埃塞俄比亚哈拉里州卫生机构中，产科护理提供者对非药物性分娩疼痛管理的态度和利用情况。
Obstetrics care providers attitude and utilization of non-pharmacological labor pain management in Harari regional state health facilities, Ethiopia.
机构信息
School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
出版信息
BMC Pregnancy Childbirth. 2022 May 4;22(1):389. doi: 10.1186/s12884-022-04717-9.
BACKGROUND
In a woman's life, labor pain is the most severe pain that they have ever faced. In Ethiopia, the provision of pain relief in labor is often neglected. Furthermore, evidence strongly urged that further research is needed on non-pharmacological labor pain management. Therefore, obstetrics care providers' attitudes and utilization of non-pharmacological labor pain management need to be assessed.
METHOD
A facility-based cross-sectional study was conducted from May 20 to June 10, 2021, in Harari regional state health facilities, Ethiopia. All obstetric caregivers in Harari regional state health facilities were included in the study. A structured questionnaire adapted from the previous studies was used to collect data. The data was entered into Epi-data version 3.1 statistical software. Statistical analysis was carried out by using SPSS for windows version 22. Multivariate linear regression analysis was employed to determine the association between independent variables and the outcome variable.
RESULT
The overall utilization of non-pharmacological labor pain relief methods was 59.3% [(95% CI (53.9,63.4)]. Three hundred five (65.5%) of the study participants had unfavorable attitudes. Females compared to males (β = - 0.420; 95% CI: - 0.667, - 0.173), clinical experience (β = - 0.201; 95% CI: - 0.268, - 0.134), knowledge sum score (β =0.227: 95%; CI: 0.18,0.247), and attitude sum score (β = 0.376; 95% CI: 0.283, 0.47) were showed significantly association with utilization of non-pharmacological labor pain management.
CONCLUSION
The overall utilization of non-pharmacological labor pain relief methods was relatively good compared to other studies done in Ethiopia but all women's need for labor relief methods should not be ignored. In this study sex of the respondents, clinical experience, individual preference, attitude and knowledge were factors associated with the utilization of non-pharmacological labor pain management. All stake holds need to work together to improve the attitude of health providers and to increase the utilization of non-pharmacologic labor pain management.
背景
在女性的一生中，分娩疼痛是她们所经历的最剧烈的疼痛。在埃塞俄比亚，分娩时的疼痛缓解往往被忽视。此外，有强有力的证据表明，需要进一步研究非药物性分娩疼痛管理。因此，需要评估产科护理提供者对非药物性分娩疼痛管理的态度和利用情况。
方法
2021 年 5 月 20 日至 6 月 10 日，在埃塞俄比亚哈拉里地区州卫生机构进行了一项基于机构的横断面研究。哈拉里地区州卫生机构的所有产科护理人员均纳入研究。使用改编自先前研究的结构化问卷收集数据。将数据输入 Epi-data 版本 3.1 统计软件。使用 SPSS for windows 版本 22 进行统计分析。采用多元线性回归分析确定自变量与因变量之间的关系。
结果
非药物性分娩疼痛缓解方法的总体使用率为 59.3%[95%置信区间（53.9，63.4）]。研究参与者中有 305 人（65.5%）的态度不佳。与男性相比，女性（β=-0.420；95%置信区间：-0.667，-0.173）、临床经验（β=-0.201；95%置信区间：-0.268，-0.134）、知识总分（β=0.227：95%；置信区间：0.18，0.247）和态度总分（β=0.376；95%置信区间：0.283，0.47）与非药物性分娩疼痛管理的利用显著相关。
结论
与在埃塞俄比亚进行的其他研究相比，非药物性分娩疼痛缓解方法的总体使用率相对较好，但不能忽视所有女性对分娩缓解方法的需求。在这项研究中，受访者的性别、临床经验、个人偏好、态度和知识是与非药物性分娩疼痛管理利用相关的因素。所有利益相关者需要共同努力，改善卫生保健提供者的态度，增加非药物性分娩疼痛管理的利用。
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