| Abstract | Uvod: Bolnice i druge zdravstvene ustanove temelj su pomoći oboljelima koji se nađu u nezavidnom položaju, te je vrlo važan odnos i usluga koji se pružaju svima onima kojima je to potrebno.
Cilj rada: je ispitati zadovoljstvo majki pruženom skrbi, utvrditi postoje li povezanosti između zadovoljstva majki i socijalnog statusa i ima li majka potrebno povjerenje u zdravstvene djelatnike.
Metode rada: U svrhu izrade ovoga rada kreiran je upitnik pomoću Google obrasca, te je distribuiran po cijeloj Hrvatskoj u online formatu. Podijeljen u određene grupe na društvenim mrežama čiji su članovi većinom trudnice i majke. Upitnik je anoniman i dobrovoljan, te je izrađen za potrebe istraživanja u sklopu izrade diplomskog rada. Pri provođenju istraživanja poštivana su etička načela u prikupljanju podataka, odnosno sudjelovanje u istraživanju je bilo anonimno i dobrovoljno. U istraživanju su ukupno sudjelovale 593 sudionice.
Rezultati istraživanja: Sudionice koje su sudjelovale u istraživanju ocjenjivale su svoje zadovoljstvo pruženom uslugom zdravstvene ustanove ocjenama od 1 – 5. Tako je s najnižom ocjenom 3,14 ocijenjeno zadovoljstvo higijenom prostorija, opremljenošću toaleta (topla voda, sapun, toalet papir). S najvišom ocjenom 4,18 ocijenjeno je zadovoljstvo programom "baby friendly" (dijete uz majku cijelo vrijeme). Zadovoljstvo prehranom u bolnici (kvaliteta i količina obroka) ocijenjena je s ocjenom 3,18. S ocjenom 3,26 ocijenjeno je upoznavanje s planom poroda, predstojećim procedurama i intervencijama od strane ginekologa/opstetričara. Zadovoljstvo sa savjetima i dobivenom pomoći u vezi dojenja i njege novorođenčeta u prvim danima ocijenjeno je s ocjenom 3,29. Briga, informiranje, odgovaranje na pitanja i posvećivanje vremena od strane neonatologa/pedijatra ocijenjeno je s ocjenom 3,46. S ocjenom 3,46 ocijenjeno je zadovoljstvo higijenom prostorija, učestalošću zamjene spavaćice i posteljine. Udobnost sobe, broj rodilja u sobi, namještaj i temperatura sobe ocijenjena je s ocjenom 3,5. Zadovoljstvo s pedijatrijskom sestrom u posvećivanju dovoljno vremena, pružanja potrebne informacije i davanja odgovora na sva pitanja ocijenjeno je ocjenom 3,56. Posvećivanje dovoljno vremena, pružanje potrebne informacije i davanja odgovora na sva postavljena pitanja ocijenjeno je s ocjenom 3,64. S ocjenom 3,69 ocijenjena je ljubaznost, povjerenje i razumijevanje pedijatrijske sestre za vrijeme poroda i boravka u bolnici. Zadovoljstvo odnosa, ljubaznost, povjerenje i razumijevanje od strane pedijatara/neonatologa tijekom poroda i boravka u bolnici ocijenjeno je s ocjenom 3,71. Ocjenom 3,71 ocijenjeno je zadovoljstvo tretmanom pripreme za porod (klizma, brijanje, uzimanje zdjeličnih mjera i vaganje). Ljubaznost za vrijeme poroda i boravka u bolnici, ostvarenje odnosa povjerenja i razumijevanja od strane ginekologa/opstetričara ocijenjeno je ocjenom 3,78. Ocjenom 3,83 ocijenjeno je zadovoljstvo s procedurama tijekom prijema i otpusta iz bolnice (čekanje na otpust i prijem, administracija). Zadovoljstvo sudjelovanjem primalje tijekom cijelog poroda ocijenjeno je s 3,89. Ljubaznost, ostvarenje odnosa i razumijevanja od strane primalje ocijenjeno je s ocjenom 3,90. Ocjenom 3,97 ocijenjeno je dobivanje informacija o stanju djeteta, vlastitom stanju i viđanje djeteta odmah nakon poroda.
