2013年埃塞俄比亚提格雷政府医院流产后护理质量及决定因素评估

Balem Demtsu, Gessessew Bugssa, Amare Alemu
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引用次数: 7

摘要

背景:不安全堕胎是全世界孕产妇死亡和发病的主要原因之一,占全球孕产妇死亡的13%。目的:评价埃塞俄比亚提格雷市政府医院流产后护理的质量及影响因素。方法:于2013年1 - 5月进行以单位为基础的横断面研究。对420名分摊后护理客户进行访谈,并对60名客户进行观察,获得定性数据。采用预先编制的结构化检查表收集数据,并使用SPSS 16.00版本进行分析。因变量和非因变量之间的关联使用描述性统计和逻辑回归进行评估和呈现。结果:绝大多数(46.9%)的研究对象年龄在14-19岁。研究显示,只有40.6%的客户满意。客户满意度与学历、职业状况、实验室处方和厕所使用情况显著相关。只有48%的研究对象被告知可用的计划生育方法并提供。观察性研究显示,88.3%的客户没有机会提出问题或担忧。只有一家保健机构在堕胎室设有供水充足的功能性水槽。不超过22.2%的护理人员接受了相关领域的进修培训。结论:本研究确定了流产后护理的主要问题,对改善流产后护理有很大的投入。因此,我们可以得出结论,患者满意度较低,缺乏茶点培训,特别是咨询和支持。此外,材料和物资短缺。这些都可能对影响流产后护理的质量产生协同效应。因此,建议对提供者进行循证培训,以提高流产后护理的质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of Quality and Determinant Factors of Post-Abortion Care in Governmental Hospitals of Tigray, Ethiopia, 2013
Background: Unsafe abortion is one of the leading causes of maternal mortality and morbidity worldwide accounting for 13% of maternal deaths globally. Objective: To assess quality and determinant factors of post-abortion care in governmental Hospitals of Tigray, Ethiopia. Method: Institution based Cross-sectional study was conducted from January to May 2013. Four hundred twenty post apportion care clients were interviewed and 60 clients were observed to obtain qualitative data. Data was collected using pre prepared structured checklist and analyzed using SPSS version 16.00. The association between dependent and in dependent variables was assessed and presented using descriptive statistics, and logistic regression.   Results: Majority (46.9%) of the study subjects fall in to the age category of 14-19 years. The study depicted that only 40.6% of the clients were satisfied. Client satisfaction was significantly associated with educational and occupational status, laboratory prescription and toilet access. Only 48 % of study subjects were informed about the available family planning methods and supplied with. The observational study revealed that 88.3% of the clients did not get the opportunity to pose questions or concerns. Only one of the health institutions has functional sink with adequate water supply in the abortion room. No more than 22.2 % of the care providers got refresher training on relevant areas. Conclusion: This study has identified main concerns that could have great input on the improvement of post abortion care. Hence, we can conclude that patient satisfaction is low and there is lack of refreshments trainings especially on counseling and supporting. Besides, there are shortage of materials and supplies. This all could have synergetic effect on compromising the quality of post abortion care. For this reason, it is recommended to skill up the providers with evidence based trainings to enhance quality of post abortion care.
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