Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing最新文献

英文中文

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。

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2024-11-01 DOI: 10.1016/j.jogn.2024.05.139

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

引用次数: 0

Timing of Catheter Removal and Effect on Urinary Retention After Cesarean Birth 拔除导尿管的时机及对剖腹产后尿潴留的影响

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2024-11-01 DOI: 10.1016/j.jogn.2024.05.138

Corie Hoskins, Amy Dempsey, Karen Kaley, Lina Brou

Objective

To determine the association between timing of indwelling catheter removal and urinary retention after cesarean.

Design

Retrospective cohort study.

Setting

Eight hospitals in suburban, rural, and urban Colorado and Montana.

Participants

Women who gave birth by cesarean from January 1, 2021 to April 30, 2022 (N = 3,493).

Methods

We categorized participants who gave birth between January 1, 2021 and June 30, 2021 (before implementation of the Enhanced Recovery After Surgery initiative) into Group A and participants who gave birth between July 1, 2021 and April 30, 2022 (after implementation of the Enhanced Recovery After Surgery initiative) into Group B. We used descriptive statistics to report the proportion of participants in both groups who experienced urinary retention after birth. We performed chi-square tests to determine the association between the time of catheter removal and incidence of urinary retention. We used the Wilcoxon rank sum test to determine the association between length of stay and urinary retention.

Results

Urinary retention rates were 5.8% in Group A and 12.6% in Group B (p < .001). In both groups, participants who received epidural anesthesia experienced significantly more urinary retention than those who received spinal anesthesia (p < .001). Participants who received epidural anesthesia and experienced urinary retention pushed 16.9% longer than those without urinary retention (p < .001). The proportion of participants who experienced urinary retention after catheter removal was 19.4% at 7 hours, 4.6% at 16 hours, and 9.9% at 12 hours after birth. Length of stay was determined to be inconclusive.

Conclusion

We determined that the optimal time of catheter removal to minimize the rate of urinary retention was 12 to 16 hours after cesarean among women who received morphine sulfate as the anesthesia.

目的确定拔除留置导尿管的时间与剖宫产术后尿潴留之间的关系：设计：回顾性队列研究：科罗拉多州和蒙大拿州郊区、农村和城市的八家医院：方法：我们将 2021 年 1 月 1 日至 2022 年 4 月 30 日期间剖宫产的妇女（N=3496）进行分类：我们将 2021 年 1 月 1 日至 2021 年 6 月 29 日（实施 "术后强化恢复 "计划之前）分娩的参与者分为 A 组，将 2021 年 7 月 1 日至 2022 年 4 月 30 日（实施 "术后强化恢复 "计划之后）分娩的参与者分为 B 组。我们通过卡方检验来确定拔除导尿管的时间与尿潴留发生率之间的关系。我们使用 Wilcoxon 秩和检验来确定住院时间与尿潴留之间的关系：结果：A 组尿潴留率为 5.8%，B 组为 12.6%（P < .001）。在这两组中，接受硬膜外麻醉的参与者的尿潴留率明显高于接受脊髓麻醉的参与者（p < .001）。接受硬膜外麻醉并出现尿潴留的参试者比没有出现尿潴留的参试者推注时间长 16.9%（p < .001）。拔除导尿管后出现尿潴留的参试者比例在产后 7 小时为 19.4%，16 小时为 4.6%，12 小时为 9.9%。住院时间长短尚无定论：我们确定，在接受硫酸吗啡脊髓麻醉的产妇中，拔除导尿管以减少尿潴留发生率的最佳时间为剖宫产后 12 至 16 小时。

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引用次数: 0

Novel, Group-Based Trajectories of Labor Progress in Nulliparous Women With Low-Risk Pregnancies 新颖的、基于群体的低危孕妇分娩进展轨迹。

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2024-11-01 DOI: 10.1016/j.jogn.2024.09.001

Lisa M. Wesolowski, Janet Catov, Jill R. Demirci, Dianxu Ren, Yvette P. Conley

Objective

To characterize labor progress among nulliparous women by applying group-based trajectory analysis and examining predictors of group membership.

Design

Retrospective observational.

