Mothers' readiness at hospital discharge for home based preterm infant care and its association with the quality of hospital discharge education in selected public hospitals in Oromia regional state, Ethiopia
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Date
2024-06
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Addis Ababa University
Abstract
Background: Preterm births contribute to 35% of all neonatal deaths. Apart from health facility-based intervention, improving mothers’ readiness during their hospital stay to continue preterm infant care at home improves neonatal health outcomes.
Objective: To assess the level of mothers' readiness at hospital discharge for home-based preterm infant care and its association with the quality of hospital discharge education in selected public hospitals in Oromia regional state, Ethiopia.
Methods: An institution-based cross-sectional study was conducted at public hospitals in the Oromia region. A total of 403 women who had preterm births and received neonatal care in selected public hospitals were included in the study. Data was collected by four female and one male BSc degree holders using the ODK platform. A descriptive analysis was conducted by computing frequency and mean. The association between readiness at hospital discharge and the quality of hospital discharge education and other covariates was investigated using logistic regression analysis. The P-value of < 0.05 was considered statistically significant.
Results: The findings of this study showed that 54.48% of the mothers were ready to be discharged from the hospital. Having good quality of discharge education was associated with a 2.43 (adjusted odds ratio [AOR]: 2.43; 95% confidence interval [CI] 1.32,4.48) fold increase in the odds of being ready for discharge. Other variables that were independently associated with readiness include residence (AOR: 4.87; 95%CI: 2.34,10.12), marital status (AOR: 2.34; 95%CI: 1.20,4.59), parity(AOR: 2.82; 95%CI: 1.43,5.54)], mode of delivery (AOR: 6.69; 95%CI: 2.64,16.96), hospital length of stay(AOR: 3.36; 95%CI: 1.79,6.31) and education in mother tongue language (AOR: 5.92; 95%CI: 2.33,15.09).
Conclusion and recommendations: In this study, the level of readiness at hospital discharge among mothers of preterm infants was suboptimal. Good quality of discharge education is significantly associated with higher readiness at hospital discharge. Therefore, providing high quality discharge education to mothers of preterm infants during their hospital stay and educating them in their mother tongue could help increase readiness at hospital discharge.
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Keywords
Preterm birth, Discharge readiness, Quality of discharge education.