护理干预对改善尼日利亚翁多州选定医院助产士在产后出血管理中米索前列醇使用知识的影响。

Influence of nursing interventions in improving midwives' knowledge of misoprostol use in the management of postpartum haemorrhage at selected hospitals in Ondo State, Nigeria.

机构信息

Faculty of Nursing Sciences, University of Medical Sciences, Ondo, Ondo State, Nigeria.

Department of Nursing, Babcock University, Ilisan, Ogun State, Nigeria.

出版信息

Pan Afr Med J. 2021 Dec 17;40:238. doi: 10.11604/pamj.2021.40.238.18474. eCollection 2021.

DOI:10.11604/pamj.2021.40.238.18474

PMID:35178149

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8817193/

Abstract

INTRODUCTION

despite large investments in maternal health services in the world, postpartum hemorrhage (PPH) remains a major cause of maternal mortality. Misoprostol is the most available, accessible, and affordable uterotonic agent in the management of the third stage of labor and has been found to be effective in PPH prevention in low-income countries. This study, therefore, assessed the influence of nursing interventions improving midwives´ awareness of misoprostol use in the management of PPH at selected health facilities.

METHODS

we conducted a quasi-experimental study in two secondary health institutions in Ondo State. A total of 68 midwives, who consented to participate, were randomly distributed into experimental and control groups respectively. A questionnaire was administered for obtaining information about participants´ knowledge and use of misoprostol in the management of PPH. Midwives in the intervention group were trained using the adapted Pathfinder International Teaching Package on the use of misoprostol in the management of PPH. Data were analyzed using descriptive and inferential statistics.

RESULTS

in the pre-intervention phase, the mean knowledge score of the control group was 7.55 ± 2.57 while that of the experimental group was 8.89 ± 2.57. There was a significant increase in the number of participants knowing the correct dose of misoprostol for the management of PPH after intervention (27.0% vs 81.1% p=0.01). After intervention, there was a significant increase (p=0.01) in knowledge of misoprostol use in the intervention group compared to the control group (14.73 ± 2.57 vs 8.89 ± 2.57).

CONCLUSION

misoprostol educational intervention was effective in improving knowledge and use of misoprostol. Hence, continuing educational units in hospitals should include periodic training of midwives on the use of misoprostol in PPH prevention.

摘要

简介

尽管全球在孕产妇保健服务方面投入巨大，但产后出血（PPH）仍然是孕产妇死亡的主要原因。米索前列醇是处理分娩第三阶段最可获得、最容易获得且最经济实惠的宫缩剂，并且已被证明在低收入国家预防 PPH 方面有效。因此，本研究评估了护理干预措施对提高助产士对选定卫生机构中米索前列醇在 PPH 管理中使用意识的影响。

方法

我们在翁多州的两家二级保健机构进行了一项准实验研究。共有 68 名同意参与的助产士被随机分配到实验组和对照组。我们使用问卷获取关于参与者在 PPH 管理中使用米索前列醇的知识和使用情况的信息。干预组的助产士接受了有关米索前列醇在 PPH 管理中使用的适应性 Pathfinder 国际教学包培训。我们使用描述性和推断性统计方法分析数据。

结果

在干预前阶段，对照组的平均知识得分为 7.55 ± 2.57，而实验组的平均知识得分为 8.89 ± 2.57。干预后，知道正确剂量的米索前列醇用于管理 PPH 的参与者人数显著增加（27.0% 对 81.1%，p=0.01）。干预后，实验组对米索前列醇使用的知识显著增加（p=0.01），与对照组相比（14.73 ± 2.57 对 8.89 ± 2.57）。