医疗保健提供者在埃塞俄比亚西北部贡德尔省医院遵循产后即时护理指南的情况：一项多中心研究。
Healthcare provider's adherence to immediate postpartum care guidelines in Gondar province hospitals, northwest Ethiopia: A multicenter study.
机构信息
Department of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Clinical Midwifery, College of Medicine and Health Sciences, Debre Berhan University, Debre Berhan, Ethiopia.
出版信息
PLoS One. 2021 Oct 28;16(10):e0259263. doi: 10.1371/journal.pone.0259263. eCollection 2021.
BACKGROUND
The immediate postpartum period is the most critical time for both the mother and the newborn. However, it is the most neglected part of the maternal continuum of care, and evidence in this regard was scarce in Ethiopia. Therefore, this study aimed to assess the healthcare provider's adherence to immediate postpartum care guidelines and associated factors in hospitals of Gondar province.
METHODS
A multicenter observational cross-sectional study was conducted among 406 healthcare providers from 15th November 2020 to 10th March 2021. Data were collected through face-to-face interviews and direct observation using a structured questionnaire and standardized checklist respectively. Data was entered into EPI INFO 7.1.2 and analyzed by SPSS version 25. Both bivariable and multivariable logistic regression analyses were carried out. The level of significance was declared based on the adjusted odds ratio (AOR) with a 95% confidence interval (CI) at a p-value of ≤ 0.05.
RESULTS
Overall, 42.4% (95% CI: 37.5, 47.2) of healthcare providers had complete adherence to immediate postpartum care guidelines. Having birth assistant (AOR = 1.87; 95% CI: 1.10, 9.67), being married (AOR = 1.59; 95% CI: 1.15, 3.31), availability of postpartum care guidelines at the maternity ward (AOR = 2.39; 95% CI: 1.44, 3.98), received basic emergency obstetric and newborn care (BEmONC) training (AOR = 2.1; 95% CI: 1.2, 3.6), monthly income of ≥ 10001 Ethiopian birr (AOR = 3.55; 95% CI: 1.30, 9.67), and work experience of ≥ 6 years (AOR = 0.15; 95% CI: 0.06, 0.38) were significantly associated with healthcare providers adherence to immediate postpartum care guidelines.
CONCLUSION
This study indicated that health worker's adherence to immediate postpartum care guidelines was low. Hiring adequate health workers, availing postpartum guidelines at the maternity ward, improving the salary and education opportunities for healthcare workers of healthcare workers, and provision of BEmONC training will have a great role in improving healthcare provider's adherence to immediate postpartum care guidelines.
背景
产后即刻时期对母婴来说都是最关键的时期。然而，这也是产妇连续护理中最被忽视的部分，在埃塞俄比亚这方面的证据也很少。因此，本研究旨在评估戈德地区医院的医疗保健提供者对即刻产后护理指南的遵守情况及其相关因素。
方法
这是一项于 2020 年 11 月 15 日至 2021 年 3 月 10 日在 406 名医疗保健提供者中开展的多中心观察性横断面研究。通过面对面访谈和直接观察分别使用结构化问卷和标准化检查表收集数据。数据录入 EPI INFO 7.1.2 并由 SPSS 版本 25 进行分析。进行了单变量和多变量逻辑回归分析。根据调整后的优势比（AOR）和 95%置信区间（CI），在 p 值≤0.05 的情况下宣布显著性水平。
结果
总体而言，42.4%（95%CI：37.5，47.2）的医疗保健提供者完全遵守即刻产后护理指南。有分娩助手（AOR=1.87；95%CI：1.10，9.67）、已婚（AOR=1.59；95%CI：1.15，3.31）、产房产后护理指南可用（AOR=2.39；95%CI：1.44，3.98）、接受基本产科急症和新生儿护理培训（BEmONC）（AOR=2.1；95%CI：1.2，3.6）、月收入≥10001 埃塞俄比亚比尔（AOR=3.55；95%CI：1.30，9.67）和工作经验≥6 年（AOR=0.15；95%CI：0.06，0.38）与医疗保健提供者对即刻产后护理指南的遵守显著相关。
结论
本研究表明，卫生工作者对即刻产后护理指南的遵守率较低。招聘足够的卫生工作者、在产房提供产后指南、改善卫生工作者的工资和教育机会、并提供基本产科急症和新生儿护理培训，将对提高卫生保健提供者对即刻产后护理指南的遵守率有很大的作用。
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