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产妇和分娩服务满意度:土耳其公立医院调查。

Satisfaction with maternal and birth services: a survey in public hospitals in Turkey.

机构信息

Bandirma Onyedi Eylul Universitesi, Bandirma, Turkey.

Nagoya University, Nagoya, Japan.

出版信息

Int J Health Care Qual Assur. 2020 Jul 8;33(4-5):363-372. doi: 10.1108/IJHCQA-08-2019-0146.

DOI:10.1108/IJHCQA-08-2019-0146
PMID:32840968
Abstract

PURPOSE

The purpose of this study was to determine the satisfaction of women who underwent normal delivery and cesarean section (or C-section) with maternal care in five state-run hospitals in Northwestern Turkey.

DESIGN/METHODOLOGY/APPROACH: This was a cross-sectional study. The sample consisted of 580 women who underwent normal delivery (ND) and 392 who had a C-section (CS). Data were collected using two maternal satisfaction questionnaires, which participants completed right before they were discharged.

FINDINGS

More than half of ND (61.7%) and CS (56.9%) participants were satisfied with maternal care. ND participants who had received antenatal training were more satisfied with maternal care than CS participants who had not received antenatal training. Higher income was a significant predictor for reduced satisfaction with maternal care among CS participants ( = 0.031).

PRACTICAL IMPLICATIONS

Hospital administrators and decision-makers should meet women's expectations, provide them with comfort, encourage them for skin-to-skin contact and respect their right to privacy in order to increase their satisfaction with maternal care. Pregnant women should also be encouraged to receive antenatal training offered by hospitals before delivery.

ORIGINALITY/VALUE: The evidence-based results of the study will help hospital administrators to improve healthcare quality and focus on increasing women's satisfaction with maternal care.

摘要

目的

本研究旨在确定在土耳其西北部的五所国立医院接受正常分娩和剖宫产(或 C -section)的女性对产妇护理的满意度。

设计/方法/方法:这是一项横断面研究。样本包括 580 名接受正常分娩(ND)的女性和 392 名接受剖宫产(CS)的女性。使用两份产妇满意度问卷收集数据,参与者在出院前完成问卷。

发现

超过一半的 ND(61.7%)和 CS(56.9%)参与者对产妇护理感到满意。接受产前培训的 ND 参与者比未接受产前培训的 CS 参与者对产妇护理更满意。较高的收入是 CS 参与者对产妇护理满意度降低的一个显著预测因素(=0.031)。

实际影响

医院管理人员和决策者应满足女性的期望,为她们提供舒适,鼓励她们进行皮肤接触,并尊重她们的隐私权利,以提高她们对产妇护理的满意度。孕妇也应鼓励在分娩前接受医院提供的产前培训。

原创性/价值:该研究的循证结果将帮助医院管理人员提高医疗保健质量,并专注于提高女性对产妇护理的满意度。

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