【摘要】：目的:良好的孕期健康管理是優(yōu)生優(yōu)育的關(guān)鍵,對(duì)減少孕產(chǎn)婦死亡亦具有重要作用。隨著移動(dòng)醫(yī)療的發(fā)展,孕婦可通過(guò)App獲取若干健康管理服務(wù),孕婦健康管理類(lèi)App逐漸成為促進(jìn)孕婦健康管理的一種新工具。本研究通過(guò)對(duì)孕婦健康管理類(lèi)App相關(guān)情況的調(diào)查,了解孕婦對(duì)健康管理類(lèi)App的使用、需求情況和對(duì)社區(qū)健康管理的認(rèn)知情況并分別探討三者的主要影響因素,從孕婦、App開(kāi)發(fā)設(shè)計(jì)、社區(qū)、政府等角度提出完善孕婦健康管理服務(wù)的建議。方法:采用文獻(xiàn)檢索法描述國(guó)內(nèi)外基于移動(dòng)醫(yī)療的孕婦健康管理研究進(jìn)展及關(guān)注熱點(diǎn),總結(jié)歸納其研究概況及發(fā)展方向,為本課題的研究方案設(shè)計(jì)提供依據(jù);采用分層隨機(jī)抽樣方法對(duì)孕婦健康管理類(lèi)App需求現(xiàn)狀進(jìn)行調(diào)查;采用描述性分析、t檢驗(yàn)、卡方檢驗(yàn)、方差分析、二元logistic回歸分析、多重線性回歸分析等方法進(jìn)行統(tǒng)計(jì)分析。結(jié)果:1.被調(diào)查孕婦中,使用健康管理類(lèi)App 507例,占78.6%,未使用健康管理類(lèi)App 138例,占21.4%,使用率較高;對(duì)孕期社區(qū)健康管理認(rèn)知度調(diào)查中,高認(rèn)知度248例,占38.5%,低認(rèn)知度397例,占61.6%,認(rèn)知度普遍不高;對(duì)健康管理類(lèi)App需求情況調(diào)查中,需要健康管理類(lèi)App 557例,占86.4%,不需要健康管理類(lèi)App 88例,占13.6%,需求率較高。2.在孕婦對(duì)健康管理類(lèi)App使用情況的單因素分析中,不同年齡、胎數(shù)、上網(wǎng)時(shí)間、社區(qū)健康管理認(rèn)知度、自身健康需求的孕婦對(duì)健康管理類(lèi)App使用情況差異均有統(tǒng)計(jì)學(xué)意義;3.在孕婦對(duì)社區(qū)健康管理認(rèn)知的單因素分析中,不同胎數(shù)的孕婦對(duì)社區(qū)健康管理認(rèn)知差異具有統(tǒng)計(jì)學(xué)意義;4.在孕婦對(duì)健康管理類(lèi)App需求情況的單因素分析中,不同戶(hù)籍、胎數(shù)、年齡、文化程度、上網(wǎng)時(shí)長(zhǎng)、自身健康管理需求、使用情況、使用頻率、關(guān)注模塊的孕婦對(duì)健康管理類(lèi)App需求情況差異均有統(tǒng)計(jì)學(xué)意義;5.在孕婦對(duì)健康管理類(lèi)App使用情況多因素分析中,年齡、文化程度、胎數(shù)、對(duì)健康管理類(lèi)App需求、社區(qū)健康管理認(rèn)知度成為孕婦是否使用健康管理類(lèi)App的主要影響因素,其中社區(qū)健康管理認(rèn)知度對(duì)使用情況的影響最大。6.在孕婦對(duì)社區(qū)健康管理認(rèn)知的多因素分析中,僅胎數(shù)對(duì)認(rèn)知有影響;7.在孕婦對(duì)健康管理類(lèi)App需求情況的多因素分析中,年齡、胎數(shù)、家庭月收入、職業(yè)、使用頻率、關(guān)注模塊為孕婦對(duì)健康管理類(lèi)App需求的主要影響因素,其中關(guān)注模塊對(duì)需求的影響最大,其次是年齡、職業(yè)、家庭月收入、使用頻率和胎數(shù)。結(jié)論:孕婦對(duì)健康管理類(lèi)App需求較高,年齡、胎數(shù)、家庭月收入、職業(yè)、使用情況、關(guān)注模塊對(duì)孕婦需求都有影響;影響孕婦使用健康管理類(lèi)App的因素主要有年齡、胎數(shù)、文化程度、孕婦自身健康管理需求及認(rèn)知,而其中影響認(rèn)知的因素主要為胎數(shù)。因此,為滿(mǎn)足孕婦對(duì)健康管理類(lèi)App的需求,孕婦應(yīng)該提高對(duì)社區(qū)健康管理的認(rèn)知,積極參與到自身健康管理中來(lái);設(shè)計(jì)開(kāi)發(fā)單位要細(xì)分App種類(lèi),針對(duì)孕婦需求開(kāi)發(fā)設(shè)計(jì)不同功能模塊;社區(qū)衛(wèi)生服務(wù)機(jī)構(gòu)要積極參與,為App的使用提供專(zhuān)業(yè)指導(dǎo),為孕婦提供即時(shí)有效的線上服務(wù);政府部門(mén)應(yīng)制定相關(guān)法律法規(guī),將移動(dòng)醫(yī)療App規(guī)范化管理。
[Abstract]:OBJECTIVE: Good health management during pregnancy is the key to eugenics and good fertility, and it also plays an important role in reducing maternal mortality. With the development of mobile medicine, pregnant women can get some health management services through App. App for health management of pregnant women has gradually become a new tool to promote health management of pregnant women. To investigate the use, demand and cognition of health management App among pregnant women, and to explore the main influencing factors. Suggestions on improving health management services for pregnant women were put forward from the aspects of pregnant women, App development and design, community and government. The research progress and hot spots of maternal health management based on mobile medical service were summarized, and the general situation and development