孕前空腹血糖高于正常值的风险人群咨询指导情况

发布时间：2018-03-18 07:15

本文选题：空腹血糖　切入点：风险人群　出处：《现代预防医学》2017年21期 　论文类型：期刊论文

【摘要】：目的了解河南省孕前优生健康检查项目中空腹血糖高于正常值风险人群的咨询指导情况。方法采用简单随机抽样方法抽取河南省孕前优生健康检查项目中2016年1月1日至2016年5月31日建档的、空腹血糖高于正常值的风险人群为调查对象,共抽取1 866人,进行电话随访。结果被抽取的调查对象的应答率为52.73%;60.77%的应答者接受了面对面优生咨询指导,其中55.02%的对象被告知血糖值异常;随着年龄、文化程度的增高,复查血糖者所占的比例增高(X_(趋势)~2=4.233,P0.05;X_(趋势)~2=6.090,P0.05);不同职业其复查血糖或进行治疗者所占的比例均不同(均为P0.05);随着文化程度的增高其对血糖增高影响孕产妇及胎儿健康的知晓率越高(X_(趋势)~2=34.738,P0.05),不同职业其对血糖增高影响孕产妇及胎儿健康的知晓情况也不同(X~2=25.152,P0.05),其中做家务者最高(88.89%),公职人员次之(87.18%),农民最低(55.06%)。结论孕前空腹血糖高于正常值的风险人群对血糖增高影响孕产妇及胎儿健康的认知程度较低,接受复查血糖和进行治疗干预的比例较低。
[Abstract]:Objective to investigate the counseling and guidance of prepregnancy health examination in Henan province. Methods A simple random sampling method was used to select the prepregnancy health examination items of Henan province on 2016. From 1st to May 31st 2016, A total of 1,866 subjects were selected for telephone follow-up. Results the response rate was 52.73% and 60.77% of the respondents received face-to-face eugenic counseling. 55.02% of the subjects were told that their blood sugar levels were abnormal; The proportion of blood sugar reexamined was increased (P 0.05); the proportion of blood sugar re-examined or treated varied in different occupations (all P0.05; with the increase of education level, it affected maternal and fetal health) and the health of pregnant women and fetuses was affected by the increase of education level (P < 0.05), and the proportion of blood glucose reexamined or treated was different in different occupations. (2) the proportion of blood sugar in pregnant women and fetuses was increased with the increase of education level (P < 0. 05). The higher the awareness rate of Kang is, the higher the awareness rate is, and the different occupations have different knowledge about the effects of increased blood glucose on maternal and fetal health. Among them, the highest level is 88.89% for domestic workers, 87.18 for public servants and 55.06% for farmers. Conclusion fasting blood glucose is high before pregnancy. At normal risk groups, the cognitive level of hyperglycemia affecting maternal and fetal health was lower, The rate of blood glucose review and treatment intervention was lower.
【作者单位】：河南省人口和计划生育科学技术研究院/国家卫生计生委出生缺陷预防重点实验室;
【基金】：河南省人口和计划生育科学技术研究院项目(项目编号:2015kyy002)
【分类号】：R169.1

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