杭州市某医院产妇产后生殖保健健康教育干预效果分析

发布时间：2018-05-16 08:02

本文选题：产妇 + 生殖保健　；参考：《中国健康教育》2016年05期

【摘要】：目的调查产妇产后生殖保健知识、认知态度和行为现状,并根据调查现状制定干预措施,提高产妇产后生殖保健工作效率。方法以"知信行"理论为指导,采用方便抽样方法抽取2014年11月—2015年7月分娩的产妇532名作为调查对象,了解产妇产后生殖保健知信行现状,随后采用平行对照设计分析比较接受常规健康教育的50名产妇(对照组)与接受"知信行"模式健康教育的50名产妇(研究组)干预前、后的知信行变化情况。结果 532名产妇知识、态度、行为、总量表评分分别为(19.32±5.03)分、(33.24±7.48)分、(39.12±7.56)分和(92.32±24.12)分;知识维度中,对乳房护理方法及产后恢复性生活时间的认知率最低,分别为65.79%、64.29%;态度维度中,对分娩后无禁忌及早下床活动的认可率最低,仅为42.67%;行为维度中,对定期开窗通风,月子期间坚持刷牙、洗脸,月子期间注意饮食的执行率最低,分别为29.14%、26.88%和21.99%。健康教育后,研究组知识(22.75±5.71)分、态度(36.88±6.82)分和行为(43.58±7.50)分均高于干预前及对照组,差异均有统计学意义(P0.05)。结论产妇产后生殖保健知信行现状良好,但对部分健康知识的认知、健康信念的坚持及健康行为的形成等仍存在一定误区与不足,临床应据此加强健康教育。
[Abstract]:Objective to investigate the knowledge, cognition, attitude and behavior of postpartum reproductive health care, and to make intervention measures to improve the efficiency of postpartum reproductive health care. Methods based on the theory of "knowing, believing and acting", 532 puerperas who gave birth from November 2014 to July 2015 were selected by convenient sampling method to understand the status of knowledge and practice in postpartum reproductive health care. Then, a parallel controlled design was used to compare the changes of knowledge, belief and behavior between 50 pregnant women who received routine health education (control group) and 50 pregnant women (study group) who received "knowledge, belief and behavior" mode of health education before and after intervention. Results the scores of knowledge, attitude, behavior and total quantity of 532 puerperas were 33.24 卤7.48 and 39.12 卤7.56 and 92.32 卤24.12, respectively, and the cognitive rates of breast nursing methods and postpartum sexual recovery time were the lowest (65.7964.29) and attitude dimensions, respectively. In the behavioral dimension, regular window opening ventilation, teeth brushing and face washing during the period of the moon and the lowest execution rate of the attention diet during the period of the moon were 29.14% and 21.99%, respectively, in the behavioral dimension. The lowest was the approval rate of the activities of getting out of bed early after birth, which was only 42.67%, and the lowest rate was observed during the period of lunar birth, which was 29.14%, 26.88% and 21.99%, respectively. After health education, the scores of knowledge, attitude and behavior in the study group were 22.75 卤5.71, 36.88 卤6.82) and 43.58 卤7.50, respectively, which were significantly higher than those before intervention and in the control group (P 0.05). Conclusion the present situation of knowledge, belief and practice of postpartum reproductive health care is good, but there are still some misunderstandings and deficiencies in the cognition of part of health knowledge, the persistence of health belief and the formation of healthy behavior, etc. Therefore, health education should be strengthened in clinical practice.
【作者单位】：浙江省杭州市妇产科医院;
【分类号】：R473.71

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