Negash Feven Beletse, Simel Laban Lebahati, Tekle Luwam Russom, Berhane Betiel Biniam
Public Health, Ministry of Health, Asmara, Eritrea.
Community Medicine and Primary Health Care, Orotta College of Medicine and Health Sciences, Asmara, Eritrea.
Pediatric Health Med Ther. 2024 May 14;15:181-188. doi: 10.2147/PHMT.S434741. eCollection 2024.
Globally, the cord care practices contribute to neonatal infections and account for a large proportion of neonatal deaths annually, especially in low-income countries. This study has been provoked by the absence of previous similar research in this locality. The study aimed at exploring and highlighting the factors and practices in the community that influence umbilical cord care to identify the areas of intervention.
This was a cross-sectional study conducted among mothers of neonates in Edaga Hamus community who had given birth a month prior to the study. The research team prepared a questionnaire used for data collection on a face-to-face interview, which lasted for 15 minutes for each participant. SPSS version 22 was used for quantitative analyses. Descriptive statistics were presented in frequencies and percentages, and bivariate correlations were used to analyze the association between independent and dependent variables.
One hundred and seventy-five women participated in this study, with an age range of (19 to 43) years (28.5 ± 5.1 years) of whom (84.5%) used the dry care method, whereas (19%) of the total cord infections were related to different traditional practices. A higher proportion of women (90%) expressed fear and depression once the cord became infected. A greater number of women followed the advice given by nurses, and this finding was significant ( value = 0.008).
Majority of the participants in this study acknowledged the importance of using the dry care method as recommended by World Health Organization. Those neonates whose cords were exposed to unwarranted practices had delayed detachment. This study confirmed that health promotion in cord care practices should involve family members and the community to achieve successful outcomes.
在全球范围内，脐带护理方法会导致新生儿感染，并且每年占新生儿死亡的很大比例，尤其是在低收入国家。此前该地区缺乏类似研究，因此开展了本研究。该研究旨在探索和突出社区中影响脐带护理的因素和做法，以确定干预领域。
这是一项横断面研究，对象是埃达加哈姆斯社区在研究前一个月分娩的新生儿母亲。研究团队准备了一份问卷，用于面对面访谈收集数据，每位参与者的访谈持续15分钟。使用SPSS 22版进行定量分析。描述性统计以频率和百分比呈现，双变量相关性用于分析自变量和因变量之间的关联。
175名女性参与了本研究，年龄范围为（19至43）岁（28.5±5.1岁），其中（84.5%）采用干燥护理法，而脐带感染总数的（19%）与不同的传统做法有关。一旦脐带感染，更高比例的女性（90%）表示恐惧和抑郁。更多女性听从了护士的建议，这一发现具有显著性（值=0.008）。
本研究中的大多数参与者认可按照世界卫生组织的建议采用干燥护理法的重要性。那些脐带遭受不当做法的新生儿脐带脱落延迟。本研究证实，脐带护理实践中的健康促进应让家庭成员和社区参与，以取得成功结果。
