尼日利亚埃邦伊州阿巴卡利基一家三级医院产前保健服务患者满意度的相关因素。
Correlates of patients' satisfaction with antenatal care services in a tertiary hospital in Abakaliki, Ebonyi State, Nigeria.
机构信息
Department of Obstetrics and Gynecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.
Department of Paediatrics, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.
出版信息
Pan Afr Med J. 2020 Dec 15;37:342. doi: 10.11604/pamj.2020.37.342.17925. eCollection 2020.
INTRODUCTION
antenatal care is a specialized pattern of care organized for pregnant women to improve their chances of a safe delivery. Assessment of patients' perception of healthcare services is one of the ways of measuring the quality of healthcare as satisfied patients are likely to come back for the services they need and to recommend the services to others.
METHODS
this is a cross-sectional study. Two hundred and eighty-four booked antenatal attendees were randomly selected at the antenatal clinic of Federal Teaching Hospital, Abakaliki in November 2016 and interviewed using semi-structured questionnaire. Items in the questionnaire included sociodemographic and obstetric variables, assessment of amenities, total time spent, services and level of satisfaction. Data obtained were analyzed using Epi info TM 7.1.3.10 and presented with a simple percentage and chi-square. Main outcome measure: satisfaction with antenatal care.
RESULTS
the mean age of the respondents was 28.2 ± 4.2 years, majority 130 (45.8%) were within the 25-29 age bracket. Most had tertiary education (146, 51.4%) and less than 10% are grand multipara. In general, 89.4% of the respondents were satisfied with the quality of antenatal care services. Majority of the respondents 170 (59.9%) were unsatisfied with the water supply while 128 (45.1%) were unsatisfied with cervical cancer prevention discussion during the health talk. The mean total time spent in the antenatal clinic was 4.1 hours ± 1.2 hours (range 2-7 hours). Being married and multiparous significantly affected satisfaction with the quality of antenatal care services as represented by P-value of 0.015 and 0.005 respectively.
CONCLUSION
majority of pregnant women were satisfied with the care they received. Health providers should, however, improve the state of sanitary facilities and ensure the provision of adequate information on cervical cancer screening during health talks.
引言
产前护理是为孕妇提供的一种专门的护理模式,旨在提高其安全分娩的机会。评估患者对医疗服务的感知是衡量医疗服务质量的方法之一,因为满意的患者更有可能回来接受他们所需的服务,并向他人推荐这些服务。
方法
这是一项横断面研究。2016 年 11 月,在联邦教学医院阿巴卡利基的产前诊所随机选择了 284 名预约的产前就诊者,并使用半结构式问卷对其进行了访谈。问卷中的项目包括社会人口统计学和产科变量、设施评估、总花费时间、服务和满意度。使用 Epi info TM 7.1.3.10 分析获得的数据,并以简单百分比和卡方表示。主要结局指标:对产前护理的满意度。
结果
受访者的平均年龄为 28.2 ± 4.2 岁,130 人(45.8%)处于 25-29 岁年龄组。大多数人受过高等教育(146 人,51.4%),不到 10%是高龄多产妇。总的来说,89.4%的受访者对产前护理服务质量感到满意。大多数受访者(170 人,59.9%)对供水不满意,而 128 人(45.1%)对健康讲座中宫颈癌预防讨论不满意。在产前诊所的平均总时间为 4.1 小时±1.2 小时(范围 2-7 小时)。已婚和多产妇的满意度显著影响了产前护理服务质量,表现为 P 值分别为 0.015 和 0.005。
结论
大多数孕妇对她们所接受的护理感到满意。然而,卫生保健提供者应改善卫生设施状况,并确保在健康讲座中提供有关宫颈癌筛查的充分信息。
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