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伊拉姆地区母亲对孕产妇保健的知识、态度和实践评估:一项来自尼泊尔的横断面研究。

Assessment of knowledge, attitude and practice towards maternal healthcare among mothers in Illam: a cross-sectional study from Nepal.

作者信息

Yogi Tek Nath, Kafle Rijan, Uprety Samyog, Makaju Ranjit, Shrestha Simran, Gahatraj Manish, Bhusal Amrit, Ghimire Sinjin, B K Himal, Karki Simon, Mishra Bivek, Kunwar Anjila, Khatiwada Nirman, Niraula Sahil, Uprety Salina, Khanal Surav, Shah Purushotam, Mukhia Sweekriti, Chaudhary Dibya Raj, Malla Nakendra

机构信息

School of Public Health and Community Medicine, B.P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal.

出版信息

Ann Med Surg (Lond). 2024 Jun 21;86(8):4422-4431. doi: 10.1097/MS9.0000000000002297. eCollection 2024 Aug.

Abstract

INTRODUCTION

Healthcare during pregnancy and childbirth and after delivery is important for the survival and well-being of both the mother and the neonate. Maternal healthcare in Nepal faces challenges due to various causes. However, providing proper knowledge on maternal healthcare to mothers and promoting a positive attitude towards it can have a significant impact on maternal and child health outcomes. The objective of this study was to assess knowledge, attitude and practice towards maternal healthcare among mothers in Illam.

METHODS

A cross-sectional study was conducted among 197 mothers in Illam municipality who gave birth within the last 5 years. The study used face-to-face interviews with a semi-structured questionnaire to collect data. Descriptive as well as inferential statistics were used to analyze the data.

RESULTS

The total number of participants was 197. The results showed majority (48.22%) belonged to the age group of 22-29 years and the mean age of the participants was 30.2± 5.37, majority were home-makers (44.7%), mean age at marriage was 21.39±3.99 years, mean age at first pregnancy was 23.9±4.33years and mean birth spacing from last child was 70±41.28 months. Overall, we found that knowledge, attitude and practice regarding antenatal care (ANC) were 72%, 83% and 69%, respectively. Similarly, knowledge, attitude and practice regarding post-natal care (PNC) were 39%, 91%, and 43%, respectively.

CONCLUSIONS

Mothers showed satisfactory knowledge on ANC but inadequate knowledge on PNC. Most had a positive attitude towards both practices. However, actual practices related to ANC and PNC were poor despite adequate knowledge and attitude.

摘要

引言

孕期、分娩期间及产后的医疗保健对于母亲和新生儿的生存与福祉至关重要。尼泊尔的孕产妇医疗保健因各种原因面临挑战。然而,向母亲们提供有关孕产妇医疗保健的正确知识并促进对其的积极态度,可能会对母婴健康结果产生重大影响。本研究的目的是评估伊拉姆地区母亲们对孕产妇医疗保健的知识、态度和实践情况。

方法

对伊拉姆市197名在过去5年内分娩的母亲进行了一项横断面研究。该研究采用面对面访谈和半结构化问卷来收集数据。使用描述性和推断性统计方法对数据进行分析。

结果

参与者总数为197人。结果显示,大多数(48.22%)属于22 - 29岁年龄组,参与者的平均年龄为30.2±5.37岁,大多数是家庭主妇(44.7%),平均结婚年龄为21.39±3.99岁,平均首次怀孕年龄为23.9±4.33岁,与上一个孩子的平均生育间隔为70±41.28个月。总体而言,我们发现产前保健(ANC)的知识、态度和实践分别为72%、83%和69%。同样,产后保健(PNC)的知识、态度和实践分别为39%、91%和43%。

结论

母亲们对产前保健表现出令人满意的知识,但对产后保健的知识不足。大多数人对这两种做法都持积极态度。然而,尽管有足够的知识和态度,但与产前保健和产后保健相关的实际做法却很差。

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