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新冠疫情期间产科病房医护人员的产科服务准备情况

Obstetric services preparedness among healthcare workers in maternal wards during COVID-19 pandemic.

作者信息

Isamail Sumaiyah, Idris Idayu Badilla, Mohd Yusoff Hanizah

机构信息

Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latiff, Bandar Tun Razak, Cheras, Kuala Lumpur, 56000, Malaysia.

出版信息

BMC Pregnancy Childbirth. 2025 Apr 14;25(1):443. doi: 10.1186/s12884-025-07474-7.

Abstract

BACKGROUND

The COVID-19 pandemic has been spreading rapidly since 2019, leading to devastating consequences worldwide, as well as putting healthcare providers at high risk. This study intends to assess the awareness and preparedness activities among maternal healthcare (MHC) workers and to determine factors that lead to obstetric services' preparedness in ten Government Hospitals in Selangor, Malaysia.

METHODS

A cross-sectional survey was conducted among 409 MHC workers which include doctors, nurses, and midwives in the government hospitals in Selangor, Malaysia between May 2022 till June 2022. Respondents were given validated questionnaires which include socio-demographic background, knowledge, awareness, and attitude as well as the obstetric services' preparedness activities in managing the COVID-19 pandemic.

RESULTS

Majority of the respondents were nurses/midwives (87.5%), female (98.5%), age 35-45 years old (48.5%), had working experience of more than 5 years (92.7%), had good knowledge and awareness (92.2%) and good obstetric services preparedness (88.3%). However, only about half (54.0%) of them had positive attitude towards COVID-19. When controlling for confounding factors, multivariate analysis showed that working period factor (p < 0.001), knowledge and awareness factor (p < 0.001) and attitude factor (p < 0.001) were significant predictive factors of obstetric services preparedness during the COVID-19 pandemic.

CONCLUSIONS

Majority of the respondents had good knowledge and awareness, as well as good level of obstetric services preparedness. However, only about half of them had a positive attitude towards COVID-19. The findings in this study revealed that efforts should be made to further increase the knowledge and attitude of MHC workers on COVID-19 and more so to further improve the positivity of their attitude towards this pandemic so that they can provide better obstetric services especially in the current and future pandemics to come.

摘要

背景

自2019年以来,新冠疫情迅速蔓延,在全球范围内造成了毁灭性后果,也使医疗保健提供者面临高风险。本研究旨在评估孕产妇保健(MHC)工作者的认知和准备活动,并确定马来西亚雪兰莪州十家政府医院产科服务准备工作的影响因素。

方法

2022年5月至2022年6月期间,对马来西亚雪兰莪州政府医院的409名MHC工作者进行了横断面调查,这些工作者包括医生、护士和助产士。向受访者发放了经过验证的问卷,内容包括社会人口背景、知识、认知和态度,以及产科服务在应对新冠疫情方面的准备活动。

结果

大多数受访者是护士/助产士(87.5%),女性(98.5%),年龄在35 - 45岁之间(48.5%),有超过5年的工作经验(92.7%),具备良好的知识和认知(92.2%)以及良好的产科服务准备(88.3%)。然而,他们中只有约一半(54.0%)对新冠疫情持积极态度。在控制混杂因素后,多变量分析显示工作年限因素(p < 0.001)、知识和认知因素(p < 0.001)以及态度因素(p < 0.001)是新冠疫情期间产科服务准备情况的显著预测因素。

结论

大多数受访者具备良好的知识和认知,以及良好的产科服务准备水平。然而,他们中只有约一半对新冠疫情持积极态度。本研究结果表明,应努力进一步提高MHC工作者对新冠疫情的知识和态度,更要进一步提高他们对这一疫情的积极态度,以便他们能够提供更好的产科服务,特别是在当前和未来的疫情中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3c7/11995598/38ac26d63eca/12884_2025_7474_Fig1_HTML.jpg

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