咨询关系共情和人口统计学如何影响初级产前保健满意度:来自尼日利亚农村的证据

Ajibola A. Ishola , Kolawole Lateef Kazeem
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引用次数: 0

摘要

目的:本研究旨在探讨咨询和关系共情(CARE)和社会人口特征在尼日利亚奥约州Saki农村街道选定的公共初级卫生保健机构产前护理(ANC)孕妇患者满意度的预测因素。方法本横断面研究共招募了4个初级保健中心的582名孕妇。准妈妈们回答了一份调查问卷,内容包括人口统计特征、诊所访问量、CARE和患者满意度。所有数据均采用描述性、单变量和多变量统计工具进行分析。P & lt;0.05水平为有统计学意义。结果参与者平均年龄23.15±5.23岁。患者满意度模式显示,13.40%(78/582)的患者对所获得的医疗服务非常满意,而86.60%(504/582)的患者对ANC的满意度为中至低。高满意度患者对技术质量、人际关系、沟通、经济、花费时间和可及性方面的评价较高(P = 0.001)。多元线性回归模型显示关系共情(β = 0.28, P <0.001),妊娠第2个月(β = 0.13, P = 0.01),年龄类别为30 - lt;40年(β = - 0.12, P = 0.02), 40 -<50岁(β = - 0.11, P = 0.04)、宗教信仰(β = 0.10, P = 0.03)与ANC满意度相关。结论卫生工作者的敌对态度导致患者对产前保健服务的满意度较低,影响了全球消除孕产妇死亡率服务的提供和可接受性。因此,对经常与病人接触和互动的保健人员进行定期培训和再培训,将大大有助于减少全球农村非洲人产前保健中心的不良工作态度和产妇死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
How consultation-relational empathy and demographics influence satisfaction with primary antenatal health care: evidence from rural Nigeria

Objectives

This study aims to explore the role of consultation and relational empathy (CARE) and socio-demographic profile as predictors of patients’ satisfaction among pregnant women attending antenatal care (ANC) in selected public primary health facilities in rural sub-districts of Saki, Oyo State, Nigeria.

Methods

This cross-sectional study recruited a total of 582 pregnant women in four primary health centers. Expectant mothers responded to a questionnaire covering demographic characteristics, clinic visitation, CARE, and patients’ satisfaction. All data was analyzed using descriptive, univariate and multivariate statistical tools. P < 0.05 level was considered statistically significance.

Results

Findings revealed that the participants had a mean age of 23.15±5.23 years. The pattern of patients’ satisfaction revealed that 13.40% (78/582) were highly satisfied with the health care received compared to 86.60% (504/582) with moderate to low satisfaction ratings with ANC. Highly satisfied patients placed higher value on technical quality, interpersonal relation, communication, financial aspects, time spent and accessibility convenience (P = 0.001). Multiple linear regression model indicated that relational empathy (β = 0.28, P < 0.001), 2nd trimester of pregnancy (β = 0.13, P = 0.01), age categories of 30‒< 40 years (β = −0.12, P = 0.02), and 40‒< 50 years (β = −0.11, P = 0.04), religious affiliation (β = 0.10, P = 0.03) predicted satisfaction with ANC.

Conclusion

Low patients’ satisfaction with antenatal healthcare services resulting from hostile attitudes from health workers has implication for the delivery and acceptability of services offered to eradicate maternal mortality globally. Thus, regular training and re-training of health care personnel in frequent contact and interaction with patients will go a long way in reducing untoward work attitude and maternal mortality in rural ANC centers globally.

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来源期刊
Global health journal (Amsterdam, Netherlands)
Global health journal (Amsterdam, Netherlands) Public Health and Health Policy
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