Assessment of Mothers’ Knowledge Regarding Care of their Premature Babies in the Gaza Strip, Palestine
Date
2023-03-21
Authors
محمد حمزة محمد عبد الجواد
Mohammed Hamza Mohammed Abdeljawad
Journal Title
Journal ISSN
Volume Title
Publisher
Al-Quds University
Abstract
المعرفة الجيدة للأمهات حول الرعاية الأساسية لحديثي الولادة هي الخطوة الأساسية في برنامج صحة الطفل وخاصة في الأطفال الخدج. هدفت الدراسة إلى تقييم معرفة الأمهات فيما يتعلق برعاية أطفالهن الخدج في قطاع غزة ، فلسطين.
تم استخدام تصميم مقطعي وصفي، وتم استهداف الأمهات اللواتي ولدن أطفالاً خدجاً في أقسام حديثي الولادة في مجمع الشفاء الطبي ومستشفى الأقصى ومستشفى ناصر ومستشفى الإمارات لملء استبيان. تم استخدام برنامج Epi info لحساب عينة الدراسة في فترة ثقة 95٪ والتي كشفت عن عينة من 164 واستخدمت العينة المتتالية. تم اختيار عينة متناسبة من كل مستشفى مع الأخذ في الاعتبار معايير الاشتمال للأمهات اللواتي ولدن طفلًا خديجًا تم إدخاله إلى إحدى المستشفيات المختارة. تم إجراء دراسة استطلاعية على 10٪ من حجم العينة والتي تم تضمينها في التحليل النهائي. تم أخذ الاعتبارات الأخلاقية في عين الاعتبار خلال فترة الدراسة واستخدم برنامج الحزمة الإحصائية للعلوم الاجتماعية الإصدار 25 لتحليل البيانات.
تم تضمين مائة وسبعين امرأة كان لديهن أطفال خدج في الدراسة. متوسط عمر الأمهات اللائي لديهن أطفال خدج هو 28.8 مع أكبر نسبة (36.5٪) في الفئة العمرية (> 30 سنة). على الرغم من أن غالبية النساء وأزواجهن حاصلين على درجة البكالوريوس أو أعلى (51.2٪ و 60٪ على التوالي). معظم النساء ربات بيوت ،و 78.2٪ يعملون. إضافة إلى ذلك، 77.6٪ من العائلات لديها دخل أقل من 1973 شيكل. تشمل عوامل الخطر السائدة على الأمهات ارتفاع ضغط الدم الناجم عن الحمل (45.3٪) ، و القيصرية السابقة (62.4٪) ، و إنجاب توائم (14.1٪) ، و 77.1٪ من النساء اللواتي ولدن في العملية القيصرية. متوسط عدد زيارات الرعاية قبل موعد الولادة هو 5 زيارات، 28.2٪ من النساء تلقين متابعة خاصة أثناء رعاية الأطفال الخدج. فقط 30٪ من النساء تلقين معلومات تتعلق بالرعاية المبكرة أثناء الحمل ، ولكن 83٪ تلقينها بعد الولادة. 40.4٪ من النساء يرون أن المعلومات التي حصلن عليها كافية. وبلغ مستوى معرفة الأمهات برعاية أطفالهن الخدج 63.8 حيث كانت نسبة المعرفة بين فقيرة جيدة وممتازة 34.7٪ و 18.2٪ و 47.1٪ على التوالي.
أظهرت الدراسة وجود علاقة ارتباط موجبة بين مستوى جميع المجالات المعرفية للأمهات (التنظيم الحراري ، التغذية ، العلاج بالضوء ، العدوى والعناية بالبشرة) حيث أن جميع قيم مستوى المعنوية> 0.05 كما وجدت الدراسة أربعة عوامل تؤثر على معرفة الأمهات برعاية أطفالهن الخدج. تلقي زيارة رعاية الحمل خاصة برعاية الطفل الخديج ، قيمة كاي= 7.2،مستوى المعنوية= 0.008)، مصدر المعلومات كوسائل الإعلام (قيمة كاي=5.067 ، مستوى المعنوية= 0.024) ، تلقي المعلومات المتعلقة برعاية الخدج بعد الولادة (قيمة كاي=9.42، مستوى المعنوية= 0.002، وتصور المعلومات المستلمة على أنها كافية (قيمة كاي=9.27 ، مستوى المعنوية= 0.010) ومع ذلك ، فإن اكتشاف التحليل متعدد المتغيرات يظهر أن تلقي زيارة حمل خاصة برعاية طفل خديج هو المتغير الوحيد الذي يتنبأ بمعرفة النساء حول رعاية طفلهن الخديج (مستوى المعنوية= 0.038).
تشير الدراسة إلى أنه لا تزال هناك فجوة كبيرة في معرفة المشاركين عندما يتعلق الأمر برعاية أطفالهم الخدج. وهذا يعني أن هناك فرصة لتحسين تثقيف الأمهات بشأن الرعاية المناسبة واحتياجات أطفالهن الخدج. تؤكد الدراسة على أهمية البرامج التعليمية التي يمكن أن تساعد في تعزيز معرفة الأمهات حول رعاية الأطفال الخدج.
