边远贫困山区孕产妇住院分娩健康教育现状分析  

Analysis on health education of maternal hospital delivery in poverty-stricken mountainous areas

作　　者：王琼[1] 郭光萍[1] 谢薇[2] 杨力[1] 张倩[1] 杨一清[3] 董有芹[3] 杨正玲[3] 

机构地区：[1]云南省妇幼保健院,云南昆明650051 [2]昆明医科大学 [3]云南省临沧市临翔区妇幼保健院

出　　处：《中国妇幼保健》2013年第24期3885-3887,共3页Maternal and Child Health Care of China

基　　金：中国疾病预防控制中心妇幼保健中心母婴营养与健康研究项目〔2012FY021〕;云南省卫生厅卫生系统学科带头人培养计划〔D-201253〕

摘　　要：目的:了解边远贫困山区孕产妇住院分娩健康教育现状,为下一步住院分娩健康教育工作提供依据。方法:采用病例对照研究方法,选取边远贫困山区2010～2011年未住院分娩的孕产妇213例为非住院分娩组,按同一行政村、同年、同民族成组匹配218例住院分娩孕产妇为住院分娩组,采用问卷调查健康教育情况,比较两组孕产妇的健康教育利用情况。结果:非住院分娩组孕产期保健知识、惠民政策知晓率和被动员住院分娩比例均低于住院分娩组(P<0.05);两组获取知识途径及喜欢途径基本一致,前4位依次为电视,村医咨询,听村里人或其他朋友、亲戚等讲起,乡镇卫生院及以上医生咨询,其中非住院分娩组电视、乡镇卫生院及以上医生咨询所占比例低于住院分娩组(P<0.05);两组喜欢的宣教人员比较差异无统计学意义(P>0.05),前3位依次为村医、乡镇及以上医疗保健机构医生、家中长辈;两组家庭/社区健康教育支持即家有电视机(96.3%)、有广播(8.4%)、认为村里有宣传住院分娩知识的标语/布标(36.7%)、健康教育宣传栏(38.7%)、观看过宣传健康知识的DVD/VCD(20.4%)、平时经常能见到村医(53.4%)或乡镇级以上医疗保健医生(9.5%)比较差异均无统计学意义(P>0.05),但对于能看懂社区提供的健康教育及被动员住院分娩率,非住院分娩组低于住院分娩组(P<0.05)。结论:边远贫困山区孕产期保健知识、惠民政策知晓率以及是否被动员住院分娩是影响住院分娩的因素,在推动上述工作中,电视是最适宜的传播媒介,村医是最直接的实施者,家人是最经济的强化者。Objective： To understand the outlying and poverty -stricken mountainous area maternal childbirth hospital health edu- cation present situation, provide the basis for next birth in hospital health education work. Methods： Case -control study method was used and 213 persons outlying and poverty -stricken mountainous area from 2010 to 2011 hospital were chosen into observation group with child- birth maternal, by the same administrative villages, year and national, 218 hospitalized childbirth maternal were chosen into control group. Questionnaire survey was done to compare non - hospitalized and hospitalized childbirth maternal health education. Results： Health care knowledge during the pregnant and perinatal period, huimin policy awareness and to mobilize the hospital birth rate of observation group were lower than those of control group （ P 〈 0. 05 ）. The way of acquire knowledge and like way of two groups were almost the same. The first four ways were television, village doctor consultation, listennig to the villagers or other friends, relatives and so on, in towns and townships and a- bove doctor. Among them, more than TV, towns and townships and proportion of doctor group were lower than those of control group （ P 〈 0. 05 ）. There was no difference in like mission staff between two groups （ P 〉 0. 05 ）. The former three medical and health institutions at or above were the village doctor, villages and towns, and in turn doctor, elders in the family. There were no significant differences in family/ community health education to support the home television （96. 3% ） and radio （8.4%）, and thinking the village with a propaganda slogan of hospitalized childbirth knowledge/woven lable （36. 7% ）, health education, publicity column （38.7%）, watching the propaganda of health knowledge, DVD/VCD （20.4%）, at ordinary times often seeing village doctor （53.4%） or more than township -level health care doctors （9.5 % ） between the two groups （ P 〉 0.05 ）, but to understa

关 键 词：边远贫困山区 孕产妇 住院分娩 健康教育 

分 类 号：R713[医药卫生—妇产科学]