高危妊娠孕产妇全程照护培训方案的构建

Construction of training program of nursing ability for the whole process care of midwives in high-risk pregnancy

目的构建针对助产士的高危妊娠孕产妇全程照护能力培训方案。方法基于文献研究、指南证据总结、焦点小组访谈、一对一半结构访谈法初步拟定培训方案,采用德尔菲法对来自福建省、山东省、湖北省、北京市、上海市24名妇产科专家进行2轮咨询。结果2轮专家函询问卷有效回收率分别为96%(23/24),85%(17/20),专家权威系数为0.92,肯德尔和谐系数分别为0.10、0.16(P<0.001),最终形成培训方案包括培训目标、培训内容(常规照护和常见类型高危妊娠孕产妇全程照护2个模块),以及培训时间安排、培训方法、资质要求。结论本研究构建的针对助产士的高危妊娠孕产妇全程照护能力培训方案具有科学性与可靠性,可为我国助产士在职培训提供参考。

Objective To develop a training program for midwives’ability to care for high-risk pregnancies.Methods A preliminary training program was developed based on literature research,evidence summary of guidelines,focus group interviews,and one-to-one semi-structured interviews.Two rounds of consultation were conducted involving 24 experts in obstetrics and gynecology from Fujian,Shandong,Hubei,Beijing,and Shanghai by Delphi method.Results The effective recovery rates of the two rounds of expert correspondence questionnaires were 96%(23/24)and 85%(17/20)respectively.The authority coefficient of the experts was 0.92,and the Kendall harmony coefficient was 0.10 and 0.16(P<0.001),respectively.The final training plan included training objectives,training content(two modules for routine care and full care of common high-risk pregnant women),training arrangements and methods,and qualification requirements.Conclusion The training scheme for midwives’high-risk pregnancy care ability is scientific and reliable and can provide a reference for the clinical training of midwives in China.