埃塞俄比亚母亲的标准家庭新生儿护理实践和相关因素：系统回顾和荟萃分析

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2025-01-01 DOI:10.1016/j.ijans.2025.100893

Fikadie Dagnew Baye , Nega Dagnew Baye , Gebrehiwot Berie Mekonnen , Mengistu Melak Fekadie , Lakachew Yismaw Bazezew , Worku Necho Asferie , Amare Kassaw Wolie , Ermias Sisay Chanie , Dagnew Tigabu , Ashenafi Fekad Getahun , Abebaw Yeshambel Alemu

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引用次数: 0

摘要

新生儿护理是指在出生后对婴儿提供的标准护理。母亲可以在从卫生机构出院之前或之后在家中提供这种标准护理。尽管对埃塞俄比亚标准的家庭新生儿护理实践水平进行了大量的初步研究，但研究结果并不一致，标准实践的主要决定因素仍然未知。本研究的目的是汇集标准的家庭为基础的新生儿护理实践在埃塞俄比亚的水平。方法系统地检索PubMed、Science Direct、b谷歌Scholar和Institutional repositories的文献。两位作者完成了筛选、选择、质量评估和数据提取。定性综合和荟萃分析均用于收集证据。为了估计合并效应大小，在Stata 17中进行了随机效应荟萃分析。异质性评估采用森林样地和i平方检验。通过敏感性和亚组分析来研究异质性的来源。我们使用Egger’s检验和漏斗图评估发表偏倚。结果在本综述中，16项研究共9540名研究参与者被用于meta分析。家庭护理实践水平的最终合并比例为0.20 （95% CI: 0.13-0.28）。影响因素包括新生儿护理建议5.68 （95% CI; 1.9-9.45）、文化程度小学3.74 （95% CI; 2.68-4.79）、文化程度中学及以上2.19 （95% CI; 1.39-2.99）、城市居住1.57 （95% CI; 1.42-1.71）、分娩地点城市2.84 （95% CI; 1.35-4.33）、产妇不良产科史4.97 （95% CI; 1.55-8.39）、既往产前护理随访4.09 （95% CI; 1.08-7.10）、社区新生儿护理意识3.10 （95% CI; 1.35 - 1.71）、新生儿护理意识3.10 (95% CI；2.02-4.18)，与标准的家庭新生儿护理实践显著相关。结论埃塞俄比亚家庭新生儿护理水平较低。我们鼓励社区卫生工作者加强并向母亲提供关于家庭新生儿护理实践的信息，特别关注没有受过正规教育的农村居民。

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Standard home-based newborn care practice and associated factors among mothers in Ethiopia: A systematic review and meta-analysis

Newborn care refers to the standard care provided to the baby in the postnatal period. Mother can provide this standard care in their home before or after discharge from a health facility. Despite an ample amount of primary studies on the level of standard home-based newborn care practices in Ethiopia, the findings are inconsistent, and the major determinants of standard practice remain unknown. This study aims to pool the level of standard home-based newborn care practices in Ethiopia.

Methods

A systematic literature search was conducted in PubMed, Science Direct, Google Scholar, and Institutional repositories. Two authors completed the screening, selection, quality assessment, and data extraction. Both qualitative synthesis and meta-analysis were conducted to aggregate evidence. To estimate the pooled effect size, a random-effects meta-analysis was conducted in Stata 17. Heterogeneity was assessed using forest plots and an I-squared test. Sensitivity and subgroup analyses were done to investigate the sources of heterogeneity. We evaluated publication bias using Egger’s test and the funnel plot.

Results

In this review, 16 studies with a total of 9540 study participants were used in the meta-analysis. The final pooled proportion of the level of home-based care practice was 0.20 (95 % CI: 0.13–0.28). Factors include advice about newborn care 5.68 (95 % CI; 1.9–9.45), educational status primary 3.74 (95 % CI; 2.68–4.79), educational status secondary and above 2.19 (95 % CI; 1.39–2.99), and urban residence 1.57 (95 % CI; 1.42–1.71) place of delivery urban 2.84 (95 % CI; 1.35–4.33), bad obstetric history of the mother 4.97 (95 % CI; 1.55–8.39), previous antenatal care follow-up 4.09 (95 % CI; 1.08–7.10), community-based newborn care awareness 3.10 (95 % CI; 2.02–4.18), were significantly associated with standard home-based newborn care practice.

Conclusion

The level of standard home-based newborn care practice was low in Ethiopia. We encourage the community health workers shall strengthen and give information to mothers about home-based newborn care practice, with a special focus on rural residents with no formal education.

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.