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目的了解四川省孕期妇女对孕前保健服务的认知状况及其需求情况,为制定孕前保健服务策略提供科学依据。方法根据四川省经济状况和地理分布,2011-07/12随机抽取四川省8个市(成都、内江、资阳、乐山、南充、眉山、自贡、遂宁)及其相应各1个区县,对在当地妇幼保健机构进行产前检查的孕期妇女及家庭成员进行孕前保健认知情况及需求情况的调查。结果孕期妇女孕前检查率为61.8%,实际孕前体检项目以常规项目为主,血常规检查应答率为70.66%,其次为B超、尿常规、乙肝甲肝等,性激素6项利用最少,应答率为6.97%;了解孕前保健知识最主要的途径是亲朋好友,应答率为75.18%,途径需求调查排首位的是医务人员,应答率为57.45%;对认知水平影响因素分析显示,文化程度、家庭人均月收入、就医便利程度、是否计划怀孕和服务了解途径(报刊书籍、亲朋好友、网络)对孕前保健知识认知水平的影响有统计学意义(P<0.05)。结论四川省孕前体检率较低,主要为常规项目检查;文化程度、家庭人均月收入、就医便利程度、是否计划怀孕及相关知识获取途径是影响育龄妇女孕前保健认知水平的重要因素。
Objective To understand the status quo of pregnant women’s prenatal care services and their needs during pregnancy in Sichuan province and to provide a scientific basis for prenuptial care service strategies. Methods According to the economic status and geographical distribution in Sichuan Province, eight cities (Chengdu, Neijiang, Ziyang, Leshan, Nanchong, Meishan, Zigong, Suining) in Sichuan Province and one district / county were randomly selected from 2011-07 / Prenatal care awareness and needs surveys of prenatal women and their families during prenatal care at local MCH institutions. Results The pre-pregnancy examination rate was 61.8%. The actual pre-pregnancy physical examination items were mainly routine items. The blood test results were 70.66%, followed by B-ultrasound, urine routine, hepatitis B and hepatitis B. The sex hormones were the least utilized and the response rate was 6.97%; understanding of pre-pregnancy health knowledge is the most important way to friends and relatives, the response rate was 75.18%, the route needs survey ranked first medical staff, the response rate was 57.45%; analysis of the influencing factors of cognitive level, education, family Per capita monthly income, medical convenience, whether to plan pregnancy and service to understand the ways (newspapers and magazines, friends and relatives, the network) have a statistically significant impact on pre-pregnancy health knowledge (P <0.05). Conclusion The pre-pregnancy check-up rate in Sichuan Province is relatively low, mainly for routine examination. The educational level, average monthly household income per family, medical convenience, planned pregnancy and access to relevant knowledge are important factors that influence the prenatal care cognition of women of childbearing age.