农村育龄妇女孕产期保健需求调查  

Investigation on health care demands for maternal health of childbearing women in rural areas

作　　者：赵媛媛[1] 陶芳标[1] 龙翔[1] 黄锟[1] 

机构地区：[1]安徽医科大学公共卫生学院儿少卫生与妇幼保健学系,合肥230032

出　　处：《中国公共卫生》2008年第2期142-143,共2页Chinese Journal of Public Health

基　　金：欧盟合作项目(INCO-CT-2005-01539)

摘　　要：目的了解安徽省农村地区育龄妇女对孕产期保健的需求状况,为制定有效干预方案提供基础数据。方法自行设计问卷,对安徽省2县1836名经产妇进行健康需求调查。结果大多数农村妇女对孕产期保健知识知之甚少,对孕产期有关保健知识需求占前3位的依次为科学育儿知识与技能(95.8%)、产褥期母婴保健与母乳喂养(91.5%)、孕期营养(90.6%)。认为获取保健知识的最佳途径依次为专人进行孕期保健指导(91.2%)、发放宣传小册子(85.6%)、通过电视等媒介(81.3%)。22.0%的农村经产妇表示不需要进行产后访视,13.8%的经产妇认为目前产前检查项目已经足够。文化程度高、家庭经济条件较好的经产妇对保健知识、产前检查的需求较高(P均<0.05)。结论文化水平低、经济状况差的经产妇是实施卫生宣传教育的重点,应研究制定合适的健康促进宣传材料和采取灵活的健康促进方式,有的放失地进行健康教育。Objective In order to make effective intervention measures, the demands of rural women maternal health care were investigated. Methods The investigation was administered in 1836 women from two counties of Anhui province. All participants completed self- adapted closed questionnaire on health care needs. Results Most rural women know little about maternal health care knowledge. The top three of MCH knowledge needed were the scientific knowledge and skill of raising baby （95.8 % ）, maternal health care in childbed period and breast - feeding （91.5 % ）, nutrition （90.6 % ）. The best approaches for pregnant women to obtain knowledge were doing MCH guidance by medical worker （91.2 % ）, sending out throwaway （85.6 % ）, via TV and other media （81.3 % ）. 22.0 % participants expressed that they didn＇t need postpartum visit, and 13.8 % thought that the content of prenatal check - up were enough. The higher education level, better domestic economy were the protective factors of the need for MCH knowledge and prenatal checkup（P〈0.05）. Conclusion The emphases of health education are the rural pregnant women with low education level and poor domestic economy. It is necessary to study and establish proper propagandistic document and measure for health promotion.

关 键 词：卫生服务需求 孕产期保健服务 农村卫生 育龄妇女 

分 类 号：R173[医药卫生—妇幼卫生保健]