孕产妇和儿童外出情况及其对健康管理率影响的研究

发布时间：2018-01-07 00:14

本文关键词：孕产妇和儿童外出情况及其对健康管理率影响的研究　出处：《安徽医科大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的:了解安徽省泾县孕产妇与0~3岁儿童外出情况;了解外出孕产妇与0~3岁儿童在外地接受健康体检情况;掌握外出对孕产妇系统管理率与0~3岁儿童系统管理率的影响。方法:采用双向队列研究方法对孕产妇进行研究,运用自行设计的问卷收集孕产妇既往外出及接受保健服务的历史资料;随后按照孕产期保健服务时间逐次收集孕产妇体检情况,对于未及时体检的孕产妇进行问卷调查,收集其外出情况及在外地体检情况,观察终点为产后60天。采用前瞻性队列研究方法对0~3儿童进行研究,按照儿童保健服务时间收集儿童体检情况,对于未及时体检的儿童家长进行问卷调查,收集儿童外出及接受保健服务情况,观察终点为儿童满3周岁。2013年9月30日为观察终止时间。资料收集工作完成后,对收集的问卷用Epidata软件进行双录入,并最终建立数据库,用SPSS16.0进行统计分析。结果:在孕产妇队列中,共登记6281人次,其中按时体检4819人次(77.7%),问卷调查1233人次(19.7%),收集有效问卷1143份、失访229人次(3.6%)。在0~1岁儿童队列中,共登记5838人次,其中按时体检4048人次(69.3%),问卷调查1345人次(23.0%),失访445人次(7.6%)。在1~3岁儿童队列中共登记4128人次,其中按时体检2663人次(64.5%),问卷调查994人次(24.1%),失访471人次(11.4%)。泾县孕产妇外出比例为30.1%,儿童外出比例为21.7%。孕产妇与儿童主要的流出地为上海、浙江和江苏能够提供较多就业机会的我国经济发达地区及安徽省的其他县市。在假设失访对象与随访对象接受保健服务水平一致的前提下,外出孕产妇系统管理率低于在家孕产妇水平,主要是受产后访视与产后42天体检率的影响;各月龄在家儿童体检率高于外出儿童,但外出儿童系统管理率与在家儿童基本处于同一水平。外出对孕产妇年度报表的影响为18.52%~26.37%。对3岁以下儿童系统管理率的影响为17.67%~35.37%。结论:泾县孕产妇外出比例为30.1%,儿童外出比例为21.7%,流出地主要为上海,浙江,江苏等经济发达地区。外出孕产妇系统管理率为58.5%,外出儿童系统管理率为81.4%。泾县年报孕产妇系统管理率50.77%,实际系统管理率为73.61%(假设失访孕产妇均未接受保健服务)或81.96(假设失访孕产妇与未失访孕产妇接受保健服务的水平相同),外出对年报孕产妇系统管理率的影响为18.52%~26.37%。泾县年报0~3岁儿童系统管理率51.07%,实际系统管理率为68.82%(假设失访儿童未接受保健服务)或86.53(假设失访儿童与未失访儿童接受保健服务的水平相同),外出对年报儿童系统管理率的影响为17.67%~35.37%。为了如实反映孕产妇与儿童接受保健服务情况,建议各级妇幼保健机构在妇幼卫生调查工作中,在注重收集本地本机构的体检信息的同时,尤其是外出比例较高的地区,还应该收集外出对象接受保健服务的信息。
[Abstract]:Objective: to understand the Anhui province Jingxian County maternal and children aged 0~3 out; understand the maternal and children aged 0~3 out accept health examination in the field; master out of maternal system management rate and system management rate of children aged 0~3 years. Methods: the bidirectional queue method in the research of the pregnant women, using self-designed questionnaire to collect pregnant women go past and historical data receiving health care services; then according to maternal health Business Hours successive collected maternal examination, questionnaire for not timely examination of pregnant women, go out and collected in the field of physical examination, to observe the end point for 60 days postpartum. A prospective cohort study of 0~3 children, collected from children according to the examination of child care for parents of children Business Hours, not timely examination of the questionnaire survey to collect children And the health care condition, observe the end point for children under the age of 3.2013 year in September 30th the termination time for observation. After the completion of the work of data collection, collected by Epidata software for double entry, and finally establish database, and analyzed by SPSS16.0. Results: in the maternal cohort, registered a total of 6281 people, among them on time physical examination of 4819 people (77.7%), 1233 (19.7%) questionnaires, 1143 valid questionnaires were collected, lost 229 people (3.6%). In a cohort of children aged 0~1 years, registered a total of 5838 people, including 4048 passengers (69.3%) on physical examination, questionnaire survey of 1345 people (23%), lost 445 passengers (7.6% in a cohort of children aged 1~3 years). The registered 4128 passengers, including 2663 passengers (64.5%) on physical examination, questionnaire survey of 994 people (24.1%), lost 471 people (11.4%). The pregnant women in Jingxian County out of proportion is 30.1%, the proportion of children to go out to 21.7%. main maternal and child The outflow for Shanghai, other counties and cities in economically developed regions of China Zhejiang and Jiangsu to provide more employment opportunities and Anhui province. On the assumption that the lost object and follow-up objects receive health care service level under the same premise, migrant maternal system management rate is lower than the level in pregnant women, mainly due to the postpartum visit and influence postpartum 42 celestial detection rate; each month in the children's physical examination rate higher than migrant children, but out of the systematic management rate of children at home with children at the same level. Out effects on maternal annual reports for 18.52%~26.37%. of children under the age of 3 years of systematic management rate was 17.67%~35.37%. conclusion: out of proportion of 30.1% pregnant women in Jingxian County children, out of proportion is 21.7%, the outflow of Shanghai, Zhejiang, Jiangsu and other economically developed areas. Migrant maternal system management rate of 58.5%, out of the system management rate of children As the 81.4%. report of Jingxian County maternal system management rate of 50.77%, the actual system management rate of 73.61% (assuming the lost maternal health services were not accepted) or 81.96 (assuming the lost maternal and maternal health care service has not lost the same level), on the influence of traditional management out rate for Jingxian County 18.52%~26.37%. annual report annual report of maternal 0~3 at the age of 51.07% the management system management system for children, the actual rate is 68.82% (assuming that the lost children did not receive health care services) or 86.53 (assuming the lost children and not lost children health care service to the same level), out of the systematic management rate of children is 17.67%~35.37%. in order to reflect the maternal and child health care condition, suggestions all levels of maternal and child health care institutions in the maternal and child health survey work, pay attention to the collection of this institution in the local medical information at the same time, especially to go out to a higher proportion of The area should also collect information on health services for outgoing objects.

【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R17

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