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哈米斯穆沙特市阿尔萨纳耶初级卫生保健中心顺产时育龄妇女对硬膜外麻醉的认知、态度和实践情况。

Knowledge, attitude, and practice of childbearing women toward epidural anesthesia during normal vaginal delivery in Alsanayeah Primary Health Care in Khamis Mushait.

作者信息

Ali Alahmari Sarah Sultan, ALmetrek Meterk, Alzillaee Anfal Yahya, Hassan Wafaa Jubran, Ali Alamry Shatha Mahdi

机构信息

6th Year Medical Student, King Khaled University, Abha, Saudi Arabia.

Department of Clinical Health Education, General Directorate of Health Affairs in Aseer Region, Saudi Arabia.

出版信息

J Family Med Prim Care. 2020 Jan 28;9(1):99-104. doi: 10.4103/jfmpc.jfmpc_530_19. eCollection 2020 Jan.

Abstract

BACKGROUND

Labor pain is a severe form of agony that females experience while giving birth. A lot of pregnant women prefer epidural anesthesia (EA) to avoid labor pain.

OBJECTIVE

This study focuses on women's general awareness about EA during the childbearing age.

METHODS

A cross-sectional, hospital-based study was conducted using a self-administered questionnaire. The study included all females of childbearing age getting routine antenatal care. The survey was designed to measure their awareness toward EA. A total of 328 females participated in the study. Of these, 205 (62.5%) women showed a low level of knowledge toward EA. Data were analyzed using the Chi-square test and Independent Samples -test.

RESULTS

Participants in our study included 328 women of childbearing age. Most women (172 [52.4%]) participating in the study were aged between 30 and 40 years. In terms of education, 204 (62.2%) women had university-level education. Two hundred and ninety (88.4%) women were multipara. The majority of women (205 [62.5%]) had a low-level knowledge about EA with a significant relationship between the level of perception and primary education, as well as postgraduation with < 0.023 and < 0.001, respectively. Also, previous EA with pregnancy significantly related to the level of knowledge with < 0.001. Through past pregnancies, 106 (32.3%) women had experience with EA. Of these, EA caused complications in only 13 (12.3%) women and side effects in 29 (27.4%) women.

CONCLUSION

The majority of women of childbearing age had limited knowledge about the benefits and complications associated with EA. During the antenatal visit, it is essential to educate all women about EA. This could be done by the obstetrician, anesthesiologist, or midwives and/or through flyers and brochures.

摘要

背景

分娩疼痛是女性分娩时经历的一种剧烈痛苦形式。许多孕妇更喜欢硬膜外麻醉(EA)以避免分娩疼痛。

目的

本研究聚焦于育龄女性对EA的总体认知。

方法

采用自填式问卷进行一项基于医院的横断面研究。该研究纳入了所有接受常规产前护理的育龄女性。该调查旨在衡量她们对EA的认知。共有328名女性参与了该研究。其中,205名(62.5%)女性对EA的知识水平较低。使用卡方检验和独立样本检验对数据进行分析。

结果

我们研究的参与者包括328名育龄女性。参与研究的大多数女性(172名[52.4%])年龄在30至40岁之间。在教育程度方面,204名(62.2%)女性拥有大学学历。290名(88.4%)女性为经产妇。大多数女性(205名[62.5%])对EA的知识水平较低,认知水平与小学教育以及研究生学历之间存在显著关系,分别为<0.023和<0.001。此外,既往妊娠时的EA与知识水平显著相关,P<0.001。在过去的妊娠中,106名(32.3%)女性有过EA经历。其中,EA仅在13名(12.3%)女性中引起并发症,在29名(27.4%)女性中引起副作用。

结论

大多数育龄女性对与EA相关的益处和并发症的知识有限。在产前检查期间,对所有女性进行EA教育至关重要。这可以由产科医生、麻醉医生或助产士完成和/或通过传单和宣传册进行。

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