产妇保健信念和婴儿保健做法

Lucilyn Camba Ebuenga
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摘要

通过教育降低全国的婴儿和产妇死亡率和发病率是首要关切的问题。本研究采用描述性调查方法,旨在确定母亲在婴儿喂养、卫生和生病婴儿护理方面的健康观念和做法;确定新生儿基本护理方案的符合性;并确定健康信念和实践对婴儿健康的影响。通过问卷-检查表收集了居住在Albay省Guinobatan Arandurugan村的68(68)名有0-1岁孩子的妇女的数据。母亲们的信仰和做法各不相同。研究发现,母亲们强烈相信母乳喂养,而一些人则相信草药,在生病后使用番石榴叶/桑叶沐浴,在饥饿时母乳喂养,将咀嚼过的叶子/唾液涂在婴儿的腹部以治疗绞痛,佩戴护身符或宗教物品以抵御邪恶的灵魂。此外,母亲们一直实行母乳喂养,经常在脐带上涂抹酒精,用温水洗澡,同时用敷料覆盖脐带,并经常在头皮/身体上涂抹婴儿油,只在孩子满一岁时剪头发,洗澡时关上窗户/门。在照顾生病的婴儿时,母亲会咨询医生或助产士,有时还会给医生开非处方的药物。母亲们的信念和做法,特别是在婴儿喂养方面,符合采用BEmONC方法的新生儿基本护理(ENC)协议。但是,非常需要对母亲进行教育,特别是关于卫生和照顾生病婴儿的教育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
MATERNAL HEALTH BELIEFS AND PRACTICES IN INFANT HEALTH CARE
Reducing the infant and maternal mortality and morbidity rates of the country through education is of primordial concern. Using the descriptive survey method, this study aimed to determine the health beliefs and practices of mothers on infant feeding, hygiene and care of sick infant; determine conformance to Essential Newborn Care protocols; and identify implications of health beliefs and practices on the health of infant. Data were gathered through questionnaire-checklist from sixty-eight (68) women with children 0-1 year old residing in Arandurugan Village Guinobatan, Albay. The beliefs and practices of mothers were varied. The mothers were found to strongly believe in breastfeeding while some believed in herbolarios, using of guava/santol leaves in bathing after an illness, breastfeeding while hungry as cause of ill health, applying chewed leaves/saliva on the baby’s abdomen as treatment for colic, and wearing amulet or religious articles to ward off evil spirits. Additionally, the mothers always practiced breastfeeding and often practiced applying alcohol on the umbilical cord, bathing with warm water while covering the umbilical cord with dressing, and frequently practiced applying baby oil on scalp/body, cutting hair only when child reaches one year old, and keeping windows/ doors closed while bathing. In caring for sick infants, mothers consulted doctor or midwife, and sometimes gave medications not prescribed by doctors. The mothers’ belief and practices particularly on infant feeding is in conformance with the Essential Newborn Care (ENC) protocol utilizing the BEmONC approach. However, there is a strong need to educate the mothers particularly on hygiene and care of sick infant.
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