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在埃塞俄比亚西南部 Ilu AbaBor 地区的公立卫生机构中,尊重产妇在机构分娩期间的护理及其相关因素。

Respectful maternity care during facility-based child birth and associated factors in public health facilities of Ilu AbaBor zone, Southwest Ethiopia.

机构信息

Department of Nursing, College of Health Sciences, Mettu University, Mettu, Ethiopia.

出版信息

Reprod Health. 2022 Apr 22;19(1):98. doi: 10.1186/s12978-022-01368-z.

DOI:10.1186/s12978-022-01368-z
PMID:35459182
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9034589/
Abstract

BACKGROUND

Current data suggest that far more women around the world are exposed to abuse by health care providers while receiving maternity care. This predisposes them to psychological distress; abstain from accessing health facilities for care and end up with avoidable death and disability.

OBJECTIVE

To assess the level of respectful care during delivery among mothers giving birth in public health facilities in Ilu AbaBor, Southwest Ethiopia, 2019.

MATERIALS AND METHODS

An institution-based cross-sectional study was conducted among 285 randomly selected mothers in the post-natal ward from 17 health facilities in 2019. Data were collected through interviewer-administered pre-tested questionnaires. The collected data were entered into Epi-data version 3.1 statistical and analyzed by SPSS version 21. Both bivariable and multivariable logistic regression models were employed.

RESULTS

The proportion of respectful care during maternity care in health care institutions of Ilu Ababor zone was 47.3%. In the multivariable logistic regression; age (AOR 0.25, 95% CI 0.08, 0.81), occupation (AOR 4.16: (1.34, 12.9)), planned pregnancy (AOR 0.28: (0.12, 0.67)), mode of delivery (AOR 0.05: (0.01, 0.33)), and receiving care from providers who had a compassionate and respectful care training (AOR 0.13: (0.06, 0.25)) were independent predictors of respectful care.

CONCLUSIONS

The proportion of respectful care of the health institution in the Ilu Ababor zone was low compared to the other studies. Variables like; age, occupational status, pregnancy plan, mode of delivery, facing complications during labor and delivery, and taking compassionate and respectful care training were independent predictors of respectful maternity care. This study recommended that the responsible stakeholders should strengthen monitoring and evaluation of the practice and mainstreaming of respectful maternity care, give training for health professionals, and develop guidelines used to monitor, report, and track barriers to the practice of maternity care.

摘要

背景

目前的数据表明,在全球范围内,有更多的女性在接受产科护理时受到医疗保健提供者的虐待。这使她们容易产生心理困扰;不愿前往医疗机构接受护理,最终导致可避免的死亡和残疾。

目的

评估 2019 年在埃塞俄比亚西南部伊卢阿巴博尔地区公立卫生机构分娩的产妇在分娩过程中获得尊重的护理程度。

材料与方法

这是一项 2019 年在 17 个卫生机构的产后病房中进行的基于机构的横断面研究,对 285 名随机选择的产妇进行了调查。数据通过访谈员管理的预测试问卷收集。收集的数据输入到 Epi-data 版本 3.1 统计软件中,并使用 SPSS 版本 21 进行分析。采用单变量和多变量逻辑回归模型。

结果

伊卢阿巴博尔地区医疗机构中产妇护理得到尊重的比例为 47.3%。在多变量逻辑回归中;年龄(AOR 0.25,95%CI 0.08,0.81)、职业(AOR 4.16:(1.34,12.9))、计划妊娠(AOR 0.28:(0.12,0.67))、分娩方式(AOR 0.05:(0.01,0.33))、接受有同情心和尊重的护理培训的提供者提供的护理(AOR 0.13:(0.06,0.25))是尊重护理的独立预测因素。

结论

与其他研究相比,伊卢阿巴博尔地区医疗机构尊重护理的比例较低。年龄、职业状况、妊娠计划、分娩方式、分娩和分娩期间出现并发症、接受有同情心和尊重的护理培训等变量是尊重产妇护理的独立预测因素。本研究建议,利益相关方应加强对实践的监测和评估,将尊重产妇护理纳入主流,为卫生专业人员提供培训,并制定用于监测、报告和跟踪产妇护理实践障碍的准则。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ba/9034589/60c50ec100b5/12978_2022_1368_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ba/9034589/a4004b844b52/12978_2022_1368_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ba/9034589/60c50ec100b5/12978_2022_1368_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ba/9034589/a4004b844b52/12978_2022_1368_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ba/9034589/60c50ec100b5/12978_2022_1368_Fig2_HTML.jpg

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