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新生儿黄疸:准妈妈的认知、看法及预防措施

Neonatal Jaundice: awareness, perception and preventive practices in expectant mothers.

作者信息

Amegan-Aho Kokou H, Segbefia Catherine I, Glover Naa Djama O, Ansa Gloria A, Afaa Taiba J

机构信息

Department of Child Health, Korle Bu Teaching Hospital, Accra, Ghana, Department of Paediatrics and Child Health, University of Health and Allied Sciences, Ho, Ghana.

Department of Child Health, School of Medicine and Dentistry, College of Health Sciences, University of Ghana, Legon, Accra, Ghana.

出版信息

Ghana Med J. 2019 Dec;53(4):267-272. doi: 10.4314/gmj.v53i4.3.

Abstract

BACKGROUND

Neonatal jaundice (NNJ) is a preventable cause of neonatal morbidity and mortality. Improving mothers' knowledge will help with early recognition of NNJ, prompt and appropriate intervention. This study highlights the knowledge, attitude and practice regarding neonatal jaundice among expectant mothers attending the antenatal clinics of Korle-Bu Teaching Hospital and Mamprobi Polyclinic in Accra.

METHODS

This was a cross-sectional study involving 175 expectant mothers. Interviewer based questionnaire was used to obtain data on knowledge, attitude and practice concerning NNJ. The study was conducted between 1 and 17 November 2013 at two antenatal clinics in Accra.

RESULTS

Out of the 175 respondents, 135 (77.1%) had heard about NNJ but only 37 (27.4%) of them heard it from the hospital. Among those who had heard about NNJ, 98 (72.6%) knew at least one symptom of NNJ; 125 (92.6%) did not know the causes of jaundice or had the wrong information and there was no significant association with their level of education (X =6.757, p=0.15). Only 7(5.2%) knew one or more correct forms of treatment of NNJ; 67(49.6%) knew one or more danger signs and 86(63.5%) knew one or more complications.

CONCLUSION

Majority of expectant mothers attending antenatal clinics at a Teaching Hospital and a Polyclinic in Accra, Ghana are aware of NNJ but have poor knowledge about the causes, danger signs and treatment of NNJ, irrespective of their level of education or their parity.

FUNDING

None declared.

摘要

背景

新生儿黄疸是新生儿发病和死亡的一个可预防原因。提高母亲的认识将有助于早期识别新生儿黄疸,并及时进行适当干预。本研究重点关注了在阿克拉的科勒-布教学医院和曼普罗比综合诊所的产前门诊就诊的准妈妈们对新生儿黄疸的知识、态度和做法。

方法

这是一项横断面研究,涉及175名准妈妈。采用基于访谈的问卷来获取有关新生儿黄疸的知识、态度和做法的数据。该研究于2013年11月1日至17日在阿克拉的两家产前诊所进行。

结果

在175名受访者中,135人(77.1%)听说过新生儿黄疸,但其中只有37人(占27.4%)是从医院听说的。在那些听说过新生儿黄疸的人中,98人(72.6%)至少知道一种新生儿黄疸的症状;125人(92.6%)不知道黄疸的原因或得到了错误信息,且这与她们的教育水平无显著关联(X=6.757,p=0.15)。只有7人(5.2%)知道一种或多种正确的新生儿黄疸治疗方法;67人(49.6%)知道一种或多种危险信号,86人(63.5%)知道一种或多种并发症。

结论

在加纳阿克拉的一家教学医院和一家综合诊所的产前门诊就诊的大多数准妈妈都知道新生儿黄疸,但对其病因、危险信号和治疗方法了解甚少,无论其教育水平或生育史如何。

资金来源

未声明。

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