关键词: Indonesia Islam late antenatal care nursing postpartum pregnancy complications pregnant women social support

来  源:   DOI:10.33546/bnj.3339   PDF(Pubmed)

Abstract:
UNASSIGNED: Late antenatal care (ANC) has significant implications for maternal and infant morbidity and mortality among Muslim pregnant women in Indonesia. Existing literature has primarily focused on gestational weeks at the first ANC contact, with limited attention to the total number of ANC visits.
UNASSIGNED: This study aimed to explore the factors predicting late antenatal care contact among Muslim pregnant women, including the gestational weeks of the first ANC contact and the total number of ANC visits in Aceh, Indonesia.
UNASSIGNED: A predictive correlational study design was utilized. Eighty postpartum women who received late ANC were purposively sampled and included in the study. Data were collected in May 2023 using ANC knowledge, beliefs, and social support questionnaires. Statistical analyses included descriptive statistics, Spearman\'s rank correlation, Chi-Square tests, and binary logistic regression with the enter method.
UNASSIGNED: Pregnant women residing farther from home to ANC services were more likely to have their first ANC contact after 20 weeks than those with a shorter distance (AOR = 1.06; 95% CI: 1.02-1.10; p = 0.007). Additionally, women with a history of multiple abortions were more inclined to have four or more ANC visits compared to those with fewer abortions (AOR = 6.78; 95% CI: 1.64-28.09; p = 0.008).
UNASSIGNED: Distance from home to healthcare services emerged as a significant barrier to ANC contact, while a history of abortion appeared to motivate pregnant women to seek ANC more frequently. To address these issues effectively, nurses should consider implementing telemedicine services for ANC provision, integrating information on pregnancy complications to better support pregnant women in their care journey.
摘要:
产前后期护理(ANC)对印度尼西亚穆斯林孕妇的母婴发病率和死亡率具有重大影响。现有文献主要集中在第一次ANC接触时的孕周,对ANC访问总数的关注有限。
本研究旨在探讨预测穆斯林孕妇产前护理后期接触的因素,包括第一次ANC接触的孕周和亚齐的ANC访问总数,印度尼西亚。
采用了预测性相关研究设计。有目的地对80名接受晚期ANC的产后妇女进行采样并纳入研究。数据是在2023年5月利用ANC知识收集的,信仰,社会支持问卷。统计分析包括描述性统计,斯皮尔曼的等级相关性,卡方检验,和二元逻辑回归与输入方法。
与距离较短的孕妇相比,离家较远的孕妇在20周后更有可能首次接触ANC(AOR=1.06;95%CI:1.02-1.10;p=0.007)。此外,与堕胎次数较少的女性相比,有多次堕胎史的女性更倾向于接受4次或4次以上的ANC访视(AOR=6.78;95%CI:1.64~28.09;p=0.008).
从家到医疗服务的距离成为ANC联系的重要障碍,虽然流产史似乎促使孕妇更频繁地寻求ANC。为了有效地解决这些问题,护士应考虑为ANC提供远程医疗服务,整合有关妊娠并发症的信息,以更好地支持孕妇的护理旅程。
公众号