Shwe David, Akosu Tyarvyar, Afolaranmi Tolulope, Envuladu Esther, Yiltok Esther, Oguche Stephen
Department of Paediatrics, Faculty of Clinical Sciences, College of Health Sciences, University of Jos/Jos University Teaching Hospital, Jos, Nigeria.
Department of Community Health, Faculty of Clinical Sciences, College of Health Sciences, University of Jos/Jos University Teaching Hospital, Jos, Nigeria.
Niger Postgrad Med J. 2023 Jul-Sep;30(3):210-217. doi: 10.4103/npmj.npmj_8_23.
A newly cut neonatal umbilical stump is a potential portal of pathogen entry leading to omphalitis. Neonatal sepsis can complicate omphalitis, but good cord care practices can reduce this risk.
The objective of this study was to assess umbilical cord care practices in tertiary-, secondary- and primary-level healthcare facilities in Jos, Nigeria.
A multi-centre, cross-sectional study of 284 mothers of infants aged 3-6 weeks old attending immunisation clinics in the three-level healthcare facilities using multistage sampling technique between April and September 2019. Data were analysed using SPSS version 23.0. Pearson's Chi-squared test was used to compare categorical variables. Adjusted odds ratios (AORs) and 95% confidence interval (CI) were used as point and interval estimates, respectively. P < 0.05 was adjudged to be statistically significant.
The mean age of the mothers and infants was 25 ± 6 years and 5 ± 1 week, respectively. Only 2.2% of mothers used chlorhexidine (CHX) gel for cord care. Mothers showed good knowledge but poor practice of cord care. A significant positive relationship was observed between quality of cord care practices and level of healthcare facility (χ = 15.213; df = 2; P < 0.001). Good cord care practices were predicted by mothers' age 30-46 (AOR = 3.6; CI: 1.4-9.1) and good knowledge of cord care (AOR = 4.7; 95% CI: 2.2-9.9).
The study has highlighted the good knowledge but poor practices of cord care by mothers and the need to scale up the uptake of CHX gel in Jos. Mother's age and good knowledge of cord care are predictors of good cord care practices.
新生儿刚剪断的脐带残端是病原体进入的潜在门户，可导致脐炎。新生儿败血症会使脐炎复杂化，但良好的脐带护理措施可降低这种风险。
本研究的目的是评估尼日利亚乔斯市三级、二级和一级医疗机构的脐带护理措施。
2019年4月至9月，采用多阶段抽样技术，对在三级医疗机构的免疫诊所就诊的284名3至6周龄婴儿的母亲进行了一项多中心横断面研究。使用SPSS 23.0版软件对数据进行分析。采用Pearson卡方检验比较分类变量。调整后的比值比（AOR）和95%置信区间（CI）分别用作点估计和区间估计。P<0.05被判定具有统计学意义。
母亲和婴儿的平均年龄分别为25±6岁和5±1周。只有2.2%的母亲使用洗必泰（CHX）凝胶进行脐带护理。母亲们对脐带护理知识掌握良好，但实际操作较差。观察到脐带护理措施的质量与医疗机构级别之间存在显著的正相关关系（χ=15.213；自由度=2；P<0.001）。母亲年龄在30至46岁（AOR=3.6；CI：1.4至9.1）以及对脐带护理知识掌握良好（AOR=4.7；95%CI：2.2至9.9）可预测良好的脐带护理措施。
该研究突出了母亲们对脐带护理知识掌握良好但实际操作较差的情况，以及在乔斯市扩大洗必泰凝胶使用的必要性。母亲的年龄和对脐带护理知识的掌握是良好脐带护理措施的预测因素。
