Department of Nursing, College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Nigeria.
Department of Nursing Science, Faculty of Basic Medical Sciences, Obafemi Awolowo University, Ile Ife, Nigeria.
Enferm Clin (Engl Ed). 2023 Sep-Oct;33(5):316-326. doi: 10.1016/j.enfcle.2023.07.002.
To assess the influence of an educational intervention on midwives' knowledge, detection and management of intimate partner violence (IPV).
A quasi-experimental study involving 158 midwives from two districts in Ekiti State, Nigeria. The sample was divided into experimental and control groups (79 midwives per group). Data were collected using a questionnaire and an observation checklist. A customized educational training program on IPV detection and management was conducted in the experimental group. Measurement was performed before the intervention, immediately after and 6 weeks later. Data were analyzed using descriptive and inferential statistics (Chi-square and binary logistic regression) with a level of significance set at p < 0.05.
Prior knowledge regarding IPV detection and management among midwives in both groups was poor, with only 16.5 % of the experimental group and 17.7 % of the control group having good knowledge in the pre-intervention phase. The experimental group had a significant improvement in knowledge of IPV screening and management, with 82.1 % having good knowledge immediately after the intervention and 92.0 % at 6 weeks after the intervention (p = 0.001). Observed practice of IPV detection and management improved significantly from 21.9 % satisfactory practice before the intervention to 63.5 % after the intervention (p = 0.001) in the experimental group, with no appreciable improvement in practice detected in the control group (21.9% versus 36.5%; p = 0.682).
The use of a customized educational training program improved midwives' knowledge and practice in the detection and management of intimate partner violence.
评估教育干预对助产士识别和处理亲密伴侣暴力（IPV）知识的影响。
这是一项在尼日利亚埃基提州的两个地区进行的准实验研究，共涉及 158 名助产士。将样本分为实验组和对照组（每组 79 名助产士）。使用问卷和观察检查表收集数据。在实验组中，对 IPV 检测和管理进行了定制的教育培训计划。在干预前、干预后立即和 6 周后进行测量。使用描述性和推断性统计（卡方检验和二项逻辑回归）进行数据分析，显著水平设置为 p<0.05。
两组助产士在 IPV 检测和管理方面的先验知识都很差，实验组只有 16.5%，对照组只有 17.7%的人在干预前有良好的知识。实验组在 IPV 筛查和管理方面的知识有显著提高，干预后立即有 82.1%的人有良好的知识，6 周后有 92.0%的人有良好的知识（p=0.001）。实验组从干预前的 21.9%的满意实践观察到干预后的 63.5%的 IPV 检测和管理实践有显著改善（p=0.001），对照组的实践改善不明显（21.9%比 36.5%；p=0.682）。
使用定制的教育培训计划可以提高助产士在识别和处理亲密伴侣暴力方面的知识和实践。
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