Purpose: Carrying out a scoping review to fill gaps in current knowledge regarding comfort needs in the care provided by nurses to girls/women who experience puerperium. Methods: The procedures guided by the Joanna Br...Purpose: Carrying out a scoping review to fill gaps in current knowledge regarding comfort needs in the care provided by nurses to girls/women who experience puerperium. Methods: The procedures guided by the Joanna Briggs Institute will be applied. The searches will be carried out in the Medical Literature Analysis and Retrieval System Online, Excerpta Medica Database, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature, Nursing Database, Scientific Electronic Library databases. Studies which are available in full and published in English, Spanish or Portuguese will be selected. There will be no restrictions to the study design or time frame. Two reviewers will independently screen all citations with the aid of software. The degree of agreement between the researchers will be verified by statistics that measure reliability. Through narrative descriptions, charts, and tables, we will present the results obtained. Data analysis will involve descriptive statistics, and qualitative evaluation. We will use the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist to review and write this review. Conclusion: We will summarize the main information available in the literature on the subject, aiming to obtain an overview of the practices employed, and the gaps present in knowledge that require greater attention from the scientific community.展开更多
Prenatal and postnatal period presents the highest prevalence of mental disorders in women's lives and depression is the most frequent one,affecting approximately one in every five mothers.The aggravating factor h...Prenatal and postnatal period presents the highest prevalence of mental disorders in women's lives and depression is the most frequent one,affecting approximately one in every five mothers.The aggravating factor here is that during this period psychiatric symptoms affect not only women's health and well-being but may also interfere in the infant's intra and extra-uterine development.Although the causes of the relationship between maternal mental disorders and possible risks to a child's health and development remain unknown,it is suspected that these risks may be related to the use of psychotropic drugs during pregnancy,to substance abuse and the mother's lifestyle.Moreover,after delivery,maternal mental disorders may also impair the ties of affection(bonding) with the newborn and the ma-ternal capacity of caring in the post-partum period thus increasing the risk for infant infection and malnutrition,impaired child growth that is expressed in low weight and height for age,and even behavioral problems and vulnerability to presenting mental disorders in adulthood.Generally speaking,research on this theme can be divided into the type of mental disorder analyzed: studies that research minor mental disorders during pregnancy such as depression and anxiety find an association between these maternal disorders and obstetric complications such as prematurity and low birth weight,whereas studies that evaluate severe maternal mental disorders such as schizophrenia and bipolar disorder have found not only an association with general obstetric complications as well as with congenital malformations and perinatal mortality.Therefore,the success of infant growth care programs also depends on the mother's mental well being.Such findings have led to the need for new public policies in the field of maternal-infant care geared toward the population of mothers.However,more research is necessary so as to confirm the association between all factors with greater scientific rigor.展开更多
目的:分析剖宫产术后于产褥期形成下肢深静脉血栓(Deep Vein Thrombosis,DVT)产妇临床护理效果,为临床提供参考。方法:回顾性分析在联勤保障部队第九八八医院行剖宫产术后,38例在产褥期产生DVT产妇的一般资料。观察产妇干预前后凝血情...目的:分析剖宫产术后于产褥期形成下肢深静脉血栓(Deep Vein Thrombosis,DVT)产妇临床护理效果,为临床提供参考。方法:回顾性分析在联勤保障部队第九八八医院行剖宫产术后,38例在产褥期产生DVT产妇的一般资料。观察产妇干预前后凝血情况。结果:经护理干预治疗后,产妇活化部分凝血活酶时间(Activated Partial Thromboplastin Time, APTT)、凝血酶原时间(Prothrombin Time, PT)、凝血酶时间(Thrombin Time, TT)、纤维蛋白原(Fibrinogen,FIB)均较干预后改善,差异有统计学意义(t=1.381、0.864、0.075、0.215,P<0.05)。产妇临床症状均有效缓解,并未有其他产后并发症出现。结论:详细、有针对性且系统化的临床护理干预模式可显著提升剖宫产术后产褥期产妇DVT症状的临床治愈效率,提高临床护理效率,对缓解产褥期DVT具有良好作用。展开更多
Sepsis,which is life-threatening organ dysfunction resulting from a dysregulated host response to infection,remains a major cause for the admission of pregnant women to the intensive care unit and is one of the leadin...Sepsis,which is life-threatening organ dysfunction resulting from a dysregulated host response to infection,remains a major cause for the admission of pregnant women to the intensive care unit and is one of the leading causes of maternal morbidity and mortality.The obstetric causes include uterine infection,septic abortion,and wound infection.The non-obstetric causes include pyelonephritis and pneumonia.Maternal sepsis may also be from obstetrical critical illness,such as obstetric severe hemorrhage,obstetric(amniotic fluid/pulmonary)embolism,acute fatty liver of pregnancy,and congestive heart failure,cardiopulmonary arrest,and major trauma.The most commonly reported pathogens in maternal sepsis include Escherichia coli,Streptococcus,Staphylococcus,and other gram-negative bacteria.Maternal sepsis may cause intrauterine infection,which results in(1)preterm premature rupture of membranes or preterm labor or birth,(2)cerebral white matter damage or cerebral palsy or neurodevelopmental delay,(3)stillbirth,(4)early-or late-onset sepsis,and(5)perinatal death.The"Hour-1 bundle"should be initiated within the first hour of the recognition of sepsis.The use of early,appropriate antibiotics is crucial in the management of maternal sepsis.Fetal status should be monitored.Appropriate and early source control should be provided.The decision for delivery is often quite complex and should be individualized to each patient’s clinical scenario while taking into consideration the suspected source of infection,maternal status,fetal well-being,and gestational age.Extracorporeal membrane oxygenation has been increasingly used in refractory sepsis during pregnancy and the puerperium.展开更多
文摘Purpose: Carrying out a scoping review to fill gaps in current knowledge regarding comfort needs in the care provided by nurses to girls/women who experience puerperium. Methods: The procedures guided by the Joanna Briggs Institute will be applied. The searches will be carried out in the Medical Literature Analysis and Retrieval System Online, Excerpta Medica Database, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature, Nursing Database, Scientific Electronic Library databases. Studies which are available in full and published in English, Spanish or Portuguese will be selected. There will be no restrictions to the study design or time frame. Two reviewers will independently screen all citations with the aid of software. The degree of agreement between the researchers will be verified by statistics that measure reliability. Through narrative descriptions, charts, and tables, we will present the results obtained. Data analysis will involve descriptive statistics, and qualitative evaluation. We will use the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist to review and write this review. Conclusion: We will summarize the main information available in the literature on the subject, aiming to obtain an overview of the practices employed, and the gaps present in knowledge that require greater attention from the scientific community.
