尼日尔州公共卫生机构使用子宫填塞治疗严重产后出血的知识、态度和实践

I.M. Sheshi, U.A. Baba, L.M. Hadiza, S. Anna, G.M. Yinti, B.E. Agbana
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引用次数: 0

摘要

背景:产科出血是世界范围内低资源国家孕产妇发病率和死亡率的一个因素。本研究的目的是评估医护人员对使用子宫填塞治疗严重产后出血(PPH)的知识、态度和做法。 方法:采用描述性和横断面研究方法。使用一份自我管理的结构化问卷,从在选定卫生机构产房接生的未经培训和受过培训的卫生工作者那里收集有关子宫填塞的数据。调查对象采用整群抽样方法。数据分析采用SPSS version 20。确定频率并使用卡方检验假设。p值为<0.05被认为具有统计学意义。 结果:调查对象平均年龄为35岁±11.7岁。略少于一半的62名受访者(42.5%)对子宫填塞知之甚少。对子宫填塞持肯定态度者占82.2%。这与服务点、专业小组和先前子宫填塞插入培训有关(p < 0.05)。约70% (46;69.7%)难治性产后出血患者从未行过子宫填塞术。原因包括知识不足(29;63.0%)和商品的不可获得性(9;19.6%) & # x0D;结论:虽然对子宫填塞的认识较差,但对子宫填塞治疗重症产后出血的态度良好。然而,这并没有转化为使用子宫填塞治疗严重PPH的良好做法。应就子宫填塞的应用进行培训和再培训,并在每个保健设施提供商品。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Knowledge, Attitude and Practices on the Use of Uterine Tamponade in the Management of Severe Postpartum Hemorrhage in Public Health Facilities of Niger State
Background: Obstetric hemorrhage is a contributor to worldwide maternal morbidity and mortality in low-resource countries. The aim of this study was to assess knowledge, attitude and practices on the use of uterine tamponade in managing severe postpartum hemorrhage (PPH) by healthcare personnel. Method: The study was descriptive and cross-sectional. A self-administered, structured questionnaire was used to collect data on uterine tamponade from untrained and trained health workers who take deliveries in labour wards of selected health facilities. Respondents were selected by cluster sampling technique. Data was analyzed using SPSS version 20. Frequencies were determined and chi-square was used to test the hypothesis. A p-value of <0.05 was considered statistically significant. Results: The mean age of the respondents was 35 years ± 11.7. Slightly less than half of the respondents 62 (42.5%) had poor knowledge of uterine tamponade. The majority of respondents 120 (82.2%) had positive attitudes about uterine tamponade. This was associated with point of service, professional group, and previous training on uterine tamponade insertion (p<0.05). About 70% (46; 69.7%) of respondents who had managed cases of refractory postpartum hemorrhage, had never conducted uterine tamponade. Reasons include inadequate knowledge (29; 63.0%) and unavailability of the commodities (9; 19.6%) Conclusion: Though knowledge about uterine tamponade was poor, attitude towards uterine tamponade in managing severe post- partum hemorrhage was good. However, this did not translate to good practices on the use of uterine tamponade in managing severe PPH. Training and re-training on the application of uterine tamponade should be conducted and commodities made available in every health facility.
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