埃塞俄比亚南沃罗区卫生机构产科病房医护人员对非气动防震服用于产后出血管理的知识、使用及相关因素:一项横断面研究设计

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY
Wondimnew Gashaw Kettema, Zenebe Tefera Ayele, Mandefro Assefaw Geremew, Kibir Temesgen Assefa, Sindu Ayalew Yimer, Atrsaw Dessie Liyew, Besfat Berihun Erega, Eyaya Habtie Dagnaw
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引用次数: 1

摘要

背景:2017年,全世界每天约有810名妇女死于与妊娠和分娩有关的可预防原因。产科出血,特别是产后出血,是世界上可预防的孕产妇死亡的主要原因。需要新的战略和技术来减少孕产妇死亡率这一全球公共卫生流行病。然而,非气动防震服装最近被引入并纳入教学课程作为产后出血的管理模式在埃塞俄比亚。因此,本研究评估了非气动防震服的知识,利用和相关因素的产科病房医护人员在选定的南沃罗区卫生机构,西北埃塞俄比亚。方法:于2021年2月1日至4月30日进行基于机构的横断面研究设计。采用连续抽样技术收集数据。采用自我管理的半结构化英文问卷收集数据。数据录入采用EPI-Info软件,分析采用SPSS软件。采用双变量和多变量logistic回归分析非气动防震服使用情况与自变量的关系。结果:共有244名产房医护人员参与。146人(59.8%)对非气动防震服有很好的了解。约110人(45.1%)曾使用过该药治疗产后出血。有一件非气动防震服(AOR = 2.7, 95% CI: 1.3, 5.5)、两件或两件以上非气动防震服(AOR = 14.1, 5.7, 35.0)、良好的知识(AOR = 5.2, 2.5, 10.7)、积极的态度(AOR = 2.5, 1.1, 5.7)和接受过培训(AOR = 2.2, 1.1, 4.4)的患者在95% CI下与非气动防震服的使用显著相关。结论:对非气动防震服在产后出血处理中的认知度和使用率较低。有较多非气动防震服、良好的知识、积极的态度和接受过培训的人与非气动防震服的使用率显著相关。提供培训和提供非气动防震服是提高非气动防震服利用率的关键措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Knowledge, Utilization, and Associated Factors of Nonpneumatic Antishock Garments for Management of Postpartum Hemorrhage among Maternity Ward Health Care Professionals in South Wollo Zone Health Facilities, Ethiopia, 2021: A Cross-Sectional Study Design.

Knowledge, Utilization, and Associated Factors of Nonpneumatic Antishock Garments for Management of Postpartum Hemorrhage among Maternity Ward Health Care Professionals in South Wollo Zone Health Facilities, Ethiopia, 2021: A Cross-Sectional Study Design.

Knowledge, Utilization, and Associated Factors of Nonpneumatic Antishock Garments for Management of Postpartum Hemorrhage among Maternity Ward Health Care Professionals in South Wollo Zone Health Facilities, Ethiopia, 2021: A Cross-Sectional Study Design.

Background: In 2017, approximately, 810 women died every day from preventable causes related to pregnancy and childbirth around the world. Obstetric hemorrhage, specifically postpartum hemorrhage, is the leading cause of preventable maternal mortality in the world. New strategies and technologies are needed to reduce the global public health epidemic of maternal mortality. However, nonpneumatic antishock garments were recently introduced and incorporated into teaching curriculums as a management modality for postpartum hemorrhage in Ethiopia. Therefore, this study assessed the knowledge, utilization and associated factors of nonpneumatic antishock garment among maternity ward healthcare professionals in the selected South Wollo zone health facilities, North West Ethiopia.

Methods: An institutional-based cross-sectional study design was conducted from February 1 to April 30, 2021. A consecutive sampling technique was employed to collect the data. A self-administered semistructured English version questionnaire was used to collect the data. EPI-Info and SPSS were used for data entry and analysis, respectively. Bivariable and multivariable logistic regression analyses were used to analyze the association of nonpneumatic antishock garment utilization with independent variables.

Results: A total of 244 maternity ward health care professionals participated. One hundred forty-six (59.8%) had a good knowledge of nonpneumatic antishock garments. About 110 (45.1%) of the participants have ever used it for the management of postpartum hemorrhage. Those having one nonpneumatic antishock garment (AOR = 2.7, 95% CI: 1.3, 5.5), two or more nonpneumatic antishock garments (AOR = 14.1, 5.7, 35.0), good knowledge (AOR = 5.2, 2.5, 10.7), and positive attitude (AOR = 2.5, 1.1, 5.7) and those who were receiving training (AOR = 2.2, 1.1, 4.4) at 95% CI were significantly associated with utilization of nonpneumatic antishock garments.

Conclusion: The knowledge and utilization of nonpneumatic antishock garments for the management of postpartum hemorrhage were low. Those having more nonpneumatic antishock garments, good knowledge, and a positive attitude and those who received training were found to be significantly associated with nonpneumatic antishock garment utilization. The provision of training and availability of nonpneumatic antishock garments are the key actions to be taken to increase the utilization of nonpneumatic antishock garments.

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来源期刊
Obstetrics and Gynecology International
Obstetrics and Gynecology International OBSTETRICS & GYNECOLOGY-
CiteScore
3.60
自引率
0.00%
发文量
26
审稿时长
19 weeks
期刊介绍: Obstetrics and Gynecology International is a peer-reviewed, Open Access journal that aims to provide a forum for scientists and clinical professionals working in obstetrics and gynecology. The journal publishes original research articles, review articles, and clinical studies related to obstetrics, maternal-fetal medicine, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine and infertility, reproductive endocrinology, and sexual medicine.
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