摘要
目的了解孕妇的口腔健康知识、态度及行为现状,评价其健康教育的干预效果,为制定孕期及孕前口腔健康教育策略提供依据。方法在上海市某区级妇幼保健院整群抽取处于孕中期的妇女共300人。在干预前使用自行设计的调查问卷对调查对象进行口腔健康知识、态度及行为状况的基线调查。在孕妇常规的产前健康教育课程中加入20 min有关口腔健康知识的内容,并于课后进行快速效果评估。在2个月后对同一人群进行随访,了解其口腔保健行为的改变情况。结果干预后,孕妇的各项口腔健康知识知晓率均有了显著提高,知识总平均分从干预前的63.48分上升到86.03分,及格率为从63.09%上升到91.6%;刷牙方式、时间、饭后漱口、及时进行口腔检查等多项健康行为形成率均有显著提高。多因素分析结果显示,孕妇本人的文化程度及其配偶的文化程度是影响孕妇口腔健康知识水平的主要因素。结论产前口腔健康教育干预可显著提高孕妇口腔健康的知信行水平,倡议将孕期口腔健康教育列为围产期保健及牙病防治的重点项目,探索产科及口腔科跨部门合作的孕期口腔教育模式。
Objective To understand the status quo of knowledge,attitude,and behaviors about oral health of pregnant women,and evaluate the effect of oral health education intervention,so as to provide the basis for oral health education strategies in pregnancy and progestation.Methods A total of 300 women in midpregnant were been cluster sampled in one maternal and child health care center.Before intervention a baseline survey was conducted by using self-designed questionnaire about knowledge,attitude,and behaviors about oral health.In routine prenatal health education courses for pregnant women there had been added content of oral health knowledge about 20 minutes,and the rapid evaluation was conducted after the courses.After 2 months the follow-up was conducted to understand the change of their oral health behavior.Results After the intervention,the awareness rates oral health knowledge of pregnant women had increased significantly,the average knowledge score rose from 63.48 to 86.03,and the passing rate rose from 63.09% to 91.6%.The proportion of getting used to some healthy behaviors that including had increased significantly.The multivariate analysis showed that the educational level of pregnant women and their spouse were the main factors that affecting the level of oral health knowledge.Conclusion Prenatal oral health education intervention can significantly improve the oral health KAP level of pregnant women.Oral health education in pregnancy should be classified as key projects in perinatal care and dental prevention and treatment,and to explore a mode of oral health education in pregnancy by cross-sectoral cooperation in obstetrics and dental departments.
出处
《健康教育与健康促进》
2013年第5期329-332,共4页
Health Education and Health Promotion
基金
上海市卫生局青年科研项目(2009Y102)
关键词
孕妇
口腔健康
健康教育
干预
Pregnant woman
Oral health
Health education
Intervention
