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评估母亲对新生儿危险信号的认知

Assessment of maternal knowledge on neonatal danger signs.

作者信息

N B Mahalakshmi, S Madhavi, K Rajendran, R Renuga, Surendran Surya, J Menaka, N Sivasubramanian

机构信息

KMCH College of Nursing, Coimbatore, Tamilnadu - 641048, India.

Department of Paediatric & Neonatology, KMCHIHSR, Coimbatore, Tamilnadu - 641048, India.

出版信息

Bioinformation. 2024 Sep 30;20(9):1022-1025. doi: 10.6026/9732063002001022. eCollection 2024.

DOI:10.6026/9732063002001022
PMID:39917201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11795489/
Abstract

Maternal knowledge of neonatal danger signs and subsequent healthcare-seeking behaviors are critical for early intervention and reducing neonatal mortality. This study aimed to assess these factors among mothers attending the Immunization Centre at KMCH Hospital, Coimbatore. A quantitative approach with a descriptive design was employed. Fifty mothers were selected via convenience sampling and administered a structured questionnaire. This tool encompassed socio-demographic variables, obstetric history, and a 30-item assessment on maternal knowledge of neonatal danger signs and healthcare-seeking behaviors. Findings revealed that while 80% of mothers exhibited moderate knowledge, only 16% demonstrated adequate knowledge of neonatal danger signs. Factors influencing healthcare-seeking behaviour included maternal education, family income and access to healthcare services. Comparative analysis with previous studies underscored consistent patterns of moderate knowledge but highlighted regional disparities in healthcare access and socio-economic impacts. The study emphasizes the critical need for targeted educational interventions to enhance maternal awareness of neonatal danger signs and promote early healthcare seeking. Improving maternal knowledge and behaviour could significantly mitigate neonatal morbidity and mortality rates in Coimbatore and similar settings. Future research should focus on sustained behaviour change and broader implementation of educational initiatives to improve maternal and neonatal health outcomes.

摘要

母亲对新生儿危险信号的认知以及随后的就医行为对于早期干预和降低新生儿死亡率至关重要。本研究旨在评估在哥印拜陀KMCH医院免疫中心就诊的母亲中的这些因素。采用了具有描述性设计的定量方法。通过便利抽样选取了50名母亲,并对其进行了结构化问卷调查。该工具涵盖了社会人口统计学变量、产科病史,以及一份关于母亲对新生儿危险信号和就医行为认知的30项评估。研究结果显示,虽然80%的母亲表现出中等程度的认知,但只有16%的母亲对新生儿危险信号有充分的认知。影响就医行为的因素包括母亲的教育程度、家庭收入和获得医疗服务的机会。与以往研究的比较分析强调了中等程度认知的一致模式,但突出了在医疗服务可及性和社会经济影响方面的地区差异。该研究强调了有针对性的教育干预措施的迫切需求,以提高母亲对新生儿危险信号的认知并促进早期就医行为。提高母亲的认知和行为可以显著降低哥印拜陀及类似地区的新生儿发病率和死亡率。未来的研究应关注持续的行为改变以及更广泛地实施教育举措,以改善孕产妇和新生儿的健康结局。

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本文引用的文献

1
Predictors of Mothers' Care Seeking Behavior for Common Childhood Illnesses: Findings From the Afghanistan Health Survey 2015.母亲针对常见儿童疾病的就医行为预测因素:2015年阿富汗健康调查结果
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PLoS One. 2023 Jul 19;18(7):e0280993. doi: 10.1371/journal.pone.0280993. eCollection 2023.
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Bioinformation. 2022 Sep 30;18(9):786-790. doi: 10.6026/97320630018786. eCollection 2022.
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Effect of outdoor games among school children in Northern Gujarat, India.印度古吉拉特邦北部在校儿童户外游戏的效果
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Improving neonatal health with family-centered, early postnatal care: A quasi-experimental study in India.通过以家庭为中心的产后早期护理改善新生儿健康:印度的一项准实验研究。
PLOS Glob Public Health. 2023 May 25;3(5):e0001240. doi: 10.1371/journal.pgph.0001240. eCollection 2023.
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The Impact of an Educational Intervention on Neonatal Care and Survival.教育干预对新生儿护理及生存的影响。
J Perinat Neonatal Nurs. 2023;37(2):138-147. doi: 10.1097/JPN.0000000000000686.
8
Maternal Health Care Seeking Behavior for Neonatal Danger Signs and Associated Factors Among Post-Partum Mothers in Southeast Ethiopia: A Cross-Sectional Study.产妇寻求新生儿危险信号的母婴保健行为及相关因素:埃塞俄比亚东南部的一项横断面研究。
Inquiry. 2022 Jan-Dec;59:469580221143629. doi: 10.1177/00469580221143629.
9
Neonatal mortality and associated factors among neonates admitted to neonatal intensive care unit at public hospitals of Somali Regional State, Eastern Ethiopia: A multicenter retrospective analysis.在埃塞俄比亚东部索马里州公立医院新生儿重症监护病房住院的新生儿的死亡率及其相关因素:一项多中心回顾性分析。
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