摘要
目的 评价人员技术培训对农村地区妇女妇幼保健服务的改善效果。方法 利用准人群试验设计方法 ,从 32个项目县中选择 6个县作为干预组。选择人口和经济状况与项目县类似 ,且未实施“生殖健康 /计划生育”项目的 6个县作为对照组。采用结构式问卷共访谈 3岁以下儿童的母亲 348名 ,干预组和对照组各为 1 85名和 1 6 3名。调查内容为孕产期保健的产前检查和产后访视的情况。干预措施 :统一对乡、村两级妇幼卫生人员进行 3轮为期两周理论培训 ,并安排一个月的临床进修。结果 在产前检查方面 ,干预组调查对象的平均产前检查次数高于对照组 ,分别为 6 .6 4和 5 .6 4 (P<0 .0 5 ) ;干预组平均产前检查项目数高于对照组 ,分别为 6 .71和 5 .6 7(P<0 .0 5 ) ;干预组中医生告知孕期注意事项的比例高于对照组 (P<0 .0 5 )。在 8项孕期不良症状和体征中 ,干预组调查对象平均知道 3.4 3项 ,对照组 2 .0 9项 ,两组间差异有统计学意义 (P<0 .0 5 )。在产后访视方面 ,干预组平均产后访视次数为 3.1 0次 ,对照组为 2 .5 4次 ,两组间差异有统计学意义 (P<0 .0 5 )。调查对象在接受产后访视时 ,医生仅询问了情况 ,而未做检查 ,对照组 (1 9.0 % )高于干预组 (6 .0 % )。干预组被告知避孕方法比例 (94 % )高于对照组 (78.
Objective To evaluate the impact of training maternal and child health care providers in the rural areas of China on improvement of health care to pregnant and puerperal women. Methods The data originated from the Reproductive Health/Family Planning Project implemented by the State Family Planning Commission and the Ministry of Health from 1998 to 2002, which covered 32 counties in 22 provinces of China. A quasi experimental design was used. 6 counties were selected from 32 project counties as the intervention group, while 6 non project counties were taken as the control group with the condition similar to that of the selected project counties in respect to their number of population and economic level. The subjects of the study were mothers with child under 3 years. A total of 348 mothers were interviewed using a structured questionnaire by strictly trained surveyors. It was focused on prenatal care and postpartum follow up in the survey. Intervention: According to the plan of the project, all maternal and child health care providers at the grass root level were given a 2 week theoretical training, and some of them were assigned to hospitals where they were gievn a 1 month clinical skills training. Results With regard to prenatal care, the mothers in intervention group received more prenatal care than those in control group (mean number of obstetric visits: 6.64 vs 5.64, P <0.05). The number of items of examination taken in intervention group was more than that in control group (6.71 versus 5.67, P <0 05). The proportion of the mothers in intervention group who were told that they must visit doctors if they felt uncomfortable in pregnant period, was higher than that in control group ( P <0.05). 8 symptoms or signs that possibly occur in pregnant period were listed; in this connection, the mothers in intervention group knew more than those in control group (3.43 vs 2.09, P <0.05). In the postpartum follow up, more mothers in the intervention group were examined by the doctors. The proportion
出处
《四川大学学报（医学版）》
CAS
CSCD
北大核心
2004年第4期539-542,共4页
Journal of Sichuan University(Medical Sciences)
基金
联合国人口基金会项目资助
关键词
产前检查
产后访视
妇幼保健
干预
Prenatal care Postpartum follow up Maternal and Child Health Intervention
