埃塞俄比亚西北部医院医护人员对新生儿出生时紧急情况的准备情况及相关因素：一项多中心横断面研究。
Preparedness for neonatal emergencies at birth and associated factors among healthcare providers working at hospitals in northwest Ethiopia: A multi-center cross-sectional study.
作者信息
Kebede Azmeraw Ambachew, Taye Birhan Tsegaw, Wondie Kindu Yinges, Tiguh Agumas Eskezia, Eriku Getachew Azeze, Mihret Muhabaw Shumye
机构信息
Department of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Midwifery, College of Health Sciences, Debre Berhan University, Debre Berhan, Ethiopia.
出版信息
Heliyon. 2021 Dec 20;7(12):e08641. doi: 10.1016/j.heliyon.2021.e08641. eCollection 2021 Dec.
BACKGROUND
Neonatal mortality remains a public health concern, especially in Southern Asia and Sub-Saharan Africa. Despite substantial efforts, the neonatal mortality rate is increasing from 29 per 1000 live births in 2016 to 33 per 1000 live births in 2019 in Ethiopia. To avert this unacceptably high mortality, the healthcare provider's readiness for neonatal emergencies at birth is crucial. Hence, this study aimed to assess healthcare providers' preparedness for neonatal emergencies at birth in northwest Ethiopia.
METHODS
A multicenter cross-sectional study was conducted at hospitals in northwest Ethiopia from November 15/2020 to March 10/2021. A simple random sampling technique was used to select 406 study participants. Data were collected through face-to-face interviews using a structured questionnaire, and direct observation and chart review using standardized checklists. The data were then entered into EPI INFO version 7.1.2 and exported to SPSS version 25 for analysis. Both bivariable and multivariable logistic regression analyses were undertaken. The level of significance was claimed based on the adjusted odds ratio (AOR) with a 95 % confidence interval (CI) at a p-value of ≤0.05.
RESULTS
The proportion of healthcare providers having adequate preparedness for neonatal emergencies was 60.1% (95% CI: 55.3, 64.8). The final model analysis illustrates that healthcare providers who received neonatal resuscitation training (AOR = 2.87; 95% CI: 1.74, 7.74) and working at the general hospital (AOR = 5.2; 95% CI: 1.96, 13.8) were adequately prepared for neonatal emergencies. On the other hand, healthcare providers who complained about workload or shortage of staff (AOR = 0.41; 95% CI: 0.26, 0.66) were poorly prepared for neonatal emergencies.
CONCLUSION
In this study, about two-fifths of the healthcare providers were inadequately prepared for neonatal emergencies at birth. Strengthening the provision of neonatal resuscitation training, deploying adequate healthcare professionals, and reducing the healthcare provider's workload would improve healthcare providers' preparedness for neonatal emergencies.
背景
新生儿死亡率仍然是一个公共卫生问题，尤其是在南亚和撒哈拉以南非洲。尽管付出了巨大努力，但埃塞俄比亚的新生儿死亡率仍在上升，从2016年的每1000例活产29例增至2019年的每1000例活产33例。为避免这种高得令人无法接受的死亡率，医疗保健提供者在出生时对新生儿紧急情况的准备情况至关重要。因此，本研究旨在评估埃塞俄比亚西北部医疗保健提供者对出生时新生儿紧急情况的准备情况。
方法
于2020年11月15日至2021年3月10日在埃塞俄比亚西北部的医院进行了一项多中心横断面研究。采用简单随机抽样技术选取406名研究参与者。通过使用结构化问卷进行面对面访谈、使用标准化检查表进行直接观察和病历审查来收集数据。然后将数据录入EPI INFO 7.1.2版本，并导出到SPSS 25版本进行分析。进行了双变量和多变量逻辑回归分析。基于调整后的优势比（AOR）以及95%置信区间（CI）和p值≤0.05来确定显著性水平。
结果
对新生儿紧急情况有充分准备的医疗保健提供者的比例为60.1%（95%CI：55.3，64.8）。最终模型分析表明，接受过新生儿复苏培训的医疗保健提供者（AOR = 2.87；95%CI：1.74，7.74）以及在综合医院工作的医疗保健提供者（AOR = 5.2；95%CI：1.9, 13.8）对新生儿紧急情况有充分准备。另一方面，抱怨工作量大或人员短缺的医疗保健提供者（AOR = 0.41；95%CI：0.26，0.66）对新生儿紧急情况准备不足。
结论
在本研究中，约五分之二的医疗保健提供者对出生时的新生儿紧急情况准备不足。加强新生儿复苏培训、部署足够的医疗专业人员以及减轻医疗保健提供者的工作量将提高医疗保健提供者对新生儿紧急情况的准备程度。
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