摘要
目的纵向调查妊娠妇女运动状态变化规律,分析其与围产结局的关联。方法纳入2020年1-8月在浙江大学医学院附属妇产科医院门诊就诊的妊娠妇女285例,采用纵向研究设计,应用妊娠期身体活动问卷,分别在妊娠早、中、晚期3个时段进行运动状态随访调查,并跟踪其围产结局,分析运动状态与围产结局的相关性。结果最终完成随访240例。240例妊娠妇女中运动未达标155例、运动部分达标41例、运动全程达标44例,比较发现3组妊娠妇女妊娠期体重增长(F=12.897,P<0.001)、产后出血量(F=3.306,P=0.038)差异有统计学意义;3组妊娠期糖尿病发生率(χ^(2)=8.261,P=0.015)、妊娠期高血压发生率(χ^(2)=6.300,P=0.031)差异有统计学意义;3组新生儿出生体重(F=7.056,P=0.001)、巨大儿发生率(χ^(2)=10.012,P=0.005)、早产儿发生率(χ^(2)=6.676,P=0.029)差异有统计学意义。结论妊娠妇女运动水平及达标率不容乐观,应加强妊娠妇女运动健康指导,提高妊娠期全程运动水平及达标率,以改善母婴结局,促进母婴健康。
Objective To longitudinally investigate the regularities of changes in the physical activity status of pregnant women and its correlation with perinatal outcomes.Methods A total of 285 pregnant women receiving outpatient care at the Women's Hospital School of Medicine Zhejiang University from January to August 2020 were included.A longitudinal research design was adopted,utilizing Pregnancy Physical Activity Questionnaire.Follow-up surveys on physical activity status were conducted during early,middle,and late pregnancy.Perinatal outcomes were tracked to analyze the correlation between physical activity status and perinatal outcomes.Results A total of 240 pregnant women completed the follow-up.Among them,155 cases did not meet the physical activity standards,41 cases partially met the standards,and 44 cases fully met the standards.There were significant differences in gestational weight gain(F=12.897,P<0.001)and postpartum bleeding volume(F=3.306,P=0.038)among the three groups.There were statistically significant differences in the incidence of gestational diabetes mellitus(χ^(2)=8.261,P=0.015)and gestational hypertension(χ^(2)=6.300,P=0.031)among the three groups.Significant differences were also observed in newborn birth weight(F=7.056,P=0.001),incidence of macrosomia(χ^(2)=10.012,P=0.005),and incidence of premature infants(χ^(2)=6.676,P=0.029)among the three groups.Conclusion The level and attainment rate of physical activity of pregnant women are not optimistic.It is necessary to enhance health guidance on physical activity for pregnant women,and improve their overall pregnancy physical activity level and attainment rate,in order to enhance maternal and infant outcomes and promote maternal and infant health.
作者
金颖
张雪松
沈妤
张乐
刘宁宁
冯素文
Jin Ying;Zhang Xuesong;Shen Yu;Zhang Le;Liu Ningning;Feng Suwen
出处
《护理与康复》
2024年第3期1-6,12,共7页
Journal of Nursing and Rehabilitation
基金
浙江省医药卫生科技计划(一般项目),编号2023KY826
浙江省医药卫生科技计划(一般项目),编号2024KY114。
关键词
妊娠
运动状态
围产结局
纵向研究
pregnancy
physical activity status
perinatal outcome
longitudinal study
