埃塞俄比亚的劳动疼痛管理:系统审查和元分析
Abraham Negash1, Tamirat Getachew1, Lemma Demissie Regassa2
1School of Nursing and Midwifery, College of Health and Medical Science, Haramaya University, Harar, Ethiopia.
概括
埃塞俄比亚产科护理人员对分娩疼痛管理的利用率很低. 积极的护理者态度与更好的疼痛管理有关,强调需要改进培训以加强实践.
科学领域:
- 产科和妇科 产科和妇科
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 产痛是分娩的一个重要方面,影响了整体的分娩经历.
- 有效的分娩疼痛管理对于积极的分娩体验和患者满意度至关重要.
- 女性期望的变化需要个性化疼痛缓解方法.
研究的目的:
- 确定在埃塞俄比亚的产科护理人员中使用分娩疼痛管理策略的使用率.
- 确定与医疗保健提供者使用分娩疼痛管理相关的因素.
主要方法:
- 按照PRISMA指南进行了系统审查和元分析.
- 数据从多个电子数据库和Google Scholar中提取,用于已发表和未发表的研究.
- 使用JBI工具进行质量评估,并使用Stata 17中的随机效应模型分析数据.
主要成果:
- 药理性分娩疼痛管理的综合利用率为28%,而非药理性管理的使用率为43%的提供者.
- 产科护理提供者的态度与药物 (aOR=1.73) 和非药物 (aOR=2.94) 疼痛管理利用有积极的关联.
- 使用Cochran的Q测试和I2统计数据评估了显著的异质性和出版偏差.
结论:
- 在埃塞俄比亚产科护理提供者中,劳动疼痛管理的利用率低于最佳水平.
- 医疗保健提供者的积极态度与劳动力疼痛管理技术的使用增加有关.
- 建议包括为产科护理人员实施现场培训,以改善产痛管理实践.
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