摘要
目的探讨孕产妇产前保健服务需求及利用情况。方法采用便利抽样的方法抽取1632名孕产妇进行产前保健服务需求状况调查,采用列联表χ2检验,比较不同收入状况妇女孕早期检查率、产前检查总次数达标率和健卡率。结果医院选择、生理需求、心理需求、就医环境、仪器设备、医疗技术、孕期保健知识需求7个维度的每项需求得分分布在需要至极需要之间,最高分为"孕期保健知识需求",得分(3.56±0.52);最低分为"医院距离选择",得分(3.09±0.51)。在产前保健服务利用情况项目中,孕早期检查率、产前检查总次数达标率及建卡率在不同经济水平妇女间存在差异。三项指标均随着经济水平的增高而呈现明显增加的趋势,且具有显著统计学意义(χ2=28.31,χ2=36.56,χ2=11.53,P<0.05)。结论产前保健是降低母婴死亡率和提高婴儿出生质量的重要措施,建议加强对产前保健人员进行系统的培训,进一步提高保健服务能力,改变产前保健形式及服务流程,提高服务质量和效率,最大限度的满足孕产妇的健康需求。
Objective： Discussion on health service demand and utilization of antenatal. Methods： Extraction using a convenience sample of 1632 pregnant women were investigated in health services demand prenatal, using a contingency table x 2 test, comparison of different income status of women in early pregnancy, prenatal examination rate of the total number of standards and the rate of health card rate. Results ： Hospital selection, physiological needs, psychological needs, medical environment, equipment, medical technology, the demand of prenatal care knowledge 7 dimensions of each demand score distributions in need extremely need between, the highest score is ＂demand＂ pregnancy health care knowledge, score （3.56 ＋ 0.52） ; the low is divided into ＂hospital distance＂, score （3.09 ＋ 0.51）. In the situation oftbe project in the use of prenatal care services, early pregnancy, prenatal examination rate and total number of standard rate card rate in dif- ferent economic levels among women. Three indicators with higher economic level and increased significantly, and there was a statistically significant （X2 = 28.31, X： = 36.56, X2 = 11.53, P 〈 0.05. Conclusion Prenatal care is reduce maternal and infant mortality and an important measure to improve the birth quality, proposed to strengthen the training system of prenatal health care personnel, further improve the health service ability, change the prenatal care and service process, improve the quality and efficiency of service, the maximum meet the health needs of pregnant women.
出处
《泰山医学院学报》
CAS
2013年第3期167-169,共3页
Journal of Taishan Medical College
基金
泰山医学院大学生创新课题
山东省教育厅科研基金项目(编号:J10WC58)
关键词
孕产妇
产前保健
服务需求
服务利用
Key words pregnant women
prenatal care
service requirements, service utilization
