了数据并进行了叙述性综合。
Findings：Multidisciplinary care models are described or recommended in all five papers. Midwives have a varied and core role in the multidisciplinary care of women with MLTC.
研究结果：所有五篇论文都描述或推荐了多学科护理模式。助产士在多学科护理患有多发性硬化症的妇女方面发挥着不同的核心作用。
Discussion：Models of care for those with MLTC covered part or all the maternity journey, primarily antenatal and postnatal care. A focus on delivering high-quality holistic care throughout the maternity journey, including postnatally is needed. There is a lack of evidence on how midwifery continuity of care models may impact experiences of care and outcomes for this group.
讨论：为多发性骨髓瘤患者提供的护理模式涵盖了孕产过程的部分或全部，主要是产前和产后护理。在整个孕产过程（包括产后）中，需要重点提供高质量的整体护理。关于助产士持续护理模式如何影响这一群体的护理体验和结果，目前还缺乏相关证据。
Conclusion：There is a lack of empirical evidence on how best to provide midwifery and multi-disciplinary care for those with MLTC and a need for research to understand this.
结论：关于如何最好地为有多发性硬化症的患者提供助产和多学科护理，目前还缺乏实证证据，因此需要开展研究来了解这一问题。
Keywords：Multiple long-term conditions；Multimorbidity；Model of care；Midwife；
Pregnancy；Scoping review
关键字:多种长期病症；多病症；护理模式；助产士；怀孕；范围审查
（译文仅供参考）
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