Department of Midwifery, Debre-Markos University, College of Medicine and Health Sciences, Debre-Markos, Ethiopia.
School of Nursing and Midwifery, Addis-Ababa University, College of Health Science, Addis Ababa, Ethiopia.
BMC Pregnancy Childbirth. 2020 Mar 23;20(1):180. doi: 10.1186/s12884-020-2844-z.
The study was conducted in public health centers of East Gojjam Zone, Amhara region, Ethiopia. The purpose of this study was to assess knowledge, and use of labour pain relief methods and associated factors among obstetric caregivers in the study setting.
A facility-based cross-sectional study design was conducted from March 1-30, 2018. The study was conducted among three hundred and nine sampled obstetric caregivers. Structured questionnaire was used to collect the data. The data were entered into Epi-data version 4.2 Software for cleaning and exported to SPSS version 23.0 for data analysis. Multivariate logistic regression was carried out for variables with a p-value < 0.25 in bivariate logistic regression to determine significant relationships between the dependent and independent variables. Statistical significance was determined at 95% confidence interval (CI) and p-value below 0.05.
The overall use of labour pain relief methods reported was 34.4%, (30.4% non-pharmacological and 8.4 pharmacological, respectively). More than half of the study participants (54.2%) had adequate knowledge about labour pain relief methods. In multivariate analysis, being a midwifery profession [AOR =2.814, 95% CI = (1.574-5.031)], having positive attitude [AOR = 4.370, 95% CI = (2.523-7.567)], and professionals with a medium level of education [AOR = 3.450, 95% CI = (1.993-5.971)] were factors significantly associated with knowledge of obstetric caregivers about labour pain relief methods. In multivariate analysis, knowledge of obstetric caregivers [AOR = 3.821, 95% CI = (2.091-6.980)], positive attitude of obstetric caregivers [AOR = 2.455, 95% CI = ((1.358-4.436))] and experience of obstetric caregivers [AOR = 2.56, 95% CI = (1.350-4.845) were factors significantly associated with the use of labour pain relief methods.
In this study, the overall use of labour pain relief methods by obstetric caregivers was low. Systemic opioid (Pethdine) was reportedly one of the most known pharmacological pain relief methods in this study. Providers' knowledge, attitude and work experience had shown statistical significance with the use of labour pain relief methods. Task-oriented in- service training is required to fortify obstetric caregivers' knowledge and attitude towards the use of labour pain relief methods.
本研究在埃塞俄比亚阿姆哈拉地区东戈贾姆地区的公共卫生中心进行。本研究的目的是评估研究环境中产科护理人员对分娩疼痛缓解方法的知识和使用情况及其相关因素。
2018 年 3 月 1 日至 30 日进行了一项基于机构的横断面研究设计。研究对象为 309 名抽样产科护理人员。使用结构化问卷收集数据。将数据输入 EpiData 版本 4.2 软件进行清理，并导出到 SPSS 版本 23.0 进行数据分析。在二元逻辑回归中，p 值 < 0.25 的变量进行多变量逻辑回归，以确定因变量和自变量之间的显著关系。置信区间（CI）为 95%，p 值 < 0.05 为统计学意义。
报告的总体分娩疼痛缓解方法使用率为 34.4%（分别为 30.4%的非药物和 8.4%的药物）。超过一半的研究参与者（54.2%）对分娩疼痛缓解方法有足够的了解。在多变量分析中，助产专业人员（AOR=2.814，95%CI=（1.574-5.031））、积极的态度（AOR=4.370，95%CI=（2.523-7.567））和中等教育水平的专业人员（AOR=3.450，95%CI=（1.993-5.971））是与产科护理人员对分娩疼痛缓解方法的知识显著相关的因素。在多变量分析中，产科护理人员的知识（AOR=3.821，95%CI=（2.091-6.980））、产科护理人员的积极态度（AOR=2.455，95%CI=（1.358-4.436））和产科护理人员的经验（AOR=2.56，95%CI=（1.350-4.845））是与分娩疼痛缓解方法的使用显著相关的因素。
在这项研究中，产科护理人员总体上使用分娩疼痛缓解方法的比例较低。在本研究中，据报道，系统阿片类药物（派替啶）是最常用的药物性疼痛缓解方法之一。提供者的知识、态度和工作经验与分娩疼痛缓解方法的使用具有统计学意义。需要以任务为导向的在职培训来加强产科护理人员对分娩疼痛缓解方法的知识和态度。
