Gambian Mothers Lack Obstetric Danger Sign Knowledge, But Educational Intervention Shows Promise

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS

ACS Applied Bio Materials Pub Date : 2024-05-20 DOI:10.5334/aogh.3930

Kara J Shannon, Jocelyn Burridge, Brodus A. Franklin, Sheena R. Bhushan, S. Hilsenbeck, Elena V. Petrova, James N’Dow, Ibezimako Iwuh, S. Anandasabapathy, Jeffrey P. Wilkinson

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引用次数: 0

Abstract

Background: The Gambia has the 12th highest maternal mortality rate in the world, with 80% of deaths resulting from avoidable causes. Unawareness of pregnancy danger signs (DS) has been shown to be a barrier to seeking obstetric care, while app-based education intervention has shown promise. Objective: We aim to assess patient awareness of DS, identify barriers to awareness, and evaluate potential for implementing smartphone-based technologies for education. Methods: A cross-sectional semi-structured survey was administered to Gambian women (n = 100) across five hospitals/health centers. Data and informed consent were collected via an online survey portal. Analysis included bivariate analysis and descriptive statistics with p < 0.05 significance level. Recall of 0–2 DS per category was classified as “low” knowledge, 3–5 as “moderate” knowledge, and 6+ as “sufficient” knowledge. Cross-category recall was quantified for overall awareness level (0–6 = “low”, 7–12 = “moderate”, 13+ = “sufficient”. N = 28 total DS). Findings: Although 75% of participants (n = 100) self-perceived “sufficient” knowledge of DS, the average recall was only two (SD = 2, n = 11) pregnancy DS, one labor and delivery DS (SD = 1, n = 8), and one postpartum DS (SD = 1, n = 9). Twenty-one women were unable to recall any danger signs. “Low” awareness was identified in 77% of women, while 23%, and 0% of women showed “moderate” and “sufficient” overall awareness, respectively. Education level was significantly correlated with overall danger sign recall (ρ(98) = .243, p = .015) and awareness level (ρ(98) = .265, p = .008). Monthly income was significantly correlated with awareness level (ρ(97) = .311, p = .002). Smartphone ownership was reported by 76% of women, and 97% expressed interest in using app-based video (94%) or provider (93%) teaching. Conclusions: Women had low knowledge of obstetric danger signs, and true awareness of danger signs was remarkably lower than self-perceived knowledge. However, patients exhibited proper healthcare-seeking behavior when danger signs arose. Findings suggest that video- or messaging-based education from local healthcare providers may be effective DS educational interventions.

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冈比亚母亲缺乏产科危险信号知识，但教育干预显示出希望

背景：冈比亚的孕产妇死亡率高居世界第 12 位，其中 80% 的死亡是由可避免的原因造成的。对妊娠危险征兆（DS）的不了解已被证明是寻求产科护理的障碍，而基于应用程序的教育干预已显示出前景。目的：我们旨在评估患者对妊娠危险征兆的认识：我们旨在评估患者对妊娠危险征兆（DS）的认知情况，确定认知障碍，并评估基于智能手机的教育技术的应用潜力。方法我们在五家医院/保健中心对冈比亚妇女（n = 100）进行了横断面半结构式调查。数据和知情同意书通过在线调查门户收集。分析包括双变量分析和描述性统计，显著性水平为 p <0.05。每个类别 0-2 个 DS 的召回率被归类为 "低 "知识，3-5 个 DS 的召回率被归类为 "中等 "知识，6 个 DS 以上的召回率被归类为 "充分 "知识。对跨类别回忆进行量化，以反映总体认知水平（0-6="低"，7-12="中等"，13+="足够"。 N = 28 个 DS）。调查结果：虽然 75% 的参与者（n = 100）自认为对 DS 有 "足够 "的了解，但她们平均只回忆起两次（SD = 2，n = 11）孕期 DS、一次分娩和生产 DS（SD = 1，n = 8）以及一次产后 DS（SD = 1，n = 9）。21 名妇女无法回忆起任何危险信号。77%的产妇对危险征兆的认知度为 "低"，23%的产妇对危险征兆的认知度为 "中等"，0%的产妇对危险征兆的认知度为 "足够"。教育水平与危险信号的总体回忆能力（ρ(98) = .243，p = .015）和意识水平（ρ(98) = .265，p = .008）有明显的相关性。月收入与认知水平明显相关（ρ(97) = .311, p = .002）。76%的女性拥有智能手机，97%的女性表示有兴趣使用基于应用程序的视频（94%）或提供者（93%）教学。结论妇女对产科危险征兆的了解较少，对危险征兆的真正认识明显低于自我感觉的认识。然而，当出现危险征兆时，患者会表现出正确的就医行为。研究结果表明，当地医疗保健提供者提供的视频或信息教育可能是有效的 DS 教育干预措施。

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来源期刊

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464

期刊介绍： ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.