University of Gondar College of medicine and health science institute of public health department of epidemiology and Biostatistics, Gondar, Ethiopia.
University of Gondar College of medicine and health science school of medicine department of gynecology and obstetrics, Gondar, Ethiopia.
BMC Health Serv Res. 2020 Mar 19;20(1):233. doi: 10.1186/s12913-020-05079-8.
Asking patients/clients what they perceive about the care and treatment they have received is one of the important steps towards improving the quality of health care. In the scientific world, a number of efforts have been tried to understand about what laboring mothers perceive about the care provided. However, little is known about the birth experiences of partners in Ethiopia. Therefore, this study was aimed to assess the maternal and partner's level of satisfaction on the delivery room service in the study area.
A comparative cross-sectional study was conducted from December 2018 to January 2019 in University of Gondar referral hospital. The birth satisfaction scale is used for the mother, and it was adapted to the partners' perspective. Paired-samples t tests were used for comparing mothers and partners for the birth satisfaction scales global and thematic scores. A binary logistic regression model was fitted to identify predicting factors for mothers' and partners satisfaction.
The overall satisfaction of mothers in this study was 47.6%. Whereas, 41.2% of partners were satisfied by delivery room services. There were mean difference between mothers and partners' birth satisfaction scale (p = 0.02). Maternal satisfaction scale was affected by age [OR = 0.36, 95%CI (0.18, 0.73)], perception [OR = 0.02, 95%CI (0.001,0.09)], waiting time [OR = 0.11, 95%CI (0.001, 0.09)],visiting mode [OR = 0.01, 95%CI (0.001,0.08)], pregnancy status [OR = 0.04, 95%CI (0.01,0.33)] and fatal outcome [OR = 0.001, 95%CI (0.001,0.018)] .whereas, partners satisfaction was associated with age [OR = 0.16,95%CI (0.05 0.49)], occupational status [OR = 0.02, 95%CI (0.001, 0.24), amount of money to pay for service [OR = 2.87, 95%CI (1.07, 7.71), visiting mode of his wife [OR = 0.08, 95%CI (0.01, 0.35)], waiting time [OR = 0.12, 95%CI (0.04, 0.33)], privacy [OR = 10.61, 95%CI (3.00, 37.52)], mode of delivery of his wife [OR = 7.69, 95%CI (3.00, 19.69)].
This finding would alert the health care system to design a client-friendly approach. It will provide insight to hospital administrators and providers in formulating a policy that would enhance the support of partners during labour and delivery process.
询问患者/客户他们对所接受的护理和治疗的看法是提高医疗保健质量的重要步骤之一。在科学界，已经尝试了许多努力来了解产妇对所提供护理的看法。然而，关于埃塞俄比亚伴侣的分娩经历知之甚少。因此，本研究旨在评估该地区产妇和伴侣对产房服务的满意度。
2018 年 12 月至 2019 年 1 月在贡德尔大学转诊医院进行了一项比较性横断面研究。使用分娩满意度量表来评估母亲，同时对伴侣的观点进行了改编。使用配对样本 t 检验比较母亲和伴侣对分娩满意度量表的总体和主题评分。拟合二元逻辑回归模型以确定母亲和伴侣满意度的预测因素。
本研究中母亲的总体满意度为 47.6%，而 41.2%的伴侣对产房服务满意。母亲和伴侣的分娩满意度量表存在均值差异（p=0.02）。产妇满意度量表受年龄[OR=0.36，95%CI（0.18，0.73）]、感知[OR=0.02，95%CI（0.001，0.09）]、等待时间[OR=0.11，95%CI（0.001，0.09）]、探视模式[OR=0.01，95%CI（0.001，0.08）]、妊娠状态[OR=0.04，95%CI（0.01，0.33）]和死亡结局[OR=0.001，95%CI（0.001，0.018）]的影响。而伴侣的满意度与年龄[OR=0.16，95%CI（0.05，0.49）]、职业状况[OR=0.02，95%CI（0.001，0.24）]、支付服务费用的金额[OR=2.87，95%CI（1.07，7.71）]、妻子探视模式[OR=0.08，95%CI（0.01，0.35）]、等待时间[OR=0.12，95%CI（0.04，0.33）]、隐私[OR=10.61，95%CI（3.00，37.52）]、妻子分娩方式[OR=7.69，95%CI（3.00，19.69）]有关。
这一发现将提醒医疗保健系统设计以客户为中心的方法。它将为医院管理人员和提供者提供见解，以便制定增强伴侣在分娩和分娩过程中支持的政策。
