2016年埃塞俄比亚提格雷东部地区公共卫生设施中医疗服务提供者对新生儿即时护理的知识与实践
Knowledge and practice of immediate newborn care among health care providers in eastern zone public health facilities, Tigray, Ethiopia, 2016.
作者信息
Berhe Abadi Kidanemariam, Tinsae Fitiwi, Gebreegziabher Gebremedhin
机构信息
Adigrat University, College of Medicine and Health Sciences , Adigrat, Ethiopia.
Department of Nursing, College of Medicine and Health Sciences, Adigrat University, Adigrat, Ethiopia.
出版信息
BMC Pediatr. 2017 Jul 11;17(1):157. doi: 10.1186/s12887-017-0915-8.
BACKGROUND
According to WHO (2013) report the number of under five-year mortality in Ethiopia was 195,504, out of this 84,437 was from neonatal death and this mortality is related to immediate obstetric and newborn care of babies provided by health care providers; But little was known about the level of knowledge and practice related to immediate newborn care and their associated factors among health care providers generally in Tigray region and specifically in the Eastern Zone so the aim of this study was to assess knowledge and practice of immediate newborn care and associated factors among health care providers in the Eastern zone public health facilities, Tigray, Ethiopia.
METHODS
A cross-sectional study was conducted from December 2015 to February 2016. A total of 16 health care facilities were selected for study using simple random sampling techniques and all health care providers in the selected health care facilities who participated in immediate newborn care were involved in the study. Data were entered, cleaned and analyzed using SPSS version 20.0. Ethical clearance was obtained from Adigrat University institutional ethical review board and Tigray regional health bureau. Consent was obtained from participants to conduct the study.
RESULT
In this study 215 participants were contacted, with a response rate of 99.1%. Generally, from the health care providers who participated in this study, 74.65% had adequate knowledge on newborn care and overall 72.77% of the participants were having good newborn care practice. Among the health care providers participated in the study, 151 (70.9%) were getting access to newborn care national guideline and only 99 (46%) of the health care providers get training in newborn care within the past two years before the study. Availability of national guideline, having adequate materials, the period of taking training and type of health facility were significant predictors for the health care providers newborn care practice.
CONCLUSION
Even though some improvement observed in the knowledge and practice of health care providers on newborn care, but still this study identified knowledge and practice gap. Regional health bureau and district health offices should provide refreshment training on immediate newborn care regularly, equipping all health facilities with necessary materials and national guideline of newborn care and there should be sharing experience between hospital and health center staffs working on newborn care through mentoring.
背景
根据世界卫生组织（2013年）的报告，埃塞俄比亚五岁以下儿童死亡人数为195,504人，其中84,437人死于新生儿死亡，这种死亡率与医疗保健提供者提供的即时产科和新生儿护理有关；但在提格雷地区，特别是东部地区，医疗保健提供者中与即时新生儿护理相关的知识和实践水平及其相关因素鲜为人知。因此，本研究的目的是评估埃塞俄比亚提格雷东部地区公共卫生设施中医疗保健提供者对即时新生儿护理的知识和实践以及相关因素。
方法
于2015年12月至2016年2月进行了一项横断面研究。使用简单随机抽样技术共选择了16个医疗保健机构进行研究，所选医疗保健机构中参与即时新生儿护理的所有医疗保健提供者均参与了研究。使用SPSS 20.0版本录入、清理和分析数据。获得了阿迪格拉特大学机构伦理审查委员会和提格雷地区卫生局的伦理批准。获得了参与者进行该研究的同意。
结果
在本研究中，联系了215名参与者，回复率为99.1%。总体而言，参与本研究的医疗保健提供者中，74.65%对新生儿护理有足够的知识，总体上72.77%的参与者有良好的新生儿护理实践。参与研究的医疗保健提供者中，151人（70.9%）可以获取新生儿护理国家指南，在研究前的过去两年内，只有99名（46%）医疗保健提供者接受过新生儿护理培训。国家指南的可用性、拥有足够的材料、接受培训的时间以及卫生机构的类型是医疗保健提供者新生儿护理实践的重要预测因素。
结论
尽管观察到医疗保健提供者在新生儿护理知识和实践方面有一些改善，但本研究仍发现了知识和实践方面的差距。地区卫生局和区卫生办公室应定期提供即时新生儿护理的进修培训，为所有卫生机构配备必要的材料和新生儿护理国家指南，并且医院和从事新生儿护理的卫生中心工作人员之间应通过指导分享经验。
Zotero 插件