Setting

An existing biobank and database from a birth hospital in Western Pennsylvania.

Participants

Nulliparous women with low-risk pregnancies at term gestation with singleton fetuses in vertex presentation (N = 401).

Methods

We characterized labor progress by applying group-based trajectory analysis. We conducted a multinomial logistic regression analysis to examine the relationships among labor trajectory groups and various demographic and clinical variables.

Results

We identified three trajectories of labor in the group-based trajectory analyses: precipitously progressing (n = 76, 20.1%), average (n = 245, 59.1%), and slow progress (n = 80, 20.7%). Only gestational age at birth significantly predicted trajectory group membership, and an increased gestational age was associated with greater odds of belonging to the slower progress group (OR = 1.43, 95% CI [1.06, 1.92]).

Conclusion

We identified multiple trajectories of labor progress in a sample of nulliparous women with low-risk pregnancies at term gestation. Gestational age may help predict the trajectory of labor.

目的通过应用基于组别的轨迹分析和研究组别成员的预测因素，描述无产钳产妇的分娩进展情况：设计：回顾性观察：环境：宾夕法尼亚州西部一家分娩医院的现有生物库和数据库：方法：我们采用分组分析法来描述分娩过程：方法：我们采用基于群体的轨迹分析来描述分娩过程。我们进行了多项式逻辑回归分析，以研究分娩轨迹分组与各种人口统计学和临床变量之间的关系：结果：在基于分组的分娩轨迹分析中，我们确定了三种分娩轨迹：急速进展（n = 76，20.1%）、一般进展（n = 245，59.1%）和缓慢进展（n = 80，20.7%）。只有出生时的胎龄能明显预测分娩轨迹组别，胎龄越大，属于进展缓慢组别的几率越大（OR = 1.43，95% CI [1.06，1.92]）：结论：我们在低危妊娠、足月妊娠的无阴道产妇样本中发现了多种分娩进展轨迹。妊娠年龄可能有助于预测分娩的轨迹。

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引用次数: 0

Adoption 收养。

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2024-11-01 DOI: 10.1016/j.jogn.2024.06.007

Association of Women’s Health, Obstetric and Neonatal Nurses

引用次数: 0

Pilot Randomized Controlled Trial of an Intervention to Promote HPV Uptake Among Young Women Who Attend Subsidized Clinics 在接受资助的诊所就诊的年轻女性中开展一项干预措施的试点随机对照试验，以促进人乳头状瘤病毒疫苗的接种率。

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2024-11-01 DOI: 10.1016/j.jogn.2024.06.003

Su Kyung Kim, Melanie Kornides, Jesse Chittams, Roshani Waas, Rebecca Duncan, Anne M. Teitelman

Objective

To evaluate the preliminary efficacy, acceptability, and feasibility of Step Up to Prevention, a technology-enhanced intervention to promote human papillomavirus (HPV) vaccination uptake among young minority and low-income women.

Design

A pilot randomized controlled trial.

Setting

Two federally supported outpatient clinics in a large city in the northeastern United States.

Participants

Women who were 18 to 26 years of age (N = 60).

Methods

We randomized participants into four groups: computer information, in-person tailored, combined, and usual care. We administered computer-assisted self-interview surveys before the intervention (baseline), immediately after the intervention (postintervention), and after their clinic visit (post–clinic visit). We conducted a descriptive analysis of participant characteristics. For preliminary efficacy, we used logistic regression–assessed HPV vaccine initiation uptake rates, and we used descriptive statistics to compare theoretical mediators. We used conventional content analysis to assess participant feedback about intervention acceptability. We assessed feasibility through recruitment and retention rates and our ability to deliver the intervention.

Results

We observed significant differences in initial HPV vaccine uptake between the intervention groups and the usual care group. Participant feedback indicated that the intervention was acceptable, empowering, and informative. We met our recruitment target, maintained a high retention rate (98%), and delivered the complete intervention to all participants.

Conclusion

We report the preliminary efficacy, acceptability, and feasibility of this intervention to promote HPV vaccine initiation among young women in federally subsided health care settings by advancing favorable views and improving knowledge about HPV vaccination.

