与产后咨询遵守率低相关的因素:一个横截面研究
Ana Luísa Macedo de Amorim1, Chalana Duarte de Sena Fraga2, Tacila Nogueira Azevedo Rocha3
1Universidade do Estado da Bahia, Senhor do Bonfim, Brasil. E-mail: a.luisa.amorim8@gmail.com Universidade do Estado da Bahia Senhor do Bonfim Brasil a.luisa.amorim8@gmail.com.
产后护理的坚持率很低,67%的人参加咨询. 缺席的关键因素包括时间短缺和产前指导不足,以及产后随访的重要性.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 初级医疗保健是一项主要的医疗保健.
背景情况:
- 有效的产后护理对于母亲的健康至关重要.
- 长途医疗保健,特别是初级医疗保健,对于解决产后需求至关重要.
- 确保产后护理的连续性是全面的孕产妇健康服务的关键组成部分.
研究的目的:
- 确定巴西东北部妇女分娩后咨询的频率.
- 为了确定与低遵守产后随访护理相关的因素.
- 了解获得产后医疗保健服务的障碍.
主要方法:
- 一项横截面研究在巴西巴希亚州Señor do Bonfim进行.
- 97名产后妇女进行了半结构面试.
- 统计分析包括千平方/费舍尔的精确测试和多重物流回归.
主要成果:
- 只有67%的妇女参加了产后咨询.
- 缺席与参加基本卫生单位的产前护理 (OR:0.08) 和缺乏产前指导的产后随访 (OR:0.22) 有关.
- 缺少时间是错过预约的主要原因.
结论:
- 很大一部分妇女没有参加产后咨询,这表明持续护理存在差距.
- 需要有针对性的干预措施和改进的产前咨询,以提高产后随访的坚持.
- 初级医疗保健实体必须根据当地现实调整战略,以改善产后护理服务.
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