坦桑尼亚达累斯萨拉姆市产后妇女产褥期脓毒症相关知识及自我护理行为报告。
Puerperal sepsis-related knowledge and reported self-care practices among postpartum women in Dar es salaam, Tanzania.
机构信息
Department of Clinical Nursing, School of Nursing and Public Health, The University of Dodoma, Dodoma, Tanzania.
Maternal and Child Health Department, Kijitonyama Health Centre, Dar es Salaam, Tanzania.
出版信息
Womens Health (Lond). 2022 Jan-Dec;18:17455057221082954. doi: 10.1177/17455057221082954.
BACKGROUND
Knowledge and reported self-care practices of postpartum women are important for early detection, prevention and treatment of puerperal sepsis.
OBJECTIVES
This study analyzes the knowledge and self-care practices for prevention of puerperal sepsis and their determinants among postpartum women.
METHODS
A hospital-based analytical cross-sectional study which included 343 postpartum women was conducted from February to March 2021. Data were collected using interviewer-administered questionnaire. Predictors of knowledge and self-care reported practice were determined using binary logistic regression. < 0.05 was considered significant.
RESULTS
More than half ( = 213, 62.1%) of the postpartum women had adequate knowledge on prevention of puerperal sepsis. Only 39 (11.4%) of the women reported adequate self-care practices toward prevention of puerperal sepsis. Secondary education (adjusted odds ratio = 0.18, 95% confidence interval = 0.06-0.49, = 0.001), tertiary education (adjusted odds ratio = 0.52, 95% confidence interval = 0.19-1.38, = 0.021) and getting information from healthcare providers (adjusted odds ratio = 1.06, 95% confidence interval = 0.55-2.06, = 0.049) were significant determinants of knowledge on prevention of puerperal sepsis. Also, secondary education (adjusted odds ratio = 0.11, 95% confidence interval = 0.04-0.30, = 0.001), tertiary education (adjusted odds ratio = 0.16, 95% confidence interval = 0.06-0.39, = 0.001), and having more than four antenatal care visits (adjusted odds ratio = 1.21, 95% confidence interval = 0.49-3.27, = 0.041) were significant determinants of reported self-care practices for prevention of puerperal sepsis.
CONCLUSION
A significant gap in reported self-care practices to prevent puerperal sepsis was evidence. Secondary and tertiary education were significant predictors for both knowledge and self-care reported practices. Special attention should be given to women with low education level.
背景
产后妇女对产后脓毒症的知识和自我护理实践的了解，对早期发现、预防和治疗产后脓毒症至关重要。
目的
本研究分析了产后妇女对产后脓毒症的知识和自我护理预防措施及其决定因素。
方法
本研究是一项 2021 年 2 月至 3 月期间进行的基于医院的分析性横断面研究，共纳入 343 名产后妇女。使用访谈者管理的问卷收集数据。使用二元逻辑回归确定知识和自我护理报告实践的预测因素。<0.05 被认为具有统计学意义。
结果
超过一半（ = 213，62.1%）的产后妇女对预防产后脓毒症具有足够的知识。只有 39 名（11.4%）妇女报告了预防产后脓毒症的充分自我护理实践。中等教育（调整后的优势比 = 0.18，95%置信区间 = 0.06-0.49， = 0.001）、高等教育（调整后的优势比 = 0.52，95%置信区间 = 0.19-1.38， = 0.021）和从医疗保健提供者获取信息（调整后的优势比 = 1.06，95%置信区间 = 0.55-2.06， = 0.049）是预防产后脓毒症知识的显著决定因素。此外，中等教育（调整后的优势比 = 0.11，95%置信区间 = 0.04-0.30， = 0.001）、高等教育（调整后的优势比 = 0.16，95%置信区间 = 0.06-0.39， = 0.001）和接受超过 4 次产前护理（调整后的优势比 = 1.21，95%置信区间 = 0.49-3.27， = 0.041）是报告的预防产后脓毒症自我护理实践的显著决定因素。
结论
报告的预防产后脓毒症自我护理实践存在显著差距。中等和高等教育是知识和自我护理报告实践的重要预测因素。应特别关注教育水平较低的妇女。
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