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影响马来西亚砂拉越州产前护理服务满意度的因素:一项横断面研究的证据

Factors affecting satisfaction on antenatal care services in Sarawak, Malaysia: evidence from a cross sectional study.

作者信息

Rahman Md Mizanur, Ngadan Deburra Peak, Arif Mohammad Taha

机构信息

Department of Community Medicine and Public Health, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, 94300 Kota Samarahan, Sarawak Malaysia.

出版信息

Springerplus. 2016 Jun 16;5(1):725. doi: 10.1186/s40064-016-2447-3. eCollection 2016.

DOI:10.1186/s40064-016-2447-3
PMID:27375994
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4909660/
Abstract

BACKGROUND

High levels of satisfaction among women with the antenatal care services will increase the compliance of antenatal visits during pregnancy. Thus, this study was done to assess the level of satisfaction among women on the quality of antenatal care received and the factors influencing thereof.

METHODS

This was a cross-sectional study conducted in the three zones of Sarawak. Women aged 18 years and above, irrespective of ethnic groups, having children aged 3 years and below were included in the study. Data was collected by face-to-face interview using interview schedule. A validated Patient Satisfaction Questionnaire (PSQ-18) was used to assess the satisfaction with antenatal care. A total of 1236 data was analysed using IBM SPSS version 22.0. A p value <0.05 was considered as statistically significant.

RESULTS

A multinomial logistic regression analysis revealed that Bidayuh 17.4 % was less likely to be highly satisfied with antenatal care. Similarly, respondents with secondary level of education 29.9 % were less likely to be highly satisfied, whereas, respondents having primary level of education, 1.6 % were less likely to be highly satisfied. However, those who did not spend any money as out of pocket expenses were 1.935 times more likely to be highly satisfied with antenatal care.

CONCLUSION

Overall the studied women were satisfied with the antenatal care services. Ethnicity, level of education and out of pocket expenses appeared to be important predictors of satisfaction with antenatal care. The finding recommends the community-based and language-specific interventions should be implemented to sustain the satisfaction of maternal care.

摘要

背景

孕妇对产前护理服务的高度满意度会提高孕期产前检查的依从性。因此,本研究旨在评估女性对所接受的产前护理质量的满意度水平及其影响因素。

方法

这是一项在砂拉越三个地区进行的横断面研究。纳入研究的女性年龄在18岁及以上,不分种族,育有3岁及以下子女。通过使用访谈提纲进行面对面访谈收集数据。采用经过验证的患者满意度问卷(PSQ - 18)来评估对产前护理的满意度。使用IBM SPSS 22.0版本对总共1236份数据进行分析。p值<0.05被认为具有统计学意义。

结果

多项逻辑回归分析显示,比达友族(17.4%)对产前护理高度满意的可能性较低。同样,受过中等教育的受访者(29.9%)高度满意的可能性较低,而受过小学教育的受访者(1.6%)高度满意的可能性也较低。然而,那些没有自掏腰包花费任何费用的人对产前护理高度满意的可能性是其他人(1.935倍)。

结论

总体而言,参与研究的女性对产前护理服务感到满意。种族、教育水平和自掏腰包费用似乎是产前护理满意度的重要预测因素。研究结果建议应实施基于社区和特定语言的干预措施,以维持孕产妇护理的满意度。

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