http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 저자 : ( Hyea Bin Lm ) (검색결과 2 건)
- 무료
- 기관 내 무료
- 유료
-
( Hyea Bin Lm ),( Ahmed ),( Mansoor ),( Jung Hye Hwang ),( Dongwoon Han ) 한국모자보건학회 2019 한국모자보건학회 학술대회 연제집 Vol.2019 No.2
Purpose: Despite the scarcity of the evidence supporting its efficacy and safety, the consumption of herbal medicines (HM) during pregnancy has been widely reported due to the belief that they are safer and more natural. However, certain pharmacological characteristics of herbs can cause a detrimental effect on both pregnant women and the fetus, and because HM use is often self-prescribed and is unsupervised by health professionals, safety issues in HM use remain to be a major public health concern. One of the ways to overcome this issue is to increase patient disclosure of HM use to physicians, as improved physician-patient communication on HM use provides room for appropriate medical intervention when complications/adverse reactions arise from concurrent use of HM and conventional medicine. In Nepal, the use of HM is also widespread and is culturally embedded, yet little is known about the pattern of HM use during pregnancy and whether proper physician-patient communication on HM use has been practiced. Therefore, this study aims to explore the pattern of HM use among pregnant women in Nepal, to identify potential predictors of HM use during pregnancy, and to examine factors associated with physician disclosure on HM use. Methods: A descriptive cross-sectional study was conducted using data from 400 postpartum women at Maternity and Women’s Hospital located in Kathmandu, Nepal from July 4, 2017 to August 12, 2017. All postpartum women aged 15 to 49 were invited to take part in the survey before they were discharged from the hospital. Descriptive statistics were used to describe the sociodemographic and pregnancy-related characteristics of study respondents. A chi-square test was performed to identify differences in sociodemographic and pregnancy-related characteristics between users and non-users of HM. Furthermore, among HM users, a chi-square test was also used to compare pregnancy outcomes between the group who disclosed HM use to physicians and the group who did not. Lastly, a logistic regression analysis was conducted to examine potential predictors of HM use and to identify the factors associated with physician disclosure on HM use. Results: Herbal medicines were used by 241 (60.3%) participants in their previous pregnancy, and travel time to health facility (p=0.045), use of HM prior to previous pregnancy (p<0.001), and gravidity (p=0.018) were significantly associated with HM use in pregnancy. Ginger was the most commonly used modality of HM in Nepal (n=111, 46.1%), and the most commonly reported indications for HM use were cough, cold, flu (72.6%), nausea/vomiting (39.8%), and heartburn/indigestion (23.6%). Overall, 21.6% of HM users reported side effects of HM use in pregnancy, and the most popular source of HM information were family and friends (n=236, 98.3%). The disclosure rate of HM use with healthcare providers was 54.8%, and potential predictors of patient disclosure on HM use were pregnant women’s education level (p=0.022) and the number of antenatal care(ANC) visits (p=0.008). Conclusion: This study found that the use of HM during pregnancy was common in Nepal. However, most women obtained HM-related information from informal sources and did not disclose HM use to physicians. ANC visits and women’s education levels were found to be associated with disclosure of HM use to physicians. This highlights the need for public education and awareness programs on the safe use of HM and encourage pregnant women’s disclosure of HM use. Furthermore, to provide optimal care and promote coordination between HM and conventional medicine, health care providers should stay up to date with the knowledge of HM use.
-
Factors influencing use of institutional delivery services in rural Bangladesh
( Mansoor Ahmed ),( Minhaj Uddin ),( Jung Hye Hwang ),( Soo Jeung Choi ),( Ha Yun Kim ),( Hyea Bin Lm ),( Dongwoon Han ) 한국모자보건학회 2016 한국모자보건학회 학술대회 연제집 Vol.2016 No.2
Background Institutional delivery is very important in reducing maternal and neonatal mortality; however, several women deliver outside of health facilities in Bangladesh. Therefore, objective of this study was to determine the prevalence of institutional deliveries and identify factors influencing institutional deliveries among women in rural Bangladesh. Methods A community-based cross-sectional study from August to September 2015 was conducted with women who gave birth in the last two years prior to the study in Kurigram District, Rangpur division, Bangladesh. Using a stratified sampling method, a total of 348 participants were enrolled in the study. Data were collected via pretested standardized questionnaire. Using SPSS version 21, chi-square and binary logistic regression analyses were carried out to determine factors influencing use of institutional delivery services. Results Among 348 participating women (mean age: 24.36 ± 4.18), it was found that only 83 (23.9%) went for institutional delivery and the remaining 76.1% delivered in home. Reasons for home delivery included: feeling embarrassed in hospital (92.8%), more comfortable at home (83.8%), long distance to health facility (46.4%) and high costs in hospital (38.1%). The factors significantly influencing institutional delivery included women’ s education (OR: 9.859; p=0.036), knowledge of institutional delivery services (OR: 8.064; p=0.007), women,s knowledge about danger signs of pregnancy (OR: 47.35; p〈0.000), pregnancy related complications (OR: 5.182; p〈0.000), and four or more antenatal care (ANG) visits (OR: 4.627; p=0.049). Conclusions This study found very low prevalence of skilled institutional delivery in rural Bangladesh. Findings of the study suggest that number of ANG visits, women’ s education and knowledge on pregnancy and delivery services can play very crucial role to increase the uptake of institutional delivery services. Health policies, health promotion and education programs should focus on these factors in order to reduce the number of preventable maternal and neonatal deaths. Efforts from different sections of the society using multisectoral approach can help in improving the maternal, newborn and child health.
연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
