应用社会生态模型来检查埃塞俄比亚围绕早产的信仰,感知和态度:一种定性研究
Abiy Seifu Estifanos1,2, Meron Addis Gelaw3, Hewan Getachew3,2
1Center for Implementation Sciences (CIS), Aklilu Lemma Institute of Health Research, Addis Ababa University, Addis Ababa, Ethiopia abiy.seifu@aau.edu.et.
BMJ open
|February 6, 2026
概括
关于早产的负面信念会影响母亲和新生儿的护理. 解决根深蒂固的社会观念对于改善埃塞俄比亚的健康结果至关重要.
科学领域:
- 围产期健康 围产期健康
- 质量健康研究 质量健康研究
- 卫生社会学 卫生社会学
背景情况:
- 在全球范围内,早产是新生儿发病率和死亡率的主要驱动因素.
- 了解社区和提供者的看法对于改善早产婴儿护理至关重要.
- 需要有质性的洞察力来探索影响护理实践的细微信念.
研究的目的:
- 探索埃塞俄比亚社区对早产的看法,信仰和态度.
- 了解这些因素如何影响为早产婴儿和母亲提供护理.
- 通过社会生态模型确定对早产护理的多层次影响.
主要方法:
- 在埃塞俄比亚巴图和梅基社区进行了一项探索性定性研究.
- 通过深入采访 (n=81) 和焦点小组讨论 (n=8) 收集数据.
- 参与者包括母亲,家庭,医疗保健工作者和社区利益相关者.
主要成果:
- 个人层面的发现揭示了母亲的内和围绕早产的家庭秘密.
- 在人际关系和社区层面,人们对早产婴儿的耻辱和对母亲的失望.
- 组织和社会层面表明,医疗保健提供者的误解和信仰将早产归因于上帝的惩罚或自然原因,影响护理优先级和悲伤承认.
结论:
- 社会信仰,观念和态度在很大程度上影响了早产婴儿和母亲所接受的护理.
- 在个人,社区和社会层面上根深蒂固的态度需要有针对性的干预.
- 需要采取多方面的方法来解决这些复杂的因素,并改善早产新生儿的结果.
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