医患双方产后延续性健康管理认知及需求分析  

Cognition and demand analysis on postpartum continuous health management between health professionals and patients

作　　者：贾炎峰 姜雪[1] 梁蕊 周春燕 刘志杰 王维红[1] 栾桦[1] JIA Yan Feng;JIANG Xue;LIANG Rui;ZHOU Chun Yan;LIU Zhi Jie;WANG Wei Hong;LUAN Hua(Gansu Provincial Maternal and Child Care Hospital,Lanzhou 730050,Gansu Province,China)

机构地区：[1]甘肃省妇幼保健院,甘肃兰州730050

出　　处：《中国妇幼卫生杂志》2023年第2期55-59,共5页Chinese Journal of Women and Children Health

基　　金：中国疾病预防控制中心妇幼保健中心2020年度“母婴营养与健康研究项目”(2020FYH005)。

摘　　要：目的了解医患双方对产后延续性健康管理认知及需求情况,筛选出医患双方的认知差异以及需求性较强的管理项目,为构建网络信息化延续性健康管理平台提供依据。方法选取甘肃省某三级妇幼保健机构的220名产妇和83名医务人员为研究对象,分别采用问卷和无结构式访谈的形式展开调查,分析影响医患双方对产后延续性健康管理认知及需求的因素。结果医患双方在产后延续性健康管理时限认知方面,对产妇管理时限的认知上有不同,但差异无统计学意义(χ^(2)=7.35,P=0.062);医患双方在获取保健知识途径方面,通过家庭朋友经验交流(χ^(2)=7.15,P=0.01)、孕妇学校(χ^(2)=7.34,P=0.007)及科普书籍(χ^(2)=10.89,P=0.001)获取信息的认知方面差异均有统计学意义;医患双方在信息化健康管理需求方面,对于产妇心理保健内容(t=27.6,P<0.001)、普遍问题关键词搜索功能(t=10.6,P=0.001)及医患沟通交流互动功能实现(t=15.4,P<0.001)的需求方面差异均有统计学意义。结论医患双方在产后延续性健康管理的认知需求上存在一定差异,医护人员应改变传统认知观念,满足母婴个体化需求,同时实现信息化延续性管理。Objective To investigate the cognition and demand of postpartum continuous health management between health professionals and patients,and to selecte the basic items of cognitive discrepancy and with high demand,so as to provide a basis for the construction of a continuous health management platform for network informatization.Methods 220 pregnant women and 83 medical staff from a tertiary maternal and child health care institution in Gansu Province were recruited as study subjects.Questionnaire survey and unstructured interviews were used to investigate the factors associated with both health professionals’and patients’cognition and needs of postpartum continuous health management.Results The differences between health staffs and patients in terms of cognition of maternal health management time limit were not statistically significant(χ^(2)=7.35,P=0.062).But there were significant differences in information access through family experience exchange(χ^(2)=7.15,P=0.01),pregnant women’s school(χ^(2)=7.34,P=0.007)and popular science books(χ^(2)=10.89,P=0.001).In terms of the needs of information-based health management,there were significant differences in the contents of maternal mental health care(t=27.6,P<0.001),keyword search function(t=10.6,P=0.001)and physician-patient communication and interaction function(t=15.4,P<0.001).Conclusion There are some differences in the cognitive needs of postpartum continuous health management between health professionals and patients.Medical staff should change their traditional cognitive concept,meet the individual needs of mothers and infants,and achieve information-based continuous management at the same time.

关 键 词：医患双方 延续性健康管理 

分 类 号：R714.6[医药卫生—妇产科学]