基金Supported by Brazil Higher Education Consortia Program(CAPES).
文摘Prenatal and postnatal period presents the highest prevalence of mental disorders in women's lives and depression is the most frequent one,affecting approximately one in every five mothers.The aggravating factor here is that during this period psychiatric symptoms affect not only women's health and well-being but may also interfere in the infant's intra and extra-uterine development.Although the causes of the relationship between maternal mental disorders and possible risks to a child's health and development remain unknown,it is suspected that these risks may be related to the use of psychotropic drugs during pregnancy,to substance abuse and the mother's lifestyle.Moreover,after delivery,maternal mental disorders may also impair the ties of affection(bonding) with the newborn and the ma-ternal capacity of caring in the post-partum period thus increasing the risk for infant infection and malnutrition,impaired child growth that is expressed in low weight and height for age,and even behavioral problems and vulnerability to presenting mental disorders in adulthood.Generally speaking,research on this theme can be divided into the type of mental disorder analyzed: studies that research minor mental disorders during pregnancy such as depression and anxiety find an association between these maternal disorders and obstetric complications such as prematurity and low birth weight,whereas studies that evaluate severe maternal mental disorders such as schizophrenia and bipolar disorder have found not only an association with general obstetric complications as well as with congenital malformations and perinatal mortality.Therefore,the success of infant growth care programs also depends on the mother's mental well being.Such findings have led to the need for new public policies in the field of maternal-infant care geared toward the population of mothers.However,more research is necessary so as to confirm the association between all factors with greater scientific rigor.
文摘目的:分析剖宫产术后于产褥期形成下肢深静脉血栓(Deep Vein Thrombosis,DVT)产妇临床护理效果,为临床提供参考。方法:回顾性分析在联勤保障部队第九八八医院行剖宫产术后,38例在产褥期产生DVT产妇的一般资料。观察产妇干预前后凝血情况。结果:经护理干预治疗后,产妇活化部分凝血活酶时间(Activated Partial Thromboplastin Time, APTT)、凝血酶原时间(Prothrombin Time, PT)、凝血酶时间(Thrombin Time, TT)、纤维蛋白原(Fibrinogen,FIB)均较干预后改善,差异有统计学意义(t=1.381、0.864、0.075、0.215,P<0.05)。产妇临床症状均有效缓解,并未有其他产后并发症出现。结论:详细、有针对性且系统化的临床护理干预模式可显著提升剖宫产术后产褥期产妇DVT症状的临床治愈效率,提高临床护理效率,对缓解产褥期DVT具有良好作用。
基金This research was supported by the Shenzhen Science and Technology Innovation Commission(JCYJ20180228162311024)
文摘Sepsis,which is life-threatening organ dysfunction resulting from a dysregulated host response to infection,remains a major cause for the admission of pregnant women to the intensive care unit and is one of the leading causes of maternal morbidity and mortality.The obstetric causes include uterine infection,septic abortion,and wound infection.The non-obstetric causes include pyelonephritis and pneumonia.Maternal sepsis may also be from obstetrical critical illness,such as obstetric severe hemorrhage,obstetric(amniotic fluid/pulmonary)embolism,acute fatty liver of pregnancy,and congestive heart failure,cardiopulmonary arrest,and major trauma.The most commonly reported pathogens in maternal sepsis include Escherichia coli,Streptococcus,Staphylococcus,and other gram-negative bacteria.Maternal sepsis may cause intrauterine infection,which results in(1)preterm premature rupture of membranes or preterm labor or birth,(2)cerebral white matter damage or cerebral palsy or neurodevelopmental delay,(3)stillbirth,(4)early-or late-onset sepsis,and(5)perinatal death.The"Hour-1 bundle"should be initiated within the first hour of the recognition of sepsis.The use of early,appropriate antibiotics is crucial in the management of maternal sepsis.Fetal status should be monitored.Appropriate and early source control should be provided.The decision for delivery is often quite complex and should be individualized to each patient’s clinical scenario while taking into consideration the suspected source of infection,maternal status,fetal well-being,and gestational age.Extracorporeal membrane oxygenation has been increasingly used in refractory sepsis during pregnancy and the puerperium.
