影响孕妇产前检查依从性相关因素调查分析
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摘要
目的探讨影响孕妇产前检查依从性的相关因素及预防措施。方法选取我院产科2018年1～12月我院接收产前检查的380例孕妇作为研究对象,依据孕妇产前检查依从性标准进行判断,依从性差90例,依从性好290例,比较产前检查依从性好及依从性差两组妇女年龄、文化水平、户籍所在地、居住地、孕妇工作、经济收入、丈夫支持程度、医疗服务、产前检查费用支付方式、产次、求医条件等因素上的差异。结果 380例孕妇产前检查依从性差90例(23.68%),依从性好290例(76.32%),单因素χ~2检验两组之间11个变量存在显著性差异(P<0.05)。Logistic回归分析影响孕妇产前检查依从性的相关因素:收入<3500元/月(OR=4.71,95%CI:1.66～26.09)、经产妇(OR=3.87,95%CI:1.09～23.28)、初中及以下文化(OR=3.50,95%CI:1.16～20.10)、居住农村(OR=3.14,95%CI:1.27～19.16)。结论影响孕妇产前检查因素较多,需要采取相应的措施,提高完整的产前检查依从性。
Objective To explore the related factors affecting pregnant women's compliance with prenatal examination and preventive measures. Methods 380 pregnant women who received prenatal examination in our hospital from January 2018 to December 2018 in the department of obstetrics in our hospital were selected as study subjects. According to the compliance criteria of pregnant women based on prenatal examination, there were 90 cases with poor compliance and 290 cases with good compliance. The differences in the factors of age, cultural level, hukou address, residence, job,financial income, husband support, medical services, payment method of prenatal examination fees, and medical and health conditions were compared between the women with good compliance and poor compliance with prenatal examination. Results Among 380 pregnant women, there were 90 cases with poor compliance with prenatal examination(23.68%); there were 290 cases with good compliance(76.32%), and there were significant differences in the 11 variables between the two groups on the basis of the univariate χ~2 test(P<0.05). Logistic regression analysis was used to analyze the related factors affecting pregnant women's compliance with prenatal examination: income <3500 yuan/month(OR=4.71, 95%CI: 1.66-26.09), multipara(OR=3.87,95%CI: 1.09-23.28), educational background of secondary school and below(OR=3.50, 95%CI: 1.16-20.10), and residence in rural areas(OR=3.14,95%CI: 1.27-19.16). Conclusion There are many factors affecting the prenatal examination of pregnant women, and it is necessary to take corresponding measures to improve the complete compliance with prenatal examination.
Objective To explore the related factors affecting pregnant women's compliance with prenatal examination and preventive measures. Methods 380 pregnant women who received prenatal examination in our hospital from January 2018 to December 2018 in the department of obstetrics in our hospital were selected as study subjects. According to the compliance criteria of pregnant women based on prenatal examination, there were 90 cases with poor compliance and 290 cases with good compliance. The differences in the factors of age, cultural level, hukou address, residence, job,financial income, husband support, medical services, payment method of prenatal examination fees, and medical and health conditions were compared between the women with good compliance and poor compliance with prenatal examination. Results Among 380 pregnant women, there were 90 cases with poor compliance with prenatal examination(23.68%); there were 290 cases with good compliance(76.32%), and there were significant differences in the 11 variables between the two groups on the basis of the univariate χ~2 test(P<0.05). Logistic regression analysis was used to analyze the related factors affecting pregnant women's compliance with prenatal examination: income <3500 yuan/month(OR=4.71, 95%CI: 1.66-26.09), multipara(OR=3.87,95%CI: 1.09-23.28), educational background of secondary school and below(OR=3.50, 95%CI: 1.16-20.10), and residence in rural areas(OR=3.14,95%CI: 1.27-19.16). Conclusion There are many factors affecting the prenatal examination of pregnant women, and it is necessary to take corresponding measures to improve the complete compliance with prenatal examination.
引文
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[15]王行,王全丽,毕育学,等.陕西省育龄妇女产前检查的现状及影响因素分析[J].中国初级卫生保健,2018,32(5):20-23.
[2]董诀,陆水芬,徐敏娟.规律产前检查干预对孕产妇自我保健管理水平及妊娠结局的影响[J].中国妇幼保健,2018,33(22):5102-5104.
[3]徐庆岚.孕妇产前检查的影响因素分析[J].实用妇科内分泌电子杂志,2015,2(2):189-190.
[4]陈黎芬.457例孕妇产前检查分析[J].中国实用医药,2015,10(8):279-280.
[5]曾灵燕,叶国苍.劳务工孕产妇产前检查依从性影响因素分析及对策[J].中国现代药物应用,2015,33(11):272-273.
[6]徐群芳,丁晓芬,沈建芬.孕产妇围产期保健状况调查和健康教育效果分析[J].实用预防医学,2014,(11):1357-1359.
[7]程华,刘芳,巴拉卓玛.高原地区与平原地区孕产妇产前保健及妊娠结局对比分析[J].中国妇幼健康研究,2017,28(3):256-258,269.
[8]王丽丽.产前检查的次数及健康教育与产妇妊娠结局的相关性分析[J].中国妇幼保健,2017,32(23):5890-5892.
[9]周吉,农初师,谭雄燕,等.基本公共卫生服务慢性病社区管理现状分析[J].中国慢性病预防与控制,2017,(4):309-312.
[10]陈音汁,许红,唐晓君,等.中国西部部分少数民族地区产前检查现状及影响因素分析[J].华中科技大学学报(医学版),2013,42(3):346-350.
[11]徐嘉悦,牟雨婵,张菊英,等.四川省农村地区产前检查现状及影响因素分析[J].现代预防医学,2017,44(10):1803-1806.
[12]李翠苑,昊倩,古丽巴哈,等.产前检查与保健对妊娠结局影响分析[J].中国妇幼卫生杂志,2016,7(1):24-33.
[13]代莉.武汉市产妇孕期保健状况研究[J].中国妇幼保健,2017,32(5):905-907.
[14]陈晓红,易淑媛,邓淑敏.湖北省孕产妇产前检查状况及相关因素分析[J].中国计划生育学杂志,2018,26(9):776-777.
[15]王行,王全丽,毕育学,等.陕西省育龄妇女产前检查的现状及影响因素分析[J].中国初级卫生保健,2018,32(5):20-23.