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2022年埃塞俄比亚西南绍阿地区公立医院产妇对分娩期护理的满意度及相关因素

Maternal satisfaction with intrapartum care and associated factors among mothers who gave birth in public hospitals of the South West Shewa Zone, Ethiopia, 2022.

作者信息

Tolesa Fikadu, Alemu Adugna, Beya Moges, Feyisa Mulugeta, Gezahagn Andualem, Negash Abdi, Shigign Erean, Getaye Asfaw, Negash Abraham, Merga Bacha

机构信息

Department of Midwifery, Salale University, College of Health Sciences, Fitche, Ethiopia.

Department of Medical Laboratory, Salale University, College of Health Sciences, Fitche, Ethiopia.

出版信息

Front Glob Womens Health. 2023 Oct 3;4:1203798. doi: 10.3389/fgwh.2023.1203798. eCollection 2023.

DOI:10.3389/fgwh.2023.1203798
PMID:37854166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10579941/
Abstract

BACKGROUND

Maternal satisfaction with intrapartum care is a multidimensional assumption of satisfaction with self and with the physical environment of the delivery ward and quality of care. Maternal satisfaction with intrapartum care affects the selection of birthplace and helps to identify gaps between actual and intended healthcare outcomes. This study aims to assess factors that affect maternal satisfaction with intrapartum care.

OBJECTIVES

To assess maternal satisfaction with intrapartum care and associated factors among mothers who gave birth in public hospitals in the South-west Shewa Zone, Ethiopia, 2022.

METHODS

A cross-sectional study approach among 420 mothers was conducted between April 14 and June 14, 2022. Systematic random sampling was used to select mothers for face-to-face interviews every two intervals. Bivariate and multivariable logistic regression analyses were carried out. -values of <0.25 in association with study variables were transferred to multivariable logistic regression models. An adjusted odds ratio with a 95% confidence interval was computed, and -values of <0.05 were considered statistically significant in the multivariable model. The results of this study are presented using text, tables, and charts.

RESULTS

Data were collected from 420 participants, and 413 mothers completed the interview, giving a response rate of 98.33%. The overall maternal satisfaction with intrapartum care was 245 (59.32%) [95% CI: 55-64]. Mothers who were considered normal during labor and delivery (AOR = 2.57 (95% CI: 1.30-5.07), had a labor duration of 12 h or less (AOR = 1.59 (95% CI: 1.03-2.44), and experienced a waiting time of <15 min (AOR = 2.06 (95% CI: 1.21-3.52) were significantly associated with maternal satisfaction with intrapartum care.

CONCLUSION AND RECOMMENDATIONS

More than half of mothers were satisfied with the overall intrapartum care they received. Health facility managers and healthcare providers work together to improve maternal satisfaction with intrapartum care.

摘要

背景

产妇对分娩期护理的满意度是对自身、分娩病房物理环境及护理质量满意度的多维度考量。产妇对分娩期护理的满意度会影响分娩地点的选择,并有助于找出实际医疗结果与预期医疗结果之间的差距。本研究旨在评估影响产妇对分娩期护理满意度的因素。

目的

评估2022年在埃塞俄比亚西南部绍阿地区公立医院分娩的母亲对分娩期护理的满意度及相关因素。

方法

2022年4月14日至6月14日,对420名母亲进行了横断面研究。采用系统随机抽样法,每隔两个间隔选取母亲进行面对面访谈。进行了双变量和多变量逻辑回归分析。与研究变量相关的P值<0.25的数据被纳入多变量逻辑回归模型。计算了调整后的比值比及95%置信区间,多变量模型中P值<0.05被认为具有统计学意义。本研究结果通过文字、表格和图表呈现。

结果

收集了420名参与者的数据,413名母亲完成了访谈,回复率为98.33%。产妇对分娩期护理的总体满意度为245人(59.32%)[95%置信区间:55 - 64]。分娩过程中被视为正常的母亲(调整后比值比 = 2.57(95%置信区间:1.30 - 5.07))、分娩时长为12小时或更短的母亲(调整后比值比 = 1.59(95%置信区间:1.03 - 2.44))以及等待时间<15分钟的母亲(调整后比值比 = 2.06(95%置信区间:1.21 - 3.52))与产妇对分娩期护理的满意度显著相关。

结论与建议

超过一半的母亲对她们所接受的总体分娩期护理感到满意。医疗机构管理人员和医护人员应共同努力,提高产妇对分娩期护理的满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a92/10579941/56b2428ed4b2/fgwh-04-1203798-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a92/10579941/ead55f656f38/fgwh-04-1203798-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a92/10579941/56b2428ed4b2/fgwh-04-1203798-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a92/10579941/ead55f656f38/fgwh-04-1203798-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a92/10579941/56b2428ed4b2/fgwh-04-1203798-g002.jpg

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