Kifle Meron Mehari, Ghirmai Filmon Abraham, Berhe Soliana Amanuel, Tesfay Winta Sium, Weldegebriel Yodit Teklemariam, Gebrehiwet Zebib Tesfamariam
Department of Epidemiology and Biostatistics, School of Public Health, Asmara College of Health Sciences, Asmara, Eritrea.
School of Nursing, Asmara College of Health Sciences, Asmara, Eritrea.
Obstet Gynecol Int. 2017;2017:3717408. doi: 10.1155/2017/3717408. Epub 2017 Dec 28.
Exploring patient satisfaction contributes to provide quality maternity care, but there is paucity of epidemiologic data in Eritrea.
To determine the predictors of women's satisfaction with intrapartum care in Asmara public maternity hospitals in Eritrea.
A cross-sectional study among 771 mothers who gave birth in three public Hospitals. Chi-square tests were done to analyze the difference in proportion and logistic regression to assess the predictors of satisfaction with intrapartum care.
Overall, only 20.8% of the participants were satisfied with intrapartum service. The key predictors of satisfaction with intrapartum care were provision of clean bed and beddings (AOR = 18.87, 2.33-15.75), privacy during examinations (AOR = 10.22, 4.86-21.48), using understandable language (AOR = 8.72, 3.57-21.27), showing how to summon for help (AOR = 8.16, 4.30-15.48), showing baby immediately after birth (AOR = 8.14, 2.87-23.07), control of the delivery room (AOR = 6.86, 2.65-17.75), receiving back massage (AOR = 6.43, 3.23-12.81), toilet access and cleanliness (AOR = 6.09, 3.25-11.42), availability of chairs for relatives (AOR = 5.96, 3.14-11.30), allowing parents to stay during labour (AOR = 3.52, 1.299-9.56), and request for permission before any procedure (AOR = 2.39, 1.28-4.46).
To increase satisfaction with intrapartum care, maternity service providers need to address the general maternity ward cleanliness, improve the quality of physical facilities, and sensitize health providers for better communication with clients. Policy makers need to adopt strategies that ensure more women involvement in decision making and consideration of privacy and reassurance needs during the whole delivery process.
探索患者满意度有助于提供优质的产科护理，但厄立特里亚缺乏流行病学数据。
确定厄立特里亚阿斯马拉公立产科医院妇女对产时护理满意度的预测因素。
对在三家公立医院分娩的771名母亲进行横断面研究。采用卡方检验分析比例差异，并进行逻辑回归分析以评估产时护理满意度的预测因素。
总体而言，只有20.8%的参与者对产时服务感到满意。产时护理满意度的关键预测因素包括提供干净的病床和床上用品（比值比[AOR]=18.87，2.33 - 15.75）、检查时的隐私（AOR = 10.22，4.86 - 21.48）、使用易懂的语言（AOR = 8.72，3.57 - 21.27）、告知如何呼救（AOR = 8.16，4.30 - 15.48）、产后立即展示婴儿（AOR = 8.14，2.87 - 23.07）、产房管理（AOR = 6.86，2.65 - 17.75）、接受背部按摩（AOR = 6.43，3.23 - 12.81）、厕所使用和清洁情况（AOR = 6.09，3.25 - 11.42）、为亲属提供椅子（AOR = 5.96，3.14 - 11.30）、允许父母在分娩期间陪伴（AOR = 3.52，1.299 - 9.56）以及在进行任何操作前请求许可（AOR = 2.39，1.28 - 4.46）。
为提高对产时护理的满意度，产科服务提供者需要解决普通产科病房的清洁问题，改善物理设施质量，并提高医护人员与患者沟通的能力。政策制定者需要采取策略，确保更多女性参与决策，并在整个分娩过程中考虑隐私和安心需求。