direction were summarized to provide the basis for the research project design. Results: 1. Among the pregnant women surveyed, 507 cases (78.6%) used App of health management, 138 cases (21.4%) did not use App of health management, and the utilization rate was high. 248 cases (38.5%) had high cognition and 397 cases (39.7%) had low cognition on health management of community during pregnancy. Among them, 557 (86.4%) were in need of health management App, 88 (13.6%) were not in need of health management App, and the demand rate was high. Knowledge, health needs of pregnant women on health management App use were statistically significant differences; 3. In the single factor analysis of pregnant women's awareness of community health management, pregnant women with different number of births on community health management cognitive differences were statistically significant; 4. In the single factor analysis of pregnant women's demand for health management App, There were significant differences in health management App requirements among pregnant women with different household registration, fetal number, age, education level, length of Internet access, their own health management needs, usage, frequency of use, and concern module. 5. Age, education level, fetal number, and health management App were used by pregnant women in multivariate analysis. Needs, community health management awareness of pregnant women whether to use health management App is the main influencing factors, of which community health management awareness of the largest impact on the use of the situation. In multivariate analysis, age, fetus number, family monthly income, occupation, frequency of use and attention module were the main factors affecting the demand of health management App. Among them, attention module had the greatest impact on the demand, followed by age, occupation, family monthly income, frequency of use and number of births. Number of births, family monthly income, occupation, usage, attention module have an impact on pregnant women's needs; the main factors affecting pregnant women's use of health management App are age, number of births, education level, pregnant women's own health management needs and cognition, and the main factors affecting cognition are the number of births. Require that pregnant women should enhance their awareness of community health management and actively participate in their own health management; design and development units should subdivide the types of App, develop and design different functional modules according to pregnant women's needs; community health service agencies should actively participate in providing professional guidance for the use of App, and provide timely and effective online services for pregnant women; The government departments should formulate relevant laws and regulations to standardize the management of mobile medical App.
【學(xué)位授予單位】：杭州師范大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R715.3
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本文編號(hào)：2196590