摘要
目的在完成社区卫生服务中心孕妇学校孕早期健康教育后,为出校的妊娠期妇女建立微信群,并进行孕期陪伴,观察效果和反馈,探索社区妇保工作深化服务的必要性、内容和方法。方法将上海市浦东新区某社区2018年1-5月来社区卫生服务中心参加社区孕妇学校健康教育的妊娠期妇女,按照自愿的原则,纳入由社区医生建立的孕期陪伴微信群,依托微信群平台,进行孕期陪伴及常规孕期随访,孕中晚期发放调查问卷,了解妊娠期妇女在妊娠期间的主要健康问题和在社区医生建群管理后的群内获益与感受。结果城市社区妊娠期妇女在高知识、高地位和高收入的同时,存在着高龄、高压力和高危险因素等健康风险。在妊娠期内,孕吐、睡眠质量低及情绪起伏是普遍的健康困扰和问题,陪伴和分享有助于缓解这些健康问题,社区孕妇学校及本研究建立的孕期陪伴微信群是社区妊娠期妇女主要的陪伴和分享资源和渠道,而切实可改善妊娠期妇女健康问题的健康服务,亟需建立供应体系,以满足妊娠期妇女的健康需求。结论社区妇保工作亟需发挥社区资源优势,在线下社区孕妇学校和线上微信陪伴基础上,基于对妊娠期妇女健康需求的精细了解,提供可切实解决妊娠期健康问题的健康服务,以提升社区妊娠期妇女的健康水平,提高整个社区人口健康素质和质量。
OBJECTIVE To establish a WeChat group for the early pregnant women after school health education in the community health service center(CHS),and accompany them during pregnancy,observe the effect and feedback,for laying a foundation to deep the community maternity care work. METHODS It chose the pregnant women finished health education in the CHS pregnant women school in Shanghai Pudong New Area between January 2018 and May 2018,invited them to join in the WeChat group established by the community doctors voluntarily. The doctor accompanied them and regular follow-up during pregnancy relying on the WeChat group. Questionnaires were distributed in the middle and late pregnancy to understand their health problem and need. The benefits and feelings of in the WeChat group managed by community doctors. RESULTS The pregnancy women in urban community were go-getters,high position and high income,and at the same time they were age,under high pressure,and have several health risk factors. In the period of pregnancy,morning sickness,poor quality of sleep and moodiness were common health problems and issues. Accompaniment and sharing could help alleviate these health problems. Community pregnant women school and the WeChat group established in the this study were the main resources and channels to get companion and sharing. What was more,it needed to establish the supply system as soon as possible to satisfy the health needs of pregnant women in community. CONCLUSION Community maternity care work needed to take advantage of community resources and use the offline community pregnant women school and online WeChat,provide a practical solution to the problem of pregnancy health basing on understanding of the demand of women during pregnancy,enhance the level of community health of women during pregnancy and improve the quality of the whole community population health.
作者
梁泓
周礼清
LIANG Hong;ZHOU Li-qing(Huamu Community Health Service Center,Pudong New Area,Shanghai,201204,China)
出处
《中国初级卫生保健》
2019年第12期41-43,共3页
Chinese Primary Health Care
基金
浦东新区卫生系统示范全科团队建设资助（PWZqt2017-02）
关键词
妊娠期妇女
社区富有保健
孕妇学校
健康服务
pregnant women
community maternity care work
pregnant women school
health service
