与塞拉拉州一家参考产科医院的产前朝圣相关的因素
Annita de Lima Mesquita1, Hillary Bastos Vasconcelos Rodrigues1, Uly Reis Ferreira1
1Universidade Federal do Ceará, Departamento de Enfermagem, Fortaleza, CE, Brazil.
Revista da Escola de Enfermagem da U S P
|April 18, 2024
概括
在34.3%的孕妇中,产前朝圣或访问多个卫生设施是常见的. 关键因素包括不知道指定的产科医院和居住更远的地方,突出了需要改善沟通和获得产科护理的需求.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 产前朝圣,定义为在分娩前在多个设施寻求护理,可以表明医疗保健获取方面的挑战.
- 了解影响这种实践的因素对于优化产科护理途径至关重要.
研究的目的:
- 为了确定与孕妇在巴西塞拉拉州福尔塔雷萨的产前朝圣相关的因素.
- 为改善孕产妇医疗保健可及性和区域化策略提供信息.
主要方法:
- 一项涉及300名分娩后妇女在州参考产科医院的横截面研究.
- 收集关于社会经济特征和产前护理的数据.
- 统计分析包括皮尔森的千平方测试和调整后的波桑回归.
主要成果:
- 产前朝圣的频率为34.3%.
- 不知道参考产科医院 (OR 1.16;95% CI:1.04-1.30) 和居住距离更远的地方 (OR 1.16;95% CI:1.03-1.31) 都与朝圣有显著的联系.
- 个人特征和产前护理细节与这种做法无关.
结论:
- 缺乏关于指定产科医院的知识和地理距离是推动产前朝圣的关键因素.
- 有效的产妇护理区域化和改进的沟通对于确保获得产科服务的平等机会至关重要.
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