使用健康信念模型来解释桑给巴尔分娩后母亲使用产后服务的因素:一个横截面研究
Faudhia A Salehe1, Rehema B Omari1, Fabiola V Moshi2
1Department of Clinical Nursing, School of Nursing and Public Health of the University of Dodoma, Dodoma, Tanzania.
在桑给巴尔,产后护理的使用率仍然很低,只有29.1%的母亲使用服务. 感知到的好处和行动线索显著影响了产后护理的使用,突出了针对性健康教育运动的需要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 健康 行为 健康行为
背景情况:
- 产后期对于母亲和新生儿的生存至关重要.
- 产后服务的利用与降低孕产妇和新生儿发病率和死亡率有关.
- 了解影响产后护理采用的因素对于改善结果至关重要.
研究的目的:
- 调查影响桑给巴尔分娩后妇女使用产后服务的因素.
- 应用健康信念模型 (HBM) 来解释这些影响因素.
- 确定改善获得产后护理的关键决定因素.
主要方法:
- 一项以社区为基础的横截面研究,涉及桑给巴尔395名分娩后妇女.
- 通过结构化问卷和文档审查收集的数据.
- 二元物流回归分析用于识别与产后服务利用相关的因素,以HBM组件为指导.
主要成果:
- 只有29.1%的女性 (395名中只有115名) 使用了产后服务.
- 感知好处 (AOR=10.212,P=0.001) 和行动线索 (AOR=1.958,P=0.034) 是产后服务利用的重要预测因素.
- 感知障碍和感知易感性显示增加了几率,但没有统计学意义.
结论:
- 桑给巴尔的产后服务普及率低,需要有针对性的干预措施.
- 提高感知效益并提供明确的行动线索可以改善产后护理的利用率.
- 建议开展教育活动,提高人们对早期产后检查的重要性的认识.
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