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通过分娩体验问卷(CEQ-E)评估加那利群岛大学妇产医院产妇分娩时的满意度。

Perceived satisfaction of women during labour at the Hospital Universitario Materno-Infantil of the Canary Islands through the Childbirth Experience Questionnaire (CEQ-E).

机构信息

Universidad de La Laguna-Sede La Palma, Santa Cruz de Tenerife, España; Complejo Hospitalario Universitario Insular Materno-Infantil de Gran Canaria, Servicio Canario de Salud, Las Palmas de Gran Canaria, España.

Complejo Hospitalario Universitario Insular Materno-Infantil de Gran Canaria, Servicio Canario de Salud, Las Palmas de Gran Canaria, España.

出版信息

Enferm Clin (Engl Ed). 2021 Jan-Feb;31(1):21-30. doi: 10.1016/j.enfcli.2020.05.022. Epub 2020 Jul 16.

Abstract

OBJECTIVE

To determine the degree of satisfaction of women after childbirth at the Hospital Universitario Materno-Infantil of Gran Canaria (HUMIC) and to establish possible relationships between the degree of satisfaction and the variables studied.

METHOD

A cross-sectional, descriptive, observational study with an analytical component. The study population comprised women who gave birth at the HUMIC in November 2018, recruited through consecutive non-probabilistic sampling. The Spanish version of the Childbirth Experience Questionnaire (CEQ-E) was used (questionnaire with 4 domains: own capacity', professional support, perceived safety and participation/analytical model 2). In a first phase a descriptive analysis was made, and in a second phase an inferential analysis to explore the association between different variables.

RESULTS

The total sample comprised 257 women (n=257). The total score using the CEQ was 3.24 (SD .37 points). No statistically significant differences were found in the final CEQ score between the women who had a spontaneous delivery versus induction-stimulation (P=.563) or between primiparous versus multiparous women (P=.060). The women whose labour lasted 12hours or less (P=.024), without perineal trauma (P=.021) and those who had not undergone episiotomy (P=.002) achieved a better final CEQ score. Instrumental delivery (forceps) versus normal delivery is associated with lower scores with respect to the final CEQ-E score (P=≤.001).

CONCLUSIONS

Women's overall satisfaction after delivery in HUMIC was high. Instrumental delivery seems to be associated with lower perceived satisfaction. Aspects such as fear and fatigue in labour could affect satisfaction negatively. These aspects can be improved by establishing strategies to increase comfort and minimise pregnant women's fear of labour.

摘要

目的

了解大加那利岛母子医院(HUMIC)产后女性的满意度,并确定满意度与研究变量之间的关系。

方法

这是一项横断面、描述性、观察性研究,具有分析成分。研究人群包括 2018 年 11 月在 HUMIC 分娩的女性,通过连续非概率抽样招募。使用西班牙版分娩体验问卷(CEQ-E)(问卷有 4 个领域:自身能力、专业支持、感知安全和参与/分析模型 2)。首先进行描述性分析,然后进行推断性分析,以探讨不同变量之间的关联。

结果

总样本包括 257 名女性(n=257)。CEQ 的总分为 3.24(SD.37 分)。在自发分娩与诱导-刺激(P=.563)或初产妇与经产妇(P=.060)之间,最终 CEQ 评分无统计学差异。分娩持续 12 小时或更短(P=.024)、无会阴创伤(P=.021)和未行会阴切开术(P=.002)的女性最终获得了更好的 CEQ 评分。产钳分娩与正常分娩相比,CEQ-E 评分较低(P≤.001)。

结论

HUMIC 产后女性的整体满意度较高。器械分娩似乎与较低的满意度相关。分娩过程中的恐惧和疲劳等方面可能会对满意度产生负面影响。通过制定增加舒适度和减少孕妇对分娩恐惧的策略,可以改善这些方面。

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