利用产前保健服务的影响因素及干预措施  

Analysis of the influential factors and intervention methods of utilization for antenatal health care service

作　　者：张敏[1] 郝艳青[1] 柳韦华[1] 孙铮[1] 

机构地区：[1]泰山医学院人口与计划生育学院,泰安271000

出　　处：《中国实用护理杂志》2013年第3期1-4,共4页Chinese Journal of Practical Nursing

基　　金：山东省教育厅科技计划项目（J10WC58）

摘　　要：目的了解产前保健服务利用现状并探讨主要影响因素及其干预方法。方法采用简单随机抽样方法，选择2011年1月至2012年7月住院的1685例孕产妇为研究对象，采用自行设计的问卷进行调查，并从孕产妇及其病历中收集相关资料，内容包括：一般人口学特征、医疗费用的支付方式、产前保健知识认知程度、就诊便利性、家庭成员对孕产妇的重视程度，产前保健服务利用情况等。结果产前保健服务的利用率为81．19％。多因素Logistic回归分析显示：不同年龄、医疗费用支付方式、孕次、产前保健知识认知程度、家庭成员重视程度的孕产妇间，产前保健服务的利用率有显著差异。结论本地区产前保健服务利用率偏低，改善产前保健服务模式；加大健康教育宣传力度；完善医疗保障制度；强化社区保健服务的意识及技术的提高是提高产前保健服务利用率的关键。Objective To investigate utilization of antenatal health care service, analyze its influetial factors and intervention methods. Methods 1685 pregnant women who were in hospitalization from January 2011 to July 2012 were selected. A self-designed questionnaire was conducted and case history information were collected, including general information, medical costs means, awareness of prenatal care knowledge, whether convenient to see doctor, the degree of attention paid to pregnant women, the utilization of antenatal health care. Results 81.19%（ 1368/1685 ）of the pregnant women used antenatal health care service. Multiple Logistic regression analysis showed that the difference between diverse age, medical costs means, the number of pregnancies, level of awareness of prenatal care knowledge, the degree of attention paid to pregnant women was significant. Conclusions The utilization of antenatal health care service in this area is on the low side. The critical of improving the utilization of prenatal care services is improving prenatal care service mode,increasing the quantity of health education,perfecting the medical security system, strengthening community health service consciousness and the improvement of technology.

关 键 词：产前保健 服务利用 影响因素 

分 类 号：R173[医药卫生—妇幼卫生保健]