مقایسه رعایت اصول اخلاق پزشکی و ادراک درد زایمان از دیدگاه زنان قوم لر و فارس
مجله اخلاق پزشکی - علمی پژوهشی,
دوره 16 شماره 47 (1401),
28 تیر 2022
,
صفحه 1-12
https://doi.org/10.22037/mej.v16i47.39654
چکیده
زمینه و هدف: زایمان ایمن و رضایتبخش با کمترین تجربه درد از اصول مهم ارائه خدمات مامایی در هر جامعه و فرهنگی است. نکته کلیدی در مدیریت درد زایمان، تعهد اخلاقی ارائهدهندگان خدمات است. این مطالعه با هدف مقایسه ارتباط بین رعایت اخلاق پزشکی تیم درمان در فرایند زایمان و ادراک درد زنان دارای زایمان طبیعی، از دیدگاه زنان زائوی مراجعهکننده به مراکز زایمانی شهرستانهای شیراز و یاسوج انجام شد.
روش: این یک پژوهش توصیفی ـ مقایسهای است. جامعه پژوهش شامل 400 زن زائوی مراجعهکننده به زایشگاههای وابسته به دانشگاه علوم پزشکی یاسوج و شیراز در سال 1399 بودند. روش نمونهگیری به صورت در دسترس بود. اطلاعات از طریق سه پرسشنامه دموگرافیک، پرسشنامه ادراک درد زایمان طبیعی یداللهی و همکاران و پرسشنامه دیدگاه مادران نسبت به رعایت اخلاق پزشکی در فرآیند زایمان میرزایی و همکاران جمعآوری شد. دادهها در نرمافزار SPSS 22 وارد شده و با آزمونهای ضریب همبستگی پیرسون و تحلیل رگرسیون تحلیل شدند. سطح معنیداری p<0.05 بود.
ملاحظات اخلاقی: ملاحظات اخلاقی شامل تکمیل فرم رضایت آگاهانه، شرکت داوطلبانه و بیان اهداف تحقیق رعایت شد.
یافتهها: از نظر زنان زائوی شهرستان یاسوج (گروه 1)، احترام به استقلال فردی (001/0=P، 530/0=β) و رعایت سودرسانی و ضررنرساندن (002/0=P، 361/0=β) پیشبینیکننده منفی نمره ادراک درد زایمان بودند، در حالی که از نظر زنان شهر شیراز (گروه 2)، تنها رعایت سودرسانی و ضررنرساندن پیشبینی کننده منفی نمره ادراک درد زایمان بود (037/0P<، 267/0-=β). همچنین اصل رعایت احترام به استقلال فردی از نظر زنان زائو دو گروه تفاوت داشت (006/0=P).
نتیجهگیری: با توجه به اهمیت یکسان اصل دوم و سوم اخلاق پزشکی، سودمندی و ضررنرساندن، در هر دو فرهنگ، تیم زایمان میتواند با توجه کامل به مادر و جنین و پرهیز از مداخله غیر ضروری در هر فرهنگی، از شدت درد زایمان بکاهد. بنابراین میتوان در جهت ارتقای سلامت مادر و کودک گام برداشت و از آسیبهای روانی جبرانناپذیر بیشتر به مادران جلوگیری کرد.
- اخلاق پزشکی؛ ادراک درد؛ زایمان طبیعی
ارجاع به مقاله
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