2019 年，在埃塞俄比亚西南部季马地区的公立医院中，医护人员对非充气式抗休克服的使用及其与产后出血管理相关的因素。
Utilization of non-pneumatic anti-shock garment and associated factors for postpartum hemorrhage management among health care professionals' in public hospitals of Jimma zone, south-West Ethiopia, 2019.
机构信息
School of Nursing and Midwifery, Faculty of health Sciences, Institute of health, Jimma University, P.O.BOX:378, Jimma, Ethiopia.
出版信息
Reprod Health. 2020 Mar 17;17(1):37. doi: 10.1186/s12978-020-0891-6.
BACKGROUND
Non- pneumatic anti-shock garment is a unique, life -saving first -aid device made of neoprene and velcro, which is used for treatment of women with postpartum hemorrhage. Maternal mortality in the world still very high and postpartum hemorrhage is the leading cause of maternal mortality worldwide.
OBJECTIVE
This study was aimed to assess the utilization of non-pneumatic anti-shock garment and associated factors for postpartum hemorrhage management.
METHODS
Facility based cross-sectional studies design both quantitative and qualitative data collection methods were employed among 210 health care professionals and 10 key informants respectively. Bivariable and multivariable logistic regression was done to identify factors associated with non-pneumatic anti-shock garment utilization. Qualitative data was transcribed, translated and triangulated with quantitative findings.
RESULTS
Seventy six (36.2%) of the respondents used non-pneumatic anti-shock garment in their hospitals for management of post-partum hemorrhage. Having good knowledge [(AOR = 3.96, 95% CI: (1.67, 9.407)], having positive attitude [(AOR = 3.54, 95% CI: (1.37, 9.13)], attending training [AOR = 13.156, 95% CI: (4.81, 36.00], having two and above non-pneumatic anti-shock garment at their hospitals [AOR = 8.7, 95% CI: (2.89, 26.20)] were significantly associated with utilization of non-pneumatic anti-shock garment. … "I didn't use non-pneumatic anti-shock garment for the management of postpartum hemorrhage complication before because I have no training and experience how to use it."
CONCLUSION
The utilization of non-pneumatic anti-shock garment for the management of postpartum hemorrhage was low. Having positive attitude, having good knowledge and training on non-pneumatic anti-shock garment were statically associated with its use. The health care professionals that involved in the maternity service should be trained on how to use this important garment in the management of postpartum hemorrhage.
背景
非充气式抗休克服是一种由氯丁橡胶和魔术贴制成的独特的、救生的急救设备，用于治疗产后出血的妇女。世界范围内的产妇死亡率仍然很高，产后出血是全球产妇死亡的主要原因。
目的
本研究旨在评估非充气式抗休克服的使用情况及其在产后出血管理中的相关因素。
方法
采用基于机构的横断面研究设计，分别对 210 名医护人员和 10 名关键知情人进行定量和定性数据收集。采用单变量和多变量逻辑回归分析确定与非充气式抗休克服使用相关的因素。对定性数据进行转录、翻译，并与定量结果进行三角剖分。
结果
76 名（36.2%）受访者在其医院使用非充气式抗休克服治疗产后出血。具有良好的知识[比值比（AOR）=3.96，95%置信区间（CI）：（1.67，9.407）]、积极的态度[比值比（AOR）=3.54，95% CI：（1.37，9.13）]、参加培训[比值比（AOR）=13.156，95% CI：（4.81，36.00）]、医院有两个或两个以上非充气式抗休克服[AOR=8.7，95% CI：（2.89，26.20）]与非充气式抗休克服的使用显著相关。……“我以前没有使用非充气式抗休克服来治疗产后出血并发症，因为我没有接受过如何使用它的培训和经验。”
结论
非充气式抗休克服在产后出血管理中的使用情况较低。积极的态度、良好的知识和非充气式抗休克服培训与它的使用呈统计学相关。参与产科服务的医护人员应接受如何在产后出血管理中使用这种重要服装的培训。
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