Taghizadeh Ziba, Khoshnam Rad Mahsa, Kazemnejad Anoshirvan
Nursing and Midwifery School of Tehran University of Medical Sciences and Nursing and Midwifery Care Research Center of Tehran University of Medical Sciences, Tehran, Iran.
Tehran University of Medical Sciences, Faculty of Nursing and Midwifery, Tehran, Iran.
Disaster Med Public Health Prep. 2018 Jun;12(3):305-311. doi: 10.1017/dmp.2017.58. Epub 2017 Aug 31.
Maternal mortality may increase after a disaster. Because midwives are at the frontline of offering reproductive health care services in disasters, they should be competent.
This was a cross-sectional, descriptive study carried out in 2015 in Tehran. The sample consisted of 361 midwives selected by use of a cluster random sampling method. Data were collected by using a questionnaire on professional competency for preventing maternal mortality in disasters.
The midwives' mean professional competency score was 177.74±31, which was an average level of professional competency. The level of knowledge and skills of the midwives was reported as inadequate for most items, particularly for the items of "managing mothers affected by chronic diseases," "physical trauma," "recognizing patients who needed to be referred," and "stabilizing mothers when referring them." Statistically significant relationships were observed between the midwives' competencies and age (P=0.001), work experience (P=0.054), educational level (P= 0.043), previous experience in a disaster (P=0.014), and workplace (P=0.006). These data were drawn by using Spearman's correlation, t-test, and ANOVA, respectively.
Given the average scores for midwives' professional competency in disasters and the inadequacy of prior training courses, extra educational programs for midwives are recommended. (Disaster Med Public Health Preparedness. 2018; 12: 305-311).
灾难发生后孕产妇死亡率可能会上升。由于助产士处于灾难中提供生殖健康护理服务的前线，她们应具备相应能力。
这是一项于2015年在德黑兰开展的横断面描述性研究。样本由采用整群随机抽样方法选取的361名助产士组成。通过一份关于预防灾难中孕产妇死亡专业能力的问卷收集数据。
助产士的平均专业能力得分为177.74±31，处于专业能力的平均水平。对于大多数项目，助产士的知识和技能水平被报告为不足，特别是对于“管理患有慢性病的母亲”“身体创伤”“识别需要转诊的患者”以及“转诊时稳定母亲状况”这些项目。在助产士的能力与年龄（P = 0.001）、工作经验（P = 0.054）、教育水平（P = 0.043）、以往灾难经历（P = 0.014）和工作场所（P = 0.006）之间观察到具有统计学意义的关系。这些数据分别通过使用Spearman相关性分析、t检验和方差分析得出。
鉴于助产士在灾难中专业能力的平均得分以及先前培训课程的不足，建议为助产士提供额外的教育项目。（《灾难医学与公共卫生防范》。2018年；12：305 - 311）
