Ibrahim Sahardid Hussein, Nor Hilal Mohamed, Omar Ismael Ahmed
Institute for Health Management and Policy, School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Department of Nursing, Faculty of Medicine and Health Sciences Center, Simad University, Mogadishu, Somalia.
Nurs Open. 2025 May;12(5):e70238. doi: 10.1002/nop2.70238.
To evaluate the satisfaction of mothers in the puerperium with the quality of their inpatient stay and determine the associated factors.
A cross-sectional descriptive hospital-based study.
The study was conducted from May to December 2022. We stratified major hospitals in the city based on location, bed capacity and service delivery and surveyed 611 inpatient mothers using a convenience sampling method. Pretested structured questionnaires adapted from similar literature were used. Respondents' characteristics were summarised descriptively. We used a t-test to examine the level of maternal satisfaction and multivariate logistic regression at a 5% (p < 0.05) significant level to determine the associated factors. We employed the STROBE checklist for manuscript reporting.
Three-quarters (74.3%) of the mothers were satisfied with the quality of the inpatient stay. The item with the highest mean rating was 'hospital choice' (M = 4.21, p = 0.002), while 'attitudes of care providers' (M = 3.92, p < 0.001) remained the lowest, 5.00 being the maximum score. In multivariate analysis, marital status, educational level, monthly income, residence, frequency of visits and hospital ward were associated with decreased odds of satisfaction. On the contrary, fewer days in hospital (AOR: 1.58, 95% CI: 1.03-2.43) were associated with increased odds of maternal satisfaction.
Mothers were satisfied with their inpatient stay. Mothers with no formal education and living in rural areas experience the lowest satisfaction with the quality of their inpatient stay. Other predictors include monthly income, frequency of visits and hospital ward. Nurses need to place more emphasis on providing a holistic care to mothers who are not formally educated and come from long distances for care, thereby enhancing overall satisfaction with the care they receive.
The patients give viewpoints about the quality of their inpatient stay in the hospitals.
Little is known about maternal satisfaction in Somalia. Mothers were satisfied with the quality of their inpatient stay. The findings will provide valuable insights for hospital authorities and medical staff on maintaining a woman-friendly care environment.
评估产褥期母亲对住院治疗质量的满意度，并确定相关因素。
一项基于医院的横断面描述性研究。
该研究于2022年5月至12月进行。我们根据地理位置、床位容量和服务提供情况对该市的主要医院进行分层，并采用便利抽样方法对611名住院母亲进行了调查。使用了从类似文献改编而来并经过预测试的结构化问卷。对受访者的特征进行了描述性总结。我们使用t检验来检验母亲的满意度水平，并在5%（p < 0.05）的显著水平上进行多变量逻辑回归分析，以确定相关因素。我们采用了STROBE清单进行稿件报告。
四分之三（74.3%）的母亲对住院治疗质量感到满意。平均评分最高的项目是“医院选择”（M = 4.21，p = 0.002），而“护理人员的态度”（M = 3.92，p < 0.001）仍然是最低的，满分是5.00。在多变量分析中，婚姻状况、教育水平、月收入、居住地点、探访频率和医院病房与满意度降低的几率相关。相反，住院天数较少（比值比：1.58，95%置信区间：1.03 - 2.43）与母亲满意度增加的几率相关。
母亲们对住院治疗感到满意。未受过正规教育且生活在农村地区的母亲对住院治疗质量的满意度最低。其他预测因素包括月收入、探访频率和医院病房。护士需要更加重视为未受过正规教育且从远处前来就医的母亲提供全面护理，从而提高她们对所接受护理的总体满意度。
患者对其在医院的住院治疗质量发表了看法。
在索马里，人们对母亲的满意度了解甚少。母亲们对住院治疗质量感到满意。这些发现将为医院管理部门和医务人员提供关于维持女性友好型护理环境的宝贵见解。
