在低资源环境中评估产后免疫服务:一个跨部门调查
Alhassan Sibdow Abukari1, Rejoice Gaddah2, Emmanuella Vincentia Ayivor2
1Department of Maternal and Child Health, School of Nursing & Midwifery, University of Ghana, Legon, Accra P.O. Box LG 25, Ghana.
Healthcare (Basel, Switzerland)
|June 26, 2025
概括
产后免疫实践的驱动力是遵守时间表和有效的沟通,这对于改善母亲和儿童健康至关重要. 解决资源局限性和加强医疗保健提供者的支持是提高疫苗覆盖率的关键.
科学领域:
- 公共卫生 公共卫生
- 免疫学 免疫学 免疫学
- 孕产妇和儿童的健康
背景情况:
- 产后免疫对于母亲和儿童的福祉至关重要,特别是在低收入环境中.
- 限定的母亲意识和获得产后护理的机会阻碍了免疫工作.
- 了解影响产后免疫的因素对于改善医疗保健干预措施至关重要.
研究的目的:
- 确定产后母亲中产后免疫实践的关键驱动因素.
- 开发和验证一个评估产后免疫实践的模型.
主要方法:
- 在第三级医疗机构对产后母亲进行前性横截面电子调查.
- 方便抽样和结构化问卷以收集有关免疫实践的数据.
- 描述性和推断性统计,包括因子分析 (主要组件分析) 和确认性因子分析,遵循STROBE指南.
主要成果:
- 坚持免疫计划 (56.4%的差异) 和对沟通的满意度 (8.3%的差异) 显著影响了良好做法,解释了64.7%的差异.
- 低于最佳的做法与资源限制,记录管理不善和医疗保健提供者的支持不足有关.
- 一个两因素模型 (坚持和沟通) 证明了良好的合适性和可靠性 (CFI=0.945,TLI=0.927,RMSEA=0.071,SRMR=0.042,克伦巴赫的α=0.823-0.877).
结论:
- 建议制定一项综合战略,包括健康教育,改善服务提供和文化敏感的沟通,以提高新生儿疫苗接种率.
- 未来的研究应该探索数字健康干预,社区计划和政策驱动的产后护理计划.
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