目的评估 "加强预防 "的初步效果、可接受性和可行性。"加强预防 "是一项技术强化干预措施，旨在促进少数民族和低收入年轻女性接种人类乳头瘤病毒（HPV）疫苗：设计：试点随机对照试验：地点：美国东北部一个大城市的两家联邦政府支持的门诊诊所：方法：我们将参与者随机分为四组，每组一个人接种疫苗：我们将参与者随机分为四组：计算机信息组、面对面定制组、综合组和常规护理组。我们在干预前（基线）、干预后（干预后）和门诊后（门诊后）分别进行了计算机辅助自我访谈调查。我们对参与者的特征进行了描述性分析。对于初步疗效，我们使用逻辑回归评估了 HPV 疫苗的接种率，并使用描述性统计比较了理论中介因素。我们使用传统的内容分析法来评估参与者对干预可接受性的反馈。我们通过招募率和保留率以及我们实施干预的能力来评估可行性：我们观察到干预组和常规护理组在最初接种 HPV 疫苗方面存在明显差异。参与者的反馈表明，干预是可接受的、有能力的、信息丰富的。我们达到了招募目标，保持了较高的保留率（98%），并向所有参与者提供了完整的干预措施：我们报告了这一干预措施的初步效果、可接受性和可行性，通过提高对 HPV 疫苗接种的好感度和知识水平，促进联邦资助医疗机构中年轻女性开始接种 HPV 疫苗。

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引用次数: 0

Long-term Implications and Barriers to Use of the Hepatitis B Vaccine at Birth 出生时接种乙肝疫苗的长期影响和障碍。

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2024-11-01 DOI: 10.1016/j.jogn.2024.09.008

Summer Sherburne Hawkins

The Centers for Disease Control and Prevention (2017) recommended that all medically-stable infants who weigh more than 2,000 grams receive the hepatitis B vaccine within 24 hours after birth. While this juncture represents the first parental decision about vaccines, the birth dose of the hepatitis B vaccine may also have longer-term implications for vaccine completion. In this column, I review hepatitis B vaccine recommendations, research findings on connections with later vaccine uptake, barriers to vaccination and the role of vaccine hesitancy, and recommendations from professional organizations on hepatitis B vaccination.

美国疾病控制和预防中心（2017 年）建议，所有体重超过 2000 克的医学上稳定的婴儿应在出生后 24 小时内接种乙肝疫苗。虽然这个关口代表了父母对疫苗的第一个决定，但出生时接种乙肝疫苗的剂量也可能对疫苗接种的完成产生更长远的影响。在本专栏中，我将回顾乙肝疫苗接种建议、与后期疫苗接种有关的研究结果、疫苗接种的障碍和疫苗犹豫不决的作用，以及专业组织对乙肝疫苗接种的建议。

引用次数: 0

Factors Associated With Palliative Care Birth Planning at a Pediatric Hospital 儿科医院姑息治疗分娩计划的相关因素。

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2024-11-01 DOI: 10.1016/j.jogn.2024.06.004

Gwendolyn J. Richner, Catherine A. Kelly-Langen, Stephanie S. Allen, Miraides F. Brown, Daniel H. Grossoehme, Sarah Friebert

Objective

To identify factors associated with the receipt, completion, and goals of palliative care birth plans during the prenatal period.

Design

Retrospective observational study of medical record data.

Setting

Midwestern U.S. quaternary pediatric hospital.

Participants

Maternal–fetal dyads who received maternal–fetal medicine and palliative care from July 2016 through June 2021 (N = 128).

Methods

Using demographic and clinical predictors, we performed descriptive statistics, group comparisons (chi-square or Fisher exact test and Wilcoxon rank sum test or Student t test), and logistic regression for three outcomes: birth plan offered, birth plan completed, and goals of care (comfort-focused vs. other).