Good knowledge of mothers about essential neonatal care is the key step in a child health program, especially in premature children. The study aimed to assess the mothers’ knowledge regarding the care of their premature babies in the Gaza Strip, Palestine. A descriptive cross-sectional design was used, and mothers who delivered premature infants admitted to the neonatal departments of Al-Shifa medical complex, Al-Aqsa Hospital, Nasser Hospital, and Emirati Hospital were targeted to fill out a questionnaire. Epi info program was used to calculate the study sample at a 95% confidence interval which revealed a sample of 172 and a consecutive sampling was used to recruit infants and their mothers. A proportionate sample of each hospital was selected considering the inclusion criteria of mothers who delivered a premature baby admitted to one of the selected hospitals. A pilot study was conducted on 10% of the sample size which was included in the final analysis. Ethical considerations were considered thought the study period and SPSS program version 25 was used to analyze the data. One hundred and seventy mothers who had a preterm baby filled out the questionnaires with a response rate of 98.8%. The mean age of the mothers has preterm birth children is 28.8 years with the greatest (36.5%) in the age group (> 30 years). Although, the majority of mothers and their husbands hold a bachelor's degree or higher (51.2% and 60%, respectively). Most of the mothers are housewives, and 78.2% of their husbands work or are employed. In addition, 77.6%of the families have incomes less than 1973 New Israel Shekel (NIS). The dominant maternal risk factors include pregnancy-induced hypertension (45.3%), previous Cesarean Section (62.4%), and Twins (14.1%). The mean number of antenatal care (ANC) visits is 5 visits, 28.2% of mothers received a special ANC follow-up related to the care of premature children. Only 30% of mothers received information related to the care of premature during pregnancy, however, 83% of mothers received it after delivery. 40.4% of mothers perceived the information they received as adequate. The level of mothers’ knowledge about the care of their premature babies is 63.8 and the percentages of poor, good, and excellent categories are 34.7%, 18.2%, and 47.1% respectively. The study showed a positive correlation between the level of all mothers’ knowledge domains (thermoregulation, feeding, phototherapy, and infection and skin care) as all p- values < 0.05. Also, the study found four factors affecting the mothers’ knowledge about the care of their premature babies; receiving a special ANC related to the care of a premature baby (chi=7.2, P- value=0.008), source of information as mass media (chi=5.067, p- value= 0.024), receive information related to the care of premature after delivery (chi= 9.42, p- value= 0.002), and perceive information received as adequate (chi=9.27, p- value= 0.010). However, the finding of the multivariate analysis shows that receiving a special ANC is the only variable that predicts mothers’ knowledge about the care of their premature baby (p- value= 0.038). The study suggests that there is still a considerable gap in the knowledge of respondents when it comes to the care of their premature babies. This means that there is an opportunity for improvement in educating mothers about the proper care and needs of their premature babies. The study emphasizes the significance of education programs that can help in enhancing maternal knowledge about caring for premature babies.
Good knowledge of mothers about essential neonatal care is the key step in a child health program, especially in premature children. The study aimed to assess the mothers’ knowledge regarding the care of their premature babies in the Gaza Strip, Palestine. A descriptive cross-sectional design was used, and mothers who delivered premature infants admitted to the neonatal departments of Al-Shifa medical complex, Al-Aqsa Hospital, Nasser Hospital, and Emirati Hospital were targeted to fill out a questionnaire. Epi info program was used to calculate the study sample at a 95% confidence interval which revealed a sample of 172 and a consecutive sampling was used to recruit infants and their mothers. A proportionate sample of each hospital was selected considering the inclusion criteria of mothers who delivered a premature baby admitted to one of the selected hospitals. A pilot study was conducted on 10% of the sample size which was included in the final analysis. Ethical considerations were considered thought the study period and SPSS program version 25 was used to analyze the data. One hundred and seventy mothers who had a preterm baby filled out the questionnaires with a response rate of 98.8%. The mean age of the mothers has preterm birth children is 28.8 years with the greatest (36.5%) in the age group (> 30 years). Although, the majority of mothers and their husbands hold a bachelor's degree or higher (51.2% and 60%, respectively). Most of the mothers are housewives, and 78.2% of their husbands work or are employed. In addition, 77.6%of the families have incomes less than 1973 New Israel Shekel (NIS). The dominant maternal risk factors include pregnancy-induced hypertension (45.3%), previous Cesarean Section (62.4%), and Twins (14.1%). The mean number of antenatal care (ANC) visits is 5 visits, 28.2% of mothers received a special ANC follow-up related to the care of premature children. Only 30% of mothers received information related to the care of premature during pregnancy, however, 83% of mothers received it after delivery. 40.4% of mothers perceived the information they received as adequate. The level of mothers’ knowledge about the care of their premature babies is 63.8 and the percentages of poor, good, and excellent categories are 34.7%, 18.2%, and 47.1% respectively. The study showed a positive correlation between the level of all mothers’ knowledge domains (thermoregulation, feeding, phototherapy, and infection and skin care) as all p- values < 0.05. Also, the study found four factors affecting the mothers’ knowledge about the care of their premature babies; receiving a special ANC related to the care of a premature baby (chi=7.2, P- value=0.008), source of information as mass media (chi=5.067, p- value= 0.024), receive information related to the care of premature after delivery (chi= 9.42, p- value= 0.002), and perceive information received as adequate (chi=9.27, p- value= 0.010). However, the finding of the multivariate analysis shows that receiving a special ANC is the only variable that predicts mothers’ knowledge about the care of their premature baby (p- value= 0.038). The study suggests that there is still a considerable gap in the knowledge of respondents when it comes to the care of their premature babies. This means that there is an opportunity for improvement in educating mothers about the proper care and needs of their premature babies. The study emphasizes the significance of education programs that can help in enhancing maternal knowledge about caring for premature babies.
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Keywords
Citation
Abdeljawad.,M(2023).Assessment of Mothers’ Knowledge Regarding Care of their Premature Babies in the Gaza Strip, Palestine.Master's thesis,Al-Quds University.