摘要
目的:调查西部农村孕产妇健康管理现状,分析存在的困难并提出建议。方法:以问卷方式对231名孕产妇(孕妇93名,产妇138名)进行调查,同时对6所基层医疗卫生机构健康管理档案进行抽查,分析孕产妇管理现状;并访谈30名基层公共卫生服务人员,了解当前孕产妇管理存在的困难。结果:调查对象中有63.20%属于计划怀孕,计划怀孕者中58.22%获得过备孕知识介绍与健康体检建议;46.75%的孕产妇科学补充叶酸;83.55%的孕产妇接受过健康管理服务,62.69%选择在妇幼保健院或综合医院接受服务;选择保健机构最看重"医疗技术好"(44.16%)和"距离近"(27.46%);69.57%的产妇获得过产后上门访视服务,但只有36.96%符合国家要求。当前农村孕产妇健康管理存在5方面困难:农村孕产妇流动性较大,有效管理难度高;高危孕产妇数量日益增加,管理难度与风险增高;区域孕产妇管理系统信息共享与利用存在不足;基层医疗机构健康管理服务能力和服务规范性不够,吸引力和信任度较低;部分农村孕产妇健康知识和保健意识缺乏,主动参与健康管理意识较低。结论:建议加强对农村基层机构的投入和孕产妇健康管理人员培训以提升服务水平;进一步加强农村流动与高危孕产妇的精细管理;加强孕产妇健康信息共享平台管理;加大健康教育与宣传力度以提高农村孕产妇健康知识水平和参与健康管理积极性。
Objective： To investigate health management actualities among pregnant and puerperal women in rural western China, analyze the existing problems and put forward suggestions. Methods： A questionnaire was used to survey 93 pregnant women and 138 puer- peral women, health management records of six basic medical health institutes were checked; health management actualities among the preg- nant and puerperal women were analyzed; 30 basic public health service providers were interviewed to understand the existing difficulties of health management among the pregnant and puerperal women. Results： Among the pregnant and puerperal women, 63.20% of them planned to become pregnant; among the women having plan to becme pregnant, 58. 22% of them obtained progestational knowledge and healthy physical examination suggestions, 46. 75 % of them supplemented folic acid scientifically, 83.55% of them had received health man- agement service, 62. 69% of them received services in maternal and child health care hospitals and comprehensive hospitals, 44. 16% of them chose health care institutes based on good medical technique and 27.46% of them chose health care institutes based on short distance, 69. 57% of them obtained postpartum visit, but only 36. 96% of the visit met the national criteria. The difficulties existing in rural pregnant and puerperal women health management included five aspects： floating rural pregnant and puerperal women increased the difficulty in effec- tive management ; the increase of number of high risk pregnant and puerperal women increased management difficulties and risk ; information share and utilization of pregnant and puerperal women management system were deficient; health management service ability and normaliza- tion in basic medical institutions were poor, the attraction and credibility were low; partial rural pregnant and puerperal women lacked health knowledge and health care consciousness, active participation consciousness of health management was deficient. Conclusion ： It is recom- me
出处
《中国妇幼保健》
CAS
2015年第6期825-827,共3页
Maternal and Child Health Care of China
基金
国家社科基金项目〔12BJY092〕
关键词
西部农村地区
孕产妇
健康管理
Western rural area
Pregnant and puerperal women
Health management
