Nursing for Women''s Health最新文献

英文中文

Perceptions of Supportive Factors for Reducing Risk of Maternal Mortality Among Women With Substance Use Disorders in a Rural Setting 农村地区有药物使用障碍的妇女对降低孕产妇死亡风险的支持性因素的看法。

Nursing for Women''s Health

Pub Date : 2024-10-01 DOI: 10.1016/j.nwh.2024.03.004

Kalyn M. Renbarger, Greta Slater, Barbara Phelps, Leann Brewer

Objective

To describe perceptions of supportive factors for reducing the risk of maternal mortality among women with substance use disorders (SUDs) in a rural setting.

Design

Qualitative descriptive design.

Setting/Local Problem

Participants were recruited from a rural setting in a U.S. Midwest state where rates of maternal substance use and maternal mortality are high.

Participants

Sixteen participants were recruited from a maternal residential substance use treatment center.

Intervention/Measurements

Semistructured interviews were used during which participants described their perceptions of maternal mortality and their related experiences. We analyzed the transcribed interviews using a basic inductive content analysis to yield themes and subthemes.

Results

We identified three main themes: Social Networks, Respectful Perinatal Care, and Residential Substance Use Treatment.

Conclusion

Our findings suggest that nurses and other health care providers should be knowledgeable of resources to increase the social networks of women with SUD, recognize and manage the biases and judgments they may hold against women with SUD, and advocate for and refer women with SUD to residential substance use treatment.

目的描述农村地区患有药物使用障碍（SUDs）的妇女对降低孕产妇死亡风险的支持性因素的看法：环境/当地问题：从美国中西部一个州的农村环境中招募参与者，该州的孕产妇药物使用率和孕产妇死亡率都很高：16 名参与者来自一家孕产妇药物使用住院治疗中心：我们采用了半结构式访谈，参与者在访谈中描述了他们对孕产妇死亡率的看法以及相关经历。我们采用基本的归纳内容分析法对转录的访谈进行分析，以得出主题和次主题：我们确定了三大主题：社会网络、尊重围产期护理和住院药物使用治疗：我们的研究结果表明，护士和其他医疗服务提供者应了解增加患有药物滥用症的妇女的社会网络的资源，认识并管理他们可能对患有药物滥用症的妇女持有的偏见和判断，并倡导和转介患有药物滥用症的妇女接受住院药物使用治疗。

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引用次数: 0

A Cross-Sectional Comparative Study of Vaginal Microbiota and Spontaneous Abortion at a Tertiary Care Hospital in North Karnataka, India 印度北卡纳塔克邦一家三级医院阴道微生物群与自然流产的横断面比较研究。

Nursing for Women''s Health

Pub Date : 2024-10-01 DOI: 10.1016/j.nwh.2024.04.006

Babita Belgundkar, Sangeeta Kharde, Suneel Dodamani, Shivani Tendulkar

Objective

To compare the vaginal microbiome in women who have undergone spontaneous abortion with a gestational age of less than 20 weeks to that of women who have a continued pregnancy of the same gestational age.

Design

Cross-sectional comparative research design.

Setting

The study was conducted in a tertiary care hospital of North Karnataka, India. In this rural area, many women lack awareness of prenatal care and women’s health information. Given rising rates of spontaneous abortion, studying the impact of the vaginal microbiome on pregnancy outcomes is crucial for raising local awareness.

Participants

Two hundred women; 100 experienced spontaneous abortion within 20 weeks’ gestation, and 100 maintained pregnancy with the same gestational age.

Measures

Vaginal swab was used to detect participants’ vaginal microbiota. DNA was extracted from the vaginal samples; the 16S ribosomal RNA sequencing method was used to identify the organisms present.

Results

A pathogen detection rate of 13.15% (n = 200 women) was found in vaginal cultures. The percentages of bacterial detection in women who had spontaneous abortion and those whose pregnancies continued were 19.9% and 7.9%, respectively (p < .05). Compared to women who sustained their pregnancy, women who experienced spontaneous abortion had five common species: Escherichia coli (48%), Enterococcus faecalis (28%), Enterococcus faecium (12%), Pseudomonas fluorescens (7%), and Pseudomonas cedrina (5%); the most prevalent species among those with sustained pregnancy were Lactobacillus iners (58%), Lactobacillus crispatus (32 %), and E. coli (10%; p < .05).

