产科瘘患者的求医行为

I. Garba, I. Abubakar, M. Magashi, A. Rabiu
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摘要

背景:产科瘘(OF)是地球上最不人道的疾病之一。这是一种将女性物种降低到亚人类水平的疾病,女性不断通过阴道泄漏尿液和/或粪便。这种分娩并发症对我们的妇女来说是毁灭性的,特别是那些生活在农村地区的妇女。目的:我们旨在研究患有这种疾病的妇女的求医行为,重点是确定可能导致减少和/或根除这种疾病的可修改指标。方法:这是一项描述性横断面研究,分析OF患者的求医行为。所有的患者都是在研究期间招募的。结果:研究期间对52例OF患者进行了访谈。参与者平均年龄为22.7±7.6岁。36名参与者(69.2%)没有受过正规教育,超过一半的丈夫(57.7%)没有受过正规教育。大多数参与者(82.7%)居住在农村地区。超过一半(61.5%)的受访者没有收入来源。47人(90.4%)参加了产前保健(ANC),其中大多数(63.5%)至少进行了4次产前保健。大多数人(76.9%)分娩超过24小时,35人(67.3%)到达医疗机构有延误。超过三分之一(38.5%)通过剖宫产分娩。42人(80.8%)在产后2天出现尿漏。结论:本研究的大部分结果与早期研究的结果一致,除了ANC的出勤率增加,这可能是由于意识的提高。这项研究清楚地表明,需要由熟练的助产士接生,以减少/消除我们社区中of的威胁。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health-seeking behavior of obstetric fistula patients
Background: Obstetric fistula (OF) is one of the most dehumanizing diseases on the earth. It is a disease that reduces the female species of humans to a subhuman level where a woman continuously leaks urine and/or feces through her vagina. This birth complication is devastating to our women folks, particularly those living in the rural areas. Objectives: We aimed to look at the health-seeking behaviors of women who suffered from this condition with emphasis of identifying modifiable indices that could lead to reduction and/or eradication of the condition. Methodology: This was a descriptive, cross-sectional study where OF patient's health-seeking behavior was analyzed. All OF patients were recruited during the study period. Results: Fifty-two OF patients were interviewed during the study period. The mean age of the participants was 22.7 ± 7.6 years. Thirty-six participants (69.2%) had no formal education, and more than half of their husbands (57.7%) had no formal education. Majority (82.7%) of the participants were residing in the rural areas. More than half of the respondents (61.5%) had no source of income. Forty-seven (90.4%) attended antenatal care (ANC), and most of them (63.5%) had at least 4 ANC visits. Majority (76.9%) labored for more than 24 h and 35 (67.3%) had delay in reaching health facility. More than one-third (38.5%) were delivered through cesarean section. Forty-two respondents (80.8%) noticed urine leakage 2 days after delivery. Conclusion: Most of the findings here corroborated with the findings of earlier studies except for increased ANC attendance which might be due to increased awareness. The study clearly brought out the need to have deliveries conducted under skilled birth attendants to reduce/eradicate the menace of OF in our communities.
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