城市加纳新生儿基本护理的母亲知识和实践领域:因素分析
Alhassan Sibdow Abukari1, Emmanuel Kwame Korsah2, Eva Fusser Okworu3
1Department of Maternal and Child Health, School of Nursing & Midwifery, University of Ghana, Legon, Accra, Ghana.
Midwifery
|November 15, 2025
概括
加纳的母亲对新生儿基本护理 (ENC) 的知识在母乳养和带护理方面很强,但在卫生方面存在差距. 改善社区健康教育可以降低新生儿死亡率.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 新生儿护理 新生儿护理
背景情况:
- 新生儿死亡率是加纳等低收入和中等收入国家的重大公共卫生问题.
- 母亲对新生儿基本护理 (ENC) 的知识和实践对于新生儿的结果至关重要,但在城市环境中有所不同.
研究的目的:
- 描述母亲对新生儿基本护理 (ENC) 的知识和实践.
- 用因子分析来识别ENC实践的潜在领域,以健康信念模型 (HBM) 为指导.
主要方法:
- 在阿克拉大都市的148名母亲中进行了一项描述性的,基于社区的,横截面的研究.
- 数据是通过采访者管理的电子调查收集的,采用预先测试的问卷.
- 探索性和确认性因子分析用于识别和验证ENC实践领域.
主要成果:
- 在早期母乳养,大奶粉养,纯母乳养,延迟洗,带护理和疫苗接种方面观察到高符合率 (>90%的平均得分).
- 在母乳养前洗手 (77.6%),吐 (84.2%) 和新生儿护理前用酒精擦洗 (87.6%) 方面,遵守规则的程度较低.
- 因子分析确定了三个领域:卫生和安全实践,母乳养和热护理,带和分娩实践,解释了51.7%的差异.
结论:
- 母亲表现出强烈的新生儿基本护理 (ENC) 实践,特别是在母乳养和带护理方面.
- 发现了手部卫生,免疫知识和吐实践方面的差距,可能与感知到的障碍和有限的行动线索有关.
- 建议在产前和产后服务中加强基于社区的健康教育,以改善ENC的坚持和减少新生儿死亡率.
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