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埃塞俄比亚图卢博洛综合医院产前门诊孕妇轻度妊娠疾病的自我管理实践及相关因素

Self-Management Practice of Minor Pregnancy Disorders and Associated Factors Among Pregnant Women Attending Antenatal Clinics at Tulu Bolo General Hospital, Ethiopia.

作者信息

Abera Mangistu, Belay Aynalem, Derribow Aberash Beyene, Bacha Girma, Belina Sena

机构信息

Department of Midwifery, College of Medicine and Health Science, Wolkite University, Wolkite, Ethiopia.

School of Nursing, Faculty of Health Science, Institute of Health, Jimma University, Jimma, Ethiopia.

出版信息

SAGE Open Nurs. 2025 May 29;11:23779608251345324. doi: 10.1177/23779608251345324. eCollection 2025 Jan-Dec.

Abstract

BACKGROUND

The minor disorders of pregnancy are a series of commonly experienced disorders like nausea and vomiting, frequency of urination, heartburn, constipation, back pain, leg cramps, disturbance of sleep, and varicosities that mostly affect women during pregnancy. Across the world, due to a lack of self-management practice and less attention to minor disorders of pregnancy, pregnant women are exposed to major disorders of pregnancy, which have a negative impact on quality of life, and pregnancy outcomes. Most previous studies gave attention to the knowledge of minor pregnancy disorders and limited self-management practices of minor pregnancy disorders.

OBJECTIVE

To assess the self-management practice of minor pregnancy disorders and associated factors among pregnant women attending the antenatal clinic at Tulu Bolo General Hospital, Southwest Shewa, Ethiopia, 2022.

METHODS

An institutional-based cross-sectional study design was conducted from August 1 to September 30, 2022. Among 403, pregnant women were selected using a systematic random sampling technique. A structured and interviewer-administered questionnaire was used to collect the data. Data were entered in Epi Data version 3.1 and exported to SPSS window version 26 for analysis. Bivariate and multivariable analyses were done to identify variables associated with the self-management practice of minor pregnancy disorder in the binary logistic regression model. A statistical significance was declared at -value < .05. Finally, tables, graphs, and narration were used to present the data.

RESULTS

A 397 study participants were included with a response rate of 98.5%. This study revealed that 29.3% (95% confidence interval [CI]: 24%, 34%) of women had good self-management practices for minor pregnancy disorders. The age of the pregnant women (AOR = 4.4; 95% CI: 1.64, 11.60), household wealth status (AOR = 3.6; 95% CI: 1.68, 7.97), women's education status (AOR = 5.8; 95% CI: 2.16, 16.03) and (AOR = 4.11; 95% CI: 1.30, 12.97), women's occupation (AOR = 2.44; 95% CI: 1.09, 5.45), and knowledge on minor pregnancy disorders (AOR = 2.06; 95% CI: 1.12, 3.79) were identified as statistically significant factors.

CONCLUSIONS AND RECOMMENDATIONS

These findings showed that 70.7% of pregnant women were found to have had a lack of good self-management practices for minor pregnancy disorders. Hence, counseling and enhancing their knowledge of self-management should be provided to pregnant women to enhance their awareness regarding self-management practices of minor pregnancy disorders.

摘要

背景

妊娠轻度疾病是一系列孕期常见疾病,如恶心、呕吐、尿频、烧心、便秘、背痛、腿部抽筋、睡眠障碍和静脉曲张等,主要影响孕期女性。在全球范围内,由于缺乏自我管理措施以及对妊娠轻度疾病关注不足,孕妇易患妊娠重度疾病,这对生活质量和妊娠结局产生负面影响。以往大多数研究关注的是妊娠轻度疾病的知识以及妊娠轻度疾病有限的自我管理措施。

目的

评估2022年埃塞俄比亚西南部舍瓦地区图卢博洛综合医院产前门诊孕妇妊娠轻度疾病的自我管理措施及相关因素。

方法

采用基于机构的横断面研究设计,于2022年8月1日至9月30日进行。在403名孕妇中,采用系统随机抽样技术选取研究对象。使用结构化且由访谈员实施的问卷收集数据。数据录入Epi Data 3.1版本,并导出至SPSS 26.0窗口版本进行分析。在二元逻辑回归模型中进行双变量和多变量分析,以确定与妊娠轻度疾病自我管理措施相关的变量。当P值<0.05时,表明具有统计学意义。最后,通过表格、图表和叙述来呈现数据。

结果

纳入397名研究参与者,应答率为98.5%。本研究显示,29.3%(95%置信区间[CI]:24%,34%)的女性对妊娠轻度疾病有良好的自我管理措施。孕妇年龄(调整后比值比[AOR]=4.4;95%CI:1.64,11.60)、家庭财富状况(AOR=3.6;95%CI:1.68,7.97)、女性教育状况(AOR=5.8;95%CI:2.16,16.03)以及(AOR=4.11;95%CI:1.30,12.97)、女性职业(AOR=2.44;95%CI:1.09,5.45)和妊娠轻度疾病知识(AOR=2.06;95%CI:1.12,3.79)被确定为具有统计学意义的因素。

结论与建议

这些研究结果表明,70.7%的孕妇被发现对妊娠轻度疾病缺乏良好的自我管理措施。因此,应向孕妇提供咨询并增强她们的自我管理知识,以提高她们对妊娠轻度疾病自我管理措施的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9db7/12123115/c98ff2d1939c/10.1177_23779608251345324-fig1.jpg

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