Hosseini Tabar Jila, Shahoie Roonak, Zaheri Farzaneh, Mansori Kamyar, Hashemi Nasab Leila
Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
J Family Med Prim Care. 2023 Feb;12(2):246-252. doi: 10.4103/jfmpc.jfmpc_1256_22. Epub 2023 Feb 28.
Disrespect and abuse during health care is an emerging concept without a common and agreed definition that has not been sufficiently studied in Iran. Therefore, this study was conducted to determine the prevalence of disrespect and abuse during childbirth and its related factors in women hospitalized in the postpartum ward.
This descriptive cross-sectional study was performed on postpartum women admitted to Ghods Hospital, Paveh, who met the inclusion criteria from April to September 2021. Data collection tools included a demographic and obstetric characteristic questionnaire and a checklist of disrespect and abuse during childbirth, which were completed immediately before discharge by 276 participants who were selected by available sampling. The delivery provider also completed the demographic characteristic questionnaire. Data were analyzed using SPSS software version 21 and univariate and multivariate linear regression tests. <0.05 was considered significant.
The results showed that all participants had experienced at least one type of abusive care, and the most common forms were non-consented care (100%) and neglect/abandonment (92.4%). Among the studied variables, only drug interventions during childbirth had a role in predicting disrespect and abuse during childbirth ( < 0.03).
Due to the high level of disrespect and abuse during childbirth, it seems necessary to educate staff about respectful maternity care and increase supervision of respect for maternal rights, and plan to reduce midwifery interventions.
医疗保健过程中的不尊重和虐待是一个新兴概念，尚无通用且一致认可的定义，在伊朗也未得到充分研究。因此，本研究旨在确定产后病房住院女性分娩期间不尊重和虐待的发生率及其相关因素。
本描述性横断面研究针对2021年4月至9月入住帕韦赫戈德医院且符合纳入标准的产后女性进行。数据收集工具包括一份人口统计学和产科特征问卷以及一份分娩期间不尊重和虐待清单，由276名通过便利抽样选取的参与者在出院前立即填写。分娩提供者也填写了人口统计学特征问卷。使用SPSS 21软件以及单变量和多变量线性回归测试对数据进行分析。P<0.05被认为具有统计学意义。
结果显示，所有参与者都至少经历过一种虐待性护理，最常见的形式是未经同意的护理（100%）和忽视/遗弃（92.4%）。在所研究的变量中，只有分娩期间的药物干预对预测分娩期间的不尊重和虐待有作用（P<0.03）。
由于分娩期间不尊重和虐待的程度较高，似乎有必要对工作人员进行尊重产妇护理方面的教育，加强对产妇权利尊重情况的监督，并计划减少助产干预措施。
