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通过母亲课堂改变母亲在新生儿护理方面的知识和做法:印度尼西亚的一项干预性研究

Changing Knowledge and Practices of Mothers on Newborn Care through Mother Class: An Intervention Study in Indonesia.

作者信息

Nasir Narila Mutia, Amran Yuli, Nakamura Yasuhide

机构信息

Faculty of Medicine and Health Sciences, Syarif Hidayatullah State Islamic University, Ciputat 15419, Indonesia.

Graduate School of Human Sciences, Osaka University, Suita, Osaka 565-0871, Japan.

出版信息

J Trop Pediatr. 2017 Dec 1;63(6):440-446. doi: 10.1093/tropej/fmx010.

Abstract

Poor knowledge and practices of newborn care may contribute to high neonatal mortality. This study aims to analyze the effect of prenatal education, namely 'mother class', on knowledge and practices of newborn care among mothers in Tangerang Selatan District, Indonesia. An intervention study with a quasi-experimental design was conducted. Using a questionnaire, 427 mothers were interviewed: an intervention group (n = 214) that attended mother class and a control group (n = 213) that had not. A home visit followed the intervention to assess newborn care practices. Mother class used Maternal and Child Health Handbook as the main reference material. Attending mother class significantly increased knowledge of breastfeeding initiation and hepatitis B immunization (p < 0.05). Mothers in the intervention group had the likelihood of practicing good newborn care compared with the control group (odds ratio: 1.812; 95% confidence interval: 1.235-2.660). Mother class improves knowledge and newborn care practices and strengthens interactions between mothers and health care providers.

摘要

对新生儿护理知识的欠缺和不当做法可能导致新生儿死亡率居高不下。本研究旨在分析产前教育,即“妈妈课堂”,对印度尼西亚南坦格朗地区母亲们的新生儿护理知识和做法的影响。开展了一项采用准实验设计的干预性研究。通过问卷调查,对427名母亲进行了访谈:其中干预组(n = 214)参加了妈妈课堂,对照组(n = 213)未参加。干预结束后进行了家访,以评估新生儿护理做法。妈妈课堂使用《母婴健康手册》作为主要参考资料。参加妈妈课堂显著提高了母乳喂养开始时间和乙肝免疫接种方面的知识(p < 0.05)。与对照组相比,干预组的母亲更有可能实施良好的新生儿护理(优势比:1.812;95%置信区间:1.235 - 2.660)。妈妈课堂提高了知识水平和新生儿护理做法,并加强了母亲与医疗服务提供者之间的互动。

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