埃塞俄比亚南部Yirgalem镇早产儿/低出生体重儿母亲及照护者袋鼠妈妈护理(KMC)使用情况及影响因素

E. Yusuf, Firehiwot Fiseha, Dubale Dulla, Getinet Kassahun
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引用次数: 7

摘要

背景:袋鼠妈妈护理(KMC)是一种普遍适用的护理方法,特别是对早产儿保持体温。然而,它在埃塞俄比亚的流行率很低。因此,本研究旨在评估埃塞俄比亚南部Yirgalem镇早产/低出生体重儿母亲和照护者对袋鼠妈妈护理(KMC)的使用情况及其影响因素。材料与方法:2017年2月至3月,对Yirgalem镇215名早产/低出生体重儿母亲进行了基于社区的横断面研究。研究对象包括年龄小于36个月的早产/低体重婴儿的母亲。数据收集采用采访者管理的问卷,该问卷改编自相关文献并进行了相应的标准化。数据分析使用SPSS version 20完成。采用逻辑回归分析来确定不同变量之间的关联。结果:215名1-36月龄早产儿母亲自愿参与,有效率100%。90例(88.4%)产妇为正常阴道分娩,11.6%为剖宫产。在所有研究对象中,有90人(41.9%)实行KMC。其中,31名(14.4%)在婴儿稳定后立即开始进行KMC, 59名(27.4%)在24小时后进行KMC。然而,与没有使用KMC的婴儿相比,只有60名婴儿在家中连续使用KMC后表现出改善。研究发现,一些变量与KMC的利用有统计学上的相关性。自然分娩的被调查者实行KMC的可能性是剖宫产的4.3倍[(AOR 4.341) 95%CI(1.435, 13.130)],在公立医院分娩的母亲实行KMC的可能性是在家分娩的20.4倍[(AOR (20.458) 95%CI(2.644, 158.299)]。结论:在本研究中,只有非常低的母亲在出生后立即开始KMC,并在家中持续进行KMC。因此,建议在埃塞俄比亚推广KMC,并对KMC的可接受性和适用性以及阻碍KMC在家方法使用的影响因素进行研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Utilization of Utilization of Kangaroo Mother Care (KMC) and Influencing Factors Among Mothers and Care Takers of Preterm/Low Birth Weight Babies in Yirgalem Town, Southern, Ethiopia
Background: Kangaroo mother care (KMC) is a universally available method of care particularly, for premature babies for maintaining their body temperature. However, its prevalence is very low in Ethiopia. Thus, this study was intended to assess utilization of kangaroo mother care (KMC) and factors influencing among mothers and care takers of preterm /low birth weight babies in Yirgalem town, southern, Ethiopia Materials and Method: A community based cross sectional study was conducted from of February to March, 2017 among 215 mothers of preterm/low birth weight (LBW) infants in Yirgalem town. Mothers of preterm/LBW infant of age less than 36 months were included in study. Data was collected by using interviewer administered questionnaire that is adapted from relevant literatures and standardized accordingly. Data analyses ere accomplished using SPSS version 20. Logistic regression analyses were used to identify the association of different variables. Results: A total of 215 mothers with their preterm infants ranged 1-36 months of age voluntarily participated, with response rate of 100%. A hundred ninety (88.4%) of the mothers had normal vaginal delivery, and 11.6% had cesarean section. Among all study subjects 90(41.9%) practice KMC. Of these, 31(14.4%) started KMC immediately after birth as the infant had been stabilized, and 59(27.4%) practice it after 24 hours. However, only sixty of the infants showed improvement after they used continuous KMC at home compared to those infants that did not use KMC. It was found that some variables were statistically associated with the utilization of KMC. Respondents who gave birth spontaneously were 4.3 times more likely to practice KMC than those had caesarean section delivery [(AOR 4.341) 95%CI(1.435, 13.130)] and mothers who delivered at governmental hospital were 20.4 times more likely to practice KMC than those who gave birth at home [(AOR (20.458) 95%CI(2.644, 158.299))]. Conclusion: In this study only very low mothers initiated KMC immediately after birth and were practiced continuously KMC at home. Thus, it is recommended to promote KMC at home and develop studies on acceptability and applicability of the KMC and affecting factors that prevent the use of KMC at home method in Ethiopian context.
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