Results

Of 128 dyads, 60% (n = 77) received birth plans, 30% (n = 23) completed them, and 31% (n = 40) expressed comfort-focused goals. Participants with comfort-focused goals compared to other goals were more likely to receive birth plans, odds ratio (OR) = 7.20, 95% confidence interval (CI) [1.73, 29.9], p = .01. Participants of non-Black minority races had lower odds of being offered birth plans when compared to White participants, OR = 0.11, 95% CI [0.02, 0.68], p = .02. Odds of being offered (OR = 11.54, 95% CI [2.12, 62.81], p = .005) and completing (OR = 4.37, 95% CI [1.71, 11.17], p < .001) the birth plan increased with each prenatal palliative care visit. Compared to those without, those with neurological (OR = 9.32, 95% CI [2.60, 33.38], p < .001) and genetic (OR = 4.21, 95% CI [1.04, 17.06], p = .04) diagnoses had increased odds of comfort-focused goals.

Conclusion

Quality improvement efforts should address variation in the frequency at which birth plans are offered. Increasing palliative care follow-up may improve completion of the birth plan.

目的确定与产前期间接受、完成姑息关怀分娩计划并制定其目标相关的因素：设计：对医疗记录数据进行回顾性观察研究：研究地点：美国中西部四级儿科医院：2016年7月至2021年6月期间接受母胎医学和姑息治疗的母胎二人组（N = 128）：利用人口统计学和临床预测因素，我们对三种结果进行了描述性统计、分组比较（秩和检验或费舍尔精确检验和Wilcoxon秩和检验或Student t检验）和逻辑回归：提供的分娩计划、完成的分娩计划和护理目标（以舒适为主与其他）：结果：在 128 对夫妇中，60%（n = 77）接受了分娩计划，30%（n = 23）完成了分娩计划，31%（n = 40）表达了以舒适为重点的目标。与其他目标相比，以舒适为目标的参与者更有可能接受分娩计划，几率比（OR）= 7.20，95% 置信区间（CI）[1.73, 29.9]，P = .01。与白人参与者相比，非黑人少数民族参与者获得生育计划的几率较低，OR = 0.11，95% 置信区间 [0.02，0.68]，P = .02。每次产前姑息治疗就诊后，获得分娩计划的几率（OR = 11.54，95% CI [2.12，62.81]，p = .005）和完成分娩计划的几率（OR = 4.37，95% CI [1.71，11.17]，p < .001）都会增加。与无神经系统（OR = 9.32，95% CI [2.60，33.38]，p < .001）和遗传学（OR = 4.21，95% CI [1.04，17.06]，p = .04）诊断的产妇相比，有神经系统（OR = 9.32，95% CI [2.60，33.38]，p < .001）诊断的产妇有更多机会实现以舒适为重点的目标：结论：质量改进工作应解决提供分娩计划频率的差异问题。增加姑息关怀随访可提高分娩计划的完成率。

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引用次数: 0

Associations Among Racial Discrimination, Perceived Stress, and Birth Satisfaction in Black Women in the Postpartum Period 黑人妇女产后的种族歧视、感知压力和分娩满意度之间的关联。

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2024-11-01 DOI: 10.1016/j.jogn.2024.08.005

Amanda de la Serna, Rui Xie, Jean W. Davis, Susan Quelly, Dawn P. Misra, Carmen Giurgescu

Objective

To examine associations among experiences of racial discrimination, perceived stress, and birth satisfaction and to test if perceived stress mediates the relationship between racial discrimination and birth satisfaction among Black women in the postpartum period.

Design

Secondary analysis of data from the Biosocial Impact on Black Births study.

Setting

A postpartum unit of a large hospital in Central Florida.

Participants

Black women (N = 154) in the postpartum period.

Methods

Participants completed the lifetime Experiences of Discrimination scale, Perceived Stress Scale and Birth Satisfaction Scale–Revised between 24 hours and 23 days after birth. We calculated descriptive statistics and Spearman’s ρ correlation coefficients to evaluate associations among variables. We used multiple linear regression to evaluate perceived stress as a mediator between racial discrimination and birth satisfaction.

Results

Racial discrimination had a positive association with perceived stress (β = 2.445, p = .03), and perceived stress had a negative association with birth satisfaction (β = –0.221, p = .02). Racial discrimination had no significant direct effect on birth satisfaction (β = –0.091, p = .94); therefore, perceived stress did not mediate the relationship.