Conclusion

The vaginal microbiomes of women with spontaneous abortion were more varied and irregularly distributed with bacteria. The bacteria identified could affect a woman’s pregnancy outcome and perhaps be associated with spontaneous abortion. It is vital for nurses to provide education to women who are in the fertile period regarding prenatal screening, sexually transmitted infections, and perineal care.

目的：比较胎龄不足 20 周的自然流产妇女与同胎龄继续妊娠妇女的阴道微生物群：比较胎龄小于 20 周的自然流产妇女与胎龄相同的继续妊娠妇女的阴道微生物群：设计：横断面比较研究设计：研究在印度北卡纳塔克邦的一家三级医院进行。在这个农村地区，许多妇女缺乏产前保健意识和妇女健康信息。鉴于自然流产率不断上升，研究阴道微生物组对妊娠结局的影响对于提高当地的认识至关重要：200 名妇女，其中 100 名在妊娠 20 周内经历过自然流产，另外 100 名在相同孕龄下保持妊娠：采用阴道拭子检测参与者的阴道微生物群。从阴道样本中提取 DNA，采用 16S 核糖体 RNA 测序法鉴定微生物：阴道培养的病原体检出率为 13.15%（n = 200）。自然流产妇女和继续妊娠妇女的细菌检出率分别为 19.9% 和 7.9%（P < .05）。与继续妊娠的妇女相比，自然流产的妇女有五种常见的细菌：大肠杆菌（48%）、粪肠球菌（28%）、粪肠球菌（12%）、荧光假单胞菌（7%）和雪松假单胞菌（5%）；在持续妊娠的妇女中，最常见的菌种是内氏乳杆菌（58%）、脆片乳杆菌（32%）和大肠杆菌（10%；P < .05）：自然流产妇女的阴道微生物组更多样化，细菌分布也更不规则。结论：自然流产妇女阴道微生物组的细菌种类更多，分布更不规则，所发现的细菌可能会影响妇女的妊娠结局，也可能与自然流产有关。护士向处于生育期的妇女提供有关产前检查、性传播感染和会阴护理的教育至关重要。

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引用次数: 0

Optimizing Maternal and Neonatal Outcomes in Perinatal Patients With Diabetes: AWHONN Practice Brief Number 21 优化围产期糖尿病患者的孕产妇和新生儿预后：AWHONN实践简报第21期。

Nursing for Women''s Health

Pub Date : 2024-10-01 DOI: 10.1016/j.nwh.2024.05.001

An official practice brief from the Association of Women’s Health, Obstetric and Neonatal Nurses.

引用次数: 0

Perceptions of Sleep Quality, Fatigue, and Cognition Among Women Shift Workers. 轮班女工对睡眠质量、疲劳和认知的看法。

Nursing for Women''s Health

Pub Date : 2024-09-30 DOI: 10.1016/j.nwh.2024.06.003

Kathy L Nelson, Jean E Davis, Michael Wirth, Saher Karim Choudhary, Karen E Wickersham

Objective: To explore the perceptions of sleep quality, levels of fatigue, and cognitive executive function in women shift workers.

Design: Qualitative, descriptive study of a sample of participants who participated in a cross-sectional, mixed-methods study.

Setting: Online focus groups.

Participants: Women shift workers (N = 14) recruited from the southeastern United States.

Methods: Four focus groups were conducted using the Zoom online videoconferencing platform. Transcripts were coded inductively, and data were analyzed using a thematic analysis approach.

Results: Five major themes were developed from the data: Lots of Sleep Lost, Day Sleep Difficulties, Negative Consequences, Missing Out, and Not in My Own Thoughts.

Conclusion: Shift work is associated with sleep loss, which has a negative impact on women's emotional, mental, and physical health. Further nursing science investigation into strategies to enable women to improve their sleep quality, sleep quantity, and social/domestic environment is warranted. Education to increase sleep knowledge and decrease accidents and errors that can result from insufficient sleep is vital.