Zaključak: Prema istraživanju koje je provedeno vidljivo je kako se percepcija perinatalne skrbi razlikuje prema određenim varijablama. Tako je statistički dokazano kako je percepcija perinatalne skrbi u ovisnosti o stupnju obrazovanja te socijalnom statusu. Drugim riječima uviđa se kako veći stupanj obrazovanja ujedno označava i veće nezadovoljstvo perinatalnom skrbi, odnosno kako bolji socijalni status ujedno znači i veće nezadovoljstvo perinatalnom skrbi. Ono što je svakako nužno naglasiti je činjenica kako se na kvaliteti cjelokupnog zdravstvenog sustava treba raditi pa tako i na provođenju i pružanju kvalitetne perinatalne zdravstvene skrbi. |
| Abstract (english) | Introduction: Hospitals and other health care facilities are the basis for helping patients who find themselves in an unenviable position, and the relationship and services provided to all those in need are very important.
The aim of this paper is to examine the satisfaction of mothers with the care provided, to determine whether there are links between maternal satisfaction and social status and whether the mother has the necessary trust in health professionals.
Methods of work: For the purpose of making this paper, a questionnaire was created using the Google form, and it was distributed in an online format. The questionnaire is anonymous and voluntary, and was developed for research purposes as part of the preparation of the thesis. The questionnaire was available during July 2020, it was distributed throughout Croatia so that it was divided into certain groups on social networks consisting of members mostly pregnant and mother. When conducting the research, it is stated that ethical measures were adhered to when collecting data, ie that consent was obtained for the research.
A total of 593 participants took part in the research. The focus is on the research of the perception of the quality of perinatal care in the Republic of Croatia.
Survey results: Participants who participated in the survey rated their satisfaction with the service provided by the health institution with scores from 1 to 5. Thus, with the lowest score of 3.14, satisfaction with room hygiene, toilet equipment (hot water, soap, toilet paper) was rated. Satisfaction with the "baby friendly" program (child with mother all the time) was rated with the highest score of 4.18. Satisfaction with hospital nutrition (quality and quantity of meals) was rated 3.18. With a score of 3.26, the introduction to the birth plan, upcoming procedures and interventions by a gynecologist / obstetrician was rated. Satisfaction with the advice and assistance received regarding breastfeeding and newborn care in the first days was rated with a score of 3.29. Care, information, answering questions and dedication of time by the neonatologist / pediatrician was rated with a score of 3.46. Satisfaction with the hygiene of the premises, the frequency of changing nightgowns and bedding was rated with a score of 3.46. Room comfort, number of mothers in the room, furniture and room temperature were rated with a score of 3.5. Satisfaction with the pediatric nurse in devoting enough time, providing the necessary information, and answering all questions was rated 3.56. Dedicating enough time, providing the necessary information and giving answers to all the questions asked was rated with a score of 3.64. With a score of 3.69, the kindness, trust and understanding of the pediatric nurse during childbirth and hospital stay was rated. Satisfaction of the relationship, kindness, trust and understanding by the pediatrician / neonatologist during childbirth and hospital stay was rated 3.71. Satisfaction with the treatment of preparation for childbirth (enema, shaving, taking pelvic measures and weighing) was rated 3.71. Kindness during childbirth and hospital stay, achieving a relationship of trust and understanding by the gynecologist / obstetrician was rated 3.78. Satisfaction with the procedures during admission and discharge from the hospital was assessed (waiting for discharge and admission, administration) Satisfaction with the participation of midwives throughout the birth was rated with 3.89. Kindness, achievement of relationship and understanding by the midwife was rated with a score of 3,90. A score of 3.97 was given to obtaining information about the child's condition, one's own condition and seeing the child immediately after birth.
Conclusion: According to the research conducted, it is evident that the perception of perinatal care differs according to certain variables. Thus, it was statistically proven that the perception of perinatal care depends on the level of education and social status. In other words, it is realized that a higher level of education also means greater dissatisfaction with perinatal care, ie that a better social status also means greater dissatisfaction with perinatal care. What is certainly necessary to emphasize is the fact that the quality of the entire health care system should be worked on, including the implementation and provision of quality perinatal health care. |
