埃塞俄比亚的劳动疼痛管理实践和相关因素:系统审查和元分析
Gedion Asnake Azeze1, Yordanos Sisay Asgedom2, Amelework Gonfa Efa3
1Department of Midwifery, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
概括
埃塞俄比亚公共卫生机构的分娩疼痛管理实践很低,影响到母亲. 需要进行干预,以改善护理和减少分娩痛苦.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 疼痛管理 疼痛管理
背景情况:
- 产痛是分娩的一个重要方面,但往往没有得到充分的解决,特别是在低收入和中等收入国家.
- 这导致母亲在分娩期间遭受不计其数的痛苦.
- 疼痛评估和治疗的现有标准需要改进.
研究的目的:
- 估计埃塞俄比亚公共卫生设施中劳动疼痛管理实践的综合流行率.
- 确定与这些实践实施相关的因素.
主要方法:
- 按照PRISMA指南进行了系统审查和元分析.
- 在主要的电子数据库 (PubMed,Scopus,EMBASE,Web of Science,Google Scholar) 进行了搜索,截至2023年6月30日.
- 用元回归来分析数据,以确定聚合几率比率和相关因素的置信区间.
主要成果:
- 这项研究包括17项研究,涉及5735名参与者.
- 劳动力疼痛管理实践的综合流行率为45.73%.
- 关键相关因素包括充分的知识 (OR: 3.74),有利的态度 (OR: 2.90),止痛药的可用性 (OR: 3.23) 和广泛的临床经验 (OR: 3.45).
结论:
- 埃塞俄比亚的产科提供者常规的分娩疼痛管理实践是不理想的.
- 需要针对医疗保健提供者和医院管理的全面干预措施.
- 更新当前的做法对于改善分娩期间母亲的护理至关重要.
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