佛山市孕妇唐氏综合征产前筛查与诊断认知的调查分析  

Investigation and analysis on the cognition of screening and diagnosis for Down 's syndrome among pregnant women in Foshan

作　　者：梁颖[1] 郭晓玲[1] 吴雪丽[1] 陈蔚瑜[1] 

机构地区：[1]广东省佛山市妇幼保健院保健部,528000

出　　处：《中国妇幼保健》2015年第24期4197-4200,共4页Maternal and Child Health Care of China

基　　金：广东省佛山市医学科技攻关项目〔201008078〕

摘　　要：目的了解佛山市孕妇唐氏综合征、产前筛查和产前诊断的认知情况,分析影响产前筛查与诊断服务利用的主要认知因素,为孕妇的健康教育提供依据。方法采用自行设计的调查问卷,对1 100名门诊产前检查的孕妇进行调查,用χ2检验、Logistic回归分析影响因素。结果唐氏综合征知晓率为88.24%,文化程度是唐氏综合征认知的影响因素,差异有统计学意义(P<0.05),文化程度越高的孕妇知晓率越高,认知程度越高;医务人员是孕妇获取唐氏综合征知识的主要途径;产前筛查和产前诊断的知晓率分别为88.04%和67.93%,未接受唐氏综合征产前筛查的主要认知原因是"不知道唐氏综合征产前筛查时间"和"我们两个都很健康,我的孩子不会得这种病";不接受产前诊断的主要认知原因是"有风险,害怕流产"。结论文化程度是影响唐氏综合征认知的主要因素,加强对文化程度低的孕妇的健康教育;重视医务人员对孕妇的健康教育;重点进行唐氏产前筛查的时间、唐氏综合征发生原因及产前诊断手术安全性等知识的健康教育。Objective To understand the cognition situation of pregnant women on Down＇s syndrome, prenatal screening and pre- natal diagnosis, analyze the main cognitive factors that affect prenatal screening and diagnosis service＇utilization, provide a basis for health education for pregnant women in Foshan. Methods A survey was conducted using a self-designed questionnaire to investigate 1 100 preg- nant women from outpatient for prenatal examination. Chi-squared test and Logistic regression analysis were used to analyze influencing fac- tors. Resdts Awareness rate of Down＇s syndrome was 88.24% , and educational level was an influencing factor with significant difference （P〈0. 05 ） ; the pregnant women with higher educational level had higher awareness rate and cognition. The main route to get knowledge of Down＇s syndrome was from medical staff. Awareness rates of prenatal screening and 15renatal diagnosis were respectively 88.05% and 67.93%. The main cognitive reasons why pregnant women didn＇t take Down＇s syndrome prenatal screening were ＂we don＇t know the prenatal screening time for Down＇s syndrome＂ and ＂ kids will not have the disease because parents are healthy＂; while the reason why pregnant women didn＇t accept prenatal diagnosis was ＂it＇s risky and being afraid of abortion＂ . Conclusion The educational level was the major fac- tor that affects pregnant women＇s cognition of Down＇s syndrome. Health education should be strengthened for lower-educated pregnant women; medical personnel should pay attention to health education for pregnant women; and education on prenatal screening time, cause of Down＇s syndrome, and surgery safety of prenatal diagnosis is of importance in health education.

关 键 词：唐氏综合征 产前筛查 产前诊断 认知 健康教育 

分 类 号：R714[医药卫生—妇产科学]