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在关于COVID-19的教育活动之后,在偏远的危地马拉与世俗助产士进行预测后测试评估

Kimberly S Garcia¹, Argelia Rodriguez², Zoila Gonzalez³

¹College of Nursing, University of Utah, 866 East Red Sage Lane, Millcreek, Utah 84107, USA.

Rural and remote health

|July 22, 2024

概括

文化相关的教育显著改善了危地马拉的世俗助产士对COVID-19的知识,消除了有关该病毒及其对怀孕和新生儿的影响的神话. 这一举措对于在疫情期间保护弱势群体至关重要.

科学领域:

全球健康全球健康
孕产妇和儿童的健康
传染性疾病传染性疾病

背景情况:

危地马拉的世俗助产士是重要的社区卫生领导者,特别是在缺乏对怀孕,新生儿和COVID-19的机构医疗保健能力的地区.
他们参加了大部分的分娩,使他们在疫情期间成为孕妇和新生儿的前线支持.

研究的目的:

在危地马拉的世俗助产士中消除围绕COVID-19的神话.
为低识字助产士提供有关COVID-19的文化相关教育,包括传播,风险,疫苗接种和母乳养.

主要方法:

危地马拉卫生部,犹他大学护理学院和Madre y Niño之间的合作伙伴关系提供了口头,以证据为基础的COVID-19教育.
在彼地区,有210名外籍助产士接受了重复,讲故事和角色扮演的培训,并补充了分娩用品和视觉辅助工具 (COVID提醒卡).
测试前后评估评估了有关COVID-19,怀孕和母乳养的知识变化.

主要成果:

知识分数显著增加,从7.09的平均值增加到15.20 (p<0.001).
关于COVID-19通过母乳传播的误解从70.1%降至8.4% (p<0.001).
关于母乳养预防措施 (口罩,洗手) 的知识从12.6%增加到74.3% (p<0.001),关于怀孕期间使用阿司匹林的知识从2%增加到67% (p<0.001).

结论:

现役助产士最初对与怀孕和新生儿相关的关键COVID-19问题存在重大误解.
文化适应,口头传递的教育活动有效地消除了神话,并大大提高了助产士的知识.
实施文化相关的,基于证据的教育对于在全球卫生危机期间保护偏远,弱势群体至关重要.

关键词:

危地马拉危地马拉危地马拉危地马拉教育活动教育活动.没有介绍助产士.识字率较低的人口.低资源地区的低资源地区.在 COVID-19 疫情中,

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