应用手机短信对孕产妇进行健康教育干预的效果研究

发布时间：2018-04-15 11:13

本文选题：孕产妇 + 健康教育　；参考：《中南大学》2013年硕士论文

【摘要】：目的：在了解怀化地区孕产妇保健服务利用和不良妊娠结局的现状的基础上,探讨应用手机短信对孕产妇进行健康教育干预的效果,以提高孕产妇保健服务质量和降低不良妊娠结局的发生,为选择适合我国孕产妇的健康教育方式提供科学依据。方法：①采用分层整群随机抽样的方法,从怀化地区的13个县市中随机抽取10个县市作为研究对象,各层抽出的县再按等额随机分配到干预组和对照组(每组五个县)。研究对象为2012年1月至2012年10月期间,在这10个县市的妇幼保健院(站)进行产前登记的孕产妇且其本人或家人具有手机者。②“知信行”问卷调查：每个县随机抽取50人进行孕产期保健知识的“知信行”问卷调查,分别于产前第一次登记时和产后42天进行“知信行”问卷调查。采用χ2检验、t检验或方差分析进行统计分析。结果：①基本情况：2012年1月～2012年10月在干预组和对照组进行产前登记的符合纳入条件的孕产妇人数分别为11477和12699,截至2013年2月共收集到孕产妇结局资料分别为6603和6213,随访完成率分别为57.5%和48.9%。两组孕产妇在年龄、孕次间的差异无统计学意义(P0.05)；在产次和户籍方面差异具有统计学意义(P0.001),干预组中孕产妇为农业户籍的人数高于对照组,初产妇人数低于对照组。②基线调查结果：对研究地区孕产妇保健服务利用和妊娠结局进行基线调查,收集2011年6月～2011年12月期间(干预前)分娩的孕产妇保健服务利用和妊娠结局资料。共收集到9113名孕产妇资料,其中干预组4971人,对照组4142人。结果显示：对照组的孕产妇早孕检查率、产前筛查率、艾滋病抗体检测率均高于干预组(P0.05),梅毒抗体检测率、乙肝表面抗原检测率、产前检查、产前检查≥5次率和叶酸补服率两组差异无统计学意义(P0.05)。③“知信行”问卷调查：每县随机抽取50人进行问卷调查(干预组和对照组各250人),共收集到205份干预组和227份对照组孕产妇完整的问卷资料,有效应答率分别为82.0%和90.8%。“知信行”问卷调查结果显示：干预组干预后知识、态度和行为得分升高幅度均高于对照组(P0.05)。④孕产妇保健服务利用比较：利用手机短信对孕产妇进行健康教育后干预组的产前筛查率、艾滋病抗体检测率、产前检查率、产前检查≥5次率、叶酸补服率均高于干预前水平(P0.05)。⑤孕产妇妊娠结局比较：健康教育干预前孕产妇剖宫产率干预组(40.2%)和对照组(39.6%)差异无统计学意义；健康教育干预后干预组的剖宫产率(35.6%)明显低于对照组(40.1%)。结论：①我国怀化地区孕产妇保健服务利用率较低；剖宫产率为40.0%,孕产妇死亡率为38.75/10万,围生儿死亡率为9%0。②利用手机短信对孕产妇进行健康教育能够促进孕产妇知识、态度、行为的改变；提高产前筛查率、艾滋病抗体检测率、产前检查率和叶酸补服率；降低剖宫产率,促进孕产妇及婴幼儿的健康。③应用手机短信对孕产妇进行健康教育具有较好的可行性。
[Abstract]:Objective: to understand the maternal health services utilization in Huaihua area and adverse pregnancy outcome status on the application of mobile phone messages for the effects of the health education intervention on maternal health care of pregnant women, in order to improve service quality and reduce the occurrence of adverse pregnancy outcomes, and provide scientific basis for health education mode selection for Chinese pregnant women.
Methods: using stratified random sampling method, 10 counties were randomly selected from 13 counties in Huaihua area as the research object, each layer out of the county and then by matching the randomly assigned to the intervention group and the control group (five in each county) as the research object. During the period from January 2012 to October 2012, in the 10 the county MCH (station) of antenatal registration and the person or family with mobile phone. A survey of the KAP: each county randomly selected 50 people survey of maternal health care knowledge KAP, respectively in the first antenatal and postpartum 42 days of registration "the questionnaire of KAP. Using 2 test, t test or analysis of variance was used for statistical analysis.
Results: the basic situation: from January 2012 to October 2012 in the intervention group and control group were registered with the number of pregnant women in prenatal conditions were 11477 and 12699, as of February 2013 were collected from the maternal outcome data were 6603 and 6213, the follow-up completion rates were 57.5% and 48.9%. of two groups of maternal age, there was no statistically significant difference. Between the (P0.05); in the production and household differences have statistical significance (P0.001), the number of pregnant women in the intervention group for agricultural household registration was higher than the control group, the number of primipara is lower than the control group. The baseline survey results of maternal health services research area by using the baseline survey and the pregnancy outcomes were collected from June 2011 to December 2011. During the period (before intervention) of maternal health care services utilization childbirth and pregnancy outcomes of 9113 pregnant women. The data were collected in the intervention group 497 1 people, 4142 people in the control group. The results showed that the control group the rate of maternal pregnancy examination, prenatal screening rate of HIV antibody detection rate were higher in the intervention group (P0.05), syphilis antibody detection rate of hepatitis B surface antigen detection rate, prenatal examination, prenatal examination of more than 5 times the rate of wear rate was two and Ye Suanbu was not statistically meaning (P0.05). A survey of the "KAP: each county randomly selected 50 questionnaires (intervention group and control group of 250 people), collected a total of 205 copies and 227 copies of the intervention group control group maternal questionnaire complete, with rates were 82% and 90.8%." KAP "answer: the survey results show that the effect of intervention group knowledge, attitude and behavior scores increased were higher than that of the control group (P0.05). By comparing the maternal health care services: prenatal screening for the use of mobile phone text messages to carry out health education for pregnant women after the intervention group, AI HIV antibody detection rate, the rate of prenatal examination, prenatal examination of more than 5 times the rate of folic acid supplementation, rates were higher than before the intervention level (P0.05). Compared the pregnancy outcome of pregnant women: health education intervention before cesarean section rate of intervention group (40.2%) and control group (39.6%) there was no significant difference in the rate of cesarean section; intervention the health education intervention group (35.6%) was significantly lower than the control group (40.1%).
Conclusion: the maternal health care services in Huaihua area of our country low utilization rate; the rate of cesarean section was 40%, the maternal mortality rate was 38.75/10 million, the perinatal mortality rate was 9%0. 2 of the maternal health education can promote maternal knowledge, the use of mobile phone message attitude, behavior change; improve the prenatal screening rate of HIV antibody detection rate. The rate of prenatal examination and folic acid supplementation rate; reduce the rate of cesarean section, promote maternal and infant health. The application of mobile phone SMS health education is feasible to the pregnant women.

【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R173

【参考文献】