2022年埃塞俄比亚西北部德布雷马科斯镇公共卫生机构分娩期间以产妇为中心的护理及相关因素：一项横断面研究
Person-centered maternity care during childbirth and associated factors among mothers who gave birth at public health institutions of Debre Markos town, Northwest Ethiopia, 2022: A cross-sectional study.
作者信息
Alelign Yaregal Admasu, Melesse Misganaw Fikrie, Beka Endihnew, Alemu Addisu Alehegn, Ejigu Meskele Neway, Asres Chernet Getnet
机构信息
Department of Midwifery, School of Health Sciences, Madda Walabu University, Bale Robe, Ethiopia.
Department of Midwifery, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
出版信息
SAGE Open Med. 2024 Jan 18;12:20503121231225352. doi: 10.1177/20503121231225352. eCollection 2024.
BACKGROUND
Person-centered maternity care is a crucial scheme for a positive childbirth experience. It enhances facility-based delivery, improves patient-provider communication, and increases women's satisfaction. However, there is limited evidence on the magnitude of person-centered care and certain variables were missed in Ethiopia. Therefore, this study assessed the magnitude of person-centered maternity care during childbirth and associated factors at health institutions of Debre Markos town, Ethiopia.
METHODS
Institution-based cross-sectional study was conducted at public health institutions of Debre Markos town. Participants were enrolled using systematic random sampling technique. Data were collected through face-to-face exit interviews, cleaned, coded, and entered into Epi-Data version 3.1 then exported to SPSS version 25 for analysis. After generating simple linear regression analysis, variables with -value ⩽ 0.25 were fitted into multivariable linear regression model and -value < 0.05 was declared statistically significant with 95% CI for β. Finally, study findings were presented using texts, tables, and figures.
RESULTS
In this study, 380 women participated, with a response rate of 98.19%. The respondent's mean person-centered maternity care score was 56.83 with 95% CI: (55.83, 57.83). Mean score for sub-scale was 15.08 for dignity and respect, 14.42 for communication and autonomy, and 27.33 for supportive care. Commencing antenatal care during third trimester (β = -4.86, 95% CI: -8.22, -1.49), caesarean delivery (β = -5.78, 95% CI: -7.68, -3.87), college and above educational level of women (β = 3.75, 95% CI: 1.11, 6.39), being multiparous (β = 3.69, 95% CI: 1.85, 5.55), and health center delivery (β = 6.59, 95% CI: 4.17, 9.02) were factors significantly associated with person-centered maternity care.
CONCLUSION
This study showed person-centered maternity care was low compared with World Health Organization standards. This informs local policymakers, district health offices, institutional healthcare administrators, and healthcare professionals of the discrepancies in achieving international standards of quality care.
背景
以产妇为中心的产科护理是获得积极分娩体验的关键方案。它能提高机构分娩率，改善医患沟通，并提高产妇满意度。然而，关于以产妇为中心的护理程度的证据有限，且埃塞俄比亚的某些变量未被纳入研究。因此，本研究评估了埃塞俄比亚德布雷马科斯镇医疗机构分娩期间以产妇为中心的产科护理程度及相关因素。
方法
在德布雷马科斯镇的公共卫生机构开展基于机构的横断面研究。采用系统随机抽样技术招募参与者。通过面对面的出院访谈收集数据，进行清理、编码，并录入Epi-Data 3.1版本，然后导出到SPSS 版本25进行分析。在进行简单线性回归分析后，将P值≤0.25的变量纳入多变量线性回归模型，P值<0.05且β的95%置信区间具有统计学意义。最后，通过文本、表格和图表展示研究结果。
结果
本研究中，380名女性参与，应答率为98.19%。受访者以产妇为中心的产科护理平均得分为56.83，95%置信区间为(55.83, 57.83)。尊严与尊重子量表的平均得分为15.08，沟通与自主权子量表为14.42，支持性护理子量表为27.33。孕晚期开始产前护理(β=-4.86，95%置信区间：-8.22，-1.49)、剖宫产(β=-5.78，95%置信区间：-7.68，-3.87)、女性大专及以上学历(β=3.75，95%置信区间：1.11，6.39)、经产妇(β=3.69，95%置信区间：1.85，5.55)以及在卫生中心分娩(β=6.59，95%置信区间：4.17，9.02)是与以产妇为中心的产科护理显著相关的因素。
结论
本研究表明，与世界卫生组织标准相比，以产妇为中心的产科护理水平较低。这为地方政策制定者、地区卫生办公室、机构医疗管理人员和医疗专业人员提供了关于在实现国际优质护理标准方面存在差异的信息。
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