Conclusion

More experiences of discrimination over the life span were associated with higher levels of perceived stress. Participants who reported higher levels of perceived stress reported lower levels of birth satisfaction. Our study adds to the body of knowledge regarding associations between racial discrimination and perceived stress and perceived stress and birth satisfaction.

摘要研究黑人妇女在产后遭受种族歧视的经历、感知到的压力和分娩满意度之间的关系，并检验感知到的压力是否能调节种族歧视和分娩满意度之间的关系：设计：对黑人分娩的生物社会影响研究数据进行二次分析：环境：佛罗里达州中部一家大型医院的产后病房：产后黑人妇女（N = 155）：方法：受试者在产后 24 小时至 23 天内完成终生歧视经历量表、感知压力量表和分娩满意度量表（修订版）。我们计算了描述性统计和 Spearman's ρ 相关系数，以评估变量之间的关联。我们使用多元线性回归法评估了作为种族歧视与分娩满意度之间中介因素的感知压力：结果：种族歧视与感知压力呈正相关（β = 2.445，p = .03），而感知压力与出生满意度呈负相关（β = -0.221，p = .02）。种族歧视对生育满意度没有明显的直接影响（β = -0.091，p = .94）；因此，感知到的压力并没有调节两者之间的关系：结论：一生中遭受歧视的经历越多，感知到的压力就越大。报告压力感知水平较高的参与者的生育满意度较低。我们的研究丰富了有关种族歧视与感知压力、感知压力与生育满意度之间关系的知识。

{"title":"Associations Among Racial Discrimination, Perceived Stress, and Birth Satisfaction in Black Women in the Postpartum Period","authors":"Amanda de la Serna, Rui Xie, Jean W. Davis, Susan Quelly, Dawn P. Misra, Carmen Giurgescu","doi":"10.1016/j.jogn.2024.08.005","DOIUrl":"10.1016/j.jogn.2024.08.005","url":null,"abstract":"<div><h3>Objective</h3><div>To examine associations among experiences of racial discrimination, perceived stress, and birth satisfaction and to test if perceived stress mediates the relationship between racial discrimination and birth satisfaction among Black women in the postpartum period.</div></div><div><h3>Design</h3><div>Secondary analysis of data from the Biosocial Impact on Black Births study.</div></div><div><h3>Setting</h3><div>A postpartum unit of a large hospital in Central Florida.</div></div><div><h3>Participants</h3><div>Black women (<em>N</em> = 154) in the postpartum period.</div></div><div><h3>Methods</h3><div>Participants completed the lifetime Experiences of Discrimination scale, Perceived Stress Scale and Birth Satisfaction Scale–Revised between 24 hours and 23 days after birth. We calculated descriptive statistics and Spearman’s ρ correlation coefficients to evaluate associations among variables. We used multiple linear regression to evaluate perceived stress as a mediator between racial discrimination and birth satisfaction.</div></div><div><h3>Results</h3><div>Racial discrimination had a positive association with perceived stress (β = 2.445, <em>p</em> = .03), and perceived stress had a negative association with birth satisfaction (β = –0.221, <em>p</em> = .02). Racial discrimination had no significant direct effect on birth satisfaction (β = –0.091, <em>p</em> = .94); therefore, perceived stress did not mediate the relationship.</div></div><div><h3>Conclusion</h3><div>More experiences of discrimination over the life span were associated with higher levels of perceived stress. Participants who reported higher levels of perceived stress reported lower levels of birth satisfaction. Our study adds to the body of knowledge regarding associations between racial discrimination and perceived stress and perceived stress and birth satisfaction.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 658-668"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2024-11-01 DOI: 10.1016/S0884-2175(24)00308-3

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Supporting Authors for Whom English Is an Additional Language to Promote Diversity Inclusion and Equity in Nursing Scholarship 支持英语作为附加语言的作者，促进护理学术的多样性、包容性和公平性。

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2024-11-01 DOI: 10.1016/j.jogn.2024.08.003

Forgive Avorgbedor, Jamille Nagtalon-Ramos, Abby Britt, Natasha Nurse-Clarke, Deepika Goyal

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