摘要
目的:调查分析产科门诊孕产期营养管理服务利用状况及其影响因素。方法:选取2020年12月-2022年12月本院产科门诊接收的2002名孕产妇进行问卷调查,将近1个月内利用孕产期营养管理服务<3次的1564名孕产妇作为低利用度组,≥3次的438名孕产妇作为高利用度组。对比两组人口学资料和孕产期保健情况。采用logistic回归分析孕产期营养管理服务利用的影响因素。结果:本次调查的2002名孕产妇对孕产期营养管理服务高利用度占比为21.9%(438/2002);2002名服务利用的主要内容为建立营养管理档案82.5%、营养咨询和评估48.9%、个体化营养支持治疗46.3%、孕产期并发症营养治疗56.1%、健康宣教56.1%。多因素分析显示,受教育程度为大专以下、家庭人均月收入<1万、产前检查<4次、产后访视<3次、对孕产期营养管理服务满意度不满或一般均为孕产期营养管理服务利用的影响因素(均P<0.05)。结论:产科门诊孕产期营养管理服务利用状况不容乐观,对不同文化程度、经济水平的孕产妇采用针对性营养管理服务,积极优化孕产期营养健康教育方式,从而提升孕产期营养管理服务利用度。
Objective:To investigate and analyze the utilization status and the influencing factors of the nutrition management service for women during pregnancy and childbirth in obstetric outpatient department.Methods:The clinical data of 2002 pregnant and lying-in women who were received services from obstetric outpatient department of the hospital were selected in this study from December 2020 to December 2022.1564 women who accepted the nutrition management service less than 3 times in the past month were selected in group A,and 438 women who accepted the nutrition management service≥3 times in the past month were selected in group B.The demographic data and the maternal health care situation of the women were compared between the two groups.Logistic regression was used to analyze the influencing factors of the utilization of the maternal nutrition management services.Results:Among 2002 women in this survey,21.9%(438/2002)of them had the high utilization of the maternal nutrition management services.The main contents of the utilization of the maternal nutrition management services were the establishment of nutrition management files(82.5%),the nutrition consultation and evaluation(48.9%),the individualized nutrition support therapy(46.3%),the nutrition treatment for the pregnancy complications(56.1%)and the health education(56.1%).Multi-variate analysis showed that education level of junior college or below,the family per capita monthly income<10000 RMB,the number of antenatal examinations<4 times,the postpartum visits<3 times and the dissatisfaction or general satisfaction for the maternal nutrition management services of the women were the influencing factors of their utilization of maternal nutrition management services(all P<0.05).Conclusion:The utilization status of the nutrition management service of the pregnant and lying-in women in the obstetric outpatient department is not optimistic.For the pregnant and lying-in women with different educational and economic levels,the targeted nutrition management service should be adopted for them and the actively optimized model of the maternal nutrition management services of the pregnant and lying-in women should be conducted,so as to improve their utilization of the maternal nutrition management services.
作者
宋秀云
刘晓
王占晖
牟莎莎
SONG Xiuyun;LIU Xiao;WANG Zhanhui;MOU Shasha(Jiaozhou Central Hospital,Qingdao,Shandong Province,266300)
出处
《中国计划生育学杂志》
2024年第4期744-749,共6页
Chinese Journal of Family Planning
基金
2022-2024年青岛市市级临床重点专科妇产科专科资助。
关键词
产科门诊
孕产期营养管理服务
利用状况
问卷调查
影响因素
Obstetrics department
Maternal nutrition management services during pregnancy and childbirth
Utilization status
Questionnaire survey
Influencing factor
