Gandhi Memorial Hastanesi'nde verilen doğum sonrası bakım hizmetinin kalitesi

Year 2025, Volume: 10 Issue: 1, 50 - 61, 04.02.2025

Elham Murad

https://doi.org/10.35232/estudamhsd.1498386

Abstract

Maternal mortalitenin yarısı ve yenidoğan mortalitesinin üçte ikisi doğum sonrası dönemde meydana gelir. Postpartum dönemde etkili, yüksek kaliteli müdahale, anne ve yenidoğan ölümlerinin sayısını önemli ölçüde azaltacaktır. Bu çalışma, Gandhi Memorial Hastanesi Addis Ababa’da sunulan doğum sonrası bakım hizmetinin kalitesini değerlendirmeyi amaçlamaktadır. Gandhi Memorial Hastanesi’nde Mayıs-Haziran 2022’den itibaren kesitsel bir çalışma yapılmış olup, doğum sonrası bakıma katılan annelerle görüşülmüştür. Veri analizi, Sosyal Bilimler için İstatistik Paketi (SPSS) 24 Versiyonu kullanılarak yapıldı. Sonuçlar frekanslar ve yüzdeler kullanılarak sunulmuş ayrıca iki değişkenli ve çok değişkenli analiz yapılmıştır. p değeri < 0,05 istatistiksel olarak anlamlı kabul edilmış olup verilen bakımın kalitesinin ölçüsü olarak annelerin memnuniyet seviyesi kullanılmıştır. Vaka yaşları, 16-42 yıl aralığında olup ortalaması 27.3 ± 4.59 ve medyanı 27, çoğunluk 20 yaş ve 34 yaş arası oluşmaktadır. Spontan vajinal doğum (SVD) ile doğum yapan neredeyse tüm anneler, doğumdan sonra hastanede 24 saatten az kaldı. Evli olmak, SVD ile doğum yapmak, yapılacak prosedür hakkında bilgilendirilmek ve önerilen hemşirelik bakımı görmek , Gandhi Memorial Tavsiye Hastanesi’nde sağlanan doğum sonrası bakımın genel kalitesi ile anne memnuniyeti için önemli faktörler olarak saptandı. Annelerin neredeyse yarısı taburcu olmadan önce sağlanan doğum sonrası bakımın genel kalitesinden memnun olmuştur. Maddi kaynak sıkıntısı gözlenmiş olup annelere sağlanması gereken hemşirelik bakımının çoğu ihmal edilmiş veya göz ardı edilmiştir.

Keywords

Kalite, doğum sonrası bakım, anne, yenidoğan, Etiyopya

Quality of postnatal care service provided in Gandhi Memorial Hospital

Abstract

Half of maternal mortality and two-thirds of neonatal mortality occur during the postnatal period. Effective, high-quality intervention during the postpartum period will significantly reduce the number of maternal and neonatal deaths. This study aims to assess the quality of the postnatal care service provided at Gandhi Memorial Hospital Addis Ababa. A cross-sectional study was conducted from May-June 2022 in Gandhi Memorial Hospital, mothers attending postnatal care were interviewed. Data Analysis was done using Statistical Package for the Social Sciences (SPSS) version 24. Results were presented using frequencies and percentages, as well as bivariate and multivariate analysis was conducted and those variables with a p-value < 0.05 were considered to be statistically significant the satisfaction level of mothers was used as the measure of the quality of care provided. The respondent’s ages were in the range of 16-42 years, with a mean of 27.3 ±4.59, and a median of 27, the majority between 20 years and 34 years old. Nearly all mothers who delivered by spontaneous vaginal delivery(SVD) stayed less than 24 hours in the hospital after their delivery. Being married, delivered by SVD, being informed on the procedure to be done, obtaining recommended nursing care, and, being counseled were obtained to be significant factors for maternal satisfaction with the overall quality of postnatal care provided in Gandhi Memorial Referral Hospital. Nearly half of the mothers before discharge were satisfied with the overall quality of postnatal care provided. Shortages of material resources were observed, and most of the nursing care needed to be provided for the mothers was neglected or missed.

Keywords

Quality, postnatal care, mother, neonate, Ethiopia

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