在南印度的一所高等保健教学机构中,尊重产妇护理的决定因素:一项混合方法研究
Papa Dasari1, Jaya Gowri Sastry2, Mahalakshmy Thulasingam3
1Department of Obstetrics & Gynaecology, JIPMER, Puducherry, India.
概括
在分娩期间的不尊重和虐待 (D&A) 是普遍存在的,不体面的护理是最常见的形式. 紧急入院和有亲属在设施中的因素与更高的D&A率有关.
科学领域:
- 孕产妇健康 孕产妇健康
- 产科 产科 产科 产科 产科
- 公共卫生 公共卫生
背景情况:
- 在分娩期间的不尊重和虐待 (D&A) 是影响母亲医疗保健经验的一个重大问题.
- 了解D&A的患病率和相关因素对于改善尊重产妇护理 (RMC) 至关重要.
研究的目的:
- 确定妇女在分娩和产后经历的不尊重和虐待 (D&A) 的流行和类型.
- 为了确定与D&A在产妇护理期间显著相关的因素.
主要方法:
- 一项涉及南印度380名产后妇女的横截面混合方法研究.
- 通过USAID-MCHIP问卷和10分评级尺度收集的定量数据;从开放式问题中收集的定性数据.
- 统计分析包括频率,百分比,95%置信区间和相关因素的千平方测试.
主要成果:
- 使用USAID-MCHIP标准报告的D&A高患病率 (85%),与女性视角的33%相比.
- 非尊严的护理是最常见的D&A类型.
- 与D&A相关的因素包括先进的母亲年龄 (>25岁),紧急转诊以及在设施中雇佣的亲属.
结论:
- 该研究强调了孕产妇护理中D&A的高患病率,特别是在使用标准化协议进行评估时.
- 非尊严的照顾和身体虐待被确定为常见的D&A形式.
- 解决特定的患者人口统计和医疗保健系统因素对于减少D&A至关重要.
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