助产士对尊重产妇护理的知识和实践：来自伊朗的调查。
Midwives' knowledge and practice of Respectful Maternity Care: a survey from Iran.
机构信息
Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
School of Health Sciences, University of Nottingham, Nottingham, UK.
出版信息
BMC Pregnancy Childbirth. 2022 Oct 5;22(1):752. doi: 10.1186/s12884-022-05065-4.
BACKGROUND
In the past decade, countries worldwide aimed to evaluate the quality of childbirth care and reduce the high rates of disrespect and abuse during childbirth. Few studies have attempted to identify providers' characteristics associated with respectful maternity care quantitatively. This study aims to evaluate midwives' knowledge and practice of respectful maternity care (RMC).
METHODS
A cross-sectional study was carried out in 15 teaching and non-teaching hospitals in Tehran, Iran. The hospitals were selected by using a cluster sampling design. Midwives' Knowledge and Practice of Respectful Maternity Care scale (MKP-RMC) was administered to 250 midwives working in maternity units at study hospitals. The data were analysed by statistics package for social science (SPSS, version 21.0, Chicago, IL).
RESULTS
Findings demonstrated that the mean score for knowledge and practice of midwives were 20.96 ± 3.54 and 101.64 ± 11.49, respectively. Also, in both knowledge and practice scales, midwives had the highest score in "providing safe care' domain and the lowest score in "preventing mistreatment" domain.
CONCLUSION
Our findings showed that for Iranian midwives, providing care to preserve mothers' and their babies' wellbeing is more critical than preventing maternal mistreatment, resulting from the importance of the care provision in the Iranian healthcare system. Promoting midwives' knowledge and practice through developing a tailored educational program to prevent mistreatment and providing emotional support alongside physical care is recommended.
背景
在过去的十年中，全球各国都致力于评估分娩护理质量，并降低分娩过程中不尊重和虐待产妇的高发生率。很少有研究试图从定量的角度来确定与尊重产妇护理相关的提供者特征。本研究旨在评估助产士对尊重产妇护理（RMC）的知识和实践。
方法
本研究在伊朗德黑兰的 15 所教学和非教学医院进行了一项横断面研究。这些医院是通过聚类抽样设计选择的。在研究医院的产房工作的 250 名助产士接受了尊重产妇护理知识和实践量表（MKP-RMC）的评估。使用社会科学统计软件包（SPSS，版本 21.0，芝加哥，IL）对数据进行分析。
结果
研究结果表明，助产士的知识和实践平均得分分别为 20.96±3.54 和 101.64±11.49。此外，在知识和实践两个量表中，助产士在“提供安全护理”领域的得分最高，在“预防虐待”领域的得分最低。
结论
我们的研究结果表明，对于伊朗助产士来说，提供关爱以保护母婴健康比预防产妇虐待更为重要，这是因为在伊朗医疗保健系统中，护理提供的重要性。建议通过制定专门的教育计划来提高助产士的知识和实践水平，以预防虐待，并提供情感支持以及身体护理。
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