بررسی میزان انطباق مراقبت‌های دوران بارداری ارائه شده در سه ماهه دوم و سوم بارداری با راهنمای استاندارد کشوری در مراکز بهداشتی درمانی اهواز، 1391

نوع مقاله: اصیل پژوهشی

نویسندگان

1 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

2 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

3 کارشناس ارشد مامایی، مرکز تحقیقات ارتقاء سلامت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران

4 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران

5 کارشناس ارشد پرستاری، گروه پرستاری، دانشکده پرستاری و مامایی، مرکز تحقیقات مراقبت بیماریهای مزمن، دانشگاه علوم پزشکی جندی شاپور اهواز، ایران

چکیده

مقدمه: مراقبت‌های دوران بارداری، اجرای صحیح اصولی است که با هدف حفظ سلامت مادر و تولد نوزاد سالم انجام می‌شود و اگر مراقبت‌های دوران بارداری به طرز صحیح انجام نشود باعث افزایش زایمان زودرس، تولد نوزادان با وزن کم هنگام تولد و مرگ و میر مادر و نوزاد می‌شود، لذا مطالعه حاضر با هدف بررسی میزان انطباق مراقبت‌های دوران بارداری ارائه شده با راهنمای استاندارد کشوری در مراکز بهداشتی درمانی شهرستان اهواز انجام شد.
روش‌کار: این مطالعه توصیفی در سال 1391 بر روی 392 زن باردار مراجعه کننده به مراکز بهداشتی درمانی تابع دانشگاه علوم پزشکی جندی شاپور اهواز انجام شد. پس از کسب رضایت‌نامه کتبی از زنان باردار به مشاهده همزمان مراقبت‌های ارائه شده دوران بارداری و تکمیل پرسشنامه‌های مربوطه پرداخته شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 18) انجام شد.
یافته‌ها: مراقبت دوران بارداری ارائه شده در مراکز بهداشتی درمانی در 3/65% موارد انطباق ضعیف و در 7/34% موارد انطباق متوسط با استاندارد کشوری داشت. به تفکیک مراقبت‌ها در سه ماهه دوم بارداری، در 3/66% موارد انطباق ضعیف، در 2/33% موارد انطباق متوسط و تنها در 5/0% موارد انطباق خوب و در سه ماهه سوم بارداری، در 3/77% موارد انطباق ضعیف و در 9/21% موارد انطباق متوسط با استاندارد کشوری مشاهده شد.
نتیجه‌ گیری: مراقبت دوران بارداری ارائه شده در مراکز بهداشتی درمانی، مطابق با استانداردهای کشوری نمی‌باشد و نیاز به کنترل می‌باشد.

کلیدواژه‌ها


عنوان مقاله [English]

A survey on the compatibility of prenatal care offered at the second and third trimester of pregnancy with standard guidelines of country in Ahvaz health care centers, 2012

نویسندگان [English]

  • Parvin Esfandyari Nejad 1
  • Salimeh Nezamivand Chegini 2
  • Shahnaz Najar 1
  • Masoumeh Yaralizadeh 3
  • Poorandokht Afshari 4
  • Samira Beiranvand 5
1 M.Sc. of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2 M.Sc. of Midwifery, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
3 M.Sc. of Midwifery, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
4 M.Sc. of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
5 M.Sc. of Nursing, Department of Nursing, School of Nursing and Midwifery, Chronic Disease Care Research center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
چکیده [English]

Introduction: Prenatal care is correctly performing the principles with aim to keep mother's health and the birth of healthy infant. If prenatal care not be done correctly, it leads to increased rate of preterm labor, low birth weight and maternal and neonatal mortality. This study was performed with aim to evaluate the adaptation rate of presented prenatal care with standard guidelines at Ahvaz health care centers.
Methods: This descriptive study was performed on 392 pregnant women referred to Ahvaz health care centers related to Ahvaz Jundishapour University of Medical Sciences in 2012. After obtaining the written consent from pregnant women, simultaneous observation of provided prenatal care was performed and the related questionnaires were completed. Data was analyzed using SPSS software (version 18).
Results: Presented prenatal care in health care centers had poor adaptation in 65.3% of cases and average adaptation in 34.7% with standard guidelines of country. Presented prenatal care at second trimester had poor adaptation in 66.3% of cases, average adaptation in 33.2% and good adaptation in only 0.5% of cases. Presented prenatal care at third trimester had poor adaptation in 77.3% of cases and average adaptation in 21.9% with standard guidelines
Conclusion: Presented prenatal care in therapeutic health centers is not adapted with standards of country and need to be controlled.

کلیدواژه‌ها [English]

  • Country standard guidelines
  • Health care centers
  • prenatal care
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