目的：探讨轮班女工对睡眠质量、疲劳程度和认知执行功能的看法：探讨轮班女工对睡眠质量、疲劳程度和认知执行功能的看法：对参与横断面混合方法研究的样本进行定性、描述性研究：参与者：轮班女工（N = 14从美国东南部招募的轮班女工（N = 14）：使用 Zoom 在线视频会议平台进行了四次焦点小组讨论。对记录誊本进行归纳编码，并采用主题分析方法对数据进行分析：结果：从数据中总结出五大主题：大量失眠、日间睡眠困难、负面影响、缺席和没有自己的想法：轮班工作与睡眠不足有关，对女性的情绪、精神和身体健康有负面影响。有必要对改善女性睡眠质量、睡眠数量和社会/家庭环境的策略进行进一步的护理科学研究。通过教育来增加睡眠知识，减少因睡眠不足而导致的事故和失误至关重要。

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引用次数: 0

Diagnosis Experiences in Individuals With Lean Polycystic Ovary Syndrome. 精益多囊卵巢综合征患者的诊断经历。

Nursing for Women''s Health

Pub Date : 2024-09-26 DOI: 10.1016/j.nwh.2024.05.003

Melissa Masters, Kenlee Dropping, Amie Parry-Jones, Rachel Sinley

Objective: To examine the diagnosis experience in an international sample of people with lean polycystic ovary syndrome (PCOS).

Design: Cross-sectional study with open-ended questions.

Setting: Online.

Participants: A total of 150 people with lean PCOS who met eligibility criteria.

Measurements/intervention: An electronic survey was distributed on social media. Survey questions were adapted from previously published research. Categorical data were analyzed as count and proportions. Chi-square tests were used to examine factors associated with diagnosis experience satisfaction. Post hoc analysis was conducted using adjusted standardized residuals. Statistical significance was set at p < .05. Qualitative data were analyzed with an inductive thematic approach.

Results: Approximately 49.0% (n = 72) of participants reported diagnosis experience dissatisfaction, 72.8% (n = 99) disagreed that there is adequate information about lean PCOS, and 80.2% (n = 109) disagreed that health professionals have adequate knowledge about lean PCOS. Significant associations were found between length of time to diagnosis and diagnosis satisfaction (p = .001, χ² = 18.133, df = 4, Cramer's V = 0.258) and number of medical professionals seen and diagnosis satisfaction (p < .001, χ² = 18.095, df = 2, Cramer's V = 0.362). Main PCOS concerns included irregular menstrual cycles (n = 108, 72.0%), hormone imbalance (n = 97, 64.7%), and anxiety (n = 74, 49.3%). Qualitative analyses revealed that participants received limited PCOS management information and felt providers were dismissive of them.

Conclusion: The diagnosis experience for people with lean PCOS includes high feelings of dissatisfaction. Opportunities exist to expand education about lean PCOS among students and clinicians, provide quality resources to support lifestyle modification in patients with lean PCOS, and listen to the needs of each individual. Future research should further examine the lean subset of people with PCOS.

目的：研究国际样本中多囊卵巢综合征（PCOS）患者的诊断经验：研究瘦型多囊卵巢综合征（PCOS）患者的国际样本诊断经验：设计：采用开放式问题的横断面研究：环境：在线：测量/干预：在社交媒体上发布电子调查问卷。调查问题改编自之前发表的研究。分类数据以计数和比例的形式进行分析。使用卡方检验来检查与诊断体验满意度相关的因素。使用调整后的标准化残差进行事后分析。统计显著性设定为 p 结果：约 49.0%（n = 72）的参与者表示对诊断体验不满意，72.8%（n = 99）的参与者不同意有足够的关于精益型多囊卵巢综合症的信息，80.2%（n = 109）的参与者不同意医疗专业人员有足够的关于精益型多囊卵巢综合症的知识。在诊断时间长短与诊断满意度（p = .001，χ2 = 18.133，df = 4，Cramer's V = 0.258）和就诊医务人员数量与诊断满意度（p < .001，χ2 = 18.095，df = 2，Cramer's V = 0.362）之间存在显著关联。多囊卵巢综合症的主要问题包括月经周期不规律（n = 108，72.0%）、激素失衡（n = 97，64.7%）和焦虑（n = 74，49.3%）。定性分析显示，参与者获得的多囊卵巢综合症管理信息有限，并认为医疗服务提供者对他们不屑一顾：结论：精益型多囊卵巢综合症患者的诊断经历包括高度的不满意感。我们有机会在学生和临床医生中扩大有关精益型多囊卵巢综合症的教育，提供优质资源以支持精益型多囊卵巢综合症患者改变生活方式，并倾听每个人的需求。未来的研究应进一步研究多囊卵巢综合症患者中的精益人群。

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引用次数: 0

Erratum. 勘误。

Nursing for Women''s Health

Pub Date : 2024-08-22 DOI: 10.1016/j.nwh.2024.08.001

引用次数: 0

Exploring the Feasibility, Acceptability, and Potential Benefits of the Mom Movement Intervention (MOMmi) 探索妈妈运动干预（MOMmi）的可行性、可接受性和潜在益处。

Nursing for Women''s Health

Pub Date : 2024-08-01 DOI: 10.1016/j.nwh.2024.01.006

Objective

To explore the feasibility, acceptability, and potential benefits associated with a mind–body intervention and varied delivery styles among women during the postpartum period.

