Department of Midwifery, School of Nursing and Midwifery, College of Medicine and Health Sciences, Debre Berhan University, Debre Berhan, Ethiopia.
Department of Midwifery, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
BMC Pregnancy Childbirth. 2022 Jul 22;22(1):584. doi: 10.1186/s12884-022-04909-3.
Person-centered care is a pivotal component of strategies to improve the utilization of maternity care during childbirth. However, there is limited information on the level of person-centered care during childbirth in Ethiopia. Therefore, this study aimed to assess the level of person-centered care during childbirth and associated factors in Hawassa city administration health facilities Sidama region, Ethiopia.
Institutional based cross-sectional study was conducted among randomly selected health facilities in Hawassa city administration from September 5 to October 30, 2021. A multistage sampling technique was employed to enroll the study participants. Data were collected through face-to-face interviews using a structured questionnaire. After data collection, it was checked for completeness and consistencies then coded and entered into Epi data version 4.4.2 and exported to SPSS version 25 for analysis. Descriptive statistics were generated to describe the study findings. Then simple and multivariable linear regressions were computed. All predictor variables with P-value ≤ 0.25 in the simple linear regression were fitted into the multivariable linear regression model and a P < 0.05 was considered statistically significant. Finally, the result of the study was presented in texts, tables, and figures.
The mean score of person-centered care during childbirth in Hawassa city was 56 with 95% of CI: [55.1, 57] and with SD ± 11.2. Giving birth at private health institutions (β = 4.3, 95% CI: (2.37, 6.22) and childbirth which was attended by a care provider who had provided ANC for mothers initially (β = 5.48, 95% CI: 3.15, 7.81) had significantly higher positive betas on person-centered care during childbirth. However, mothers who didn't get a formal education (β = -3.00, 95% CI: (-5.27, -.73) and mothers with a dead pregnancy outcome (β = -7.04, 95% CI: -10.4, -3.66) decreases the person-centered care during childbirth.
This paper showed that person-centered care during childbirth was low compared with other studies. It shall be beneficial if the city administration health facilities implement midwife-led care to improve person-centered care during childbirth.
以人为本的护理是改善分娩期间产妇护理利用的策略的关键组成部分。然而，关于埃塞俄比亚分娩期间以人为本护理的水平，信息有限。因此，本研究旨在评估埃塞俄比亚锡达马地区 Hawassa 市行政卫生设施分娩期间以人为本护理的水平及其相关因素。
2021 年 9 月 5 日至 10 月 30 日，在 Hawassa 市行政区基于机构的横断面研究中，对随机选择的卫生设施进行了研究。采用多阶段抽样技术招募研究参与者。使用结构化问卷通过面对面访谈收集数据。收集数据后，检查其完整性和一致性，然后进行编码并输入 EpiData 版本 4.4.2 并导出到 SPSS 版本 25 进行分析。描述性统计数据用于描述研究结果。然后进行简单和多变量线性回归。在简单线性回归中 P 值≤0.25 的所有预测变量均被纳入多变量线性回归模型，P<0.05 被认为具有统计学意义。最后，以文本、表格和图形的形式呈现研究结果。
Hawassa 市分娩期间以人为本护理的平均得分为 56，95%置信区间为 [55.1, 57]，标准差为±11.2。在私立卫生机构分娩（β=4.3，95%置信区间：（2.37, 6.22）和最初为母亲提供 ANC 的护理提供者接生的分娩（β=5.48，95%置信区间：3.15, 7.81）在分娩期间对以人为本的护理有显著更高的正偏度。然而，未接受正规教育的母亲（β=-3.00，95%置信区间：（-5.27, -.73）和死胎的母亲（β=-7.04，95%置信区间：-10.4, -3.66）降低了分娩期间以人为本的护理。
本文表明，与其他研究相比，分娩期间以人为本的护理水平较低。如果城市行政卫生设施实施助产士主导的护理，以提高分娩期间以人为本的护理，这将是有益的。
