摘要
目的调查分析济宁市城乡孕产妇对基本公共卫生服务健康管理项目的认知、利用及满意度情况,为提高济宁市基本卫生服务孕产妇健康管理服务利用水平提出对策及建议。方法选取290名城市孕产妇,330名农村孕产妇作为调查对象进行问卷调查,调查内容包括城乡孕产妇人口学基本特征,城乡孕产妇基本公共卫生服务项目,健康管理服务的知晓情况,城乡孕产妇基本公共卫生服务利用情况,城乡孕产妇对基本公共卫生服务健康管理服务的态度。采用SPSS 18.0软件进行χ2检验或非参数秩和检验,P<0.05为差异有统计学意义。结果城乡孕产妇及其配偶年龄、文化程度、职业、家庭年总收入、是否初产妇等方面差异均有统计学意义;城乡孕产妇对孕产妇健康管理服务内容(Z=-4.194,P=0.000)、健康管理保健指导内容(Z=-3.477,P=0.001)以及孕期产前随访内容(Z=-2.717,P=0.031)的知晓差异有统计学意义;城乡孕产妇孕期产检≥3次(χ2=5.722,P=0.007)等孕产妇健康管理项目利用情况差异有统计学意义;孕产妇基本公共卫生服务健康管理项目利用主动性方面差异有统计学意义(χ2=4.665,P=0.017)。结论济宁市孕产妇健康管理项目的实施状况有待改善,对农村孕产妇要开发并利用多渠道宣传,提高其对政策的认知和利用积极性;城乡基层医疗机构应提高自身的医疗技术水平,提高孕产妇对基本公共卫生服务利用的主动性。
Objective To understand the cognition,utilization and satisfaction of health management of basic public health services among urban and rural pregnant women in Jining. Methods Total 620 pregnant women（290from urban areas and 330 from rural areas）were randomly selected and a questionnaire survey was conducted in terms of demographical features,the cognition,utilization and satisfaction of health management of basic public health services.Chi-square test and rank sum test were used for statistical analysis. Results The differences of age of pregnant women and their spouses,the educational level,the occupation,annual family income were statistically significant between urban and rural pregnant women.The awareness rates of the health management project（Z=-4.194,P=0.000）,the care instruction during pregnancy（Z=-3.477,P=0.001）and the prenatal follow-up（Z=-2.717,P=0.031）were statistically significant between women from urban and rural areas.Also,there were statistical significances in terms of utilization and active involvement in public health management project（χ^2=4.665,P =0.017）,as well as antenatal examination 3times and over（χ^2=5.722,P=0.007）between women from urban and rural areas. Conclusions The implementation of maternal health care management project in Jining needs to be improved,especially in rural areas.A multi-channel services also need to be developed in order to improve the awareness and utilization of the policy and pregnant women also should be actively involved in the utilization of public health service.
出处
《中国预防医学杂志》
CAS
2016年第4期251-256,共6页
Chinese Preventive Medicine
基金
山东省高等学校人文社会科学研究项目(J14WG22)
济宁市科技计划(医药卫生)项目(2012jnzh11)
济宁医学院校级科研项目(JY2015RW003)
关键词
城乡孕产妇
基本公共卫生服务
认知
利用
满意度
Urban and rural pregnant women
Basic public health service
Cognition
Utilization
Satisfaction
