Health-related quality of life of mothers at 12 weeks after normal vaginal delivery in selected hospitals in enugu metropolis, Nigeria

C. Eleke, I. Agu-Okereke
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Abstract

Background: The process of birth may mean extra pressure on a mother's well-being, and this could affect her health-related quality of life (HRQoL). The paucity of published Nigeria-based studies on HRQoL highlights the need to examine the HRQoL of mothers after normal vaginal delivery. Objective: The objective of this study is to assess the HRQoL of mothers at 12 weeks after normal vaginal delivery in selected hospitals in Enugu metropolis. Settings: The study was carried out in one military, one private, and two university teaching hospitals within Enugu metropolis. Enugu metropolis is a city in the southeastern part of Nigeria. Materials and Methods: The study adopted a cross-sectional descriptive design. All 79 participants who delivered between August and September 2015 were enrolled in the study. Adapted SF-36 questionnaire was used in measuring HRQoL. Data were collected from each participant after informed consent and ethical clearance have been obtained. Descriptive statistics and analysis of variance were used to analyse the collated data. Level of statistical significance was set at 0.05. Results: The mean (standard deviation [SD]) age and parity of participants were 34.17 (5.56) years and 3 (1) children, respectively. Findings revealed that the mean (SD) HRQoL was 58.14 (15.47), but participants rated their physical functioning and role limitation due to emotional problem at score range 0–49. Conclusions: The findings demonstrated that in this group of post-partum mothers, HRQoL was moderate, amid poor physical functioning and role limitation due to emotional problem. Health-care providers should consider post-partum counselling on physical and emotional aspects of maternal health.
尼日利亚埃努古市选定医院正常阴道分娩后12周母亲的健康相关生活质量
背景:分娩过程可能意味着对母亲健康的额外压力,这可能会影响她的健康相关生活质量(HRQoL)。尼日利亚发表的关于HRQoL的研究的缺乏突出了检查正常阴道分娩后母亲HRQoL的必要性。目的:本研究的目的是评估埃努古大都市选定医院正常阴道分娩后12周母亲的HRQoL。环境:研究在埃努古市区内的一所军事医院、一所私立医院和两所大学教学医院进行。埃努古大都市是尼日利亚东南部的一个城市。材料与方法:本研究采用横断面描述性设计。2015年8月至9月期间分娩的所有79名参与者都参加了这项研究。采用改良SF-36问卷测量HRQoL。在获得知情同意和伦理许可后,从每位参与者收集数据。采用描述性统计和方差分析对整理后的资料进行分析。差异有统计学意义的水平为0.05。结果:参与者的平均年龄(标准差[SD])为34.17(5.56)岁,胎次为3(1)名儿童。调查结果显示,受试者的HRQoL均值(SD)为58.14(15.47),但他们对自己的身体功能和因情绪问题而导致的角色限制的评分范围在0-49之间。结论:本组产妇的HRQoL处于中等水平,存在身体功能差和因情绪问题导致的角色限制。保健提供者应考虑就产妇保健的身体和情感方面提供产后咨询。
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