埃塞俄比亚西南部本奇-谢科地区公共卫生设施中医护人员对新生儿基本护理的知识与实践
Health professionals' knowledge and practice of essential newborn care at public health facilities in Bench-Sheko Zone, southwest Ethiopia.
作者信息
Yosef Tewodros, Getachew Dawit, Weldekidan Fekede
机构信息
Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan Teferi, Ethiopia.
出版信息
Heliyon. 2021 Nov 13;7(11):e08369. doi: 10.1016/j.heliyon.2021.e08369. eCollection 2021 Nov.
BACKGROUND
Essential newborn care (ENC) is the most vital care, particularly during the first hour of the newborn's life. This study aimed to assess health professionals' knowledge and practice of ENC at public health facilities in the Bench-Sheko Zone, southwest Ethiopia.
METHODS
A cross-sectional study was conducted among health professionals at selected public health facilities in the Bench-Sheko Zone of southwest Ethiopia. The data were collected using a self-administered, tested, and structured questionnaire. The data collected were entered in Epi info version 7 and analyzed using SPSS version 22. Bivariate and multivariable analyses were performed to determine the association between the dependent and independent variables. Categorical variables were presented in tabulations by frequencies and percentages. Continuous data were summarized by the mean score and standard deviation. Statistical significance was set at a p-value < 0.05.
RESULTS
Among the 157 respondents, 60 (38.2%) and 97 (61.8%) had good knowledge and good practice of ENC, respectively. The factors associated with good knowledge of ENC were being female (AOR = 0.72, 95% CI [0.48, 0.86]), the availability of on-the-job training (AOR = 2.00, 95% CI [1.01, 3.97]), and interest in working in the delivery room (AOR = 2.5, 95% CI [1.27, 4.94]). Better educational qualification (AOR = 4.12, 95% CI [1.67, 10.18]) and the availability of on-the-job training (AOR = 3.60, 95% CI [1.58, 8.18]) were the factors associated with good practice of ENC.
CONCLUSION
Knowledge of essential newborn care among health professionals was very low; however, the practice of essential newborn care was somewhat average compared to other studies in Ethiopia. Being female, the availability of on-the-job training and interest in working in the delivery room were the factors associated with a good knowledge of ENC; while educational qualification and the availability of on-the-job training were the factors associated with a good practice of ENC. Therefore, concerned bodies should consider the provision of refreshment on-the-job training, upgrading the qualification of health professionals, and providing incentives and motivators to improve interest in working in the delivery room.
背景
基本新生儿护理（ENC）是最为重要的护理，尤其是在新生儿出生后的第一小时。本研究旨在评估埃塞俄比亚西南部本奇-谢科地区公共卫生机构中卫生专业人员对ENC的知识掌握情况及实践情况。
方法
在埃塞俄比亚西南部本奇-谢科地区选定的公共卫生机构的卫生专业人员中开展了一项横断面研究。数据通过自行填写、经过测试且结构化的问卷收集。收集到的数据录入Epi info 7版本，并使用SPSS 22版本进行分析。进行了双变量和多变量分析以确定因变量和自变量之间的关联。分类变量以频率和百分比的形式列于表格中。连续数据以平均得分和标准差进行汇总。统计学显著性设定为p值<0.05。
结果
在157名受访者中，分别有60名（38.2%）和97名（61.8%）对ENC有良好的知识掌握和良好的实践。与对ENC有良好知识掌握相关的因素为女性（调整后比值比[AOR]=0.72，95%置信区间[CI][0.48, 0.86]）、有在职培训机会（AOR = 2.00，95% CI [1.01, 3.97]）以及对在产房工作有兴趣（AOR = 2.5，95% CI [1.27, 4.94]）。更高的教育水平（AOR = 4.12，95% CI [1.67, 10.18]）和有在职培训机会（AOR = 3.60，95% CI [1.58, 8.18]）是与良好的ENC实践相关的因素。
结论
卫生专业人员对基本新生儿护理的知识掌握程度很低；然而，与埃塞俄比亚的其他研究相比，基本新生儿护理的实践情况处于中等水平。女性、有在职培训机会以及对在产房工作有兴趣是与对ENC有良好知识掌握相关的因素；而教育水平和有在职培训机会是与良好的ENC实践相关的因素。因此，相关机构应考虑提供在职进修培训、提升卫生专业人员的资质，并提供激励措施以提高对在产房工作的兴趣。
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