Alparslan Özgür, Demırel Yeltekin
Midwifery Department, Tokat School of Health, Gaziosmapaşa University, Tokat, Turkey.
Jpn J Nurs Sci. 2013 Jun;10(1):47-54. doi: 10.1111/j.1742-7924.2012.00209.x. Epub 2012 Mar 30.
The research was conducted as a descriptive and cross-sectional study in order to identify the traditional neonatal care practices applied by women in the 15-49 year age range.
The research sample comprised 263 married mothers aged 15-49 years living in the seven health center regions in Sivas city center and agreeing to participate in the study between 7 March 2008 and 30 April 2008. In data collection, a questionnaire form devised by the researchers on the basis of expert opinion was used. The data collected were assessed by computer by means of percentage analysis and χ(2)-tests.
The traditional neonatal care practices for treatment of jaundice, rash, thrush, earache, swelling in the baby's chest (milk accumulation), falling of the umbilical cord, umbilical infection, eye crust, nail cut, and temperature were examined. The most frequently conducted traditional practices were identified as rubbing swollen nipples, "making the forties" (bathing the mother and neonate in a special ritual on the 40th day postpartum), salting, using holluk (sand-filled nappy), and swaddling the baby. It was found that the mothers with low levels of education applied traditional practices like swaddling, salting, holluk, and making the forties more frequently (P<0.05).
According to the study findings, mothers practiced traditional applications at least once during neonatal care. It was observed that the lower the mother's educational level, the more frequent the traditional practices were applied. For this reason, neonatal healthcare services should be delivered by midwives/nurses or other healthcare workers.
本研究为描述性横断面研究,旨在确定15至49岁女性采用的传统新生儿护理方法。
研究样本包括263名年龄在15至49岁之间、居住在锡瓦斯市中心七个健康中心区域、并于2008年3月7日至2008年4月30日同意参与研究的已婚母亲。在数据收集过程中,使用了研究人员根据专家意见设计的问卷形式。收集到的数据通过计算机进行百分比分析和χ²检验。
对治疗黄疸、皮疹、鹅口疮、耳痛、婴儿胸部肿胀(积奶)、脐带脱落、脐带感染、眼屎、剪指甲和体温等传统新生儿护理方法进行了研究。最常进行的传统方法被确定为揉搓肿胀的乳头、“做四十天”(产后第40天以特殊仪式为母亲和新生儿洗澡)、撒盐、使用holluk(沙袋尿布)和包裹婴儿。研究发现,教育程度较低的母亲更频繁地采用包裹、撒盐、使用holluk和做四十天等传统方法(P<0.05)。
根据研究结果,母亲们在新生儿护理期间至少进行过一次传统护理。观察到母亲的教育水平越低,采用传统护理方法的频率越高。因此,新生儿保健服务应由助产士/护士或其他医护人员提供。