女性的生活与分娩经历至关重要！对女性对尊重孕产妇护理的认知进行评估：母亲友好型医院的差异。
Women's Lives and Birth Experiences Are Important! Evaluation of Women's Perceptions of Respectful Maternal Care: The Mother-Friendly Hospital Difference.
作者信息
Dağlı Elif, Aktaş Reyhan Feyza, Uncu Betül
机构信息
Department of Health Care Services, Abdi Sütcü Vocational School of Health Services, Çukurova University, Adana, Turkey.
Midwifery Department, Faculty of Health Sciences, Kütahya University of Health Sciences, Kütahya, Turkey.
出版信息
J Eval Clin Pract. 2025 Feb;31(1):e14316. doi: 10.1111/jep.14316.
AIM
The aim of this study is to determine women's perceptions of respectful maternity care, the effect of giving birth in a mother-friendly hospital on this perception and other factors affecting this perception.
BACKGROUND
The philosophy of a mother-friendly hospital includes respectful maternity care. Few quantitative studies have been conducted in Turkey to assess the prevalence of respectful maternity care during childbirth and none have examined the difference between respectful maternity care in mother-friendly and nonmother-friendly hospitals.
METHODS
This descriptive and comparative study was conducted between December 2023 and September 2024 with 319 primiparous women who applied to the Obstetrics and Gynecology Outpatient Clinic of a mother-friendly and a nonmother-friendly hospital in Turkey for postpartum follow-up. The data were collected face-to-face using the Descriptive Characteristics Form and Women's Perception of Respectful Maternity Care Scale. For data analysis, χ and independent samples t test methods were used in SPSS 26 program.
RESULTS
In the study, a significant difference was obtained between the Perception of Respectful Maternity Care Scale scores of women according to the type of hospital where the birth was performed and the level of education (p < 0.05). The mean scale scores of women who gave birth in a mother-friendly hospital and whose educational level was secondary education and above were higher than other women (p < 0.05). There was no significant difference between the scale scores of women according to the variables of age, employment status, place of residence, number of pregnancies and the last pregnancy being planned (p > 0.05).
CONCLUSIONS AND IMPLICATIONS FOR PRACTICE
It was determined that women's perception of respectful maternity care was highly positive, and the factors affecting this perception were delivery in a mother-friendly hospital and educational level. The current study may contribute to the development of policies for the dissemination of mother-friendly practices and the provision of respectful birth services, and may also support efforts to improve the quality of care.
目的
本研究旨在确定女性对尊重式孕产妇护理的认知、在母婴友好型医院分娩对这种认知的影响以及影响这种认知的其他因素。
背景
母婴友好型医院的理念包括尊重式孕产妇护理。在土耳其，很少有定量研究评估分娩期间尊重式孕产妇护理的普及率，且没有一项研究考察过母婴友好型医院和非母婴友好型医院在尊重式孕产妇护理方面的差异。
方法
本描述性比较研究于2023年12月至2024年9月期间，对319名初产妇进行，这些产妇前往土耳其一家母婴友好型医院和一家非母婴友好型医院的妇产科门诊进行产后随访。通过描述性特征表和女性对尊重式孕产妇护理的认知量表面对面收集数据。数据分析使用SPSS 26程序中的χ检验和独立样本t检验方法。
结果
在本研究中，根据分娩所在医院类型和教育水平，女性在尊重式孕产妇护理认知量表得分上存在显著差异（p < 0.05）。在母婴友好型医院分娩且教育水平为中等及以上的女性的平均量表得分高于其他女性（p < 0.05）。根据年龄、就业状况、居住地点、怀孕次数和最后一次怀孕是否为计划内怀孕等变量，女性的量表得分之间没有显著差异（p > 0.05）。
结论及对实践的启示
确定女性对尊重式孕产妇护理的认知非常积极，影响这种认知的因素是在母婴友好型医院分娩和教育水平。本研究可能有助于制定推广母婴友好型做法和提供尊重式分娩服务的政策，也可能支持提高护理质量的努力。
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