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产妇对埃塞俄比亚绍阿地区公立医院产时护理的满意度及其相关因素分析。

Maternal satisfaction with intrapartum care and associated factors among postpartum women at public hospitals of North Shoa Zone Ethiopia.

机构信息

Department of Midwifery, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia.

出版信息

PLoS One. 2021 Dec 1;16(12):e0260710. doi: 10.1371/journal.pone.0260710. eCollection 2021.

Abstract

BACKGROUND

Maternal satisfaction is an essential indicator of the quality and the efficiency of the health care systems. At a time when efforts are being made globally to reduce maternal and neonatal mortality and morbidity, assessing maternal satisfaction is essential. There is a dearth of studies on maternal satisfaction with intrapartum care, particularly in the study area. This study aimed to assess maternal satisfaction with intrapartum care and associated factors among postpartum women at public hospitals of North Shoa Zone Ethiopia.

METHODS

A facility-based cross-sectional study with a systematic random sampling technique was conducted from May1-30/ 2020. Data were entered into EpiData version 4.6 and analyzed using a statistical package for the social sciences version 25. Bivariate and multivariable logistic regression were employed. In multivariable logistic regression analysis, level of statistical significance was declared at variables with p < 0.05 and the strength of the association was measured by an adjusted odds ratio and 95% confidence interval.

RESULT

Of the total 394 participants, 111 (28.2%) [95% CI: 23.9, 32.5] of postpartum women were satisfied with the intrapartum care. Place of residence [AOR: 1.934; 95% CI (1.183, 3.162)], planned status of the pregnancy [AOR: 2.245; 95% CI, (1.212, 4.158)], number of antenatal care visit [AOR: 2.389; 95% (1.437, 3.974)] and duration of labour [AOR: 2.463; 95% (1.378, 4.402)] were factors significantly associated with maternal satisfaction with intrapartum care.

CONCLUSION

The proportion of maternal satisfaction with intrapartum care was low. Therefore, designing strategies to enhance maternal satisfaction by strengthening adherence to antenatal care visits, provision of family planning to prevent unplanned pregnancy, and strict utilization of partograph to prevent prolonged labour and childbirth-related complications are crucial.

摘要

背景

产妇满意度是医疗保健系统质量和效率的重要指标。在全球努力降低孕产妇和新生儿死亡率和发病率的当下,评估产妇满意度至关重要。尽管在研究领域中,针对产妇对分娩期护理满意度的研究并不少见,但针对该领域的研究仍然匮乏。本研究旨在评估埃塞俄比亚北绍阿地区公立医院产后妇女对分娩期护理的满意度及其相关因素。

方法

本研究采用基于设施的横断面研究设计,于 2020 年 5 月 1 日至 30 日期间,采用系统随机抽样技术抽取研究对象。数据输入 EpiData 版本 4.6,并使用社会科学统计软件包(SPSS)版本 25 进行分析。采用单变量和多变量逻辑回归分析。在多变量逻辑回归分析中,具有统计学意义的变量的显著性水平设定为 p<0.05,关联强度通过调整后的优势比(OR)和 95%置信区间(CI)进行测量。

结果

在 394 名参与者中,111 名(28.2%)[95%CI:23.9,32.5]产后妇女对分娩期护理表示满意。居住地[调整后的比值比(AOR):1.934;95%CI(1.183,3.162)]、妊娠计划状况(AOR:2.245;95%CI:1.212,4.158)]、产前检查次数(AOR:2.389;95%CI:1.437,3.974)和产程时间(AOR:2.463;95%CI:1.378,4.402)]是与产妇对分娩期护理满意度显著相关的因素。

结论

产妇对分娩期护理的满意度比例较低。因此,制定策略通过加强产前检查的依从性、提供计划生育以预防非计划妊娠、以及严格使用产程图来预防产程延长和分娩相关并发症,从而提高产妇满意度至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5b1/8635333/513a340a6d77/pone.0260710.g001.jpg

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