摘要
目的:分析经产妇妊娠期保健需求。方法:选择2023年1-12月本院常规产前检查产妇为调查对象,调查问卷分析经产妇与初产妇孕期保健需求及量化得分情况,探讨不同人口学特征经产妇孕期保健知识需求差异。结果:发放调查问卷1068份,有效问卷1051份,有效率为98.4%。1051例中初产妇499例(初产妇组),经产妇552例(经产妇组)。经产妇组对出生缺陷预防(76.3%)、妊娠合并症及并发症预防知识(69.6%)的需求高于初产妇(61.1%、53.5%),对分娩知识、新生儿护理需求低于初产妇(均P<0.001),两组对营养保健、心理保健的需求无差异(P>0.05)。经产妇中不同年龄、文化程度者孕期保健需求存在差异,且随着年龄增加、文化程度升高对孕期保健需求增加(均P<0.05),计划外妊娠、生育间隔>5年的经产妇孕期保健需求得分(10.66±3.68分、10.57±4.43分)高于非计划外妊娠及生育间隔≤5年的孕妇(8.36±2.55分、7.80±2.73分)(均P<0.05)。结论:经产妇孕期对出生缺陷预防、妊娠合并症及并发症的预防相关知识需求更加强烈,临床应对不同特征的经产妇给予针对性健康教育,以满足不同妊娠经历的孕妇需求。
Objective:To analyze the health care demand for multiparas during pregnancy.Methods:The survey subjects were selected from the multiparas who underwent routine antenatal examination in the hospital from January 2023 to December 2023.The questionnaire was used to analyze the health care demand and its quantitative scores of the multiparas and the primiparas during pregnancy.The differences of the demand of the pregnancy health knowledge of the multiparas with different demographic characteristics were explored.Results:A total of 1068 questionnaires were distributed,1051 of which were valid,with an effective rate of 98.4%.Among 1051 questionnaires,there were 499 questionnaires answered by the primiparas(in group A)and 552questionnaires answered by the multiparas(in group B).The demand rates of the knowledge about the birth defect prevention(76.3%)and the pregnancy complications and complications prevention(69.6%)of the women in group A were significantly higher than those(61.1% and 53.5%)of the women in group B.The demand rates of the knowledge about delivery knowledge and neonatal care of the women in group A were significantly lower than those of the women in group B(all P<0.001).There were no significant differences in the demand rates of the knowledge about nutritional health care and mental health care of the women between the two groups(P>0.05).In group A,there was significant difference in the demand of the health care during pregnancy among the multiparas with the different age and among the multiparas with the different education levels.The health care demand of the multiparas during pregnancy had increased with the increase of their age and the education level(all P<0.05).The scores of the health care demand during pregnancy of the multiparas with unplanned pregnancy or with the childbearing interval>5 years(10.66±3.68 points and 10.57±4.43 points)was significantly higher than that(8.36±2.55 points or 7.80±2.73 points)of the multiparas with planned pregnancy or with the childbearing interval≤5years(all P<0.05).Conclusion:The demand of the knowledge about the birth defect prevention,the pregnancy complications and the complication preventions of the multiparas during pregnancy is more intense.The targeted health education should be given to the multiparas with different characteristics,so as to meet the demands of the multiparas with different pregnancy experiences in the clinical practice.
作者
方姣烨
方芳
FANG Jiaoye;FANG Fang(The First People's Hospital of Linping District,Hangzhou,Zhejiang Province,311100)
出处
《中国计划生育学杂志》
2024年第11期2691-2694,共4页
Chinese Journal of Family Planning
关键词
经产妇
孕期保健
健康教育
需求
Multipara
Health care during pregnancy
Health education
Demand
