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评估 Guinea 科纳克里的两家卫生机构的流产后护理服务。

Assessment of Post-abortion Care Services in Two Health Facilities in Conakry, Guinea.

机构信息

National Training and Research Centre in Rural Health of Maferinyah, Forecariah, Guinea.

Health District of Lélouma, Ministry of Health, Conakry, Guinea.

出版信息

Afr J Reprod Health. 2020 Jun;24(2):96-105. doi: 10.29063/ajrh2020/v24i2.9.

Abstract

High quality post-abortion care (PAC) is needed to curb maternal deaths by providing effective treatment and preventing future unintended pregnancies through PAC family planning. This study aimed at assessing PAC services with a focus on women's satisfaction with care they received in two health facilities in Conakry. We conducted a cross-sectional mixed method study with 426 PAC clients from March 1 to August 31 , 2014. Data analyses were performed using Stata software version 14 for quantitative data and using a thematic approach for qualitative data. Overall, 92.5% of women were satisfied with PAC services they received. The short waiting time ( < 30 min), the appropriate management of pain during the treatment, the affordable cost of the treatment, the confidentiality of services, the good patient-provider interaction and the cleanliness of the premises were factors statistically significantly associated with the satisfaction of women (P-value ˂ 0.001). This study showed a high rate of women's satisfaction. Nevertheless, health authorities should assure a regular follow-up on the application of official prices for the treatment of PAC patients; and providers should further consider aspects such as pain management during treatment, confidentiality of services, patient-provider interaction for optimal satisfaction of clients with PAC services.

摘要

需要高质量的流产后护理(PAC),通过 PAC 计划生育为患者提供有效治疗并预防未来意外怀孕,从而遏制孕产妇死亡。本研究旨在评估科纳克里两家卫生机构的 PAC 服务,重点关注女性对所接受护理的满意度。我们于 2014 年 3 月 1 日至 8 月 31 日开展了一项包含 426 名 PAC 患者的横断面混合方法研究。采用 Stata 软件 14 版进行定量数据分析,采用主题方法进行定性数据分析。总体而言,92.5%的女性对所接受的 PAC 服务表示满意。就诊等待时间短(<30 分钟)、治疗过程中疼痛管理恰当、治疗费用负担得起、服务保密性、医患良好互动以及就诊环境清洁是与女性满意度显著相关的因素(P 值<0.001)。本研究显示出较高的女性满意度。然而,卫生当局应确保定期监督 PAC 患者治疗费用的官方定价执行情况;提供者应进一步考虑治疗过程中的疼痛管理、服务保密性、医患互动等方面,以实现 PAC 服务客户满意度的最优化。

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