تأثیر کلاس‌های آمادگی زایمان بر رضایت‌مندی زنان باردار مراجعه‌کننده به بیمارستان فاطمیه شهر همدان در سال 1394

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار، گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی همدان، همدان، ایران.

2 دانشیار، گروه بهداشت مادر و کودک، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی همدان، همدان، ایران.

3 کارشناسی ارشد، گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی همدان، همدان، ایران.

4 دانشیار، گروه آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی همدان، همدان، ایران.

چکیده

اهداف رضایت زنان باردار یکی از متغیرهای مهم در سنجش کیفیت مراقبت‌های بهداشتی است. مطالعه حاضر با هدف مقایسه رضایت‌مندی زنان باردار در دو روش مشاوره آمادگی برای زایمان و مراقبت‌های ‌عادی در مراجعان درمانگاه پره‌ناتال بیمارستان فاطمیه همدان در سال 1394-1393 انجام شد.
مواد و روش ها پژوهش حاضر مطالعه کارآزمایی بالینی است که 170 زن باردار واجد شرایط مراجعه‌کننده به درمانگاه پره‌ناتال بیمارستان فاطمیه به‌صورت در دسترس و تخصیص تصادفی به روش بلوک‌های جایگشتی در دو گروه آزمایش و کنترل قرار گرفتند. در گروه آزمایش 8 جلسه مشاوره آمادگی زایمان در هفته‌های 20تا 36 بارداری برگزار شد. گروه کنترل فقط مراقبت‌های ‌عادی بارداری را دریافت کردند. ابزار جمع‌آوری اطلاعات پرسش‌نامه مشخصات جمعیت‌شناختی و پرسش‌نامه محقق‌ساخته رضایت‌مندی زنان باردار از مشاوره آمادگی زایمان بود. داده‌ها با استفاده از نسخه 19 نرم‌افزارSPSS ، آزمون خی دو و تست دقیق فیشر تجزیه‌وتحلیل شد. میزان P کمتر از 05/0 معنادار در نظر گرفته شد.
یافته ها بر اساس نتایج پژوهش میانگین نمره رضایت‌مندی گروه آزمایش 76/93 (93/6) به‌طور معناداری از گروه کنترل 40/46 (27/14) بیشتر بود (001/0P<). رضایت‌مندی در تمام حیطه‌ها نیز از نظر آماری بین دو گروه اختلاف معناداری داشت (001/0P<).
نتیجه گیری یافته‌های پژوهش بیانگر تأثیر جلسات مشاوره آمادگی زایمان بر رضایت‌مندی زنان باردار بود. پیشنهاد می‌شود جلسات آمادگی زایمان به‌صورت گسترده‌تری در مراکز تشکیل شود.

کلیدواژه‌ها


عنوان مقاله [English]

The Effect of Delivery Preparation Counselling on the Pregnant Women’s Satisfaction in the Educational-Medical Fatemieh Hospital in Hamadan in 2015

نویسندگان [English]

  • Seyedeh Zahra Masoumi 1
  • Fatemeh Shobeiri 2
  • Simin Karimi 3
  • Ghodratollah Roshanaei 4
1 Assistant Professor, Department of Midwifery, School of Nursery and Midwifery, Hamedan University of Medical Sciences, Hamedan, Iran.
2 Associate Professor, Department of Mother and Child Health, School of Nursery and Midwifery, Hamedan University of Medical Sciences, Hamedan, Iran.
3 MSc., Department of Midwifery, School of Nursery and Midwifery, Hamedan University of Medical Sciences, Hamedan, Iran.
4 Associate Professor, Department of Biostatistics and Epidemiology, School of Health, Hamedan University of Medical Sciences, Hamedan, Iran.
چکیده [English]

Background The satisfaction of the pregnant women is one of the crucial variables in measuring the quality of health cares. The current study was conducted to compare the satisfaction of the pregnant women referring to the prenatal clinic of Hamadan Fatemieh Hospital in 2014-2015 as far as consultation for delivery preparation and routine cares were concerned.
Materials & Methods This study is a clinical trial research in which the pregnant women referring to the mentioned clinic, 170 were selected randomly and were assigned to experimental and control groups. The experimental group received consultation for delivery preparation during 8 sessions from 20-36 wk of pregnancy; While the control group was exposed to only routine pregnancy cares. The instruments used to collect the data were the questionnaire of demographic characteristics and a researher-made questionnaire regarding pregnant women’s satisfaction of consultation for delivery preparation. The data were analyzed using SPSS, version 19, with Chi-Squre, and Fisher’s Exact Test, and P was considered to be significant at the level of 0.05.
Results The results of data analysis showed that the experimental group’s mean score on satisfaction 93.76 (6.93) was significantly (P<0.001) higher than that 46.40 (14.27) of the control group. There was also a significant difference (P<0.001) between the groups in all fields of satisfaction.
Conclusion The findings of the study indicate that the consultation for delivery preparation had positive effect on the pregnant women’s satisfaction. Thus, more consultation sessions for delivery preparation are suggested to be held in the clinical centers.

کلیدواژه‌ها [English]

  • Consultation
  • Delivery preparation
  • Satisfaction
  • Pregnant women
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