目的 分析上海市嘉定区产妇在孕产期各时期保健知识、认知态度和行为现状,为探索孕产期保健干预策略研究提供依据.方法 借鉴健康教育的“知信行”理论,自行设计调查问卷,对上海市嘉定区4个社区的产妇进行了孕产期保健现状调查,分析比较产妇在孕产期各时期保健的知信行情况.结果 产妇对各时期保健的知识知晓率均＞93.0％;产妇对各时期保健的正确态度形成率均＞98.0％;产妇对各时期保健的正确行为持有率均＞76.0％,其中孕前保健(76.5％)、参加孕妇学校(89.1％)和产时自然分娩(78.6％)是持有率较低的行为;产后42 d去医院健康检查(86.5％)则是产妇态度重视但又未能很好付诸实施的行为.产妇的孕产期保健知识、态度和行为具有正相关关系(P＜0.01).结论 上海市嘉定区产妇的孕产期保健知信行结果总体良好,但仍需逐步提高孕产妇的自我管理能力,强化全流程的孕产期保健健康教育.%Objective To investigate knowledge, attitudes and practice (KAP) among lying-in women in dif-ferent pregnant period in Jiading District of Shanghai, and provide evidence for prevention interventions on maternal health care. Methods Based on KAP theory of health education, self-designed questionnaire was used to investigate KAP of ly-ing-in women in various stages and their maternal health care. Results Lying-in women had good at maternal health care knowledge , the awareness rate was over 93. 0% , and the formation rate was over 98. 0%. The prevalence of maternal care behaviors was over 76. 0% . Preconception care (76. 5% ) and participation in pregnant school ( 89. 1% ) and natural delivery ( 78. 6% ) were the lowest among maternal health care behaviors. Meanwhile, the examination after 42 days post-partum (86. 5% ) had become great importance for lying-in women which can not be carried out well. And there had a positive correlation among knowledge and attitude and practice on maternal health care among lying-in women (P <0. 01) . Conclusion The systematicness of maternal health care should be improved for lying-in women to promote their ability and manage their health behavior.
展开▼
