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2022年埃塞俄比亚南部孔索地区卡拉特镇产后母亲的自我护理实践及相关因素

Self-care practice and associated factors among postpartum mothers at Karat town, Konso zone, southern, Ethiopia: 2022.

作者信息

Tengo Gebino Aylate, Aliyu Samuel Abdu, Endalew Enatfenta Sewmehone, Adafirie Tilahun Nigusie

机构信息

Department of midwifery, Arbaminch College of health sciences, Arbaminch, Ethiopia.

School of nursing, Faculty of health sciences, Institute of health, Jimma University, Jimma, Ethiopia.

出版信息

BMC Pregnancy Childbirth. 2025 Jul 2;25(1):700. doi: 10.1186/s12884-025-07821-8.

Abstract

BACKGROUND

Every day, at least 700 women die from complications related to pregnancy, childbirth, and the first 42 days of postpartum period. One of the contributing elements to these issues is a lack of focus on self-care practices during the postpartum period. Thus, understanding the relationship between self-care practices and maternal health is crucial for saving mothers' and babies' lives. Therefore, this study was aimed to assess level of postpartum self-care practice and associated factors among mothers at Karat Town, Konso Zone, Southern, Ethiopia, 2022.

METHODS

A community-based cross-sectional study was conducted on postpartum mothers who gave birth in the last six weeks in Karat Town from August 1 to September 15, 2022. The systematic random sampling was used to select 419 study participants. Data was collected using a pretest structured questionnaire through a face-to-face interview, entered and cleaned using EPI Info version 4.6, and exported to SPSS version 25 for analysis. Bivariable and multivariable logistic regression was employed to assess the association of the variables, and a P-value less than 0.05 was declared as statistically significant.

RESULTS

Out of 419 mothers 140(33.4%) were good postpartum self-care practice. Having an antenatal care visit (AOR = 2.82; 95% CI = 1.394-5.709), institutional delivery (AOR = 2.42; 95% CI = 1.18-4.93), accompanying a husband in antenatal care (AOR = 2.41; 95% CI = 1.37-4.24), counseling by healthcare providers during home visits (AOR = 2.28; 95% CI = 1.24-4.19), and healthcare provider counseling at discharge (AOR = 3.25; 95%CI = 1.72-6.13), and knowledge of participants (AOR = 3.61;95%CI = 2.11-6.19) were factors significantly associated with postpartum self-care.

CONCLUSION

This study showed that self-care practices during postpartum period were low. Inspiring mothers to Attending ANC visits, institutional delivery services, accompanied husbands in antenatal care, strengthening provider's health education at discharge and during home visit, and enhancing knowledge of participants are acceptable manner may improve the postpartum self-care practice.

摘要

背景

每天至少有700名妇女死于与妊娠、分娩及产后42天内相关的并发症。导致这些问题的因素之一是产后缺乏对自我护理措施的关注。因此,了解自我护理措施与孕产妇健康之间的关系对于挽救母婴生命至关重要。因此,本研究旨在评估2022年埃塞俄比亚南部孔索地区卡拉特镇母亲的产后自我护理措施水平及其相关因素。

方法

于2022年8月1日至9月15日在卡拉特镇对过去六周内分娩的产后母亲进行了一项基于社区的横断面研究。采用系统随机抽样方法选取419名研究参与者。通过面对面访谈,使用预测试结构化问卷收集数据,使用EPI Info 4.6版本录入并清理数据,然后导出到SPSS 25版本进行分析。采用双变量和多变量逻辑回归评估变量之间的关联,P值小于0.05被视为具有统计学意义。

结果

在419名母亲中,140名(33.4%)有良好的产后自我护理措施。进行产前检查(调整比值比[AOR]=2.82;95%置信区间[CI]=1.394 - 5.709)、在医疗机构分娩(AOR=2.42;95%CI=1.18 - 4.93)、产前检查时有丈夫陪同(AOR=2.41;95%CI=1.37 - 4.24)、医护人员家访时进行咨询(AOR=2.28;95%CI=1.24 - 4.19)、出院时医护人员咨询(AOR=3.25;95%CI=1.72 - 6.13)以及参与者的知识水平(AOR=3.61;95%CI=2.11 - 6.19)是与产后自我护理显著相关的因素。

结论

本研究表明产后自我护理措施水平较低。鼓励母亲进行产前检查、利用医疗机构分娩服务、产前检查时有丈夫陪同、加强医护人员在出院时和家访时的健康教育以及提高参与者的知识水平,可能是改善产后自我护理措施的可行方法。

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