孕期高血糖：尼日利亚乔斯医疗保健机构产前护理提供者的知识和相关因素。
Hyperglycaemia in pregnancy: knowledge and correlates amongst antenatal care providers in healthcare facilities in Jos, Nigeria.
机构信息
University of Jos, Department of Chemical Pathology.
University of Jos, Department of Geography and Planning.
出版信息
Afr Health Sci. 2023 Mar;23(1):384-393. doi: 10.4314/ahs.v23i1.40.
BACKGROUND
Antenatal healthcare providers' (AHPs) knowledge about hyperglycaemia in pregnancy (HIP) and its screening best practices affect the management of affected pregnant women. We assessed the knowledge of HIP and associated factors amongst first line AHPs.
METHODS
This descriptive cross-sectional study involved 188 Doctors, Nurses and Community Health providers directly involved in providing antenatal care at all levels of health care in Jos, Plateau State, Nigeria, selected through total sampling technique.
RESULT
A total of 103 AHPs (54.8%) were females. The mean knowledge score (SD) score was 17.0+/-5.5 (out of 30). Only 93 (49.5%) had a good knowledge of HIP (Knowledge score ≥18). Only 88 (46.8%) could correctly identify 75g OGTT or 100g OGTT as diagnostic tests for GDM. Gender, category of hospital, level of care of the institution and job designation were significantly associated with knowledge of HIP after bivariate analysis (p < 0.05). After multivariate analysis using logistic regression analysis, only the category of institution and job designation were independently associated with knowledge of HIP.
CONCLUSION
The general level of knowledge of HIP among AHPs is average but awareness of testing and management guidelines is very poor hence the need for regular updates for health professionals.
背景
产前保健提供者（AHPs）对妊娠高血糖症（HIP）及其最佳筛查实践的了解会影响受影响孕妇的管理。我们评估了一线 AHPs 对 HIP 的了解及其相关因素。
方法
这是一项描述性的横断面研究，涉及在尼日利亚高原州乔斯市各级医疗保健机构中直接参与提供产前护理的 188 名医生、护士和社区卫生提供者，采用整群抽样技术进行选择。
结果
共有 103 名 AHPs（54.8%）为女性。平均知识评分（SD）为 17.0+/-5.5（满分 30 分）。只有 93 名（49.5%）对 HIP 有较好的了解（知识评分≥18）。只有 88 名（46.8%）能够正确识别 75g OGTT 或 100g OGTT 作为 GDM 的诊断试验。性别、医院类别、机构护理水平和工作职称在双变量分析后与 HIP 知识显著相关（p<0.05）。使用逻辑回归分析进行多变量分析后，只有机构类别和工作职称与 HIP 知识独立相关。
结论
AHPs 对 HIP 的总体知识水平平均，但对检测和管理指南的认识非常薄弱，因此需要为卫生专业人员提供定期更新。
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