公共卫生机构中妇女对产前保健服务的满意度及其相关因素：一项横断面研究。
Women's Satisfaction and Its Associated Factors with Antenatal Care Services at Public Health Facilities: A Cross-Sectional Study.
作者信息
Ayalew Mequannent Melaku, Nebeb Gebeyehu Tsega, Bizuneh Mekonnen Melikie, Dagne Asrat Hailu
机构信息
School of Public Health, Bahir Dar University, Bahir Dar, Amhara Region, Ethiopia.
Department of Midwifery, Debre Tabor University, Debre Tabor, Amhara Region, Ethiopia.
出版信息
Int J Womens Health. 2021 Mar 1;13:279-286. doi: 10.2147/IJWH.S293725. eCollection 2021.
BACKGROUND
Regular monitoring and evaluation improves the quality of health services. Client satisfaction is an indicator of the quality of a health service. Poor maternal satisfaction with antenatal care services has negative outcomes. Currently, women's satisfaction with antenatal care services is below standard in low-income countries such as Ethiopia. Therefore, this study aimed to assess women's satisfaction and its associated factors with antenatal care services.
METHODS
A facility-based cross-sectional study was conducted from September 23 to October 23, 2019. A total of 405 women were involved in the study. A systematic random sampling technique was used. The data were coded manually and checked visually for completeness. The data were entered using Epi Info version 7 and exported to SPSS version 20 for analysis. Descriptive statistic was computed. Thechi-squared test was performed and factors associated with women's satisfaction with antenatal care services were selected for multiple logistic regression at a probability value (-value) of <0.2 in the chi-squared analysis. Statistically significant associated factors were identified at a -value of ≤0.05, and with adjusted odds ratios and 95% confidence intervals.
RESULTS
Among 405 participants, 53.8% (95% CI=48.7-59%) of women were satisfied with the antenatal care services. Age of mothers (AOR=6.04, 95% CI=2.3-15.9), advice on danger signs in pregnancy (AOR=4.53, 95% CI=2.7-7.52), previous antenatal care visits (AOR=3.8, 95% CI=2.0-7.52), respectful maternity care (AOR=8.2, 95% CI=3.3-20.4), and planned pregnancy (AOR=2.8, 95% CI=1.6-4.8) were statistically significantly associated with women's satisfaction with antenatal care services.
CONCLUSION
About half of the participants were satisfied with the antenatal care services. Age of participants, respectful maternity care, advice on danger signs in pregnancy, previous antenatal care visits, and planned pregnancy were found to be predictors of women's satisfaction with antenatal care services.
背景
定期监测与评估可提高卫生服务质量。客户满意度是卫生服务质量的一项指标。孕产妇对产前护理服务满意度低会产生负面后果。目前，在埃塞俄比亚等低收入国家，女性对产前护理服务的满意度未达标准。因此，本研究旨在评估女性对产前护理服务的满意度及其相关因素。
方法
于2019年9月23日至10月23日开展了一项基于机构的横断面研究。共有405名女性参与该研究。采用了系统随机抽样技术。数据进行手动编码并目视检查完整性。使用Epi Info 7版本录入数据，并导出至SPSS 20版本进行分析。计算描述性统计量。进行卡方检验，并在卡方分析中以概率值（P值）<0.2选择与女性对产前护理服务满意度相关的因素进行多因素逻辑回归分析。以P值≤0.05确定具有统计学意义的相关因素，并给出调整后的比值比和95%置信区间。
结果
在405名参与者中，53.8%（95% CI = 48.7 - 59%）的女性对产前护理服务感到满意。母亲年龄（AOR = 6.04，95% CI = 2.3 - 15.9）、孕期危险信号的建议（AOR = 4.53，95% CI = 2.7 - 7.52）、既往产前检查次数（AOR = 3.8，95% CI = 2.0 - 7.52）、尊重产妇护理（AOR = 8.2，95% CI = 3.3 - 20.4）以及计划妊娠（AOR = 2.8，95% CI = 1.6 - 4.8）与女性对产前护理服务的满意度具有统计学显著相关性。
结论
约半数参与者对产前护理服务感到满意。参与者年龄、尊重产妇护理、孕期危险信号的建议、既往产前检查次数以及计划妊娠被发现是女性对产前护理服务满意度的预测因素。
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