孕晚期妇女产褥期营养保健知识干预效果评价  

Evaluation on intervention effect of education on nutrition and health knowledge in puerperium among late-pregnant women

作　　者：霍圆圆[1] 陈琳琳[1] 马爱国[1] 刘群英[2] 王飞燕[2] 宫蕾蕾 韩君[2] 梁惠[1] 

机构地区：[1]青岛大学医学院营养研究所,山东青岛266021 [2]青岛市第八人民医院

出　　处：《中国公共卫生》2012年第9期1243-1246,共4页Chinese Journal of Public Health

基　　金：科技部"十一五"国家科技支撑计划项目(2008BAI58B07)

摘　　要：目的评价营养保健宣教对妇女产褥期知识、行为及健康结局影响的效果。方法选择山东省青岛市孕晚期妇女作为研究对象,随机分为干预组和对照组,对干预组进行营养保健宣教并对2组进行追踪随访,最终完成追踪调查者共420人,其中干预组213人,对照组207人。结果干预组营养保健知识的知晓率明显高于对照组,获得知识的主要途径转变为医务人员和书刊杂志;干预组每日人均薯类、鱼类、豆制品、绿叶蔬菜、坚果、膳食纤维、烟酸、钙、维生素C摄入量及行为得分分别为(105.87±68.85)g、(153.52±76.47)g、(125.35±72.62)g、(168.78±100.81)g、(40.14±41.73)g、(14.11±5.14)g、(19.07±6.3)mg、(782.57±294.87)mg、(131.48±76.00)mg和(13.03±3.540)分,均明显高于对照组的(93.24±60.36)g、(135.68±72.92)g、(99.52±79.59)g、(150.48±82.43)g、(22.71±43.13)g、(12.97±5.48)g、(16.12±7.63)mg、(679.21±297.80)mg、(110.87±68.65)mg和(11.46±3.734)分;蛋类和胆固醇每日人均摄入量为(111.34±35.54)g和(1 494.70±650.18)mg,明显低于对照组的(119.25±38.99)g和(1 717.78±819.58)mg(P<0.05或P<0.01);干预组产褥期患病者占51.2%(109/213),明显低于对照组的73.0%(151/207)(χ2=21.12,P<0.01)。结论有针对性进行营养保健宣教能明显提高产褥期妇女知识水平,促进健康行为,减少产褥期疾病。Objective To evaluate the effect of the intervention on knowledge of nutrition and health in puerperium among late-pregnant women. Methods Totally 640 late-pregnant women taking anteparmm examination in No. 8 Qingdao People＇ s Hospital were randomly selected and divided into intervention group and control group. The women of intervention group accepted an education on nutrition and health knowledge. The two groups were followed up. Results Eventually 420 women completed the follow-up（ 213 in the intervention group, 207 in the control group）. The awareness rate of nutritional and health knowledge of the intervention group was significantly higher than that in the control group. Women in the intervention group had more intakes of potato （ 105. 87 ± 68. 85 g ）, fish （ 153. 52 ± 76. 47 g）, soy products （125. 35 ± 72. 62 g）, green leafy vegetables（ 168.78 ± 100. 81 g）,nuts （40. 14 ± 41.73 g）, dietary fiber（ 14. 11 ± 5.14 g）, niacin（ 19.07 ± 6. 3 mg）, calcium（ 782. 57 ± 294. 87 mg）, and vitamin C （131.48 ± 76.00 mg） and had a higher score of health behavior（ 13.03± 3.54） than those in control group. Women in the intervention group had less intake of egg （ 111.34 ± 35.54 g）, cholesterol （ 1494.70 ± 650. 18 g） than those in control group （ t = 1.99,4. 30, P 〈 0. 05 or P 〈 0. 01 ） , and had lower rate of disease （ 51.2 % ） than that in the control group （ X2 = 21.12, P 〈 0. 01 ）. Conclusion The results show that specific nutritional health education could improve the knowledge level of puerperal women and promote healthy dietary and life behavior and reduce puerperal disorders.

关 键 词：产褥期 健康教育 宣教 干预 

分 类 号：R173[医药卫生—妇幼卫生保健]