非药物性分娩疼痛管理实践及其在埃塞俄比亚南部 Gamo 和 Gofa 地区公立卫生机构工作的熟练助产士中的相关因素：一项横断面研究。
Non-pharmacological labor pain management practice and associated factors among skilled attendants working in public health facilities in Gamo and Gofa zone, Southern Ethiopia: A cross-sectional study.
机构信息
Department of Midwifery, College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia.
Department of Health Informatics, College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia.
出版信息
PLoS One. 2022 Apr 21;17(4):e0266322. doi: 10.1371/journal.pone.0266322. eCollection 2022.
BACKGROUND
Labor pain management is crucial to ensure the quality of obstetric care but it is one of the neglected areas in obstetrics. This study aimed to assess the practice of labor pain management and associated factors among skilled attendants working in public health facilities in Southern, Ethiopia from November 1-January 26, 2019.
METHODS
An Institution-based cross-sectional study design was conducted from November 1-January 26, 2019. A simple random sampling technique was used to select a total of 272 obstetric care providers. Data were collected using pretested, and structured questionnaires. Data were entered to Epi data version 3.1 statistical software and exported to SPSS 22 for analysis. Bivariate and multivariate logistic regression analyses were performed to identify associated factors. P-value <0.05 with 95% confidence level were used to declare statistical significance.
RESULT
Overall, 37.5% (95%CI: 32%, 43%) of health care providers had a good practice on non-pharmacological labor pain management. Clinical experience of 5 years and above (AOR = 2.91, 95%CI: 1.60, 5.42), favorable attitude (AOR = 2.82, 95%CI: 1.56, 5.07), midwife profession (AOR = 1.45, 95%CI: 1.98, 4.27), and working in satisfactory delivery rooms (AOR = 3.45, 95%CI: 2.09, 7.43), were significantly associated with a health professional good practice of labor pain management.
CONCLUSION
This study showed that the practice of non-pharmacological labor pain management was poor in public health facilities in Gamo and Gofa zone. It was observed that having a favorable attitude, having ≥5 years of work experience, being a midwife by professional, and having a satisfactory delivery room were found to be significant predictors of the practice of non -pharmacological labor pain management. Therefore, all health facilities and concerned bodies need efforts to focus on providing training to midwives on non-pharmacological labor pain management practice.
背景
分娩疼痛管理对于确保产科护理质量至关重要，但它却是产科领域被忽视的一个方面。本研究旨在评估 2019 年 11 月 1 日至 1 月 26 日在埃塞俄比亚南部公立卫生机构工作的熟练助产士的分娩疼痛管理实践及其相关因素。
方法
本研究采用基于机构的横断面研究设计，于 2019 年 11 月 1 日至 1 月 26 日进行。采用简单随机抽样技术，共选取了 272 名产科护理提供者。使用预测试和结构化问卷收集数据。将数据录入 EpiData 版本 3.1 统计软件并导出到 SPSS 22 进行分析。采用双变量和多变量逻辑回归分析来确定相关因素。采用具有 95%置信水平的 P 值<0.05 来宣布统计学意义。
结果
总体而言，37.5%（95%CI：32%，43%）的医疗保健提供者在非药物性分娩疼痛管理方面具有良好的实践。具有 5 年及以上工作经验（AOR=2.91，95%CI：1.60，5.42）、良好的态度（AOR=2.82，95%CI：1.56，5.07）、助产士专业（AOR=1.45，95%CI：1.98，4.27）和在令人满意的分娩室工作（AOR=3.45，95%CI：2.09，7.43），与医疗保健专业人员良好的分娩疼痛管理实践显著相关。
结论
本研究表明，在甘莫和戈法地区的公立卫生机构中，非药物性分娩疼痛管理实践较差。观察到良好的态度、具有≥5 年工作经验、专业的助产士以及令人满意的分娩室是非药物性分娩疼痛管理实践的重要预测因素。因此，所有卫生机构和相关机构都需要努力，注重为助产士提供非药物性分娩疼痛管理实践培训。
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