摘要
目的评价孕妇被动吸烟健康教育的干预效果，探索对孕妇及其家人进行被动吸烟健康教育的方法及可行途径。方法选取河南省妇幼保健院、开封市妇幼保健院、杞县妇幼保健院及杞县阳固乡卫生院4家医院作为研究现场。对抽取研究现场进行产前检查的1043名孕妇及624名孕妇丈夫开展健康教育活动，并进行干预效果评估。结果干预后丈夫吸烟率（54．2％）、孕期同住的人在家吸烟率（37．9％）明显低于干预前的比率（分别为62．8％和47．9％），P〈0．001。干预后孕妇对吸烟者的态度为很讨厌的比率（56．4％）、采取立刻离开吸烟环境的比率（69．4％）、被动吸烟相关疾病知识知晓率（76．1％）、被动吸烟对胎儿影响相关知识知晓率（88．2％）及吸烟和被动吸烟其他相关知识知晓率（99．2％）均明显高于干预前的比率（分别为38．9％、59．2％、12．5％、9．1％和83．9％），P〈0．005。结论对孕妇开展被动吸烟的健康教育活动提高了其被动吸烟相关知识的知晓率，改变了孕妇对被动吸烟的态度和行为，说明对孕妇及其家人进行被动吸烟健康教育的干预有效。
Objective To evaluate intervention effect of health education for passive smoking of pregnant women and their family members. Methods 1 043 pregnant women who received antenatal examination and 624 husbands in 4 hospitals-Henan Provincial Maternal and Child Health Hospital, Kaifeng Municipal Maternal and Child Health Hospital, Jixian County Maternal and Child Health Hospital of Henan Province and Yanggu Township Health Center of Jixian County, Henan Province were selected as subjects in this study. The pregnant women and their husbands were educated for smoking health. The intervention effect was evaluated. Results After the intervention, the smoking rates of the husbands and other family members who were living together with the pregnant woman （54. 2% and 37. 9% respectively） were significantly lower than those before intervention （62.8% and 47.9% respectively） （ both P 〈0. 001 ）. The rate of feeling disgust to smoker （56.4%）, rate of leaving from smoking environment immediately （69.4%）, awareness rates of knowledge about passive smoking-related diseases （76. 1% ）, knowledge about impacts of passive smoking on the fetus （88.2%） and other related knowledge about smoking and passive smoking （99.2%） of the pregnant women after intervention were significantly higher than those before intervention（38.9%, 59.2% 12.5%, 9.1% and 83.9% respectively） （ all P 〈 0.005 ）. Conclusion Developing health education of passive smoking for pregnant women effectively increases their awareness rate of passive smoking-related knowledge and changes their attitude and practice to passive smoking, suggesting that the intervention through health education for pregnant women and their family members is effective.
出处
《中国妇幼健康研究》
2010年第1期38-41,共4页
Chinese Journal of Woman and Child Health Research
基金
美国国立卫生研究院（NIH）Fogarty国际中心资助项目（R01-W05938）
关键词
被动吸烟
孕妇
干预
健康教育
passive smoking
pregnant woman
intervention
health education