Design

Mixed-methods feasibility study.

Setting

Fraser Valley, British Columbia, Canada.

Participants

Forty-three women (93% White), with an average age of 32.1 (SD = 2.9) years, who had given birth within the last 6 months.

Methods

Participants were randomized to three physical activity groups. Validated questionnaires were administered before and after the 12-week intervention. Attendance and feasibility metrics and qualitative semistructured interviews were conducted to assess the intervention.

Results

The intervention and trial were partially feasible, and retention to the intervention was high; however, adherence as assessed by attendance was lower than expected. There was high acceptability among those in the group-based, in-person intervention. There was moderate acceptability among those in the individual, home-based asynchronous program.

Conclusion

Findings highlight the necessity of better understanding what is desired by this population or simply providing more options to participants so that we can tailor physical activity to their needs and provide the necessary support.

目的探索产后妇女对身心干预和不同分娩方式的可行性、接受度和潜在益处：设计：混合方法可行性研究：地点：加拿大不列颠哥伦比亚省弗雷泽谷：43名妇女（93%为白人），平均年龄为32.1岁（SD=2.9），在过去6个月内分娩：方法：参与者被随机分配到三个体育锻炼组。在为期 12 周的干预前后进行了经过验证的问卷调查。为评估干预措施，还进行了出勤率和可行性度量以及定性半结构式访谈：结果：干预和试验具有部分可行性，干预的持续率较高；但是，根据出勤率评估的坚持率低于预期。以小组为基础的面对面干预的接受度较高。结论：研究结果突出表明，我们有必要更好地了解这类人群的需求，或者干脆为参与者提供更多的选择，这样我们就能根据他们的需求量身定制体育活动，并提供必要的支持。

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Information for Readers 读者信息

Nursing for Women''s Health

Pub Date : 2024-08-01 DOI: 10.1016/S1751-4851(24)00134-X

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Assessment and Care of the Late Preterm Infant 早产晚期婴儿的评估和护理。

Nursing for Women''s Health

Pub Date : 2024-08-01 DOI: 10.1016/j.nwh.2024.02.004

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Having Enough Milk to Sustain a Lactation Journey: A Call to Action 有足够的奶水来维持哺乳期：行动呼吁。

Nursing for Women''s Health

Pub Date : 2024-08-01 DOI: 10.1016/j.nwh.2024.02.007

The rates of human milk feeding are suboptimal worldwide. Recommendations for healthy, term mother–infant dyads include early breastfeeding initiation, frequent skin-to-skin contact, and frequent breastfeeding. The normal physiology of lactation can be affected by prenatal factors such as diabetes, obesity, and excessive gestational weight gain. Furthermore, birth-related factors such as early-term gestation, stressful labor, unscheduled cesarean birth, and postpartum hemorrhage can additionally disrupt recommended practices such as early initiation of breastfeeding and skin-to-skin contact. Given that the first 2 to 3 days postpartum are critical to achieving timely secretory activation and establishing an adequate volume of milk, a proactive approach to care can include building awareness of risk factors and development of protocols for the effective early initiation of lactation.

全世界的母乳喂养率都不尽如人意。对健康的足月母婴伴侣的建议包括尽早开始母乳喂养、频繁的皮肤接触和频繁的母乳喂养。哺乳的正常生理过程会受到产前因素的影响，如糖尿病、肥胖和妊娠体重增加过多。此外，与分娩有关的因素，如过早妊娠、紧张分娩、计划外剖宫产和产后出血等，也会干扰推荐的做法，如尽早开始母乳喂养和肌肤接触。鉴于产后最初的 2 到 3 天对于实现及时的分泌激活和建立充足的乳量至关重要，因此积极的护理方法可包括建立对风险因素的认识和制定有效的早期开始哺乳的方案。

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