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东戈贾姆地区,阿姆哈拉地区,埃塞俄比亚公共卫生中心的产科医护人员对分娩镇痛方法的态度及相关因素:基于机构的横断面研究。

The attitudes of obstetric caregivers towards labour pain relief methods and associated factors at public health centers of East Gojjam zone, Amhara Region, Ethiopia: Institutional based cross-sectional study.

机构信息

Department of Midwifery, Debre Markos University, Debre Markos, Ethiopia.

出版信息

Pan Afr Med J. 2022 May 17;42:47. doi: 10.11604/pamj.2022.42.47.31439. eCollection 2022.

Abstract

INTRODUCTION

labour pain relief is a key factor for maternal satisfaction during childbirth. However, in developing countries, labour pain management is not a well-established service mainly due to negative attitudes of health care providers resulting in unmeasured suffering from childbirth for mothers. Thus, this study was aimed to assess attitude of obstetric caregiver towards labour pain management and associated factors at public health centers of East Gojjam zone.

METHODS

institutional-based cross-sectional study was conducted from March 1-30, 2018. Three hundred and nine sampled obstetric caregivers have participated, with a 96.8%(299) response rate. Data were collected with structured pretested questionnaires. Data were entered into Epi data 4.2 versions and bivariate and multivariate logistic regression was carried out using SPSS 23 versions with 95 % CI to determine the association between dependent and independent variables.

RESULTS

out of the study participants, 128 (42.8%) had a negative attitude towards managing labour pain. Knowledge (AOR =3.785, 95 % CI: 2.251,6.365), training (AOR=2.923, 95% CI: 1.266, 6.749) and Companion (AOR=1.834, 95% CI: 1.055, 3.189) had significantly associated with attitude of obstetric caregiver towards labour pain relief methods.

CONCLUSION

the result of this study showed that there is still a negative attitude towards labour pain management among obstetric caregivers in the study setting. Providing knowledge-based in-service training for obstetric caregivers to change their attitude towards labour pain relief methods is advisable.

摘要

引言

分娩过程中减轻产妇疼痛是产妇满意度的关键因素。然而,在发展中国家,由于医护人员的消极态度,分娩疼痛管理还没有得到很好的建立,导致产妇分娩时遭受了无法衡量的痛苦。因此,本研究旨在评估东戈贾姆地区公共卫生中心的产科护理人员对分娩疼痛管理的态度及其相关因素。

方法

本研究采用基于机构的横断面研究,于 2018 年 3 月 1 日至 30 日进行。共 309 名产科护理人员参与了抽样调查,应答率为 96.8%(299 名)。使用经过预测试的结构化问卷收集数据。将数据录入 Epi data 4.2 版本,并使用 SPSS 23 版本进行双变量和多变量逻辑回归分析,以确定因变量和自变量之间的关系。

结果

在所调查的研究参与者中,有 128 人(42.8%)对管理分娩疼痛持消极态度。知识(AOR=3.785,95%CI:2.251,6.365)、培训(AOR=2.923,95%CI:1.266,6.749)和陪伴(AOR=1.834,95%CI:1.055,3.189)与产科护理人员对分娩疼痛缓解方法的态度有显著相关性。

结论

本研究结果表明,研究地点的产科护理人员对分娩疼痛管理仍持消极态度。建议为产科护理人员提供基于知识的在职培训,以改变他们对分娩疼痛缓解方法的态度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59f5/9338723/55e2ff0d2c11/PAMJ-42-47-g001.jpg

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