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埃塞俄比亚新生儿重症监护病房家长对所提供护理的满意度:一项系统评价和荟萃分析。

Parental satisfaction towards care given at neonatal intensive care unit in Ethiopia: A systematic review and meta-analysis.

作者信息

Haile Teklehaimanot Gereziher, Gebremeskel Gebreamlak Gebremedhn, Mariye Teklewoini, Mebrahtom Guesh, Aberhe Woldu, Hailay Abrha, Abraha Teklehaymanot Huluf, Asres Negasi, Guesh Teklay, Teklay Girmay

机构信息

Department of Maternity and Neonatal Nursing, School of Nursing, College of Health Sciences and Comprehensive Specialized Hospital, Aksum University, Aksum, Tigray, Ethiopia.

Department of Adult Health Nursing, School of Nursing, College of Health Sciences and Comprehensive Specialized Hospital, Aksum University, Aksum, Tigray, Ethiopia.

出版信息

PLoS One. 2024 Dec 5;19(12):e0313451. doi: 10.1371/journal.pone.0313451. eCollection 2024.

DOI:10.1371/journal.pone.0313451
PMID:39636928
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11620403/
Abstract

BACKGROUND

Satisfaction reflects a consumer's judgment regarding the quality of care received. Satisfaction of parents with healthcare services can serve as a reliable indicator for evaluating the quality of care given to their newborns. The aim of this study is to determine the pooled prevalence of parental satisfaction with neonatal intensive care unit services and its associated factors in Ethiopia.

METHODS

International databases such as PubMed/Medline, African Journals Online, SCOPUS, Web of Science, and Google Scholar were used to identify relevant published articles. Risk of bias was assessed independently by two authors. Funnel plot and Egger regression test were also employed to assess publication bias. A significant p-value of 0.05 or less suggests the presence of publication bias. PROSPERO registration number is CRD42024570971.

RESULTS

The researchers initially identified a total of 1,264 articles through their search strategy from all databases. Finally, eleven studies met the inclusion criteria and were considered suitable for the final meta-analysis. The pooled prevalence of parental satisfaction with neonatal intensive care unit services in Ethiopia was 55% (95% CI: 49%-60%). There was neither publication bias nor small study impact among the included studies. Based on the subgroup analysis by region, the pooled prevalence in Oromia were slightly higher, 63% (95% CI: 57%-69%). Birth weight, length of hospital stays, place of residence, and availability of necessary information are factors identified as significant predictors for parental satisfaction with neonatal intensive care unit service.

CONCLUSION

According to the study's findings, there is a lower pooled prevalence of parental satisfaction than in previous research that was published in some countries. By working to raise the satisfaction levels of parents in neonatal intensive care units, healthcare facilities can enhance the overall experience for both parents and infants, leading to improved outcomes and a more positive care environment.

摘要

背景

满意度反映了消费者对所接受医疗服务质量的判断。父母对医疗服务的满意度可作为评估其新生儿所获护理质量的可靠指标。本研究的目的是确定埃塞俄比亚父母对新生儿重症监护病房服务的综合满意度及其相关因素。

方法

使用PubMed/Medline、非洲期刊在线、SCOPUS、科学网和谷歌学术等国际数据库来识别相关的已发表文章。由两位作者独立评估偏倚风险。还采用漏斗图和Egger回归检验来评估发表偏倚。p值小于或等于0.05表明存在发表偏倚。PROSPERO注册号为CRD42024570971。

结果

研究人员最初通过搜索策略从所有数据库中总共识别出1264篇文章。最后,11项研究符合纳入标准,并被认为适合进行最终的荟萃分析。埃塞俄比亚父母对新生儿重症监护病房服务的综合满意度为55%(95%置信区间:49%-60%)。纳入的研究中既没有发表偏倚,也没有小研究效应。根据按地区进行的亚组分析,奥罗米亚的综合满意度略高,为63%(95%置信区间:57%-69%)。出生体重、住院时间、居住地点和必要信息的可获得性被确定为父母对新生儿重症监护病房服务满意度的重要预测因素。

结论

根据该研究的结果,父母满意度的综合患病率低于一些国家之前发表的研究。通过努力提高新生儿重症监护病房中父母的满意度水平,医疗机构可以改善父母和婴儿的整体体验,从而带来更好的结果和更积极的护理环境。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a8d/11620403/3fbb289b9434/pone.0313451.g010.jpg
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Hospitalization in neonatal intensive care unit: parental anxiety and satisfaction.新生儿重症监护病房住院:父母的焦虑和满意度。
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