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尼日利亚产妇使用移动医疗干预措施进行产后护理的体验:一项定性研究。

Mothers' experiences with mHealth intervention for postnatal care utilisation in Nigeria: a qualitative study.

机构信息

Department of Nursing Science, College of Health Sciences, Obafemi Awolowo University, Osun State, Ile-Ife, 220005, Nigeria.

Department of Family Medicine, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.

出版信息

BMC Pregnancy Childbirth. 2022 Nov 16;22(1):843. doi: 10.1186/s12884-022-05177-x.

DOI:10.1186/s12884-022-05177-x
PMID:36384530
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9670477/
Abstract

BACKGROUND

The postnatal period implies a crucial and delicate time for both the mother and the newborn. There is a growing body of evidence that is increasingly pointing to mHealth interventions as a potential tool for improved utilisation of maternal and child health services, including postnatal care. This can promote the health of mother and baby during this delicate period. However, the success of the interventions must be explored to validate their usefulness and reliability. Hence, this study explored the experiences of postpartum women on the usefulness of the mHealth intervention (postnatal care assistant) they received.

METHODS

Twenty women, who were involved in mHealth intervention were interviewed using a semi-structured interview guide. They were recruited from the intervention group of a quasi-experimental study that evaluated the effect of a mHealth intervention on the uptake of postnatal care services. Thematic analysis of data was done using NVivo software version 10.

RESULTS

Five major themes emerged from data shared by the participants. They are general feelings about the messages, benefits derived from the messages about pregnancy and hospital delivery, increased knowledge about baby care, facilitation of PNC utilisation and involvement of significant others in decision making. They affirmed that the information and reminder messages gave them the impetus to utilise postnatal care services.

CONCLUSION

Mothers reported that mHealth intervention provided immense support and assistance during pregnancy and the reminder messages encouraged them to utilise postnatal care services. This study suggests that improved education and reminder messages via mobile phones are needed during pregnancy and after childbirth to promote mother and child health through the utilization of postnatal care services, and efforts to put this approach to action should be pursued.

摘要

背景

产后阶段对母亲和新生儿来说都是一个关键而脆弱的时期。越来越多的证据表明,移动健康干预措施可能是改善母婴健康服务(包括产后护理)利用的一种潜在工具。这可以促进母亲和婴儿在这个脆弱时期的健康。然而,必须探索干预措施的成功,以验证其有用性和可靠性。因此,本研究探讨了产后妇女对其接受的移动健康干预(产后护理助手)有用性的体验。

方法

使用半结构化访谈指南对 20 名参与移动健康干预的妇女进行了访谈。她们是从评估移动健康干预对产后护理服务利用影响的准实验研究的干预组中招募的。使用 NVivo 软件版本 10 对数据进行主题分析。

结果

从参与者分享的数据中出现了五个主要主题。它们是对信息的一般感受、从关于怀孕和分娩的信息中获得的好处、对婴儿护理的更多了解、促进利用产后护理以及让重要他人参与决策。她们肯定信息和提醒信息给了她们利用产后护理服务的动力。

结论

母亲们报告说,移动健康干预在怀孕期间提供了巨大的支持和帮助,提醒信息鼓励她们利用产后护理服务。本研究表明,在怀孕期间和分娩后需要通过手机提供改进的教育和提醒信息,以通过利用产后护理服务来促进母婴健康,并应努力采取这种方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48a8/9670477/414864beabd7/12884_2022_5177_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48a8/9670477/414864beabd7/12884_2022_5177_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48a8/9670477/414864beabd7/12884_2022_5177_Fig1_HTML.jpg

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JMIR Form Res. 2022 Jun 13;6(6):e37777. doi: 10.2196/37777.
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Effects of mHealth on the psychosocial health of pregnant women and mothers: a systematic review.移动医疗对孕妇和产妇心理健康的影响:系统评价。
BMJ Open. 2022 Feb 15;12(2):e056807. doi: 10.1136/bmjopen-2021-056807.
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Effectiveness of a mobile health intervention on uptake of recommended postnatal care services in Nigeria.
Multiple high-risk fertility behaviours and children under five mortality survivors among ever-married women of reproductive age in Nigeria.
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PLoS One. 2020 Sep 14;15(9):e0238911. doi: 10.1371/journal.pone.0238911. eCollection 2020.
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What matters to women in the postnatal period: A meta-synthesis of qualitative studies.产后女性关注的重点:定性研究的元分析。
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