埃塞俄比亚的非气动防冲击服使用情况和相关因素:系统性审查和元分析
Gedion Asnake Azeze1, Gizachew Ambaw Kassie2, Afework Alemu Lombebo3
1Department of Midwifery, College of Medicine and Health Sciences, Hawassa University, Sidama, Ethiopia. dearged2011@gmail.com.
BMC pregnancy and childbirth
|February 20, 2025
概括
在埃塞俄比亚,非气动防冲击服 (NASG) 尚未得到充分利用,只有43.2%的机构报告其使用. 增加可用性,培训和知识与更高的NASG利用有关,这对于减少因出血而导致的孕产妇死亡至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 医疗器械 医疗器械
背景情况:
- 非气动防冲击服 (NASG) 是一种至关重要的急救装置,用于通过对身体下部施加压力来管理产后出血.
- 之前在埃塞俄比亚卫生机构实施的NASG显示,2013-2015年间,从出血性休克引起的孕产妇死亡率减少了80%.
- 关于在埃塞俄比亚使用NASG的现有研究提出了不一致的发现,需要进行全面的评估.
研究的目的:
- 评估埃塞俄比亚使用非气动防冲击服的综合流行情况.
- 确定与在埃塞俄比亚背景下使用NASG相关的因素.
主要方法:
- 根据PRISMA检查清单,进行了系统审查和元分析.
- 在Medline,Embase,Hinari,AJOL,Web of Science,Google Scholar和ScienceDirect进行了搜索,搜索到2023年5月31日之前发表的观测研究.
- 使用STATA V.15提取和分析数据,以估计95%置信区间 (CI) 的聚合几率比率 (OR).
主要成果:
- 八项包括2690名参与者的研究被纳入了审查.
- 发现非气动抗冲击服 (NASG) 的综合利用率为43.2% (95%CI:35.88,50.52).
- 机构对NASG的可用性,事先的培训以及对其利用的良好了解与NASG使用增加有显著的关联.
结论:
- 埃塞俄比亚的非气动防冲击服 (NASG) 的整体利用率仍然不够理想.
- 可用性,培训和知识是影响NASG利用的关键因素.
- 扩大NASG的实施和使用对于减轻分娩后过度失血和改善母亲的结果至关重要.
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