Gejea Teshome, Abadiga Muktar, Hasen Tahir
School of Nursing and Midwifery, Institute of Health Sciences, Ambo University Referral Hospital, Ambo, Ethiopia.
School of Nursing and Midwifery, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
Patient Prefer Adherence. 2020 Jul 22;14:1225-1235. doi: 10.2147/PPA.S251635. eCollection 2020.
Maternal satisfaction with delivery service is used to measure the ability of services provided to meet consumers' expectations. Satisfying women with the care given during labor and delivery helps to develop a positive childbirth experience and a favorable attitude towards motherhood. There were limited studies that assessed maternal satisfaction in Ethiopia, and this study aimed to assess delivery service satisfaction and its associated factors among mothers who gave birth at public hospitals of Ambo town, West Ethiopia.
Institutional-based cross-sectional study was conducted on 384 women, from April 20 to May 20, 2019, in public hospitals of Ambo town. The study participants were selected by systematic random sampling method and interviewed using structured questionnaires. The data were checked, coded and entered into Epi info version 7, and then exported to SPSS version 20 for analysis. Multivariable logistic regression analysis was performed to identify predictors of maternal satisfaction. A variable with a P value of less than 0.05 was considered statistically significant.
A total of 384 study participants were involved, making a response rate of 100%. Out of 384 mothers who participated in the study, 322 (83.9%) were satisfied with the delivery service, and 62 (16.1%) were unsatisfied with the delivery service. Monthly income less than 650 ETB (AOR=0.46, 95% CI: 0.22, 0.94) was associated with decreased maternal satisfaction. On the other hand, normal birth outcome (AOR=4.409, 95% CI: 1.453, 13.375) and maintenance of mothers' privacy (AOR = 8.405, 95% CI: 1.74,29.59) were associated with increased maternal satisfaction with delivery services.
The level of maternal satisfaction with the delivery services in this study was moderate. Monthly income, maternal birth outcome and maintenance of privacy were significantly associated with maternal satisfaction.
产妇对分娩服务的满意度用于衡量所提供服务满足消费者期望的能力。让产妇对分娩期间得到的护理感到满意有助于形成积极的分娩体验和对母亲身份的良好态度。在埃塞俄比亚，评估产妇满意度的研究有限，本研究旨在评估埃塞俄比亚西部安博镇公立医院分娩的母亲对分娩服务的满意度及其相关因素。
2019年4月20日至5月20日，在安博镇的公立医院对384名妇女进行了基于机构的横断面研究。研究参与者采用系统随机抽样方法选取，并使用结构化问卷进行访谈。数据经过检查、编码后录入Epi info 7版本，然后导出到SPSS 20版本进行分析。进行多变量逻辑回归分析以确定产妇满意度的预测因素。P值小于0.05的变量被认为具有统计学意义。
共有384名研究参与者，应答率为100%。在参与研究的384名母亲中，322名（83.9%）对分娩服务感到满意，62名（16.1%）对分娩服务不满意。月收入低于650埃塞俄比亚比尔（调整后比值比=0.46，95%置信区间：0.22，0.94）与产妇满意度降低有关。另一方面，正常分娩结局（调整后比值比=4.409，95%置信区间：1.453，13.375）和保护母亲隐私（调整后比值比=8.405，95%置信区间：1.74，29.59）与产妇对分娩服务的满意度提高有关。
本研究中产妇对分娩服务的满意度处于中等水平。月收入、产妇分娩结局和隐私保护与产妇满意度显著相关。
