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新生儿黄疸及其管理:尼日利亚贝宁城贝宁大学教学医院产前诊所孕妇的知识、态度和实践

Neonatal jaundice and its management: knowledge, attitude, and practice among expectant mothers attending antenatal clinic at University of Benin Teaching Hospital, Benin City, Nigeria.

作者信息

Egube B A, Ofili A N, Isara A R, Onakewhor J U

机构信息

Department of Community Health, University of Benin Teaching Hospital, Benin City, Nigeria.

出版信息

Niger J Clin Pract. 2013 Apr-Jun;16(2):188-94. doi: 10.4103/1119-3077.110147.

Abstract

INTRODUCTION

Neonatal Jaundice (NNJ) is a common disorder worldwide and one of the important contributors to the high neonatal morbidity and mortality in Sub-Saharan Africa. Severe neonatal jaundice leads to brain damage or even death in otherwise healthy newborns. The objective of the study was to assess the knowledge, attitude and practice of expectant mothers about neonatal jaundice and its management.

MATERIALS AND METHODS

The study was descriptive cross-sectional, carried out among 389 expectant mothers who were attending the antenatal clinic at the University of Benin Teaching Hospital. A structured, Pre-tested, researcher administered questionnaire was used to interview the respondents. Data was analysed using SPSS version 15.

RESULTS

The mean age of the expectant mothers was 30.5 (SD 4.9) years. Fifty-five (14.1%) of respondents had previous experience with NNJ, 8 (2.1%) lost babies due to NNJ. 334 (85.9%) were aware of the condition, 381 (77.4%) knew how to recognize the symptoms of NNJ, 279 (71.7%) knew a correct method of treatment of NNJ. A large proportion of the expectant mothers 261 (67%) knew some complications of NNJ. Two hundred and five (52.7%) did not know any danger sign of complications of NNJ. Three hundred and fifty five (91.3%) had good attitude towards its management. Majority of expectant mothers whose previous babies had NNJ took the babies to the hospital for treatment. A large proportion also expressed their willingness to seek medical attention if their babies were to develop the condition. Their knowledge of neonatal jaundice was significantly influenced by their level of education and the number of their previous babies who had NNJ.

CONCLUSION

This study revealed that expectant mothers attending antenatal clinic at UBTH had good knowledge of the treatment and complications of NNJ but inadequate knowledge of the causes and danger signs of the condition. Their attitude and practice towards the management of NNJ was good. It is therefore recommended that Health care providers should give more health education on NNJ to the expectant mothers during antenatal visits.

摘要

引言

新生儿黄疸(NNJ)是一种全球常见的病症,也是撒哈拉以南非洲地区新生儿高发病率和高死亡率的重要原因之一。严重的新生儿黄疸会导致原本健康的新生儿脑损伤甚至死亡。本研究的目的是评估准妈妈对新生儿黄疸及其管理的知识、态度和做法。

材料与方法

本研究为描述性横断面研究,在贝宁大学教学医院产前门诊就诊的389名准妈妈中进行。使用一份结构化、经过预测试、由研究人员管理的问卷对受访者进行访谈。数据使用SPSS 15版进行分析。

结果

准妈妈的平均年龄为30.5(标准差4.9)岁。55名(14.1%)受访者曾有过新生儿黄疸经历,8名(2.1%)因新生儿黄疸失去婴儿。334名(85.9%)知晓该病症,381名(77.4%)知道如何识别新生儿黄疸的症状,279名(71.7%)知道正确的新生儿黄疸治疗方法。很大一部分准妈妈261名(67%)知道新生儿黄疸的一些并发症。205名(52.7%)不知道新生儿黄疸并发症的任何危险信号。355名(91.3%)对其管理持良好态度。大多数之前孩子患过新生儿黄疸的准妈妈会带孩子去医院治疗。很大一部分人还表示,如果孩子出现这种病症,她们愿意寻求医疗帮助。她们对新生儿黄疸的了解受教育程度和之前患过新生儿黄疸的孩子数量的显著影响。

结论

本研究表明,在UBTH产前门诊就诊的准妈妈对新生儿黄疸的治疗和并发症有较好的了解,但对该病症的病因和危险信号了解不足。她们对新生儿黄疸管理的态度和做法良好。因此,建议医疗保健提供者在产前检查期间对准妈妈进行更多关于新生儿黄疸的健康教育。

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